Speech Fluency

If you or your child is experiencing disruptions in the flow of speech, we can help you feel more comfortable with the symptoms of a fluency disorder. 

What is Fluency Disorder? 

Fluency disorders can be anything that disrupts the flow of speaking. This includes stuttering or cluttering.

People living with stuttering or cluttering also frequently experience psychological, emotional, social, and functional impacts in their daily lives. Working with a speech language pathologist can help.

Stuttering and cluttering are most often discovered early in life, but treatment and assessment is available to both children and adults at PASTS.

How a Speech-Language Pathologist Can Help with Speech Articulation?


Important aspects to be addressed in an evaluation might include: Discussing a family history, discussing negative reactions (e.g., affective, behavioral, or cognitive reactions) to their disfluency, Note any physical tension or secondary behaviors associated with the disfluency, Review any aspect affecting efficient, effective manner.


A variety of treatment approaches are utilized when working with children and adults living with stuttering or cluttering. A treatment plan may include learning strategies for forward-moving speech using evidence-based practices. A balanced treatment plan might also include adjusting feelings and attitudes about stuttering, increasing awareness of cluttering symptoms, and encouraging participation in self-help organizations to maximize treatment success.

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Laurie Gambetta

Julia Caserta

Riley Chycota

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How To Get Started


If you have questions about speech-language symptoms, please contact us today to speak directly with a speech-language pathologist for guidance.

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Call us today for an online link to our intake forms.

Get Started

As soon as you complete your intake form, we will contact you to set up your first appointment. 

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Newborns with congenital problems may have communication-related needs from birth, and a speech-language pathologist (SLP) is part of a neonatal multidisciplinary team. We often work with infants and toddlers at an early age (12-24 months) in areas such as swallowing and feeding, hearing and listening, oral-motor and speech, and attention and socialization.

You don’t necessarily know for sure. A speech-language pathologist can help you answer this question. Some indicators that might lead you to seek a consultation or screening are:

  • The child’s skills are immature compared to others in his playgroup or preschool.
  • Family members or friends alert you to differences that they observe.
  • The child’s developmental pattern is unusual compared to others his age.
  • There is a family history of speech, language, or learning problems.
  • There have been health issues, such as ear infections, which can impact communication.

A fully qualified speech-language pathologist must have a master’s degree from an accredited program, maintain a California speech pathology license, and hold a certificate of clinical competence from the American Speech-Language-Hearing Association. Many of our staff also have experience and advanced training in specialty areas.

Peninsula Associates has several talented clinicians with different specializations. Our director of operations will identify which speech-language pathologist is available and appropriate for a new client. Most clients are seen 2-4 weeks after the paperwork has been completed. There is sometimes a waiting period if a new children’s group is being formed, but we may see the new child individually in the interim.

PASTS, Inc. offers both private-pay and fee-for-service practice and we are an in-network provider for a growing number of insurance carriers. We also have close relationships with Sutter Health, Lucille Packard, and Palo Alto Medical Foundation pediatricians, specialists, and clinicians. We can often obtain single-case agreements with other Insurance to access speech therapy benefits for your particular health insurance plan. Please contact our office to see how we can help you access your insurance benefits.