When treatment is delayed for some time, the psychological effects of stuttering on the child and family must be considered.  Reports of child frustration as a result of teasing or other negative feedback could increase the fears and avoidance behaviours that are sometimes noted in older children who stutter.  While there is some evidence to suggest that the Lidcombe Program can be effective therapy for some school age children, it would be best clinical practice to introduce treatment before the age of 6 years if possible.