Thank you. Yes, you are right that normally (at least from what I read in research), some PWS feel pain from excessive tension (such as secondary or struggle behavior) or pathologies (which doesn't apply to me). In my experience, I never tense my speech muscles when blocking or speaking (I unlearned this in my childhood). I do stop articulating (aka "block") or tense my neck muscles during speech production, but only to reduce this neck pain - to prevent fainting \[unbearable pain\]. I'd like to pose another question. **Question**: In your thoughts, what are all the interventions that you know, to dissociate *triggers* from *instructing execution of speech movements*? (such as, how to reduce overreliance on triggers to decide whether to initiate speech movements?)