This presentation describesnormal developmental dysfluency, which typically occurs between ages 2–5 and often worsens duringtimes of stress or change, such as a new sibling. It is characterized byword repetitionand does not require intervention unless it persists >6 months, worsens, or causes distress.
Toronto Notes 2023 – Pediatrics, "Developmental and Behavioral Pediatrics" Section:
“Developmental stuttering is common between 2–5 years and often resolves without intervention. Reassurance is appropriate unless there are signs of persistent or severe stuttering, secondary behaviors, or parental concern.”
MCCQE1 Objectives (Pediatrics > 78-1: Development and Behavior):
“Candidates must recognize typical patterns of developmental speech dysfluency and differentiate them from pathological speech disorders. Observation and reassurance are often the appropriate initial step.”
Because the child is otherwise developing normally and the onset coincides with a known psychosocial stressor,reassuranceis the most appropriate step. Formal speech or behavioral therapy is not indicated at this time.
