Dillan's stuttering involves severe blocks and bodily movements. What is his most likely diagnosis?

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In the context of speech disorders, advanced stuttering is characterized by significant struggle and severe blocks during speech, often accompanied by physical movements and secondary behaviors as the individual attempts to overcome the moments of stuttering. These behaviors can include tense facial movements or other bodily movements in reaction to the stuttering, which aligns with Dillan's presentation.

Advanced stuttering often develops in children who have a history of developmental stuttering and represents a more entrenched stage of the disorder. It involves not only the frequency of disfluencies but also the severity and complexity of the stuttering episodes. This makes it distinct from other forms of stuttering or speech disfluencies where the blockages may be less severe or associated with different characteristics.

While cluttering, developmental stuttering, and neurogenic stuttering have their own features, they do not typically describe the severity and type of symptoms seen in advanced stuttering. Cluttering tends to involve a rapid speech rate rather than the severe blocks and accompanying movements described. Developmental stuttering usually refers to the earlier stages of stuttering that may not have the same intensity or struggle. Neurogenic stuttering is often linked to neurological events and can have different features from those exhibited by someone with advanced stuttering.

Thus, the

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