A mother to a 4 year-old child who has pauses and repetitions of iitial sounds visited outpatients department

 (C). Developmental dysfluency or stuttering it includesa pauses and repetitions of initial sounds. Stress or excrtement exacerbates these difficulties, which generally resolve on their own. Although 5% of preschool children will stutter, it will resolve in 80% of those children by age 8 yr. Children with stuttering should only be referred for evaluation if it is severe, persistent, or assocrated wrth anxiety, or if parental concern is elicited. The best response is to give guudance to parents to reduce pressures assouated with speaking. Other statements can be used for reassurance and for explaining the natural history of the problem