The common goals of treatment for<unk>  include slowing the rate of speech, heightening monitoring, using clear articulation, using acceptable and organized language, interacting with listeners, speaking naturally, and reducing excessive disfluencies. Slowing the rate of speech can help many of the symptoms of<unk> , and can be achieved in a couple of different ways, though it is very important that Speech Language Pathologists do not nag their clients to “slow down” incessantly, as this does not help and can actually hinder progress. Additionally, it is important to remember that speech rate often increases when emotional arousal or stress increases. Instead of constant verbal reminders, clinicians may use a combination of Delayed auditory feedback (DAF), giving out “speeding tickets” (written reminders to slow down speech), or recording speech and having clients transcribe it, writing in where there is need for spaces and pauses. Many people who clutter are either unable or unwilling to think about their speech, particularly in casual speech. The strategies to slow speech down all require careful monitoring of speech, which can be very difficult for those who clutter. Imagination and careful observation are used to increase monitoring. For instance, an adult who clutters may be asked to visualize themselves speaking slowly and clearly before they actually speak. Additionally, video and audio recordings may be used to show those who clutter where communication starts to break down in their speech. In general, slowing the rate of speech and/or monitoring speech more effectively should lead to clearer articulation. However, if they do not, additional treatment is needed. These articulation treatment strategies include practicing short sentences with “over-articulated”, unnatural but technically correct, speech. Reading multisyllabic words and focusing on including each of the sounds is another strategy to enhance articulation. Some individuals who clutter will need help learning to tell stories logically and sequentially. This can be aided by learning how to begin narratives with simple, short sentences, and slowly building to longer, more complex ones. Additionally, clinicians may transcribe cluttered speech to clients to show them run-ons and ramblings, and then ask them to just state the necessary, most important information in the utterance. Additional strategies that may help people who clutter include checking in, ensuring that they’ve understood any non-verbal or turn-taking cues in the conversation, imitating clinician models of speech to improve natural speech, and treating any stuttering that may be co-occurring with<unk> . The two are separate disorders, but many people who clutter also stutter.
Cluttering
Tickling
Allostasis
Skin maceration
Burns
Erythema
Inflammaging
Vasospasm