Author Archives for Lori Melnitsky


The Best Stuttering Therapy for Adults

Stuttering may seem like an easy problem to solve. The internet is littered with advice and tips to stop stuttering. But for many adults, stuttering is a lifelong disorder that requires professional guidance to overcome. Several years ago, there was a huge advancement in speech therapy for stuttering, known as MPI. With MPI treatment, adults who stammer can greatly improve their speech in a matter of weeks. Does MPI Stuttering Therapy Really Work? Modification Phonation Intervals (MPI) therapy has been proven to be one of the most effective and quickest treatments for adults. A $3 million, six-year study by Roger Ingham found MPI stuttering therapy changes brain activity. The results suggested ways that stuttering treatment could be modified to increase the positive outcome of speech therapy. A subsequent study on the efficacy of MPI programs for adults had very positive results. The study compared MPI and prolonged speech treatments. Most […]


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My 3-Year-Old Stutters: What Do I Do?

As parents, our number one concern is our children’s happiness and helping them develop in a way where they are able to reach their full potential. One thing that can hinder this development is finding out that your 3-year- old child stutters. Stuttering can be frustrating and embarrassing for kids of this age and can stop them from doing many things they would otherwise be highly capable of doing. When you notice that your toddler is beginning to stutter, it can be a scary and overwhelming situation. How can you help? Who can you turn to for help? Which types of therapy are the best and most effective? These and a million other questions run through your head when your toddler stutters, but the good news is, there are solutions out there to help your 3-year-old child overcome this issue and lead a full life, free from the limitations and […]


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Back to School Stuttering Tips and Presentations. Helpful hints…

This post was inspired by many concerned parents of teens who stutter and talking in class. It seems like there are more presentations expected of students these days.  I cannot lie. It is embarrassing to talk differently than others in front of  a class but it can be done. How do we know who is ready and who is not?   I am going to start with a generic answer. Every student is different. These are my suggestions. I had to do them in school too. Some went better than others but honestly I was rarely graded for the amount of times I raised my hand. Not everyone is an extrovert.  Any questions please email Lori@allislandspeech.com Educate the teacher. I would not educate the whole administration. Only the teacher. It is their journey. Not everyone has to know their journey. Have the student email and tell about themselves. Send a handout […]


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Why Private pay as opposed to school speech therapy?

I want to start by saying that I have worked in public schools before. I totally respect my school speech pathologists.  They work hard for our children and have huge caseloads. Many kids who stutter or receive Prompt therapy are in groups of 5.   It is vital for kids who stutter to have parents either in the session or available at the end to facilitate progress. The Lidcombe program which is used up to about age 7 or 8 requires parents to actively work with their children at home.  This is not a school program.  It is a disservice to your child to do this program without parents present. Prompt is hands on so it is not sanitary to have the therapist’s hands on 2 or 3 children. They need a high level of expertise and individual therapy. Not all school speech pathologists specialize. Schools cannot solve every speech or […]


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What type of support did I find most useful from my parents as a child who stuttered?

This was asked by a few parents of children who stutter.  As parents we always worry we are not doing enough for our children.  The good news is that most of do our best and our kids know that. Did my parents support me? Yes. Without a shadow of a doubt. My father stuttered as well. He also overcame and became a pharmacist.  He was and is my role model.  I was fortunate to work with him at the age of 13 which encouraged me to talk often as a cashier.  At one point he encouraged me to seek a job on my own.  I went on an interview and got a job at a local department store.   After three months I decided I preferred my dad and uncle’s store to work in.  Luckily they took me back.  Let’s face it, they had no choice-LOL.  My mother was extremely proactive […]


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Stuttering: Get me out of jail..

To my adults who stutter.. Like you many of you I struggled for many years stuttering. I was afraid to order a medium diet pepsi, say fill it up at the gas station or ask a simple question, like what time is it? It was kind of like being in speech jail. One day I was asked my birthday by a teacher in class. I could still hear the laughter as I said “I don’t know”. All I had to say was April 22 but the fear came on like a  huge wave was going to knock me down. I wanted to get out of the house of bondage but did have the “get out of jail” card.It is hard to believe because now my family and friends would say I am outspoken. What changed?Finding the right speech pathologist to help me. Believing in myself. Realizing that it was not all […]


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Stuttering: Get me out of jail..

To my adults who stutter.. Like you many of you I struggled for many years stuttering. I was afraid to order a medium diet pepsi, say fill it up at the gas station or ask a simple question, like what time is it? It was kind of like being in speech jail. One day I was asked my birthday by a teacher in class. I could still hear the laughter as I said “I don’t know”. All I had to say was April 22 but the fear came on like a  huge wave was going to knock me down. I wanted to get out of the house of bondage but did have the “get out of jail” card.It is hard to believe because now my family and friends would say I am outspoken. What changed?Finding the right speech pathologist to help me. Believing in myself. Realizing that it was not all […]


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Apraxia and Stuttering?

This past year I witnessed two children ages 4 and 5 each entered my practice with a diagnosis of Childhood Apraxia of Speech and subsequently stuttering. Both were highly unintelligible.  The term makes parents very nervous.  This is a good description what it means: https://www.mayoclinic.org/diseases-conditions/childhood-apraxia-of-speech/symptoms-causes/syc-20352045 It is interesting as both of these children went through the Lidcombe Program for stuttering and became increasingly more fluent, intelligibility improved. Both have oral motor dysfunction but are sending less apraxic or dyspraxic. So what happened? How did their language improve and articulation issues decrease. yes, PROMPT helped but the stuttering definitely caused difficulties the language development. So do not wait! Please seek help early. Lori@allislandspeech.com


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