Adult Stuttering Therapy

Adult Stuttering Therapy

Effective and Efficient Support for Adults Who Stutter

Build confidence in your communication abilities

Develop natural sounding speech

Client-directed goals and personalized therapy

Evidence-based programs delivered by an experienced clinician

Lori Melnitsky, MA, CCC-SLP, is a speech-language pathologist specializing in stuttering. As a person who stutters, Lori understands how stuttering can affect your confidence in your ability to communicate with ease. Many adults who stutter have undergone years of therapy and find themselves still looking to improve their speaking abilities. That is why Lori is excited to offer evidence-based programs and therapy, including a 12-week Step up to Fluency program, weekend fluency intensives, and the MPI-2 stuttering treatment program.

Adult stuttering therapy will begin with a free consultation call to discuss your goals, answer your questions, and determine which approach is the right fit for you. During the consult call, Lori will offer recommendations and schedule your initial appointment to get you started on achieving your goals. 

 

MPI-2 Stuttering Program for Adults Who Stutter

What is the MPI-2 Program?

  • Modifying Phonation Intervals (MPI) is an evidence-based stuttering treatment program for adults

  • The program has been used by Lori with teens and adults ages 17 and older with remarkable results

  • It is an intensive ten-day program offered over 2 weeks (usually two hours per day) to improve fluency in a natural-sounding way

  • This program is for highly motivated adults who want to see significant changes in their speech

What is the research behind it?

Lori was fortunate to be trained and certified by Dr. Roger Ingham himself, who researched for many years at the University of Santa Barbara (USB) to develop this program. Research has revealed that people who stutter produce short phonation intervals (meaning voicing of sounds is too rapid) and this increases stuttering. If these short phonation intervals can be reduced by increasing the intervals, stuttering can be gradually reduced. In short, we do this with the use of an app that is customized for you to modify these rapid movements. A clinician guides you and helps you achieve this.

 

Before and After Videos

 

3 Phases of the MPI-2 Program

 

ESTABLISHMENT PHASE

The goal of this phase is for the client to achieve stutter-free and natural-sounding speech in the clinic setting. This is done with the use of the MPI-2 app on an iPad or iPhone with the clinician's guidance to aid in the reduction of short intervals of phonation. A headset is used to monitor these intervals. The key is to sound natural to the listener. This phase takes place within my office or online via Zoom and lasts approximately two weeks. In the end, the client learns to talk without stuttering in a conversation for five minutes with less stuttering heard.

TRANSFER PHASE

The goal of the transfer phase is for the client to transfer this fluent and natural speech outside of the structured setting of a speech clinic. Realistic conversational tasks are practiced, such as talking on the phone and ordering in a restaurant. These are recorded and uploaded to the clinician to monitor and evaluate.

MAINTENANCE PHASE

The goal is to maintain this stutter-free speech while gradually reducing the formal speaking tasks. This can take up to one year and is monitored by the clinician weekly in online sessions.

“I’ve stuttered since I was 4 years old. I went through all the experiences that people who stutter go through and that the rest of the world has no idea about. Scared to meet new people because I couldn’t say my name. Scared to order the dish in the restaurant that I wanted and instead ordering the one that was easier to say. Scared to death of oral presentations in school.

Despite my stuttering, I got into medical school. In medical school, I would get top scores in all the written tests and get barely passing grades in anything involving oral communication. At the age of 28, I finally decided I needed speech therapy. Using the knowledge in neuroscience I had gained in my studies, I researched for weeks on different therapy programs to see which one had the most scientific grounding. In the end. I decided upon the MPI program.

As a person who overcame stuttering herself, Lori understood everything that I had gone through. She has been extremely talented at noticing the disfluencies in my speech patterns and giving me real-time feedback on how to improve it. Moreover, she also has been flexible and supportive when things didn’t go quite right. On top of individual speech shaping therapy, Lori also trained me in the therapy and app so that I could continue to practice my speech at home. The more I put into the program the more I got back.”


- Previous adult client who was in medical school at the time

“I was starting a job with a new airline and my speech started to deteriorate with the stress of training. I thought I was not going to be able to make it through the rigors of the training environment and initial flying experience in a new plane with new things that had to be said on demand. Lori helped me a great deal by getting me back to the fundamentals of speaking that I knew from therapy, but was not applying them properly. After five sessions with Lori, I was able to more comfortably continue with the training process and now I am progressing well with continued practice. Lori was great at getting me back on target.”

- Matt, airline pilot, an adult who stutters