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Well I will tell you what I did, and it worked out for me. I got a job out of college doing some IT consulting, and it sucked because of lots of bosses and peers and new clients all the time and phone calls, etc. I could not say my name on the phone or in person sometimes. It was really bad. I did some speech therapy. Gentle onset practice helped. Easing into a word. Easier with some sounds than others. M's for example would be easy. Also knowing where my breath was. It helped me. Also the thing that happened is I got really depressed at my job due to my speech issues, started doing poorly, and I got fired. So what I did next I realize in retrospect really helped me with self confidence. I opened my own IT business (I had a lead on an initial client), and just worked for myself from there on out. Pressure regarding speech really went down. Initially of course you kind of need to build up a client base, but once you do, you get into a position where you do not NEED any one thing or one person or one client. You do things on your own terms. Sure, you work for your clients, but you are peers with them, they are not your boss. It's hard to explain exactly, but it really meant different things in my mind. Anyway, the money is better with that too. And people rag on money, but really, once you start making good money, the women and all that other stuff come too. Maybe it's different for everyone, but for me I noticed that confidence has a snowball effect. I still stutter on occasion, but I just don't give a shit anymore, because I know who I am in life. At 19, it's hard to imagine it, but that's what I would advise. Establish yourself professionally in your own thing, and you will stop giving a shit about talking to people. It's like when we do not stutter when we talk to children or animals (because there is no pressure to perform there), it's the same concept. And speech therapy helped me too, I would recommend sticking with it. Having some good tools to start out with can start the confidence snowball, and also give you something to fall back on during relapse.