1. CALMS Approach to Stammering1

2. Cognitive-(thinking) Affective- (feeling)
Linguistic-(forming the message)
Motor- (producing speech)
Social-(normal communication) 2

3. knowledge, understanding and awareness of stuttering
1. Cognitive
knowledge, understanding and awareness of stuttering
Thoughts of identity as a person who stutters and how others view them 3

4. 1. Cognitive- what can you do?
1. Talk about talking
2. Increase Knowledge of stuttering
3. Understand Mechanisms of Speech
4. Increase Self-Monitoring
5. Change Negative Thinking
6. Develop Question of the Week
7. Journal 4

5. Feelings and emotions regarding stuttering
2. Affective
Feelings and emotions regarding stuttering
Response to teasing, other people’s reactions, and avoidance of stuttering
- Self-image 5

6. 2. Affective- what can you do?
1. Playing with Stuttering
2. Teach others how to stutter
3. Use objects to represent stuttering 6

7. Level of fluency and how it affects overall language ability,
Linguistic
Level of fluency and how it affects overall language ability,
articulation
and phonological ability 7

8. Linguistic- what to do? 1. Select topic or theme
2. Systemically increase linguistic complexity
3. Use linguistic context to support speech modification skills
4. Integrate linguistic level with other CALMS components 8

9. secondary behaviors, frequency and duration of disfluencies
Motor
secondary behaviors, frequency and
duration of disfluencies
types and characteristics of disfluencies
frequency of stuttering with different partners 9

10. Increase use of speech modification strategies
Motor- what to attempt?
Increase use of speech modification strategies
The 3 D’s ( Discuss, Demonstrate, Drill)
Create speech “tool box”
Contextualize, Conceptualize, Generalize
Have child rate performance 10

11. avoidance of situations and degree of stuttering in certain situations
Social
avoidance of situations and degree of stuttering in certain situations
-impact on peer relationships 11

12. Social – what to do? Don’t hide stuttering
Homework assignments (short, negotiate)
Role play in speaking situations
Take therapy on the road in different situations 12