Awesome reply and very detailed! ​ >*"What specific 'game plan' would you advise? Could you break it down into a few steps, what would it look like?"* I think, it may be effective to start with the analyzing phase, like when people approach any other habit: **Step 1**: analyzing phase * In a Word document, write down all your: * avoidance-behaviors * main compulsion or primary behavior (that guarantee a speech block) * secondaries * negative coping mechanisms * unhelpful corrections * unhelpful attitudes/beliefs * [sensory feedback](https://www.reddit.com/r/Stutter/comments/129z9q3/tips_to_improve_stuttering_do_we_notice_too_many/) * fluency laws (that fluent speakers apply to maintain fluency) * panic responses * anticipation anxiety (both stuttering anticipation, and anticipation of negative listeners responses - thoughts, emotions, body sensations) **Step 2**: * approach each point in step 1 by tackling it from different angles e.g.,: * changing it (from unhelpful/negative to helpful/positive) * reducing it * or allowing it + building tolerance against it (or less sensitive towards it) * resisting it * doing the opposite of what your body wants (e.g., evoking and desiring more anticipation anxiety) * removing the meaning (of triggers) * increasing expectancy of triggers (and its anticipatory anxiety) * disconfirming expectancy of compulsion and unhelpful corrections **Step 3**: * If someone wants to learn soccer, then going to a soccer club may be more effective to develop a good habit * Similarly, I suggest to deal with your anticipation anxiety under supervision of a psychologist or therapist specialized in anticipation anxiety, to not invent the wheel yourself as she likely has pre-set programme to use, based on your analysis (step 1) * I suggest to inform your psychologist (to be), regarding two elements that may affect fluency (or result in a speech block): * focusing on maintaining the forward flow of speech * resisting disruptions in the forward flow of speech * Non-stutterers focus on maintaining fluency by focusing on prosody e.g., speech rhythm, stress patterns and intonation. In my experience, often during a block I notice that I did not focus on a fluency law (such as prosody or intention) which had resulted in a block. Another way that I sometimes block is from disruptions in the forward flow, e.g., anticipation anxiety leads to a freeze response to halt speech structures (or speech muscles) resulting in a block. PWS often base their timing to speak off of anticipation anxiety, unhelpful corrections and avoidance-behaviors to hold back speech. Normal fluent speakers speak based on the timing of their own prosody and intention, so they speak immediately when they want to say a word (instead of waiting out speech to first reduce anticipation anxiety). By informing the psychologist who is specialized in anticipation anxiety, this backstory, he will likely be better equipped to guide you in this endeavor.