Stuttering is often misapplied as a common term referring to any dysfluency. It is also often incorrectly applied to normal dysfluency rather than dysfluency from a disorder. Cluttered speech is exhibited by normal speakers, and is often referred to as stuttering. This is especially true when the speaker is nervous, where nervous speech more closely resembles<unk>  than stuttering.<unk>  is sometimes confused with stuttering. Both communication disorders break the normal flow of speech, but they are distinct. A stutterer has a coherent pattern of thoughts, but may have a difficult time vocally expressing those thoughts; in contrast, a clutterer has no problem putting thoughts into words, but those thoughts become disorganized during speaking.<unk>  affects not only speech, but also thought patterns, writing, typing, and conversation. Stutterers are usually dysfluent on initial sounds, when beginning to speak, and become more fluent towards the ends of utterances. In contrast, clutterers are most clear at the start of utterances, but their speaking rate increases and intelligibility decreases towards the end of utterances. Stuttering is characterized by struggle behavior, such as overtense speech production muscles.<unk> , in contrast, is effortless.<unk>  is also characterized by slurred speech, especially dropped or distorted /r/ and /l/ sounds; and monotone speech that starts loud and trails off into a murmur. A clutterer described the feeling associated with a clutter as:
Cluttering
Tickling
Allostasis
Skin maceration
Burns
Erythema
Inflammaging
Vasospasm