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41 tips to improve stuttering # Tips: **Noticing and adjusting physical behaviors involved in speaking:** 1. Learning about the structure and function of the speech mechanism 2. Increasing behavioral self-awareness of speaking and stuttering 3. Developing preliminary skills for changing behavior 4. Increasing choices for how to adjust moments of stuttering 5. Changing communication during real-time interactions 6. Decreasing tension in moments of stuttering 7. Reducing escape behaviors 8. Increasing forward-moving speech 9. Using a flexible speech rate 10. Resisting time pressure 11. Decreasing physical and mental effort when speaking 12. Generalizing behavior changes 13. Routinely practicing skills in situations of increasing difficulty (both in terms of how much fear one experiences and the language complexity of the message) 14. Self-coaching in and outside of the therapy setting **Developing neutral or positive thoughts and feelings about stuttering:** 1. Broadening one's perspective that “success” does not have to depend on fluency 2. Noticing when change occurs in small steps 3. Talking about stuttering more neutrally 4. Being open to experiencing and talking about difficult thoughts and feelings related to stuttering 5. Being ok with the hard parts of stuttering, including how variable it is 6. Developing adaptive responses to stuttering anticipation 7. Desensitizing oneself to stuttering 8. Reducing concern with listener reactions 9. Ruminating less after a moment of stuttering or a difficult stuttering experience 10. Reducing shame associated with being known as a person who stutters 11. Focusing on other parts of yourself outside of stuttering 12. Seeking opportunities to learn about stuttering and others' experiences with stuttering 13. Increasing self-reflection and creative self-expression 14. Understanding how stuttering fits into one's identity 15. Feeling more relaxed during moments of stuttering **Participating more fully in social and professional activities (even if you stutter or think you might stutter):** 1. Advocating for oneself 2. Educating others about stuttering 3. Disclosing and advertising stuttering to others 4. Talking more and in more situations 5. Approaching feared situations more often 6. Reducing avoidance and safety behaviors 7. Focusing more on social connection and less on stuttering during interactions 8. Speaking more spontaneously 9. Increasing eye contact 10. Communicating when and how one wants to 11. Making life decisions independent of stuttering 12. Saying more of what you want to, regardless of stuttering Thanks to PhD [researchers](https://pubs.asha.org/doi/10.1044/2022_AJSLP-21-00251) Rodgers and Gerlach for sharing their keen insight! Interested in the latest 2023 research on stuttering? Then read [these](https://www.google.com/search?q=%22stutter%22+%22research%22+%222023%22+%22conclusions%22) research studies and share a review here on Reddit.