People who have experienced extreme trauma due to accident may have speech problem. Fear can also inhibit the person especially a child to speak in a normal way, and thus may manifest speech disorder.
Neurogenic Disfluency. This results from an identifiable neuropathology in a person who has no history of fluency problems prior to occurrence of the pathology. Brain problems from accidents may induce disfluency. Neurogenic disfluency has similar characteristics as stuttering, including some physical behaviors like eye blinks and tremors due to lesser control of muscles needed in speech production.
- Management For Neurogenic Disfluency. Neurogenic disfluency may occur at any age but usually appears during adulthood or among the geriatric population. This condition can be n triggered by strokes, head trauma, extrapyramidal diseases, tumors, dementia, drug usage, anoxia, cryosurgery, viral meningitis, and vascular disease. Ths most effective management of this condition is
self-monitoring program .
Psychogenic Disfluency. People with no evidence of neurological dysfunction and no history of developmental stuttering can have psychogenic disfluency due to identifiable emotional crisis. This can be further grouped into three categories namely: emotionally based, manipulative, and malingering disfluencies. A very good example of this kind of disfluency is when a person stutters when a specific other is around. For instance, a son who is afraid of his father, starts to stutter every time his father is around but speaks fluently when around his friends and family.
- Management For Psychogenic Disfluency. This condition can be observable when 90% of the patient’s utterances have become disfluent when the emotional stimuli is present. It is something psychological in nature. The cause could be acute or chronic psychological disturbances like some family problem . Stress is another factor that may also cause the disorder.
Although other social and behavioral specialists can help in this condition like the psychologists, psychiatrist and counselors, the speech pathologists prioritize treatment only of the bad speech habits. This may still be present after resolving the emotional issues of the patient.