Speech Dysfluency

Speech dysfluency is not a barrier to success; it's a testament to resilience, authenticity, and courage to show up and speak out.

Navigating University alongside speech dysfluency

At university, you're surrounded by ideas, debates, and conversations that shape the future. 

Whether you stammer, stutter, clutter, or speak with pauses, your voice is not just valid—it’s vital. 

In lecture halls, seminars, group projects, and presentations, your words matter. Not because they come out perfectly, but because they come from you. Every time you speak, you challenge the narrow definitions of communication and expand what it means to be heard.

University is a place for growth, not perfection. So ask the question. Join the discussion. Your voice—exactly as it is—adds depth, diversity, and humanity to every room you're in.

Let’s build a campus culture where speech diversity is celebrated.

More Information on speech dysfluencies.

Find details on each type of speech dysfluency.

Stammering/ Stuttering are usually present from birth but can be a result of incidents in life such as a stroke or brain injury.

Characteristics can be mild or very severe.

Not a processing difficulty, the individual that Stammers/ Stutters knows what they want to communicate, but the act of speaking is what is affected.

Stammering, this is sometimes called stuttering impacts fluency of speech. It can include characteristics such as:

  • Repetitions of words
  • Hesitations
  • Prolonged sounds
  • Additional words or sounds
  • Silent mouthing
  • Lose eye contact when talking

Individuals may not experience all of the above characteristics, each individual is unique.

Cluttering is a processing difficulty unlike Stutter/Stammer. Cluttering can co-exist with stuttering, and is linked with neurodiversity', seizure conditions and social anxiety. There is no known cause and is recognised under the Equality Act (2010).

Some examples of the characteristics, of Cluttering speech:

  • Fluctuations in speed and volume, usually faster than expected.
  • Unexpected pauses and excessive use of filler words.
  • Speech can sound mumbled, disorganised or unclear.
  • Meshing words together
  • Mispronouncing words
  • Monotone voice
  • Lots of physical movements, such as hand gestures
  • Difficulties with word retrieval 

Individuals may not experience all of the above characteristics, each individual is unique.

Speech dysfluency refers to interruptions in the flow of speech. While everyone experiences occasional disfluencies (like saying “um” or repeating a word), persistent or pronounced dysfluencies may be part of a fluency Variation. These variations are not signs of lower intelligence or ability—they’re simply different ways of speaking.

 

Potential barriers and impacts within higher education:
  • Emotionally: Individuals may feel embarrassed, anxious, or frustrated, especially in high-pressure environments like university lectures or group discussions. Fatigue and burnout.

  • Socially: Dysfluency can lead to social withdrawal or fear of judgment. Some students may avoid speaking in class or participating in group work.

  • Academically: Presentation anxiety, reluctance to ask questions, or difficulty during oral exams can affect academic performance. Not being able to fully demonstrate their capabilities when conducting standardised assessments.

  • Professionally: In career prep settings (interviews, networking), dysfluency may be misinterpreted as nervousness or lack of preparation—though it’s simply a different speech pattern.

Despite these challenges, many individuals with speech dysfluency develop exceptional listening skills, empathy, and resilience. Their experiences often foster deeper self-awareness and creativity in communication. With supportive environments and inclusive attitudes, dysfluency becomes not a barrier—but a badge of courage.

 
Supporting Students with Speech Differences in Higher Education

Speech differences—including stammering, stuttering, cluttering, and other forms of dysfluency—can present unique challenges in academic environments that often prioritise verbal fluency. With thoughtful adjustments, universities can foster a culture of inclusion, confidence, and equity for all students.

Practical Considerations for Inclusive Learning

  • Preparation Time & Scripts Allow students extra time to prepare for speaking tasks. Offering the option to use a written script can reduce anxiety and support clarity.

  • Smaller or Reduced Audiences Presenting to a smaller group or a familiar setting can ease pressure and encourage participation.

  • Flexible Assessment Design When designing assessments, consider non-verbal formats where appropriate. For example, allow students to submit a transcript instead of an audio file.

  • Preferred Communication Channels Respect students’ preferences for communication—email, written notes, or digital platforms may feel more comfortable than verbal exchanges.

  • Avoid Forced Reading Aloud Do not require students to read aloud in class unless they volunteer. This can be a significant source of stress and may hinder engagement.

  • Minimise Environmental Triggers Work to reduce classroom triggers such as time pressure, interruptions, or lack of structure. A calm and predictable environment supports confident communication.

  • Practice Patience & Flexibility Allow space for pauses, repetitions, or slower speech. Avoid interrupting or finishing sentences. Flexibility in deadlines or participation can make a big difference.

  • Support for Therapy Attendance Recognise that students may need to miss classes to attend speech and language therapy. Offer catch-up resources or alternative arrangements.

  • Acknowledge Fatigue Students with cluttering or other speech differences may exert significant mental effort to apply speech techniques. Build in opportunities for rest, breaks, and pacing.

  • Alternative Presentation Formats If oral assessments are challenging, offer alternatives such as:

    • Pre-recorded presentations

    • Voice-generated files

    • Visual or written submissions

 
Creating a Culture of Respect

Supporting students with speech differences isn’t just about accommodations—it’s about fostering a culture where every voice is valued. When educators and peers listen with empathy, respond with patience, and celebrate diverse communication styles, they help build a university experience that’s truly inclusive.

Accessibility, Disability & Inclusion

Book Here

You can make a Microsoft teams or telephone appointment with a Accessibility, Disability & Inclusion Adviser. 

External Support

Find here some UK-based charities and organisations that offer support, resources, and community for individuals with speech dysfluencies such as stammering, stuttering and cluttering.  

What ICA Offers

  • Educational Resources: The ICA provides detailed information on cluttering, including assessment guidelines, therapy approaches, and research updates. Their cluttering assessment page is especially useful for clinicians and educators.

  • Community & Advocacy: ICA fosters international collaboration among speech-language therapists, researchers, individuals who clutter, and their families. They aim to build a supportive network and promote public awareness.

  • Research & Professional Development: ICA encourages evidence-based research and offers access to archived conferences, publications, and therapy tools. Their mission includes refining the definition of cluttering and improving treatment outcomes.

  • Online Support Groups: They’ve supported active online communities, such as the Yahoo Cluttering Group, where individuals share experiences, strategies, and encouragement.

You can explore more about their mission and resources on their webpage or through their Facebook for updates and community engagement.

STAMMA is the leading UK charity for people who stammer. They offer:

  • Peer support and community events

  • Advocacy and workplace guidance

  • Resources for students, parents, and educators

  • Campaigns to challenge stigma and promote speech diversity

Michael Palin Centre for Stammering

Named after the actor and advocate, this centre provides:

  • Specialist therapy for children, young people, and adults

  • Resources for teachers and therapists

  • Training courses and research initiatives

  • NHS-supported services and private therapy options

How to Access NHS Speech and Language Therapy

🔹 For Children and Young People

  • You can usually access therapy through your local NHS Speech and Language Therapy service, which may be based in your community, school, or college.

  • Referrals can be made by:

    • Your GP

    • A teacher or SENCO

    • In some areas, self-referral is possible—meaning families can contact the service directly.

🔹 For Adults

  • Adults can access NHS speech therapy through their GP, who can refer them to local services.

  • Availability and waiting times may vary depending on your region.