Negative response to disfluency
Demanding questioning
Frequent interruptions
Competition for talking time
Rapid rate of conversation

INTERPERSONAL STRESSORS

Major life changes & traumatic events
Marital & sibling conflicts
Unrealistic demands
Fast-paced / unpredictable lifestyle

CHILD FACTORS

Perfectionistic tendencies
Highly degree of sensitivity
Intense / driven personality
Other speech / language disorders
Predisposition to stutter