Fluency Disorder Stuttering: Disruption in the ability to produce speech in a smooth, accurate, effortless and timely manner. Typical stuttering: Occurs in children 2-4 years old as their language is developing Inconsistent with no particular pattern Interjections (“um” “uh”) Revisions (“I ate an apple, I mean an orange”) hole word or phrase repetitions Signs/symptomsof a Fluency Disorder include: Sound repetitions (“s-s-s-nake”) Syllable repetitions (“ca-ca-candy”) Prolongation of sound or words (“Daaaaaddy”) Blocks, or stopping of airflow Tension around the mouth or in the posture. Pitch changes, such as sudden loudness. Secondary behaviors (foot tapping) Avoidance or frustration (e.g. stop talking, unusual pauses, increased interjections (“umm”), or substitutions.