What is the most appropriate recommendation for a 3-year-old diagnosed with stuttering?

The recommendation to implement fluency therapy while addressing the child's frustration levels is appropriate for a 3-year-old diagnosed with stuttering because young children may experience emotional responses to their stuttering, such as frustration or embarrassment. It is important to create a supportive and understanding environment where the child feels safe to express themselves. Integrating strategies that focus on enhancing fluency and addressing emotional aspects can help the child manage their stuttering more effectively.

In this context, therapy should not only aim to improve speech fluency but also to support the child's emotional well-being, recognizing that feelings about stuttering can significantly influence their communication confidence. This dual approach helps to mitigate any potential negative feelings associated with stuttering, which can otherwise impact self-esteem and social interactions.

The other options may not take a holistic view of the child's experience with stuttering. For example, simply monitoring fluency until age 5 without addressing immediate frustrations may miss opportunities to provide necessary support and intervention, especially if the child struggles with feelings related to their speech. Similarly, beginning a treatment program focused solely on articulation does not adequately address the stuttering itself, nor does it consider the emotional factors that might accompany it.