Word-final repetitions and other behaviors that are commonly labeled “atypical” disfluencies provide a unique challenge for speech-language pathologists. There is limited research and few resources to guide evaluation and therapy. In this session, Kathleen Scaler Scott, Ph.D., CCC-SLP, BCS-SCF and Elyse Lambeth, M.S., CCC-SLP, BCS-SCF, provide a holistic framework to dive below the surface and identify factors that may be contributing to atypical disfluencies and use that information to implement holistic therapy to increase communicative efficiency and effectiveness. They discuss approaches to determine and reduce life impact and strategies for collaborating with clients and their families in assessment and treatment that is holistic and enhances communication efficiency. Case studies that highlight the process are shared.