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Stuttering in Children: Signs, Causes, and How Speech Therapy Can Help

By Kendal Tyner, MS, CCC-SLP | Carolina Therapy Connection

As a parent, you listen closely to your child’s voice, from their first words to their stories at the dinner table. So when speech doesn’t come out smoothly, it’s natural to feel concerned.

The GOOD NEWS?  Stuttering is common in young children, and support is available! According to the American Speech-Language-Hearing Association (ASHA), many children experience stuttering during early language development, and it is not caused by anything a parent did or didn’t do.

This guide explains what stuttering is, what causes it, when to seek support, and how pediatric speech therapy can help your child communicate with confidence!

What Is Stuttering?

Stuttering is a speech fluency disorder that affects the flow of speech. Children who stutter often know exactly what they want to say, but their words may feel “stuck” or sound “bumpy.”

Stuttering may include:

  • Repeating sounds, syllables, or words (e.g., “b-b-ball,” “I, I, I am hungry”)
  • Stretching sounds (e.g., “ssssun”)
  • Pauses or blocks where no sound comes out

Stuttering is not a behavior problem and is not caused by nervousness or shyness. Many children who stutter are confident, capable communicators. They simply need support to improve fluency.

Common Signs of Stuttering in Children

Some signs are easy to notice, while others are more subtle. Parents may observe:

  • Repetition of sounds, syllables, or words
  • Prolonged sounds
  • Visible tension when speaking (facial grimacing, jaw movements, lip trembling, hand clenching)
  • Eye blinking or head movements during speech
  • Frustration or avoidance of talking
  • Saying “I can’t say it” or stopping mid-sentence

Many families notice stuttering more during moments of excitement or stress. While these situations don’t cause stuttering, they can make it more noticeable.

What Causes Stuttering?

Stuttering does not have a single cause. Research points to several contributing factors:

  • Genetics / Family History: Many children who stutter have a relative who also stuttered
  • Brain Development: Differences in how the brain processes speech and language
  • Early Language Growth: Stuttering often begins between ages 2–5, during rapid language development
  • Persistence Factors: Family patterns and timing of onset may influence whether stuttering continues

It’s important to remember: Parenting style does not cause stuttering. However, a child’s environment can influence how they feel about communication.

When Should Parents Be Concerned?

Many children go through a period of disfluency and outgrow it. However, consider seeking a speech-language evaluation if:

  • Stuttering lasts longer than 6–12 months
  • Stuttering continues beyond age 5
  • Stuttering becomes more frequent or severe
  • Your child shows frustration, embarrassment, or avoids speaking
  • There is a family history of persistent stuttering

Trust your instincts, early support can make a meaningful difference.

How Speech Therapy Helps Children Who Stutter

Pediatric speech therapy supports both communication skills and confidence. At Carolina Therapy Connection, therapists create individualized plans based on each child’s needs.

Speech therapy may help by:

  • Teaching strategies for smoother, more comfortable speech
  • Reducing physical tension during talking
  • Building confidence, even when stuttering occurs
  • Coaching parents on how to support communication at home

Many children not only improve their fluency but also grow in confidence, raising their hand in class, joining conversations, and expressing themselves more freely.

What Parents Can Do at Home

Parents play an important role in supporting children who stutter. Simple strategies can make a big difference:

  • Speak at a slower, relaxed pace
  • Give your child time to finish without interrupting
  • Avoid saying “slow down” or “take a breath.”
  • Create calm, one-on-one talking time
  • Praise what your child says, not how smoothly they say it

Above all, remind your child that their voice MATTERS!

You’re Not Alone

Stuttering can feel overwhelming, but you don’t have to navigate it alone. At Carolina Therapy Connection, we partner with families to support confident, meaningful communication.

Our licensed speech-language pathologists use evidence-based, child-centered approaches to create therapy plans that feel engaging, supportive, and effective.

How Can Carolina Therapy Connection Help?

Schedule your free consultation by clicking here!

We’re here to help your child grow, communicate, and THRIVE!

Concussions in Children: What Parents Should Know

Children of all ages can experience concussions, even during everyday play. Knowing what to look for and how to support recovery can help your child heal safely and confidently.

What Is a Concussion?

A concussion is a mild injury to the brain that can occur when a child hits their head or experiences a sudden movement that causes the brain to shift inside the skull. While concussions often happen after a direct hit to the head, they can also occur during falls, car accidents, or sports activities when the body stops or changes direction quickly.

Common Concussion Symptoms in Children

Concussion symptoms can vary from child to child and may appear immediately or hours later. Some common signs include:

  • Headaches
  • Nausea or vomiting
  • Dizziness or balance difficulties
  • Sensitivity to light or noise
  • Changes in sleep (sleeping more or less than usual)
  • Difficulty concentrating or keeping up at school
  • Increased irritability or emotional changes

For babies and toddlers, watch for:

  • Decreased interest in play
  • Eating less than usual
  • Changes in bathroom habits
  • Increased crying, frustration, or clinginess

What to Do If You Suspect a Concussion

If you think your child may have a concussion, seek medical care as soon as possible. A healthcare provider can evaluate your child and determine the next steps for care. While imaging tests may be used in some cases, many concussions do not require them.

Early medical guidance helps protect your child’s brain and supports a safer recovery.

Supporting Recovery at Home

Once your child returns home, the brain needs time to rest and heal. The first 24–48 hours play a critical role in recovery.

During this time:

  • Limit screen use (TVs, phones, tablets)
  • Avoid physical activity
  • Encourage quiet, low-stimulation activities
  • Allow rest and sleep as needed

If symptoms increase, reduce stimulation further and consult your child’s provider.

Returning to School and Activities

After the initial rest period, your child can gradually return to daily activities based on how they feel. Recovery should always move at your child’s pace.

Some children may need:

  • Shortened school days
  • Extra breaks
  • Reduced homework or screen time

Sports and active play should only resume with medical guidance. If symptoms return, activity levels should decrease.

When Symptoms Last Longer Than Expected

Most children begin to feel better within one to three months, but every child heals differently. If symptoms persist, such as headaches, dizziness, balance problems, or discomfort with movement, physical therapy may HELP!

How Physical Therapy Supports Concussion Recovery

Physical therapy plays an important role in concussion recovery, especially when symptoms linger. A physical therapist evaluates how your child moves, balances, and responds to motion. This may include checking posture, eye movements, walking patterns, and coordination.

Based on these findings, the therapist creates a personalized plan that supports safe healing.

Physical therapy can help by:

  • Improving balance and coordination
  • Reducing dizziness and motion sensitivity
  • Supporting safe return to daily movement and sports
  • Building confidence during recovery

Therapists guide children through a gradual return-to-activity process, adjusting the plan if symptoms reappear.

Education and Ongoing Support

Physical therapists also teach families how to manage symptoms at home, recognize signs of overexertion, and understand when rest or activity is appropriate. They often collaborate with doctors and schools to support a safe return to learning and play.

When Is Physical Therapy Complete?

Your child may finish physical therapy when they:

  • Experience no symptoms during rest or activity
  • Participate fully in school, play, and sports
  • No longer need accommodations or restrictions

With the right care, patience, and support, most children fully recover and return to the activities they enjoy.

How Can Carolina Therapy Connection Help?

At CTC, we help children recover from concussions through personalized physical therapy programs designed to restore balance, coordination, and confidence. Our licensed therapists support children throughout recovery and guide families every step of the way.

If you have concerns about your child’s recovery or ongoing symptoms after a concussion, we’re here to help!

👉 Visit our website to learn more or schedule an evaluation today.

Feeding Tube Awareness: Inclusive Mealtimes for Children

Written by: Qiana Jones, COTA/L 

Feeding Tube Awareness Week offers an opportunity to raise understanding, reduce stigma, and celebrate children who receive nutrition through feeding tubes. At Carolina Therapy Connection, we believe feeding is about more than intake… It’s about connection, participation, dignity, and honoring each child’s unique needs.

From an occupational therapy perspective, the use of feeding tubes does not represent a failure. They serve as supportive medical tools that help children grow, conserve energy, and engage more fully in daily life.

Understanding Tube Feeding Through an Occupational Therapy Lens

Children may require feeding tubes for many reasons, including:

  • Medical complexity
  • Sensory processing differences
  • Oral-motor or swallowing challenges
  • Difficulty regulating during mealtimes

Tube feeding can:

  • Support adequate nutrition and hydration
  • Reduce stress and pressure around eating
  • Allow children to focus energy on play, learning, and development

Some tube-fed children also eat by mouth, while others do not, and both experiences are VALID. As occupational therapists, we focus on safety, regulation, and meaningful participation, rather than forcing a single feeding outcome.

Creating Inclusive Mealtimes at Home

Family meals can remain meaningful and inclusive, even when the way we feed looks different.

🍽️ Togetherness Matters More Than Sameness

Children do not need to eat the same way to belong at the table. Sitting together, participating in routines, and sharing conversation reinforces connection and a sense of belonging.

🧃 Normalize Tube Feeding Within Daily Routines

When appropriate, families can include tube feeds during shared mealtimes rather than separating them. This approach helps normalize tube feeding and reduces feelings of difference or isolation.

Having Healthy Conversations About Tube Feeding

How adults talk about tube feeding shapes how children understand their bodies and needs.

💬 Use Neutral, Confident Language

Supportive phrases may include:

  • “This is how your body gets the nutrition it needs.”
  • “Everyone’s body works differently.”

Avoid language that frames tube feeding as something to “fix” or apologize for.

🌱 Welcome Curiosity

Siblings, peers, and adults often have questions. Simple, factual responses help normalize tube feeding and reduce stigma:

  • “This helps their body grow strong.”

Feeding Is About More Than Food

From an occupational therapy perspective, feeding involves more than eating. It includes:

  • Sensory processing
  • Motor coordination
  • Emotional regulation
  • Past experiences
  • Feelings of safety and trust

For some children, oral feeding feels overwhelming—or may not be safe. Tube feeding allows the nervous system to regulate, so exploration, if and when appropriate, can happen without pressure.

Progress may look like:

  • Reduced anxiety at meals
  • Increased tolerance of food-related experiences
  • Longer participation at the table
  • Improved family routines

These gains matter, and they deserve recognition and celebration.

Supporting Families With Compassion

Families of tube-fed children often navigate:

  • Emotional stress
  • Conflicting advice
  • Social pressure
  • Fear of judgment

Choosing tube feeding reflects care, advocacy, and responsiveness to a child’s needs, NOT a lack of effort. Families deserve support grounded in empathy and respect.

How Can Carolina Therapy Connection Help?

Our occupational therapy team supports:

  • Inclusive, child-centered mealtime routines
  • Individual feeding journeys without judgment
  • Family partnership grounded in compassion
  • Dignity, understanding, and meaningful participation

Feeding tubes help children THRIVE… not just survive.
If you have questions about feeding, regulation, or participation at mealtimes, our occupational therapy team is here to help.

Schedule your free consultation by clicking here.