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The King’s Speech: What stuttering treatment works?

Many people loved the movie The King’s Speech . But few were more riveted to the screen than current or former stutterers – like myself. At some point in early childhood, I began to stutter when I said certain words. Unlike the King, I was pretty fortunate. For some reason, my playmates were generally supportive rather than tormenting and I don’t recall being teased about my fluency problems.

And I will be forever grateful to Dr. Wolfe, the speech therapist in the college town in which I grew up. I remember Dr. Wolfe as jolly fellow, who reassured us kids that we’d be fine, we’d probably outgrow it, but would we mind just trying this or that technique? He spiced up the lessons with trips into real-world settings, such as ordering in our local candy shop. The best part: I got out of school for the therapy sessions. Dr. Wolfe would have to be well into his 80s by now, so if you’re still around: Thanks!

Like many children who stutter, my speech became more fluent as I got older (possibly because of therapy, but a large proportion of children who stutter get better on their own). But having had an inspirational speech therapist myself, my Evidence-Based Living antennae began to hum, leading to the question:

What is the research evidence on the effectiveness of speech therapy?

In particular, what’s the evidence on behavioral therapy such as that practied by Lionel Logue, who actually was King George VI’s speech therapist? Of course, at EBL we know where to turn: To systematic reviews of the literature . Fortunately, a great review of stuttering treatment research exists – in fact, I suggest you look at it just because it is such a terrific example of systematic review.

Dr. Anne Bothe and colleagues looked at all published studies from 1970 – 2005. Articles had to be original research, they had to have measurable outcomes, and they had to meet a set of critera for good science (described in the article).

One interesting finding right from the start: Only 31 articles met the criteria for sound methods. So even in an area with so much interest as stuttering, very few studies exist that use randomized-controlled designs, have adequate controls for reliability and validity, and look at both short-term and long-term outcomes.  Another review by Nan Bernstein Ratner looks at various forms of treatment from a clinical perspective (2010).

There is so much that’s interesting in these reviews, I suggest you take a look. Scientists are continually finding out new things about why stuttering occurs , from the genetic component to the influence of brain structure and function. But in honor of The King’s Speech , what do the reviews say seems to work best for adults?

For adults, Rhode’s systematic review most strongly endorses what’s called fluency shaping . This treatment works to replace stuttering with more fluent speech (hence the name). And the extensive review Bothe et al. conducted shows that one particular type of fluency shaping really seems to work: prolonged speech . This therapy involves such techniques as managing the stream of breath, creating a more deliberate flow between words, and generally slowing the speech down. One problem with these programs is that speech sometimes doesn’t seem totally natural; the most effective programs use prolonged speech therapy combined with other techniques.

Now, that seems does seem somewhat like what King George VI got from Lionel Logue, after all.

If you have some time to kill, the Stuttering Foundation has some very reassuring information for the approximately 1% of adults who stutter: Lists of famous people who struggled with the problem. Did you know that stutterers include: James Earl Jones, Nicole Kidman, Marilyn Monroe, baseball player Johnny Damon, and writer John Updike?

(And here’s a disclaimer to prevent riled-up comments from the speech therapy world: I know there is a huge debate over what kind of therapy works best for stuttering. For those of you who are interested, the two reviews are a good place to start. Some places to go for descriptions of therapies are the National Institute on Deafness and other Communication Disorders ( NIDCD ) and the Stuttering Foundation .

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About the Business

We specialize in evaluating and treating children who have difficulty with their speech and communication. …

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818 N Mountain Ave

Upland, CA 91786

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Victoria has been a wonderful speech therapist to our 4 year old daughter! We struggled to find an SLP who was familiar with our child's speech needs. Victoria is educated and up to date on modern theories and methods such as Gestalt Language Processing. My daughter has enjoyed each and every session with Victoria and looks forward to working with her. Victoria doesn't pressure her clients, she works at their pace and allows the child to lead when needed. We worked on goals together and Victoria created a great plan for our daughter. My daughter's language has greatly flourished over the past several months and I know that Victoria has contributed to her progress.

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Cindy R. said "My mother-in-law fell and broke her hip in January. She was released from her rehab facility in February. We had no idea how much care and attention she would need. Fortunately, my husband met a representative from CARE TO STAY HOME…" read more

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Is Your Child Meeting Their Speech and Language Milestones? What You Need to Know: 19 - 24 months old

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Adult Services

Occupational Therapy (OT)

Our occupational therapists have years of experience in assessing patients and helping them accomplish the goals that are important and meaningful to them. We provide specialized assistance, including treating physically or emotionally disabled people, resulting in our patient’s increased independence and minimized disability. When we help our patients with their “occupation,” we are helping them with any activity they may encounter on a daily basis, such as eating, self-care or work.

Hand Therapy

We also have therapists with a certificate in Hand Therapy (CHT) who are skilled in evaluating and treating injuries and other conditions of the shoulder, arm, elbow, wrist and hand. See the American Society of Hand Therapists  for great Patient Education Resources.

• Tennis elbow and other repetitive strain injuries
• Carpal tunnel
• Fractures of the hand, wrist and elbow
• Post op- tendon repair

Speech Therapy

Deborah A. King Therapy’s speech therapists want to help you take control over your speech problems and give you confidence and success in communicating with others. Our licensed speech pathologists have years of experience working with adults to treat many different types of disorders, including:

• articulation impairments (including tongue thrust)
• Expressive / receptive language
• Voice disorders
• Hearing loss
• Dysphagia (swallowing disorders)

Physical Therapy

Our physical therapists have the training and years of experience to help you quickly accomplish your goals of recovery. We know you want to feel better as soon as possible after an injury, accident or surgical procedure (such as a hip or knee replacement or shoulder surgery). Our highly qualified therapists provide evaluations and individualized treatment plans to get you feeling better right away.

• Pre and Post-Operative Care
• Shoulder Pain
• Spine Rehab
• Sports Injuries
• Total Joint Rehab
• Vestibular Therapy
• Work Injury Rehabilitation
• Acute and Chronic Pain
• Back and Neck Pain
• Fibromyalgia
• Foot and Ankle Pain
• General Orthopedics
• Graston Technique
• Kinesio Taping
• Leg and Knee Pain
• Manual Therapy
• Post Stroke Care

Women’s Health

Treatment Approaches • Biofeedback for pelvic floor muscles • Modalities including e-stim, US • Manual therapy techniques • Internal and external evaluations • Bladder training • Myofascial Release • Dry needling • Relaxation techniques

Conditions Addressed • Pelvic pain • Incontinence • Prolapse • Urinary retention • Bowel dysfunction • Coccyx pain • Pudenal neuralgia • Interstitial cystitis • Ayspurenuia • Vaginismus • Diastasis Recti

• Cast & crew
• User reviews

The King's Speech

The story of King George VI, his unexpected ascension to the throne of the British Empire in 1936, and the speech therapist who helped the unsure monarch overcome his stammer. The story of King George VI, his unexpected ascension to the throne of the British Empire in 1936, and the speech therapist who helped the unsure monarch overcome his stammer. The story of King George VI, his unexpected ascension to the throne of the British Empire in 1936, and the speech therapist who helped the unsure monarch overcome his stammer.

• David Seidler
• Colin Firth
• Geoffrey Rush
• Helena Bonham Carter
• 827 User reviews
• 486 Critic reviews
• 88 Metascore
• 108 wins & 206 nominations total

• King George VI

• Lionel Logue

• Queen Elizabeth

• Archbishop Cosmo Lang

• Private Secretary

• BBC Radio Announcer

• Robert Wood

• BBC Technician

• Dr. Blandine Bentham

• Laurie Logue

• Myrtle Logue

• Valentine Logue
• Anthony Logue

• Princess Elizabeth

• Princess Margaret

• Theatre Director
• All cast & crew
• Production, box office & more at IMDbPro

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• Trivia Nine weeks before filming began, Lionel Logue's grandson, Mark Logue , discovered a large box in his attic that contained his grandfather's personal papers. The box held Lionel Logue's diary, his appointment book, notes from his speech therapy sessions with King George VI , and over 100 personal letters to Logue from the King. It also contained what is believed to be the actual copy of the speech used by George VI in his 1939 radio broadcast announcing the declaration of war with Germany. Mark Logue turned his grandfather's papers, letters, and diary over to director Tom Hooper and screenwriter David Seidler , who used them to flesh out the relationship between Logue and the King. Geoffrey Rush and Colin Firth also read through the material for insight into their characters. The exchange in this movie between Logue and King George VI following his radio speech ("You still stammered on the 'W'." / "Well, I had to throw in a few so they knew it was me.") was taken directly from Logue's diary. Firth insisted that it should be included in the movie.
• Goofs In the final speech, King George VI has one blue eye and one brown eye. Colin Firth had lost a contact lens.

King George VI : All that... work... down the drain. My own... b... brother, I couldn't say a single w-word to him in reply.

Lionel Logue : Why do you stammer so much more with David than you ever do with me?

King George VI : 'Cos you're b... bloody well paid to listen.

Lionel Logue : Bertie, I'm not a geisha girl.

King George VI : Stop trying to be so bloody clever.

Lionel Logue : What is it about David that stops you speaking?

King George VI : What is it about you that bloody well makes you want to go on about it the whole bloody time?

Lionel Logue : Vulgar, but fluent; you don't stammer when you swear.

King George VI : Oh, bugger off!

Lionel Logue : Is that the best you can do?

King George VI : [like an elocution lesson] Well... bloody bugger to you, you beastly bastard.

Lionel Logue : Oh, a public school prig could do better than that.

King George VI : Shit. Shit, shit, shit, shit, shit, shit, shit, shit, shit, shit, shit, shit!

Lionel Logue : Yes!

King George VI : Shit!

Lionel Logue : Defecation flows trippingly from the tongue!

King George VI : Because I'm angry!

Lionel Logue : Do you know the f-word?

King George VI : F... f... fornication?

Lionel Logue : Oh, Bertie.

King George VI : Fuck. Fuck! Fuck, fuck, fuck and fuck! Fuck, fuck and bugger! Bugger, bugger, buggerty buggerty buggerty, fuck, fuck, arse!

Lionel Logue : Yes...

King George VI : Balls, balls...

Lionel Logue : ...you see, not a hesitation!

King George VI : ...fuckity, shit, shit, fuck and willy. Willy, shit and fuck and... tits.

• Crazy credits In the end credit roll, Philip Clements is listed twice as Assistant Sound Editor.
• Connections Featured in Breakfast: Episode dated 22 October 2010 (2010)
• Soundtracks Le nozze di Figaro Overture Written by Wolfgang Amadeus Mozart [During the first therapy session when King's voice is being recorded]

User reviews 827

• Jan 2, 2011
• Just what time frame are we talking about here?
• What causes Bertie's stammer?
• Why couldn't King Edward marry Wallis Simpson?
• December 25, 2010 (United States)
• United States
• United Kingdom
• Official Site
• Nhà Vua Nói Lắp
• Elland Road Football Stadium, Elland Road, Beeston, Leeds, West Yorkshire, England, UK (as Wembley Stadium at start of film)
• The Weinstein Company
• UK Film Council
• Momentum Pictures
• See more company credits at IMDbPro
• $15,000,000 (estimated)
• $138,797,449
• Nov 28, 2010
• $484,068,861

Technical specs

• Runtime 1 hour 58 minutes
• Dolby Digital

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Sno-King Speech Inc.

Sno-king speech, in-home speech therapy in king county and snohomish county, about sno-king speech.

Sno-King Speech, Inc. provides in-home Speech-Language pathology and speech therapy services in Snohomish and King Counties, and OT services for children on the Eastside.    

We are dedicated to serving children and adults with developmental disabilities, articulation problems, language and literacy disabilities and cognitive-communication disorders, as well as individuals dealing with strokes, aphasia, voice disorders and vocal cord dysfunction, and swallowing disorders.

 Our practice was founded in 2015, with an eye on the need to reduce the transportation burden for families and to provide convenient and flexible times for therapy to occur. 

Services include:

• SLP Services: In-home speech therapy services and teletherapy (therapy via videoconferencing as appropriate)
• AAC Evaluation and treatment, along with deep programming for those devices
• Accent reduction services, either in home or via videoconferencing
• Occupational Therapy services for Eastside King County
• Social Communication education and training for adults and children of all ages, including those with developmental disabilities like Autism 

Our experienced, fully credentialed staff has worked in a variety of settings, and uses evidence-based interventions. All staff are fully vaccinated against COVID-19.

About Our Team

Nithya siva, m.s., ccc-slp , owner.

Nithya Siva has been a speech-language pathologist (SLP) since 1995 working in a variety of settings including medical (acute care, inpatient rehab, skilled nursing and outpatient) as well as public schools  (preschool through post secondary vocational training) and private practice in both California and Washington state.  She has been ASHA certified since 1996 and is WA and Montana state licensed. Nithya has also worked at the University of Washington as a clinical instructor, both supervising graduate SLP students and developing curriculum for SLP students interested in working in public schools in Washington State.  She has lectured on a variety of topics including cultural considerations in provision of SLP services, TBI and adolescents, cognitive remediation in acute care and inpatient rehabilitation settings, visual-perceptual screening, and inclusive models of SLP intervention.  She was a lecturer at Chapman University instructing new special education teachers on how to work with students with communication disabilities.  Given that context is a critical factor in the generalizing of communication and cognitive skills to work and home, treatment in those environments (versus a clinic) can be more effective. She has lived in south Snohomish County for the past 18 years. 

Rebecca Wynne, MA, CCC-SLP

Rebecca Wynne is a speech-language pathologist working in the Pacific Northwest since 2006. She has been ASHA-certified since 2006 and is WA state licensed. For the first 6 years of her career she worked for a non-profit that provides services for individuals with complex communication needs of all ages. Rebecca currently works for the Everett School District with both high School and post-secondary aged students.

She has lectured locally on augmentative and alternative communication (AAC) both implementation and funding. She periodically does webinars for Central WA University’s Special Education Technology Center on the topic of AAC and assistive technology (AT).  

For the last 8 years Rebecca has had an increasing interest in social communication and how it affects interpersonal relationships for those with disabilities. She has co-taught social communication classes and has attended many continuing education courses on sexual education.

________________________________________

Sabiha haider, otr.

Home-based Pediatric OT services

After finishing her OT degree, Sabiha worked in Florida in different settings including nursing homes, hospitals and school districts.  In 2000, she developed a passion for Pediatrics after having the opportunity to work at a Birth-to-Three center in North Bend (now Encompass). 

Since then she has enjoyed working with kids of all ages and has grown and honed her skills as a pediatric occupational therapist.  She has experience in feeding therapy, Sensory Integration and Handwriting without Tears.

Besides work, she enjoys exploring the beautiful Northwest with her family, traveling, and listening to books on tape.

Call 425-931-5550 for more information about Occupational Therapy. 

Chrisanne Wood, AAC Customization

Chrisanne Wood has over 20 years of experience as a programmer on a wide variety of platforms. As the mother of a nonverbal 21-year-old boy who has been communicating using various devices and applications for about 8 years, she is familiar with a number of applications because of having to modify his device regularly.   Additionally she has programmed for Sno-King's clients on an as-needed basis for the past five years. She has worked as a part-time paraeducator in the Mukilteo School District where she assisted students directly. She often assisted the speech-language pathologist in the classroom with the programming of student devices .

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King Speech-Language Therapy

Physical Therapy Speech/Language Therapy

• 2203 Highway 72 East Corinth MS 38834
• (662) 872-3177

by appointment only

Driving Directions:

Hwy 72 East, located directly beside Rayco

We aim to provide superior and individualized speech-language and swallowing therapy for all ages. Now offering ''Teletherapy''. Call us for details.

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Today in History: April 3, Martin Luther King Jr. makes final speech

By the associated press - | apr 3, 2024.

This is a copy of Jesse James' wedding portrait taken before his marriage in 1874. James fought in the American Civil War with a Confederate guerrilla force and later formed a gang, robbing banks and trains. (AP Photo)

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• New York, NY 10022
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Maia C. King, M.S., CCC-SLP, TSSLD, PLLC

Starter and founder of king of speech nyc.

Maia serves as a Clinical Graduate Supervisor for Columbia and Clinical Specialist & CFY supervisor for Noor Staffing. Ms. King, who began her private practice in 2013, has over 10 years of experience practicing as a speech and language pathologist. She is the founder of the new parent-favorite choice for kids: "play and social skills" group! Ms. King is accredited with the American Speech-Language Hearing Association, National Aphasia Association, National Stroke Association and New York State Speech Language-Hearing Association. Her publication, "Individualizing Speech Therapy Goals in a Group Setting: An Aphasia Viewpoint,” was recently published in The National Stroke Association’s publication, StrokeSmart, among others. A skilled lecturer, Ms. King is a featured guest with the New York Metropolitan Area Stroke Coordinators’ Consortium on the use of speech-language pathology with aphasia in addition to several others. Ms. King is a versatile experienced clinician who is prepared to treat communication disorders basic to complex.

"I am an SLP who has extensive experience with infants through adults not only in the areas of speech, voice, language, swallowing and feeding (asha sig 13) but trach's and speaking valves as well. My nine years of experience comes from working in the NICU, St. Mary's special population, early intervention."

Ms. King is currently offering a variety of services including home based, tele-health, office and a skilled speech therapy aphasia group for individuals with Aphasia, apraxia and dysarthria secondary to stroke and/or brain injury.

Natalie, SLP

Natalie is ASHA certified practicing Speech Language Pathologist and PROMPT trained clinician. She graduated from New York University with a Masters of Science in Communication Sciences and Disorders. Natalie currently practices at a special education Pre-K servicing children with Autism Spectrum Disorders, speech and language delays, articulation disorders, and social/pragmatic difficulties to facilitate their overall communication skills.

Natalie’s experience consists of assessing and treating children in early intervention as well as the pre-k population. She has worked in a clinical setting, public and private schools serving children with genetic disorders, developmental delays, and Autism Spectrum Disorders. She specializes in enhancing communication skills in the pediatric population through the use of total communication approach.

She facilitates speech and language through Augmentative and Alternative Communication (AAC) such as, picture communication symbols, static core boards, dynamic devices (i.e., Proloquo, Snap+ Core First, Go Talk). Natalie’s treatment approach includes literacy-based structured activities, imaginative play, social play schemas, and art’s and crafts, while incorporating sensory aspects to keep children engaged and motivated throughout.

Natalie is committed to creating a naturalist and supportive learning environment to assist children in fostering communication skills. She believes that parent relationships and team collaboration are essential to assist the child to reach their maximum potential.

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Last Updated: October 5th, 2023 10:49 AM

Catherine, Princess of Wales, Reveals She Has Cancer

The princess described the news as a “huge shock” and asked for “time, space and privacy” in a prerecorded video broadcast on the BBC on Friday evening in Britain.

• Share full article

Princess of Wales Announces Cancer Diagnosis

In a video statement, catherine, princess of wales, said that she had been diagnosed with cancer and started chemotherapy..

I wanted to take this opportunity to say thank you personally for all the wonderful messages of support and for your understanding whilst I’ve been recovering from surgery. It has been an incredibly tough couple of months for our entire family. But I’ve had a fantastic medical team who have taken great care of me, for which I’m so grateful. In January, I underwent major abdominal surgery in London, and at the time, it was thought that my condition was noncancerous. The surgery was successful. However, tests after the operation found cancer had been present. My medical team therefore advised that I should undergo a course of preventative chemotherapy, and I’m now in the early stages of that treatment. This, of course, came as a huge shock, and William and I have been doing everything we can to process and manage this privately for the sake of our young family. As you can imagine, this has taken time. It has taken me time to recover from major surgery in order to start my treatment. But most importantly, it has taken us time to explain everything to George, Charlotte and Louis in a way that’s appropriate for them and to reassure them that I’m going to be OK. As I’ve said to them, I am well. And getting stronger every day, by focusing on the things that will help me heal, in my mind, body and spirits. Having William by my side is a great source of comfort and reassurance, too, as is the love, support and kindness that has been shown by so many of you. It means so much to us both. We hope that you’ll understand that as a family, we now need some time, space and privacy while I complete my treatment. My work has always brought me a deep sense of joy, and I look forward to being back when I’m able. But for now, I must focus on making a full recovery. At this time, I’m also thinking of all those whose lives have been affected by cancer. For everyone facing this disease, in whatever form, please do not lose faith or hope. You are not alone.

Mark Landler

Reporting from London

Here’s the latest on the Princess of Wales’s cancer news.

Catherine, Princess of Wales, has been diagnosed with cancer and has begun chemotherapy, she announced in a video message on Friday, in which she described the past two months as “incredibly tough for our entire family.”

Her diagnosis follows that of King Charles III , who announced his own cancer diagnosis and treatment in early February. It comes after a period of intense uncertainty about the health of Catherine, who underwent abdominal surgery in January and largely disappeared from public view as she tried to recuperate.

Like the king, Catherine, 42, did not specify what kind of cancer she had but asked the public and news media to respect her desire for privacy.

“We hope that you will understand that, as a family, we now need some time, space and privacy while I complete my treatment,” said Catherine, who is the wife of Prince William and a future queen.

“This of course came as a huge shock,” Catherine said, “and William and I have been doing everything we can to process and manage this privately for the sake of our young family. As you can imagine, this has taken time.”

Catherine’s announcement is a grim coda to a period of increasingly wild rumors about her health and well-being. But it plunges the British royal family into a period of even deeper uncertainty, with both the 75-year-old monarch and his daughter-in-law, the wife of his eldest son and heir and the mother of Prince George, the second in line to throne, facing grave health problems.

In her statement, Catherine said that at the time her surgery was performed, doctors believed that her condition was noncancerous. The surgery was successful, she said, but in further tests, the doctor found evidence of cancer. They recommended a course of chemotherapy, which she said she had recently begun.

“It has taken me time to recover from major surgery in order to start my treatment,” Catherine said in the video. “But, most importantly, it has taken us time to explain everything to George, Charlotte and Louis in a way that is appropriate for them, and to reassure them that I am going to be OK.”

Catherine’s announcement eerily echoed that of Charles’s. Buckingham Palace said that the king’s cancer was detected after a procedure for an enlarged prostate. While the palace has said he does not have prostate cancer, it has not specified what kind of cancer it is, nor his prognosis.

Until Catherine’s video on Friday, Kensington Palace, where William and Catherine have their offices, had released even fewer details about her condition, an information vacuum that led to a raft of rumors and conspiracy theories on social media .

In the video, which Kensington Palace said was recorded by BBC Studios in Windsor on Wednesday, Catherine is sitting on a bench outside, with daffodils and trees in blossom behind her.

Her hands clasped on her lap, she begins by thanking the public for their messages of support and understanding while she was recovering from surgery, before announcing her diagnosis.

“In January, I underwent major abdominal surgery in London, and, at the time, it was thought that my condition was noncancerous. The surgery was successful,” she said. “However, tests after the operation found cancer had been present. My medical team therefore advised that I should undergo a course of preventative chemotherapy, and I am now in the early stages of that treatment.”

Catherine’s statement emphasized the importance of her three children and their well-being as a key factor in the timing of the announcement. “As I have said to them,” she said, “I am well and getting stronger every day by focusing on the things that will help me heal; in my mind, body and spirits. Having William by my side is a great source of comfort and reassurance, too.”

The children’s school has now closed for the Easter holidays. A Kensington Palace official said Catherine and William had wanted to share the information when they felt it was right for them as a family.

Catherine ended her video statement with a message for other people affected by a cancer diagnosis. “At this time, I am also thinking of all those whose lives have been affected by cancer,” she said. “For everyone facing this disease, in whatever form, please do not lose faith or hope. You are not alone.”

Gina Kolata

Gina Kolata previously reported on King Charles III’s cancer diagnosis .

Doctors recognize familiar pattern in the princess’s statement.

Although it is not known what type of cancer Princess Catherine has, oncologists say that what she described in her public statement that was released on Friday — discovering a cancer during another procedure, in this case a “major abdominal surgery” — is all too common.

“Unfortunately, so much of the cancer we diagnose is unexpected,” said Dr. Elena Ratner, a gynecologic oncologist at Yale Cancer Center who has diagnosed many patients with ovarian cancer, uterine cancer and cancers of the lining of the uterus.

Without speculating on Catherine’s procedure, Dr. Ratner described situations in which women will go in for surgery for endometriosis, a condition in which tissue similar to the lining of the uterus is found elsewhere in the abdomen. Often, Dr. Ratner says, the assumption is that the endometriosis has appeared on an ovary and caused a benign ovarian cyst. But one to two weeks later, when the supposedly benign tissue has been studied, pathologists report that they found cancer.

In the statement, Princess Catherine said she is getting “a course of preventive chemotherapy.”

That, too, is common. In medical settings, it is usually called adjuvant chemotherapy.

Dr. Eric Winer, director of the Yale Cancer Center, said that with adjuvant chemotherapy, “the hope is that this will prevent further problems” and avoid a recurrence of the cancer.

It also means that “you removed everything” that was visible with surgery, said Dr. Michael Birrer, director of the Winthrop P. Rockefeller Cancer Institute at the University of Arkansas for Medical Sciences. “You can’t see the cancer,” he added, because microscopic cancer cells may be left behind. The chemotherapy is a way to attack microscopic disease, he explained.

Other parts of Catherine’s statement also hit home for Dr. Ratner, particularly her concern for her family.

“William and I have been doing everything we can to process and manage this privately for the sake of our young family,” Catherine said, and “It has taken us time to explain everything to George, Charlotte, and Louis in a way that is appropriate for them, and to reassure them that I am going to be OK.”

Those are sentiments that Dr. Ratner hears on a regular basis and reveal, she says, “how hard it is for women to be diagnosed with cancer.”

“I see this day in and day out,” she said. “Women always say, ‘Will I be there for my kids? What will happen with my kids?’

“They don’t say, ‘What will happen to me?’”

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Another heavy blow for the British royal family.

For the royal family, the news of a cancer diagnosis for Catherine, Princess of Wales, was another heavy blow, sidelining one of its most visible figures at a time when its ranks were already depleted.

In addition to King Charles III, who has canceled public appearances to undergo his own cancer treatment, the family has been adjusting to the loss of Queen Elizabeth II, who died in 2022; the departure of Prince Harry and his wife, Meghan; and the exile of Prince Andrew, disgraced by his association with the convicted sex offender Jeffrey Epstein.

Harry and Meghan issued a statement saying they wished “health and healing for Kate and the family, and hope they are able to do so privately and in peace.”

Since Harry and Meghan, who are known as the Duke and Duchess of Sussex, withdrew from royal duties in 2020 and left Britain for Southern California, Harry has been estranged from his father, Charles, and his brother, Prince William. He visited his father briefly after Buckingham Palace announced the king’s cancer diagnosis in February.

The palace said on Friday that Charles was “so proud of Catherine for her courage in speaking as she did.” Noting that the king had visited her when they were both being treated in a London hospital, the palace said Charles “has remained in the closest contact with his beloved daughter-in-law throughout the past weeks.”

Buckingham Palace said only last month that King Charles has cancer.

King Charles III was diagnosed with cancer in early February and suspended his public engagements to undergo treatment, casting a shadow over a busy reign that began around 18 months ago after the death of his mother, Queen Elizabeth II.

The announcement, made by Buckingham Palace, came after the 75-year-old sovereign was discharged from a London hospital, following a procedure to treat an enlarged prostate.

The palace did not disclose what form of cancer Charles has, but a palace official said it was not prostate cancer. Doctors detected the cancer during that procedure, and the king began treatment on Monday.

News of Charles’ diagnosis ever since has reverberated through Britain, which, after seven decades of Elizabeth’s reign, has begun to get comfortable with her son. Charles waited longer to ascend the throne than anyone in the history of the British monarchy, and he was a familiar figure, with a personal life relentlessly dissected by the British media by the time he became the sovereign.

Nate Schweber

The mood is somber at a British outpost in New York.

The mood was somber Friday afternoon in the section of Manhattan’s West Village that some people call Little Britain after Catherine, Princess of Wales, announced that she was being treated for cancer.

At Myers of Keswick, a shop on Hudson Street that sells British goods like Hobnobs biscuits, Wilkin & Sons marmalade and steak and ale pie, Jennifer Myers-Pulidore, the owner, said she had watched the announcement live while fielding alarmed texts from her father, Peter Myers. He opened the store 39 years ago and is now retired and living back in Keswick, England.

“I feel for her,” said Ms. Myers-Pulidore, 45, who was born in New York and grew up spending summers in Keswick. With three children of her own, she said she could relate to the princess’s desire to address the matter with her family before discussing it publicly.

“I understand wanting to protect the children,” Ms. Myers-Pulidore said. “I can’t imagine living in the limelight as they do.”

She said she had not kept up with the recent wave of speculation online about why Catherine had not been seen much in public since undergoing abdominal surgery earlier this year. Ms. Myers-Pulidore had nothing good to say about those who had spread wild rumors.

“It’s awful. It’s sort of pathetic that she couldn’t even have time in private,” she said. “It almost makes me think she had no other option but to come clean.”

For Ms. Myers-Pulidore, the news stirred painful memories of Princess Diana, a previous Princess of Wales to whom the store owner considers Catherine a spiritual heir.

“She, in England, is loved,” Ms. Myers-Pulidore said of Catherine. “People think of her as the people’s princess.”

After Diana’s death; the death of Queen Elizabeth II; King Charles’s cancer diagnosis; and estrangement between William, Prince of Wales, and his brother, Prince Harry, the Duke of Sussex, Ms. Myers-Pulidore said she worried about the British royal family’s future.

“I hope they will make it,” she said.

Outside the shop, Richard Barnett winced while discussing the news.

“It’s all very sad,” said Mr. Barnett, a London native who has lived in New York for 35 years. He added that he hoped Catherine’s treatment would be successful and that her recovery would be swift and comfortable.

“Wish her the best,” he said. “And peace and quiet.”

Asked whether he had followed the recent gossip and speculation about Catherine that Ms. Myers-Pulidore had condemned, Mr. Barnett nodded.

“It’s good she stopped the rumors,” he said.

Outside Tea & Sympathy, a British restaurant a few blocks away on Greenwich Avenue, Dave Heenan shook his head when asked about the news.

“It’s awful. I’m devastated — the whole royal family, they’re cursed!” said Mr. Heenan, 81, who moved to New York from Newcastle, England, in 1963. He said that, like other British people, he had come to love Catherine and was excited about her future.

“She’s the one member of the royal family who could really carry that crown,” he said.

One positive thing he could say was that he had been able to share his feelings with fellow English men and women: “It brings English people together.”

Iain Anderson, Tea & Sympathy’s manager, said he had become concerned about Catherine recently as she stayed out of the public eye and rumors about her flew. He said that to him, the announcement on Friday felt forced.

“Maybe they had to say something because of the public pressure,” Mr. Anderson, who is originally from Gloucestershire, England, said. “If they had to open up about this and they didn’t want to, that’s unfortunate.”

Like Ms. Myers-Pulidore, he said he had a grim feeling of déjà vu.

“We’ve had all this before with Lady Diana,” he said

Michael West, a Briton living in Manhattan, said he was reminded of Queen Elizabeth II’s death two years ago as well as King Charles’s cancer diagnosis.

“It just seems as though trouble comes in threes,” he said as he passed the British Consulate on Second Avenue. “And it just seems as though, for that family at the moment, that perhaps trouble comes in tens.”

Mr. West is originally from a village called Higham, famous as the place where Charles Dickens died. He said that although Catherine had not been born into royalty, she had fit well into her role as a Windsor.

“Among my family and friends, people were happy with them,” he said of the family, adding, “They do their job with grace.”

Sean Piccoli contributed reporting.

Megan Specia

The reaction of Londoners is full of concern.

As news filtered out about the princess of Wales’s cancer diagnosis in London on Friday, just as the sun was setting on a mild spring evening, many expressed their shock and concern for a well-liked member of the British royal family, who is destined to one day be queen.

Kensington Palace had urged the public to respect the privacy of Catherine as she recovered from a major abdominal surgery in January, but as the days drew into weeks, the rumor mill swirled — with conspiracy theories growing deeper and wilder — about what had been keeping such a prominent member of the royal family out of view.

On Friday evening, many lamented the scrutiny she had faced and what the family had been forced to endure at such a terrible time.

“She is still just a human,” said Aaron Viera, 33, and a lifelong Lononder. “It’s just really sad that she has to go through this.”

Alongside co-workers sharing a drink outside the Goat Tavern, just steps from Kensington Palace where Catherine and her family had lived, Mr. Viera denounced the social media speculation.

Much of that frenzy has been driven by an American “obsession” with the royals, interjected another friend, Maryann, 35, who declined to give her last name. At the end of the day, she’s a mother of three, another woman, Jessi, pointed out, and she worried about toll chemotherapy would take on Catherine. So many in the country know the struggles of cancer personally, and they agreed that Catherine’s candor about her illness unfortunately would be easy for many to relate to.

Catherine, 42, the wife of William, Prince of Wales, is the second member of the British royal family to be diagnosed with cancer in recent weeks after Buckingham Palace announced in February that her father-in-law, King Charles III , also was being treated for cancer.

On Friday evening, the overwhelming sentiment seemed to be of concern for the well-being of the princess of Wales.

“God, she’s had cancer, has she?” one woman said to her friend, engrossed in a news article on her phone while getting off a bus in the northwest of the city. “Terrible, she’s only 40-something, isn’t she?”

The New York Times

Read Catherine’s full statement.

A transcript of the video message given by Catherine, princess of Wales:

I wanted to take this opportunity to say thank you, personally, for all the wonderful messages of support and for your understanding whilst I have been recovering from surgery. It has been an incredibly tough couple of months for our entire family, but I’ve had a fantastic medical team who have taken great care of me, for which I am so grateful. In January, I underwent major abdominal surgery in London and at the time, it was thought that my condition was noncancerous. The surgery was successful. However, tests after the operation found cancer had been present. My medical team therefore advised that I should undergo a course of preventative chemotherapy and I am now in the early stages of that treatment. This of course came as a huge shock, and William and I have been doing everything we can to process and manage this privately for the sake of our young family. As you can imagine, this has taken time. It has taken me time to recover from major surgery in order to start my treatment. But, most importantly, it has taken us time to explain everything to George, Charlotte and Louis in a way that is appropriate for them, and to reassure them that I am going to be OK. As I have said to them; I am well and getting stronger every day by focusing on the things that will help me heal; in my mind, body and spirits. Having William by my side is a great source of comfort and reassurance too. As is the love, support and kindness that has been shown by so many of you. It means so much to us both. We hope that you will understand that, as a family, we now need some time, space and privacy while I complete my treatment. My work has always brought me a deep sense of joy and I look forward to being back when I am able, but for now I must focus on making a full recovery. At this time, I am also thinking of all those whose lives have been affected by cancer. For everyone facing this disease, in whatever form, please do not lose faith or hope. You are not alone.

Derrick Bryson Taylor

A timeline of the royal family’s tumultuous year.

• Outside Kensington Palace. Henry Nicholls/Agence France-Presse — Getty Images
• Catherine, Princess of Wales, made her announcement on a video. Oli Scarff/Agence France-Presse — Getty Images
• Watching the announcement outside Buckingham Palace. Hollie Adams/Reuters
• Prince William and Princess Catherine in Cardiff, Wales, in October. Chris Jackson/Getty Images
• A reporter outside the London Clinic, a private hospital where Catherine had surgery in January. Tolga Akmen/EPA, via Shutterstock
• Catherine in May at King Charles III's coronation. Odd Andersen/Agence France-Presse — Getty Images
• Watching a news report at a hotel pub in Newcastle-under-Lyme. Carl Recine/Reuters

Since King Charles III and Catherine, the Princess of Wales, each went to hospitals for health matters in recent months, public attention has been riveted on the royal family. The extended absence of Kate from the public eye, especially, propelled a wave of rumors over her whereabouts, fueled further by an edited photo released by the palace.

Here is a quick timeline of key moments.

Jan. 17, 2024

Kate undergoes surgery.

A little more than three weeks after Kate made a public appearance on Christmas Day, Kensington Palace announced that she had been admitted to the London Clinic to have abdominal surgery . Officials gave few details about her health but said the surgery was successful, and that her condition was “not cancerous.”

Hours later, Buckingham Palace announced that King Charles III would be treated for an enlarged prostate.

Jan. 29, 2024

Kate is released from the hospital.

Almost two weeks later, Kate returned home to Windsor, just outside London . Kensington Palace officials said that she would convalesce at home for two to three months and would not resume her public duties until after Easter, at the end of March.

Feb. 5, 2024

King Charles is diagnosed with cancer.

Buckingham Palace officials announced in early February, just days after Charles had undergone treatment for an enlarged prostate, that the king had been diagnosed with cancer .

The palace did not share what form of cancer Charles has, but a palace official said it was not prostate cancer. Doctors had discovered the cancer during the earlier procedure.

March 4, 2024

Kate is spotted for the first time in months.

The public’s appetite for information about Kate’s whereabouts and recovery reached a fever pitch in the first week of March. And around that time, TMZ published a grainy paparazzi shot of Kate riding in a car driven by her mother.

Despite the photograph circulating on the internet, British newspapers and broadcasters did not republish it, citing Kate’s request for privacy during her convalescence — though they did report on the sighting.

March 10, 2024

Kate and children appear in Mother’s Day photograph.

To mark Mother’s Day in Britain, Kensington Palace released an official photograph of a smiling Kate surrounded by her three children, George, Charlotte and Louis. The palace did not give many details about the picture except that it was taken by William last week in Windsor, where the family lives in Adelaide Cottage, on the grounds of Windsor Castle.

While the picture was meant to highlight a happy family on the holiday and quell rumors, it became a subject of intense scrutiny after The Associated Press, and several other photo agencies, issued a “kill order,” asking its clients to remove it from all platforms over concerns that it had been manipulated. The New York Times, which had initially used the picture in a story, also removed it.

March 11, 2024

Kate apologizes for the altered photo.

On Monday, Kate took the blame and apologized for the Mother’s Day photo.

“Like many amateur photographers, I do occasionally experiment with editing,” she said on social media. “I wanted to express my apologies for any confusion the family photograph we shared yesterday caused.”

Kate is known as a photography enthusiast, and the palace often distributes her photos of the family. Palace officials stressed that Kate made minor adjustments for what was intended to be an informal family picture that was taken by William.

March 18, 2024

Another royal photo is flagged.

Getty Images placed an editorial advisory on a second royal family photo, this time an image of Queen Elizabeth II, flanked by her grandchildren and great-grandchildren. The photo — taken by Kate at Balmoral Castle in Scotland in August 2022 and released in 2023 on what would have been the queen’s 97th birthday — had been “digitally enhanced” before it was released by the palace, the photo agency said.

Mark Landler and Lauren Leatherby

Speculation had swirled since the Princess of Wales apologized for an edited image a week ago.

Zipper and hair are

Portion of sleeve is

Edges of tiles appear

Hair has artificial pattern

Hair has artificial

Catherine, the Princess of Wales, apologized last week for doctoring a photo of her with her three children, which was recalled by several news agencies after they determined the image had been manipulated .

The decision to recall the photo reignited a storm of speculation about Catherine, who had not been seen in public since Christmas Day and had abdominal surgery in January. In her statement, the 42-year-old princess chalked up the alteration to a photographer’s innocent desire to retouch the image.

“Like many amateur photographers, I do occasionally experiment with editing,” Catherine wrote in a post on social media. “I wanted to express my apologies for any confusion the family photograph we shared yesterday caused.”

The photo, which marked Mother’s Day in Britain, depicted a smiling Catherine surrounded by her children, George, Charlotte and Louis.

Kensington Palace said that William had taken the photo last week in Windsor, where the family lives in Adelaide Cottage, on the grounds of Windsor Castle. But Catherine is known as a keen photographer, and the palace often distributes her photos of the family.

Hours after Kensington Palace released the photo, The Associated Press, Reuters and Agence France-Presse issued advisories urging news organizations to remove the image.

The A.P. said that after a post-publication inspection of the photograph, its editors determined that the image “shows an inconsistency in the alignment of Princess Charlotte’s left hand.” The source of the photo, it said “had manipulated the image in a way that does not meet A.P.’s photo standards.”

Like many amateur photographers, I do occasionally experiment with editing. I wanted to express my apologies for any confusion the family photograph we shared yesterday caused. I hope everyone celebrating had a very happy Mother’s Day. C — The Prince and Princess of Wales (@KensingtonRoyal) March 11, 2024

The details of the photo show a range of visual inconsistencies suggesting it was doctored. In several areas of the image, details like a sleeve or a zipper don’t line up, or have artificial patterns.

A palace official said Catherine made minor adjustments in what was meant to be an informal picture of the family together for Mother’s Day. The official reiterated that William had taken the photo, though Catherine edited it.

Samora Bennett-Gager, an expert in photo retouching, identified several other questionable elements, including the edges of her daughter Charlotte’s legs, which he said were unnaturally soft, suggesting the background had been manipulated. Catherine’s hand on the waist of her son, Louis, is blurry, which he said could indicate the image was taken from a separate frame of the shoot.

The photograph appeared on newspaper front pages and websites around the world, including the website of The New York Times. The Times removed the photo from an article about it on Sunday evening.

Adam Dean contributed reporting.