Episode Summary

In this episode, Michelle sits down with Tim Mackesey, a board-certified specialist in fluency disorders with over 33 years of experience. Tim brings a unique perspective to the conversation, as he is both a seasoned clinician and a person who stutters. Together, they explore the complexities of fluency disorders, moving beyond the mechanics of speech to address the deep emotional and psychological components of stuttering.

Tim shares his personal journey, from negative experiences with speech therapy in childhood to finding his own path to confidence. He discusses his fascinating work as an expert witness for cases involving sudden onset stuttering following brain injury and details how he integrates Cognitive Behavioral Therapy (CBT) into his practice to help clients manage social anxiety. 

Chapters

00:00 – Introduction to Tim Mackesey and Fluency Disorders

01:59 – The Role of an Expert Witness in Sudden Onset Stuttering Cases

03:30 – Tim’s Personal Journey: From "Stutterer" to Person Who Stutters

09:57 – The Anxiety of Stuttering in Professional Settings

11:42 – A Shift in Perspective: The Impact of Dean Williams

17:16 – Stuttering in High-Stakes Professions: Police, Pilots, and Medical Students

22:07 – Therapy Approaches: Direct Models for Preschoolers vs. CBT for Adults

26:22 – The Developmental Impact of Stuttering at Age Seven

30:15 – Timeline Therapy: Addressing Past Trauma and Reframing Memories

33:26 – Practical Techniques: Using Mind Lines and Conversational Reframing

37:00 – Essential Resources for SLPs: Where to Start with Fluency

Quick Notes

Guest: Tim Mackesey, Speech-Language Pathologist and Board-Certified Specialist in Fluency Disorders.

Resources Mentioned:

• Stuttering Foundation of America: Tim recommends their "Pioneer" videos as a foundational resource for SLPs.
• The Michael Palin Centre for Stammering (London): A great source for solution-focused therapy and counseling videos.
• Book: Mind Lines (for conversational reframing).
• Website:stutteringadvice.com (Tim's educational modules).

Connect with Us: We love hearing from our listeners! If you have questions about fluency or want to share your own experiences with CBT in therapy, connect with us on Instagram @AMN_allied.

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