When is a disfluency considered concerning in speech development?

A disfluency is considered concerning in speech development particularly when it involves multiple repetitions of sounds, syllables, or short words. This type of disfluency often indicates more than just normal speech variability; it can signal an underlying issue such as developmental stuttering. The presence of these repeated elements usually results in disruptions that can affect the flow of speech and may lead to increased tension or frustration for the speaker.

Disfluencies that are characterized by repetitions often suggest a more significant speech disorder, as they can interfere with both communication effectiveness and the individual's self-esteem. This is in contrast to simpler disfluencies that may not involve such intensive repetition, which might be typical for many children as they learn to speak.