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  • Katie
    Hi all, Just found this Yahoo group and thought I would join even though I am far from USA ... in Townsville Australia. Thought it may be useful for discussing
    Message 1 of 12 , Oct 30, 2007
    • 0 Attachment
      Hi all,
      Just found this Yahoo group and thought I would join even though I am
      far from USA ... in Townsville Australia. Thought it may be useful for
      discussing tricky cases with other Speech Pathologists. Are there many
      student SLPs accessing this group? I am currently supporting a few who
      may be interested in joining.

      Many thanks
      Katie
    • Alida Engel
      Katie, I would love it if you brought up some cases. I am frustrated that more doctors are not referring these little ones. I keep sending them stuff but
      Message 2 of 12 , Nov 5, 2007
      • 0 Attachment

        Katie,

         

        I would love it if you brought up some cases.  I am frustrated that more doctors are not referring these little ones.  I keep sending them stuff but don’t seem to hear from them.  Alida

         

        Alida Engel, CCC -SLP, BRS-FD

        801 Edgewood Avenue

        New Haven, CT 06515

         

        (203)397-3224

        Speech Language Pathologist

        Board Recognized Fluency Specialist

        www.speech-therapy-products.com

         

         


        From: LidcombeUSA@yahoogroups.com [mailto:LidcombeUSA@yahoogroups.com] On Behalf Of Katie
        Sent: Tuesday, October 30, 2007 3:35 AM
        To: LidcombeUSA@yahoogroups.com
        Subject: [LidcombeUSA] (unknown)

         

        Hi all,
        Just found this Yahoo group and thought I would join even though I am
        far from USA ... in Townsville Australia . Thought it may be useful for
        discussing tricky cases with other Speech Pathologists. Are there many
        student SLPs accessing this group? I am currently supporting a few who
        may be interested in joining.

        Many thanks
        Katie

      • Deanna Earley
        Hi all, I would appreciate feedback on the following: child 5 1/2 with mild moderate core characteristics of stuttering. He has developed a cough like
        Message 3 of 12 , Nov 7, 2007
        • 0 Attachment
          Hi all,
          I would appreciate feedback on the following:  child 5 1/2 with mild moderate core characteristics of stuttering.  He has developed a "cough" like sound that is distracting and increases with nervousness.  His health is good.  At CA4 he was seen by a family therapist for anxiety.  Family has been hesitant to mention "stuttering" as dad is worried that his son "caught it from him."  (We have already addressed this during the evaluation.) I am going to begin with Lidcombe and to see if the focus on smooth speech will decrease not only the stuttering behaviors but the cough as well.  Any thoughts/comments regarding a young child with secondary behaviors and Lidcombe would be appreciated.
           
          Deanna
          Earley Palagi & Associates, Inc.


          To: LidcombeUSA@yahoogroups.com
          From: alidaengel@...
          Date: Mon, 5 Nov 2007 20:37:35 -0500
          Subject: RE: [LidcombeUSA] (unknown)

          Katie,

           

          I would love it if you brought up some cases.  I am frustrated that more doctors are not referring these little ones.  I keep sending them stuff but don’t seem to hear from them.  Alida

           

          Alida Engel, CCC-SLP, BRS-FD

          801 Edgewood Avenue

          New Haven, CT 06515

           

          (203)397-3224

          Speech Language Pathologist

          Board Recognized Fluency Specialist

          www.speech-therapy- products. com

           

           


          From: LidcombeUSA@ yahoogroups. com [mailto:LidcombeUSA @yahoogroups. com] On Behalf Of Katie
          Sent: Tuesday, October 30, 2007 3:35 AM
          To: LidcombeUSA@ yahoogroups. com
          Subject: [LidcombeUSA] (unknown)

           

          Hi all,
          Just found this Yahoo group and thought I would join even though I am
          far from USA ... in Townsville Australia. Thought it may be useful for
          discussing tricky cases with other Speech Pathologists. Are there many
          student SLPs accessing this group? I am currently supporting a few who
          may be interested in joining.

          Many thanks
          Katie





          Boo! Scare away worms, viruses and so much more! Try Windows Live OneCare! Try now!
        • Mark Onslow
          Hi Deanna, All behaviours, verbal and nonverbal, go when stuttering goes with the Lidcombe Program. However, I am a bit concerned about the ³cough² that your
          Message 4 of 12 , Nov 8, 2007
          • 0 Attachment
            Re: [LidcombeUSA] (unknown) Hi Deanna,

            All behaviours, verbal and nonverbal, go when stuttering goes with the Lidcombe Program. However, I am a bit concerned about the “cough” that your described. Does it correspond with moments of stuttering or does it occur independent of moments of stuttering. Does it occur without speech?

            Regards,

            Mark.

            ____________________________________

            Professor Mark Onslow
            Principal Research Fellow
            National Health and Medical Research Council

            Director, Australian Stuttering Research Centre
            The University of Sydney

            PO Box 170 Lidcombe NSW 1825 Australia
            Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

            http://www.fhs.usyd.edu.au/asrc
            ______________________________________



            On 8/11/07 2:13 PM, "Deanna Earley" <dearley@...> wrote:


             
             

            Hi all,
            I would appreciate feedback on the following:  child 5 1/2 with mild moderate core characteristics of stuttering.  He has developed a "cough" like sound that is distracting and increases with nervousness.  His health is good.  At CA4 he was seen by a family therapist for anxiety.  Family has been hesitant to mention "stuttering" as dad is worried that his son "caught it from him."  (We have already addressed this during the evaluation.) I am going to begin with Lidcombe and to see if the focus on smooth speech will decrease not only the stuttering behaviors but the cough as well.  Any thoughts/comments regarding a young child with secondary behaviors and Lidcombe would be appreciated.
             
            Deanna
            Earley Palagi & Associates, Inc.


            To: LidcombeUSA@yahoogroups.com
            From: alidaengel@...
            Date: Mon, 5 Nov 2007 20:37:35 -0500
            Subject: RE: [LidcombeUSA] (unknown)

            Katie,



            I would love it if you brought up some cases.  I am frustrated that more doctors are not referring these little ones.  I keep sending them stuff but don’t seem to hear from them.  Alida



            Alida Engel, CCC-SLP, BRS-FD

            801 Edgewood Avenue

            New Haven, CT 06515



            (203)397-3224

            Speech Language Pathologist

            Board Recognized Fluency Specialist

            www.speech-therapy-products.com <http://www.speech-therapy-products.com/>  





            From: LidcombeUSA@yahoogroups.com [mailto:LidcombeUSA@yahoogroups.com] On Behalf Of Katie
            Sent: Tuesday, October 30, 2007 3:35 AM
            To: LidcombeUSA@yahoogroups.com
            Subject: [LidcombeUSA] (unknown)



            Hi all,
            Just found this Yahoo group and thought I would join even though I am
            far from USA ... in Townsville Australia. Thought it may be useful for
            discussing tricky cases with other Speech Pathologists. Are there many
            student SLPs accessing this group? I am currently supporting a few who
            may be interested in joining.

            Many thanks
            Katie




             



            Boo! Scare away worms, viruses and so much more! Try Windows Live OneCare! Try now! <http://onecare.live.com/standard/en-us/purchase/trial.aspx?s_cid=wl_hotmailnews>
             
                



          • Deanna Earley
            Hi Mark, How wonderful to hear from you. It occurs between moments of stuttering (e.g., clear/cough...s-s-s-s-silly....clear/cough) and independent of moments
            Message 5 of 12 , Nov 8, 2007
            • 0 Attachment
              Hi Mark,
              How wonderful to hear from you.
              It occurs between moments of stuttering (e.g., clear/cough...s-s-s-s-silly....clear/cough) and independent of moments of stuttering (clear/cough yeah), and without speech, while playing a game.  During the evaluation the cough/clear increased with the moments of stuttering. (He was quite the talker!) There is no history of asthma and the cough is not deep but more like a soft clearing of the throat.  Medical history is negative for allergies etc.  The parents stated that this behavior began in "the last few months" (they could not be exact). 
              My Best, Deanna


              To: LidcombeUSA@yahoogroups.com
              From: m.onslow@...
              Date: Fri, 9 Nov 2007 09:16:31 +1100
              Subject: Re: [LidcombeUSA] (unknown)

              Hi Deanna,

              All behaviours, verbal and nonverbal, go when stuttering goes with the Lidcombe Program. However, I am a bit concerned about the “cough” that your described. Does it correspond with moments of stuttering or does it occur independent of moments of stuttering. Does it occur without speech?

              Regards,

              Mark.

              ____________ _________ _________ ______

              Professor Mark Onslow
              Principal Research Fellow
              National Health and Medical Research Council

              Director, Australian Stuttering Research Centre
              The University of Sydney

              PO Box 170 Lidcombe NSW 1825 Australia
              Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

              http://www.fhs. usyd.edu. au/asrc
              ____________ _________ _________ ________



              On 8/11/07 2:13 PM, "Deanna Earley" <dearley@hotmail. com> wrote:


               
               

              Hi all,
              I would appreciate feedback on the following:  child 5 1/2 with mild moderate core characteristics of stuttering.  He has developed a "cough" like sound that is distracting and increases with nervousness.  His health is good.  At CA4 he was seen by a family therapist for anxiety.  Family has been hesitant to mention "stuttering" as dad is worried that his son "caught it from him."  (We have already addressed this during the evaluation.) I am going to begin with Lidcombe and to see if the focus on smooth speech will decrease not only the stuttering behaviors but the cough as well.  Any thoughts/comments regarding a young child with secondary behaviors and Lidcombe would be appreciated.
               
              Deanna
              Earley Palagi & Associates, Inc.


              To: LidcombeUSA@ yahoogroups. com
              From: alidaengel@sbcgloba l.net
              Date: Mon, 5 Nov 2007 20:37:35 -0500
              Subject: RE: [LidcombeUSA] (unknown)

              Katie,



              I would love it if you brought up some cases.  I am frustrated that more doctors are not referring these little ones.  I keep sending them stuff but don’t seem to hear from them.  Alida



              Alida Engel, CCC-SLP, BRS-FD

              801 Edgewood Avenue

              New Haven, CT 06515



              (203)397-3224

              Speech Language Pathologist

              Board Recognized Fluency Specialist

              www.speech-therapy- products. com <http://www.speech- therapy-products .com/>  





              From: LidcombeUSA@ yahoogroups. com [mailto:LidcombeUSA@ yahoogroups. com] On Behalf Of Katie
              Sent: Tuesday, October 30, 2007 3:35 AM
              To: LidcombeUSA@ yahoogroups. com
              Subject: [LidcombeUSA] (unknown)



              Hi all,
              Just found this Yahoo group and thought I would join even though I am
              far from USA ... in Townsville Australia. Thought it may be useful for
              discussing tricky cases with other Speech Pathologists. Are there many
              student SLPs accessing this group? I am currently supporting a few who
              may be interested in joining.

              Many thanks
              Katie




               



              Boo! Scare away worms, viruses and so much more! Try Windows Live OneCare! Try now! <http://onecare. live.com/ standard/ en-us/purchase/ trial.aspx? s_cid=wl_ hotmailnews>
               
                  






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            • Mark Onslow
              Hi Deanna, Well, stuttering is a speech disorder. Hence, if this coughing happens independent of speech it probably is not stuttering and a wild guess is that
              Message 6 of 12 , Nov 8, 2007
              • 0 Attachment
                Re: [LidcombeUSA] (unknown) Hi Deanna,

                Well, stuttering is a speech disorder. Hence, if this coughing happens independent of speech it probably is not stuttering and a wild guess is that this is one of the tic syndromes of early childhood as well as stuttering. But I think that you need to have this looked into.

                Regards,

                Mark.   
                ____________________________________

                Professor Mark Onslow
                Principal Research Fellow
                National Health and Medical Research Council

                Director, Australian Stuttering Research Centre
                The University of Sydney

                PO Box 170 Lidcombe NSW 1825 Australia
                Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                http://www.fhs.usyd.edu.au/asrc
                ______________________________________



                On 9/11/07 11:13 AM, "Deanna Earley" <dearley@...> wrote:


                 
                 

                Hi Mark,
                How wonderful to hear from you.
                It occurs between moments of stuttering (e.g., clear/cough...s-s-s-s-silly....clear/cough) and independent of moments of stuttering (clear/cough yeah), and without speech, while playing a game.  During the evaluation the cough/clear increased with the moments of stuttering. (He was quite the talker!) There is no history of asthma and the cough is not deep but more like a soft clearing of the throat.  Medical history is negative for allergies etc.  The parents stated that this behavior began in "the last few months" (they could not be exact).  
                My Best, Deanna


                To: LidcombeUSA@yahoogroups.com
                From: m.onslow@...
                Date: Fri, 9 Nov 2007 09:16:31 +1100
                Subject: Re: [LidcombeUSA] (unknown)

                Hi Deanna,

                All behaviours, verbal and nonverbal, go when stuttering goes with the Lidcombe Program. However, I am a bit concerned about the “cough” that your described. Does it correspond with moments of stuttering or does it occur independent of moments of stuttering. Does it occur without speech?

                Regards,

                Mark.

                ____________________________________

                Professor Mark Onslow
                Principal Research Fellow
                National Health and Medical Research Council

                Director, Australian Stuttering Research Centre
                The University of Sydney

                PO Box 170 Lidcombe NSW 1825 Australia
                Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                http://www.fhs.usyd.edu.au/asrc
                ______________________________________



                On 8/11/07 2:13 PM, "Deanna Earley" <dearley@...> wrote:


                 
                 

                Hi all,
                I would appreciate feedback on the following:  child 5 1/2 with mild moderate core characteristics of stuttering.  He has developed a "cough" like sound that is distracting and increases with nervousness.  His health is good.  At CA4 he was seen by a family therapist for anxiety.  Family has been hesitant to mention "stuttering" as dad is worried that his son "caught it from him."  (We have already addressed this during the evaluation.) I am going to begin with Lidcombe and to see if the focus on smooth speech will decrease not only the stuttering behaviors but the cough as well.  Any thoughts/comments regarding a young child with secondary behaviors and Lidcombe would be appreciated.
                 
                Deanna
                Earley Palagi & Associates, Inc.


                To: LidcombeUSA@yahoogroups.com
                From: alidaengel@...
                Date: Mon, 5 Nov 2007 20:37:35 -0500
                Subject: RE: [LidcombeUSA] (unknown)


                                  
                 
                  
                    
                .
                    




              • Deanna Earley
                Hi Mark, Whew! When you say have this looked into are you suggesting that I also ask the parents to revisit their doctor? In the meantime I will research
                Message 7 of 12 , Nov 8, 2007
                • 0 Attachment
                  Hi Mark,
                   
                  Whew!
                  When you say "have this looked into" are you suggesting that I also ask the parents to revisit their doctor?  In the meantime I will research tic syndromes and begin therapy. 
                  Thank you, Mark, for the quick response. 
                  My Best, Deanna


                  To: LidcombeUSA@yahoogroups.com
                  From: m.onslow@...
                  Date: Fri, 9 Nov 2007 11:24:20 +1100
                  Subject: Re: [LidcombeUSA] (unknown)

                  Hi Deanna,

                  Well, stuttering is a speech disorder. Hence, if this coughing happens independent of speech it probably is not stuttering and a wild guess is that this is one of the tic syndromes of early childhood as well as stuttering. But I think that you need to have this looked into.

                  Regards,

                  Mark.   
                  ____________ _________ _________ ______

                  Professor Mark Onslow
                  Principal Research Fellow
                  National Health and Medical Research Council

                  Director, Australian Stuttering Research Centre
                  The University of Sydney

                  PO Box 170 Lidcombe NSW 1825 Australia
                  Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                  http://www.fhs. usyd.edu. au/asrc
                  ____________ _________ _________ ________



                  On 9/11/07 11:13 AM, "Deanna Earley" <dearley@hotmail. com> wrote:


                   
                   

                  Hi Mark,
                  How wonderful to hear from you.
                  It occurs between moments of stuttering (e.g., clear/cough. ..s-s-s-s- silly.... clear/cough) and independent of moments of stuttering (clear/cough yeah), and without speech, while playing a game.  During the evaluation the cough/clear increased with the moments of stuttering. (He was quite the talker!) There is no history of asthma and the cough is not deep but more like a soft clearing of the throat.  Medical history is negative for allergies etc.  The parents stated that this behavior began in "the last few months" (they could not be exact).  
                  My Best, Deanna


                  To: LidcombeUSA@ yahoogroups. com
                  From: m.onslow@usyd. edu.au
                  Date: Fri, 9 Nov 2007 09:16:31 +1100
                  Subject: Re: [LidcombeUSA] (unknown)

                  Hi Deanna,

                  All behaviours, verbal and nonverbal, go when stuttering goes with the Lidcombe Program. However, I am a bit concerned about the “cough” that your described. Does it correspond with moments of stuttering or does it occur independent of moments of stuttering. Does it occur without speech?

                  Regards,

                  Mark.

                  ____________ _________ _________ ______

                  Professor Mark Onslow
                  Principal Research Fellow
                  National Health and Medical Research Council

                  Director, Australian Stuttering Research Centre
                  The University of Sydney

                  PO Box 170 Lidcombe NSW 1825 Australia
                  Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                  http://www.fhs. usyd.edu. au/asrc
                  ____________ _________ _________ ________



                  On 8/11/07 2:13 PM, "Deanna Earley" <dearley@hotmail. com> wrote:


                   
                   

                  Hi all,
                  I would appreciate feedback on the following:  child 5 1/2 with mild moderate core characteristics of stuttering.  He has developed a "cough" like sound that is distracting and increases with nervousness.  His health is good.  At CA4 he was seen by a family therapist for anxiety.  Family has been hesitant to mention "stuttering" as dad is worried that his son "caught it from him."  (We have already addressed this during the evaluation.) I am going to begin with Lidcombe and to see if the focus on smooth speech will decrease not only the stuttering behaviors but the cough as well.  Any thoughts/comments regarding a young child with secondary behaviors and Lidcombe would be appreciated.
                   
                  Deanna
                  Earley Palagi & Associates, Inc.


                  To: LidcombeUSA@ yahoogroups. com
                  From: alidaengel@sbcgloba l.net
                  Date: Mon, 5 Nov 2007 20:37:35 -0500
                  Subject: RE: [LidcombeUSA] (unknown)


                                    
                   
                    
                      
                  .
                      







                  Climb to the top of the charts!  Play Star Shuffle:  the word scramble challenge with star power. Play Now!
                • Mark Onslow
                  Hard to say, but I think a visit to the doctor might be in order. Regards, Mark. ... ____________________________________ Professor Mark Onslow Principal
                  Message 8 of 12 , Nov 8, 2007
                  • 0 Attachment
                    Re: [LidcombeUSA] (unknown) Hard to say, but I think a visit to the doctor might be in order.

                    Regards,

                    Mark.


                    On 9/11/07 3:05 PM, "Deanna Earley" <dearley@...> wrote:


                     
                     

                    Hi Mark,
                     
                    Whew!
                    When you say "have this looked into" are you suggesting that I also ask the parents to revisit their doctor?  In the meantime I will research tic syndromes and begin therapy.  
                    Thank you, Mark, for the quick response.  
                    My Best, Deanna


                    To: LidcombeUSA@yahoogroups.com
                    From: m.onslow@...
                    Date: Fri, 9 Nov 2007 11:24:20 +1100
                    Subject: Re: [LidcombeUSA] (unknown)

                    Hi Deanna,

                    Well, stuttering is a speech disorder. Hence, if this coughing happens independent of speech it probably is not stuttering and a wild guess is that this is one of the tic syndromes of early childhood as well as stuttering. But I think that you need to have this looked into.

                    Regards,

                    Mark.   
                    ____________________________________

                    Professor Mark Onslow
                    Principal Research Fellow
                    National Health and Medical Research Council

                    Director, Australian Stuttering Research Centre
                    The University of Sydney

                    PO Box 170 Lidcombe NSW 1825 Australia
                    Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                    http://www.fhs.usyd.edu.au/asrc
                    ______________________________________



                    On 9/11/07 11:13 AM, "Deanna Earley" <dearley@...> wrote:


                     
                     

                    Hi Mark,
                    How wonderful to hear from you.
                    It occurs between moments of stuttering (e.g., clear/cough...s-s-s-s-silly....clear/cough) and independent of moments of stuttering (clear/cough yeah), and without speech, while playing a game.  During the evaluation the cough/clear increased with the moments of stuttering. (He was quite the talker!) There is no history of asthma and the cough is not deep but more like a soft clearing of the throat.  Medical history is negative for allergies etc.  The parents stated that this behavior began in "the last few months" (they could not be exact).  
                    My Best, Deanna


                    To: LidcombeUSA@yahoogroups.com
                    From: m.onslow@...
                    Date: Fri, 9 Nov 2007 09:16:31 +1100
                    Subject: Re: [LidcombeUSA] (unknown)

                    Hi Deanna,

                    All behaviours, verbal and nonverbal, go when stuttering goes with the Lidcombe Program. However, I am a bit concerned about the “cough” that your described. Does it correspond with moments of stuttering or does it occur independent of moments of stuttering. Does it occur without speech?

                    Regards,

                    Mark.

                    ____________________________________

                    Professor Mark Onslow
                    Principal Research Fellow
                    National Health and Medical Research Council

                    Director, Australian Stuttering Research Centre
                    The University of Sydney

                    PO Box 170 Lidcombe NSW 1825 Australia
                    Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                    http://www.fhs.usyd.edu.au/asrc
                    ______________________________________



                    On 8/11/07 2:13 PM, "Deanna Earley" <dearley@...> wrote:


                     
                     

                    Hi all,
                    I would appreciate feedback on the following:  child 5 1/2 with mild moderate core characteristics of stuttering.  He has developed a "cough" like sound that is distracting and increases with nervousness.  His health is good.  At CA4 he was seen by a family therapist for anxiety.  Family has been hesitant to mention "stuttering" as dad is worried that his son "caught it from him."  (We have already addressed this during the evaluation.) I am going to begin with Lidcombe and to see if the focus on smooth speech will decrease not only the stuttering behaviors but the cough as well.  Any thoughts/comments regarding a young child with secondary behaviors and Lidcombe would be appreciated.
                     
                    Deanna
                    Earley Palagi & Associates, Inc.


                    To: LidcombeUSA@yahoogroups.com
                    From: alidaengel@...
                    Date: Mon, 5 Nov 2007 20:37:35 -0500
                    Subject: RE: [LidcombeUSA] (unknown)


                                      
                     
                      
                        
                    .
                        






                     


                    Climb to the top of the charts!  Play Star Shuffle:  the word scramble challenge with star power. Play Now! <http://club.live.com/star_shuffle.aspx?icid=starshuffle_wlmailtextlink_oct>
                     
                        


                    ____________________________________

                    Professor Mark Onslow
                    Principal Research Fellow
                    National Health and Medical Research Council

                    Director, Australian Stuttering Research Centre
                    The University of Sydney

                    PO Box 170 Lidcombe NSW 1825 Australia
                    Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                    http://www.fhs.usyd.edu.au/asrc
                    ______________________________________

                  • Martha Goebel
                    Deanna - there is also the possibility that it is an early sign of Tourette s. I have seen 7 children in the past 15 years who had the cough/throat clearing,
                    Message 9 of 12 , Nov 11, 2007
                    • 0 Attachment
                      Deanna - there is also the possibility that it is an early sign of Tourette's. I have seen 7 children in the past 15 years who had the cough/throat clearing, which was assumed by a previous therapist to be secondary to their stuttering, but in 4 of the 7, they were finally diagnosed as having Tourette's. The other 3 were diagnosed with transient tic disorder. It is very important that - without scaring the parents - you get them to consider having a neurological evaluation for this child.
                      Please keep us posted.
                      Martie Goebel
                      Annandale Fluency Clinic


                      Deanna Earley <dearley@...> wrote:
                      Hi Mark,
                       
                      Whew!
                      When you say "have this looked into" are you suggesting that I also ask the parents to revisit their doctor?  In the meantime I will research tic syndromes and begin therapy. 
                      Thank you, Mark, for the quick response. 
                      My Best, Deanna


                      To: LidcombeUSA@ yahoogroups. com
                      From: m.onslow@usyd. edu.au
                      Date: Fri, 9 Nov 2007 11:24:20 +1100
                      Subject: Re: [LidcombeUSA] (unknown)

                      Hi Deanna,

                      Well, stuttering is a speech disorder. Hence, if this coughing happens independent of speech it probably is not stuttering and a wild guess is that this is one of the tic syndromes of early childhood as well as stuttering. But I think that you need to have this looked into.

                      Regards,

                      Mark.   
                      ____________ _________ _________ ______

                      Professor Mark Onslow
                      Principal Research Fellow
                      National Health and Medical Research Council

                      Director, Australian Stuttering Research Centre
                      The University of Sydney

                      PO Box 170 Lidcombe NSW 1825 Australia
                      Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                      http://www.fhs. usyd.edu. au/asrc
                      ____________ _________ _________ ________



                      On 9/11/07 11:13 AM, "Deanna Earley" <dearley@hotmail. com> wrote:


                       
                       

                      Hi Mark,
                      How wonderful to hear from you.
                      It occurs between moments of stuttering (e.g., clear/cough. ..s-s-s-s- silly.... clear/cough) and independent of moments of stuttering (clear/cough yeah), and without speech, while playing a game.  During the evaluation the cough/clear increased with the moments of stuttering. (He was quite the talker!) There is no history of asthma and the cough is not deep but more like a soft clearing of the throat.  Medical history is negative for allergies etc.  The parents stated that this behavior began in "the last few months" (they could not be exact).  
                      My Best, Deanna


                      To: LidcombeUSA@ yahoogroups. com
                      From: m.onslow@usyd. edu.au
                      Date: Fri, 9 Nov 2007 09:16:31 +1100
                      Subject: Re: [LidcombeUSA] (unknown)

                      Hi Deanna,

                      All behaviours, verbal and nonverbal, go when stuttering goes with the Lidcombe Program. However, I am a bit concerned about the “cough” that your described. Does it correspond with moments of stuttering or does it occur independent of moments of stuttering. Does it occur without speech?

                      Regards,

                      Mark.

                      ____________ _________ _________ ______

                      Professor Mark Onslow
                      Principal Research Fellow
                      National Health and Medical Research Council

                      Director, Australian Stuttering Research Centre
                      The University of Sydney

                      PO Box 170 Lidcombe NSW 1825 Australia
                      Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                      http://www.fhs. usyd.edu. au/asrc
                      ____________ _________ _________ ________



                      On 8/11/07 2:13 PM, "Deanna Earley" <dearley@hotmail. com> wrote:


                       
                       

                      Hi all,
                      I would appreciate feedback on the following:  child 5 1/2 with mild moderate core characteristics of stuttering.  He has developed a "cough" like sound that is distracting and increases with nervousness.  His health is good.  At CA4 he was seen by a family therapist for anxiety.  Family has been hesitant to mention "stuttering" as dad is worried that his son "caught it from him."  (We have already addressed this during the evaluation.) I am going to begin with Lidcombe and to see if the focus on smooth speech will decrease not only the stuttering behaviors but the cough as well.  Any thoughts/comments regarding a young child with secondary behaviors and Lidcombe would be appreciated.
                       
                      Deanna
                      Earley Palagi & Associates, Inc.


                      To: LidcombeUSA@ yahoogroups. com
                      From: alidaengel@sbcgloba l.net
                      Date: Mon, 5 Nov 2007 20:37:35 -0500
                      Subject: RE: [LidcombeUSA] (unknown)


                                        
                       
                        
                          
                      .
                          







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                    • Deanna Earley
                      Thanks so much for your input. I will keep everyone posted. Deanna To: LidcombeUSA@yahoogroups.comFrom: fluencylady@yahoo.comDate: Sun, 11 Nov 2007 14:06:54
                      Message 10 of 12 , Nov 11, 2007
                      • 0 Attachment
                        Thanks so much for your input.  I will keep everyone posted.
                        Deanna


                        To: LidcombeUSA@yahoogroups.com
                        From: fluencylady@...
                        Date: Sun, 11 Nov 2007 14:06:54 -0800
                        Subject: RE: [LidcombeUSA] (unknown)

                        Deanna - there is also the possibility that it is an early sign of Tourette's. I have seen 7 children in the past 15 years who had the cough/throat clearing, which was assumed by a previous therapist to be secondary to their stuttering, but in 4 of the 7, they were finally diagnosed as having Tourette's. The other 3 were diagnosed with transient tic disorder. It is very important that - without scaring the parents - you get them to consider having a neurological evaluation for this child.
                        Please keep us posted.
                        Martie Goebel
                        Annandale Fluency Clinic


                        Deanna Earley <dearley@hotmail. com> wrote:
                        Hi Mark,
                         
                        Whew!
                        When you say "have this looked into" are you suggesting that I also ask the parents to revisit their doctor?  In the meantime I will research tic syndromes and begin therapy. 
                        Thank you, Mark, for the quick response. 
                        My Best, Deanna


                        To: LidcombeUSA@ yahoogroups. com
                        From: m.onslow@usyd. edu.au
                        Date: Fri, 9 Nov 2007 11:24:20 +1100
                        Subject: Re: [LidcombeUSA] (unknown)

                        Hi Deanna,

                        Well, stuttering is a speech disorder. Hence, if this coughing happens independent of speech it probably is not stuttering and a wild guess is that this is one of the tic syndromes of early childhood as well as stuttering. But I think that you need to have this looked into.

                        Regards,

                        Mark.   
                        ____________ _________ _________ ______

                        Professor Mark Onslow
                        Principal Research Fellow
                        National Health and Medical Research Council

                        Director, Australian Stuttering Research Centre
                        The University of Sydney

                        PO Box 170 Lidcombe NSW 1825 Australia
                        Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                        http://www.fhs. usyd.edu. au/asrc
                        ____________ _________ _________ ________



                        On 9/11/07 11:13 AM, "Deanna Earley" <dearley@hotmail. com> wrote:


                         
                         

                        Hi Mark,
                        How wonderful to hear from you.
                        It occurs between moments of stuttering (e.g., clear/cough. ..s-s-s-s- silly.... clear/cough) and independent of moments of stuttering (clear/cough yeah), and without speech, while playing a game.  During the evaluation the cough/clear increased with the moments of stuttering. (He was quite the talker!) There is no history of asthma and the cough is not deep but more like a soft clearing of the throat.  Medical history is negative for allergies etc.  The parents stated that this behavior began in "the last few months" (they could not be exact).  
                        My Best, Deanna


                        To: LidcombeUSA@ yahoogroups. com
                        From: m.onslow@usyd. edu.au
                        Date: Fri, 9 Nov 2007 09:16:31 +1100
                        Subject: Re: [LidcombeUSA] (unknown)

                        Hi Deanna,

                        All behaviours, verbal and nonverbal, go when stuttering goes with the Lidcombe Program. However, I am a bit concerned about the “cough” that your described. Does it correspond with moments of stuttering or does it occur independent of moments of stuttering. Does it occur without speech?

                        Regards,

                        Mark.

                        ____________ _________ _________ ______

                        Professor Mark Onslow
                        Principal Research Fellow
                        National Health and Medical Research Council

                        Director, Australian Stuttering Research Centre
                        The University of Sydney

                        PO Box 170 Lidcombe NSW 1825 Australia
                        Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                        http://www.fhs. usyd.edu. au/asrc
                        ____________ _________ _________ ________



                        On 8/11/07 2:13 PM, "Deanna Earley" <dearley@hotmail. com> wrote:


                         
                         

                        Hi all,
                        I would appreciate feedback on the following:  child 5 1/2 with mild moderate core characteristics of stuttering.  He has developed a "cough" like sound that is distracting and increases with nervousness.  His health is good.  At CA4 he was seen by a family therapist for anxiety.  Family has been hesitant to mention "stuttering" as dad is worried that his son "caught it from him."  (We have already addressed this during the evaluation.) I am going to begin with Lidcombe and to see if the focus on smooth speech will decrease not only the stuttering behaviors but the cough as well.  Any thoughts/comments regarding a young child with secondary behaviors and Lidcombe would be appreciated.
                         
                        Deanna
                        Earley Palagi & Associates, Inc.


                        To: LidcombeUSA@ yahoogroups. com
                        From: alidaengel@sbcgloba l.net
                        Date: Mon, 5 Nov 2007 20:37:35 -0500
                        Subject: RE: [LidcombeUSA] (unknown)


                                          
                         
                          
                            
                        .
                            







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                      • Mark Onslow
                        Yeah, I agree, about half that meet this description are diagnosed with Tourette¹s. Mark. ____________________________________ Professor Mark Onslow Principal
                        Message 11 of 12 , Nov 11, 2007
                        • 0 Attachment
                          Re: [LidcombeUSA] (unknown) Yeah, I agree, about half that meet this description are diagnosed with Tourette’s.

                          Mark.
                          ____________________________________

                          Professor Mark Onslow
                          Principal Research Fellow
                          National Health and Medical Research Council

                          Director, Australian Stuttering Research Centre
                          The University of Sydney

                          PO Box 170 Lidcombe NSW 1825 Australia
                          Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                          http://www.fhs.usyd.edu.au/asrc
                          ______________________________________



                          On 12/11/07 9:06 AM, "Martha Goebel" <fluencylady@...> wrote:


                           
                           

                          Deanna - there is also the possibility that it is an early sign of Tourette's. I have seen 7 children in the past 15 years who had the cough/throat clearing, which was assumed by a previous therapist to be secondary to their stuttering, but in 4 of the 7, they were finally diagnosed as having Tourette's. The other 3 were diagnosed with transient tic disorder. It is very important that - without scaring the parents - you get them to consider having a neurological evaluation for this child.
                            
                          Please keep us posted.
                            
                          Martie Goebel
                            
                          Annandale Fluency Clinic
                            


                          Deanna Earley <dearley@...> wrote:
                            
                           
                            
                          Hi Mark,
                           
                          Whew!
                          When you say "have this looked into" are you suggesting that I also ask the parents to revisit their doctor?  In the meantime I will research tic syndromes and begin therapy.  
                          Thank you, Mark, for the quick response.  
                          My Best, Deanna

                            
                           

                           To: LidcombeUSA@yahoogroups.com
                          From: m.onslow@...
                          Date: Fri, 9 Nov 2007 11:24:20 +1100
                          Subject: Re: [LidcombeUSA] (unknown)

                            
                            
                            
                          Hi Deanna,

                          Well, stuttering is a speech disorder. Hence, if this coughing happens independent of speech it probably is not stuttering and a wild guess is that this is one of the tic syndromes of early childhood as well as stuttering. But I think that you need to have this looked into.

                          Regards,

                          Mark.   
                          ____________________________________

                          Professor Mark Onslow
                          Principal Research Fellow
                          National Health and Medical Research Council

                          Director, Australian Stuttering Research Centre
                          The University of Sydney

                          PO Box 170 Lidcombe NSW 1825 Australia
                          Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                          http://www.fhs.usyd.edu.au/asrc
                          ______________________________________



                          On 9/11/07 11:13 AM, "Deanna Earley" <dearley@...> wrote:

                            

                           
                           

                          Hi Mark,
                          How wonderful to hear from you.
                          It occurs between moments of stuttering (e.g., clear/cough...s-s-s-s-silly....clear/cough) and independent of moments of stuttering (clear/cough yeah), and without speech, while playing a game.  During the evaluation the cough/clear increased with the moments of stuttering. (He was quite the talker!) There is no history of asthma and the cough is not deep but more like a soft clearing of the throat.  Medical history is negative for allergies etc.  The parents stated that this behavior began in "the last few months" (they could not be exact).  
                          My Best, Deanna

                            
                           

                           To: LidcombeUSA@yahoogroups.com
                          From: m.onslow@...
                          Date: Fri, 9 Nov 2007 09:16:31 +1100
                          Subject: Re: [LidcombeUSA] (unknown)

                          Hi Deanna,

                          All behaviours, verbal and nonverbal, go when stuttering goes with the Lidcombe Program. However, I am a bit concerned about the “cough” that your described. Does it correspond with mo ments of stuttering or does it occur independent of moments of stuttering. Does it occur without speech?

                          Regards,

                          Mark.

                          ____________________________________

                          Professor Mark Onslow
                          Principal Research Fellow
                          National Health and Medical Research Council

                          Director, Australian Stuttering Research Centre
                          The University of Sydney

                          PO Box 170 Lidcombe NSW 1825 Australia
                          Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                          http://www.fhs.usyd.edu.au/asrc
                          ______________________________________



                          On 8/11/07 2:13 PM, "Deanna Earley" <dearley@...> wrote:

                            

                           
                           

                          Hi all,
                          I would appreciate feedback on the following:  child 5 1/2 with mild moderate core characteristics of stuttering.  He has developed a "cough" like sound that is distracting and increases with nervousness.  His health is good.  At CA4 he was seen by a family therapist for anxiety.  Family has been hesitant to mention "stuttering" as dad is worried that his son "caught it from him."  (We have already addressed this during the evaluation.) I am going to begin with Lidcombe and to see if the focus on smooth speech will decrease not only the stuttering behaviors but the cough as well.  Any thoughts/comments regarding a young child with secondary behaviors and Lidcombe would be appreciated.
                           
                          Deanna
                          Earley Palagi & Associates, Inc.

                            
                           

                           To: LidcombeUSA@yahoogroups.com
                          From: alidaengel@...
                          Date: Mon, 5 Nov 2007 20:37:35 -0500
                          Subject: RE: [LidcombeUSA] (unknown)


                                            
                           
                            
                              
                          .
                              




                            


                            

                           Climb to the top of the charts!  Play Star Shuffle:  the word scramble challenge with star power. Play Now! <http://club.live.com/star_shuffle.aspx?icid=starshuffle_wlmailtextlink_oct>    


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                        • Deanna Earley
                          Hi Mark and Martha, Here is an update regarding the 5 y.o. with a possible tic disorder. I have seen him twice. At the initial session I introduced the idea,
                          Message 12 of 12 , Dec 7, 2007
                          • 0 Attachment
                            Hi Mark and Martha,
                            Here is an update regarding the 5 y.o. with a possible tic disorder.
                            I have seen him twice.  At the initial session I introduced the idea, very gently, of discussing the coughing behaviors with their doctor or a neurologist.  They were very unhappy with this suggestion.  They are still upset about the (boy's) former school's advice to send their son to a "family therapist" for "anxiety".  Their comments were pretty telling and they still harbor anger and resentment.  So, I spent the first part of the 90-minute session explaining and reassuring.  Also, their babysitter had to cancel and only the father was trained.  He would like to respond to the "coughing" behaviors, that is, comment when there is a cough etc.  My concern is that if this is a tic disorder or Tourette's, should we address it the same as we would a stutter?  (Especially since the family will not seek a diagnosis from a doctor.)
                            At our second session the mother commented that her son hardly stuttered in the past week.  This may be true as my %SS was <1, 1 mos out of 300 syllables.   Their SR for four days was 2. They did not complete ratings for a full week; the mother commented that she was uncomfortable and the father was not home to give an accurate description.  (He is a lawyer, new job etc.) I am also working with the mother on her feelings about stuttering as she is still afraid to say the word "stutter" (infact it was whispered) or discuss any concerns regarding her son's speech in front of him.  For the coming week we decided to have her practice providing comments only during fluent moments in structured setting, watch the Tom tape and contact me with any questions.  If the mos continue to be low I may try unstructured.  
                            Sorry to ramble on, but I feel it is important to present the whole picture.
                            I eagerly await your comments and suggestions.
                            Deanna



                            To: LidcombeUSA@yahoogroups.com
                            From: m.onslow@...
                            Date: Mon, 12 Nov 2007 16:33:15 +1100
                            Subject: Re: [LidcombeUSA] (unknown)

                            Yeah, I agree, about half that meet this description are diagnosed with Tourette’s.

                            Mark.
                            ____________ _________ _________ ______

                            Professor Mark Onslow
                            Principal Research Fellow
                            National Health and Medical Research Council

                            Director, Australian Stuttering Research Centre
                            The University of Sydney

                            PO Box 170 Lidcombe NSW 1825 Australia
                            Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                            http://www.fhs. usyd.edu. au/asrc
                            ____________ _________ _________ ________



                            On 12/11/07 9:06 AM, "Martha Goebel" <fluencylady@ yahoo.com> wrote:


                             
                             

                            Deanna - there is also the possibility that it is an early sign of Tourette's. I have seen 7 children in the past 15 years who had the cough/throat clearing, which was assumed by a previous therapist to be secondary to their stuttering, but in 4 of the 7, they were finally diagnosed as having Tourette's. The other 3 were diagnosed with transient tic disorder. It is very important that - without scaring the parents - you get them to consider having a neurological evaluation for this child.
                              
                            Please keep us posted.
                              
                            Martie Goebel
                              
                            Annandale Fluency Clinic
                              


                            Deanna Earley <dearley@hotmail. com> wrote:
                              
                             
                              
                            Hi Mark,
                             
                            Whew!
                            When you say "have this looked into" are you suggesting that I also ask the parents to revisit their doctor?  In the meantime I will research tic syndromes and begin therapy.  
                            Thank you, Mark, for the quick response.  
                            My Best, Deanna

                              
                             

                             To: LidcombeUSA@ yahoogroups. com
                            From: m.onslow@usyd. edu.au
                            Date: Fri, 9 Nov 2007 11:24:20 +1100
                            Subject: Re: [LidcombeUSA] (unknown)

                              
                              
                              
                            Hi Deanna,

                            Well, stuttering is a speech disorder. Hence, if this coughing happens independent of speech it probably is not stuttering and a wild guess is that this is one of the tic syndromes of early childhood as well as stuttering. But I think that you need to have this looked into.

                            Regards,

                            Mark.   
                            ____________ _________ _________ ______

                            Professor Mark Onslow
                            Principal Research Fellow
                            National Health and Medical Research Council

                            Director, Australian Stuttering Research Centre
                            The University of Sydney

                            PO Box 170 Lidcombe NSW 1825 Australia
                            Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                            http://www.fhs. usyd.edu. au/asrc
                            ____________ _________ _________ ________



                            On 9/11/07 11:13 AM, "Deanna Earley" <dearley@hotmail. com> wrote:

                              

                             
                             

                            Hi Mark,
                            How wonderful to hear from you.
                            It occurs between moments of stuttering (e.g., clear/cough. ..s-s-s-s- silly.... clear/cough) and independent of moments of stuttering (clear/cough yeah), and without speech, while playing a game.  During the evaluation the cough/clear increased with the moments of stuttering. (He was quite the talker!) There is no history of asthma and the cough is not deep but more like a soft clearing of the throat.  Medical history is negative for allergies etc.  The parents stated that this behavior began in "the last few months" (they could not be exact).  
                            My Best, Deanna

                              
                             

                             To: LidcombeUSA@ yahoogroups. com
                            From: m.onslow@usyd. edu.au
                            Date: Fri, 9 Nov 2007 09:16:31 +1100
                            Subject: Re: [LidcombeUSA] (unknown)

                            Hi Deanna,

                            All behaviours, verbal and nonverbal, go when stuttering goes with the Lidcombe Program. However, I am a bit concerned about the “cough” that your described. Does it correspond with mo ments of stuttering or does it occur independent of moments of stuttering. Does it occur without speech?

                            Regards,

                            Mark.

                            ____________ _________ _________ ______

                            Professor Mark Onslow
                            Principal Research Fellow
                            National Health and Medical Research Council

                            Director, Australian Stuttering Research Centre
                            The University of Sydney

                            PO Box 170 Lidcombe NSW 1825 Australia
                            Phone:  61-2-9351-9061  Fax: 61-2-9351-9392

                            http://www.fhs. usyd.edu. au/asrc
                            ____________ _________ _________ ________



                            On 8/11/07 2:13 PM, "Deanna Earley" <dearley@hotmail. com> wrote:

                              

                             
                             

                            Hi all,
                            I would appreciate feedback on the following:  child 5 1/2 with mild moderate core characteristics of stuttering.  He has developed a "cough" like sound that is distracting and increases with nervousness.  His health is good.  At CA4 he was seen by a family therapist for anxiety.  Family has been hesitant to mention "stuttering" as dad is worried that his son "caught it from him."  (We have already addressed this during the evaluation.) I am going to begin with Lidcombe and to see if the focus on smooth speech will decrease not only the stuttering behaviors but the cough as well.  Any thoughts/comments regarding a young child with secondary behaviors and Lidcombe would be appreciated.
                             
                            Deanna
                            Earley Palagi & Associates, Inc.

                              
                             

                             To: LidcombeUSA@ yahoogroups. com
                            From: alidaengel@sbcgloba l.net
                            Date: Mon, 5 Nov 2007 20:37:35 -0500
                            Subject: RE: [LidcombeUSA] (unknown)


                                              
                             
                              
                                
                            .
                                




                              


                              

                             Climb to the top of the charts!  Play Star Shuffle:  the word scramble challenge with star power. Play Now! <http://club. live.com/ star_shuffle. aspx?icid= starshuffle_ wlmailtextlink_ oct>    


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