I have a client with a fluency disorder who also has moderate mental retardation with locus of control issues. His onset started at age 6 when his mother passed. What should I do in treatment?
Answer
You have to deal with each individual, what they bring to the table and let that guide some of your decision making. This individual may have problems with self?control, may have problems with taking some of these things on or being able to understand what you're asking them to do. Maybe with this client, again it is kind of hard to know if you don't know the person, but maybe more of a behavioral approach would be good. Maybe try more of a fluency shaping approach or more of an approach where they can learn some very systematic things that they can do to speak in an easier fashion, without a lot of the identification. I have worked with a couple of individuals with moderate MR or ADD, and in my experience, it is very hard because carryover gets to be very difficult. Carryover is pretty difficult for all clients, to tell you the truth. This is a very difficult problem.
Rodney Gabel is an associate professor in the Department of Communication Sciences and Disorders at Bowling Green State University. He teaches courses and conducts research in stuttering.
Rodney Gabel, Ph.D., CCC-SLP, BRS-FD
Rodney Gabel is an associate professor in the Department of Communication Sciences and Disorders at Bowling Green State University. He teaches courses and conducts research in stuttering. Dr. Gabel has presented papers at national conventions, international conventions, and has published research articles all dealing with stuttering and other fluency disorders.
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AG Bell - LSLS/1.0 Domain 3; ASHA/0.1 Intermediate, Professional; Calif SLPAB/1.0; IACET/0.1; Kansas LTS-S1370/1.0; SAC/1.0
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