Can Anxiety Cause Stuttering?

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Afeefa Rafath
Practicing Psychologist | EAP Counsellor | Content Writer
17 Oct 20244 min read
Can Anxiety Cause Stuttering?

Does anxiety cause stuttering? While anxiety doesn’t directly cause stuttering, the two conditions are strongly connected. Stuttering with anxiety can be particularly challenging, as heightened anxiety levels often make stuttering symptoms more noticeable. This connection between anxiety and stuttering can lead to frustration, communication difficulties, and emotional distress. Although stuttering is primarily a speech disorder, anxiety can significantly influence its severity, creating a complex relationship between the two.

Understanding Anxiety and Stuttering

Stuttering: A speech disorder that involves interruptions in the flow of speech, also known as disfluencies.

Anxiety: Characterised by excessive worry, tension, and physical symptoms such as increased heart rate and sweating. It often manifests in various forms, including Generalized Anxiety Disorder (GAD), panic attacks, and social anxiety disorder. Anxiety can be a normal reaction to stress but becomes problematic when it interferes with daily life.

Can Anxiety Cause Stuttering?

No, anxiety doesn’t cause stuttering, but the two are closely linked. Stuttering can increase feelings of helplessness, social anxiety, and embarrassment, which can worsen anxiety.

On the other hand, anxiety often exacerbates stuttering by triggering physical tension and negative thought patterns. For instance, someone might fear being judged or anticipate stuttering, which can lead to heightened anxiety and further disrupt speech.

Research Findings on the Connection Between Anxiety and Stuttering

Research suggests a connection between anxiety and stuttering: 

Social anxiety disorder: A 2020 study indicates social anxiety disorder (SAD) may play a central role in stuttering, with an overlap rate of up to 75% between the two. People with SAD may experience fear of negative evaluation, attentional biases, and safety behaviours. 

Anxiety in demanding situations: People who stutter may have higher levels of anxiety in demanding speech situations, such as complex social interactions. 

Anxiety and relapse: People who have successfully been treated for stuttering may experience a higher risk of relapse if they have high levels of anxiety. 

Anxiety and children: Children with speech disabilities may be at an increased risk of developing an anxiety disorder in early adulthood. 

Factors Influencing the Connection of Anxiety and Stuttering

Anxiety and stuttering are connected in several ways. Anxiety can cause physical tension, making speech more difficult, and trigger negative thought patterns, like fearing judgment or expecting to stutter.

Stuttering often worsens in complex social interactions. Those with stuttering are also more likely to develop anxiety disorders, which can affect treatment outcomes. Additionally, teenagers who stutter tend to experience higher levels of communication fears and worries.

Symptoms of Anxiety to check. This will help you understand when to seek help:

Symptoms of anxiety can vary widely among individuals and may include both psychological and physical manifestations:

Psychological Symptoms:

•⁠  ⁠Excessive Worry: Persistent concerns about everyday issues.

•⁠  ⁠Restlessness: Feeling on edge or unable to relax.

•⁠  ⁠Difficulty Concentrating: Trouble focusing on tasks or making decisions.

•⁠  ⁠Irritability: Increased sensitivity or frustration.

•⁠  ⁠Sleep Disturbances: Difficulty falling asleep or staying asleep.

Physical Symptoms:

•⁠  ⁠Panic Attacks: Sudden episodes of intense fear that may include heart palpitationsshortness of breathsweating, trembling, or feelings of impending doom.

•⁠  ⁠Muscle Tension: Chronic tightness in muscles leading to discomfort.

•⁠  ⁠Gastrointestinal Issues: Nausea or stomachaches.

•⁠  ⁠Hyperventilation: Rapid breathing that may lead to dizziness or light-headedness.

•⁠  ⁠Cold or Sweaty Extremities: Numbness or tingling sensations in hands or feet.

These symptoms can be debilitating and often lead individuals to avoid situations that trigger their anxiety. If untreated, anxiety disorders can significantly impact quality of life and overall well-being.

Managing Anxiety and Stuttering

Managing anxiety and stuttering involves various strategies. Breathing exercises and physical activity relax muscles, while slowing speech, positive self-talk, and rehearsing improve fluency.

Support from stuttering groups or professionals is helpful, and building confidence while challenging negative thoughts reduces anxiety. Focusing on communication and planning for stammers also enhances speech experiences.

Consider the Mave Health Program for a holistic approach to mental well-being and tailored support.

Do Read More About Anxiety

  1. How to Help Someone with Anxiety: A Guide for Supportive Friends and Family
  2. Reduce Anxiety immediately with other 12 Effective ways along with 333 Rule
  3. How to Treat Anxiety Without Medication?
  4. How Do Psychiatrists Treat Anxiety Disorders?
  5. 5-4-3-2-1 Grounding Technique Exercise
  6. tDCS Device For Anxiety
  7. Foods to Fight Anxiety

Conclusion

The relationship between stuttering and anxiety is complex, with each influencing the other in various ways. Consult a healthcare provider for personalised advice and explore effective treatment options.

Citation

  1. Alm, P. A. (2014). Stuttering in relation to anxiety, temperament, and personality: review and analysis with focus on causality. Journal of Fluency Disorders, 40, 5–21. doi:10.1016/j.jfludis.2014.01.004
  2. Craig, A. (1990). An investigation into the relationship between anxiety and stuttering. The Journal of Speech and Hearing Disorders, 55(2), 290–294. doi:10.1044/jshd.5502.290
  3. Heuser Hearing Institute. (n.d.). The link between social anxiety and stuttering | Heuser hearing institute | blog. Retrieved from https://thehearinginstitute.org/the-link-between-social-anxiety-and-stuttering/
  4. Iverach, L., & Rapee, R. M. (2014). Social anxiety disorder and stuttering: current status and future directions. Journal of Fluency Disorders, 40, 69–82. doi:10.1016/j.jfludis.2013.08.003
  5. Newman, T. (2017, December 21). Stuttering: Symptoms, diagnosis, and causes. Retrieved 15 October 2024, from https://www.medicalnewstoday.com/articles/10608
  6. Sherred, L. (2023, September 18). Can stress and anxiety cause stuttering—or make it worse? Retrieved 15 October 2024, from Expressable website: https://www.expressable.com/learning-center/stuttering/can-stress-and-anxiety-cause-stuttering-or-make-it-worse
  7. Speech Neurophysiology Lab - Stuttering and anxiety connection. (n.d.). Retrieved 15 October 2024, from https://chang.lab.medicine.umich.edu/news-stories/stuttering-and-anxiety-connection
  8. Stuttering. (n.d.). Retrieved 15 October 2024, from Cleveland Clinic website: https://my.clevelandclinic.org/health/diseases/14162-stuttering
  9. The relationship between anxiety and stuttering: a multidimensional approach. (N.d.). Retrieved 15 October 2024, from https://www.sciencedirect.com/science/article/abs/pii/S0094730X04000191
  10. What is the relationship between stuttering and anxiety? (n.d.). Retrieved 15 October 2024, from STAMMA website: https://stamma.org/features/what-relationship-between-stuttering-and-anxiety
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