I’m in the same boat! I’m 27 and my stutter has been quite severe these past few years. I’d say most days, it was around 6-8. Started using Citalopram in November of 2023; right around when I started speech therapy. Made my speech a little worse at first, but after about 5 weeks AND after developing my speech therapy strategies, the weight just lifted one day. And since then, I’ve felt so free. It feels like a new life! I hesitate to tell people on here to try it since it is a serious SSRI and can have side-effects that some people aren’t willing to live with. But still, I think so many people could be helped by this. (And I agree: A lot of it is in the brain. Before Citalopram, you could teach me all of the strategies in the book, but I wouldn’t have the calmness/confidence to just start speaking. And I’d still fear speaking and react negatively to stuttering. Also, I noticed, even before the citalopram helped improve my speech, I noticed I no longer cared when I stuttered. I didn’t feel shame or embarrassment due to it. I feel like that lack of fear plays a big role in why it helps some of us so much). Lastly: I wish people on here wouldn’t be so negative when people talk about medications. I’m always seeing people say, “There’s no magic pill for stuttering! The only thing that will help is speech therapy! There is no cure! Stop giving people false hope!” While I agree that there likely is not a cure (because don’t get me wrong, I still stutter some. But it’s more like a 1 or 2, possibly 3 on my worst days), I believe there are things (like citalopram) which can greatly reduce some people’s stutter.