'Clinical Decision Making in Fluency Disorders' is back in a new fourth edition and has been thoroughly updated with recent advances in the field and a current review of the literature. It continues to focus on therapeutic tools for the speech-language pathologist to assist clients who stutter. Written with enthusiasm and creativity, the text centers not only on increasing fluency, but also on the therapeutic journey by reviewing goals, techniques for assessment and counseling, and ongoing disorder management.'Clinical Decision Making in Fluency Disorders' will benefit graduate students who are beginning their comprehensive study of fluency disorders, as well as professional clinicians expanding their knowledge of this specialty area. This text provides clinical insights to assist people who stutter with their ability to communicate and enhance their quality of life. A PluralPlus companion website includes access to audio and video samples of speakers and clinicians, and PowerPoint slides that corresponded to the chapters.New to this edition: a new chapter on the nature of change; additional Clinical Decision Making and Clinical Insight boxes with vignettes that illustrate distinctive clinical examples and unique perspectives; reorganization of chapters for better flow of material; added or expanded sections on mindfulness, bilingualism, stigma and shame, and more; rewritten sections on genetics and the possibility of genetic engineering.