My speech therapist long ago suggested two strategies that were helpful for me. She suggested that I might have an easier start to a word by prrrrrol-longing the first syllable. I did find that very helpful. The second thing, which was harder to implement, but very helpful, was this: For a full month to p-p-purposfully fake st-st-stuttering in many d-d-diifferent s-s-sss-sss-situations. Try it. It can g-g-give you power. It's hard to do at first because it's what we hope to avoid. But doing it on purpose often eventually takes much of the fear out it. I found it very helpful, and I began to stutter much less. Maybe it will help some of you. My job as a physician has been to try to help people who have been having a really hard time with something. So I really need to focus on them, to pay attention to them, try to understand what's been going wrong, and figure out how to be helpful to them, instead of worrying about myself or my stuttering. When I'm focusing on them instead of on me, I'm much more comfortable and I'm more confident. I'm also more fluent. If I focus on the other person, it's better for both of us. Focusing on having the other person feel listened to, appreciated and comfortable is a beautiful thing. Just that very thing is healing, especially when so few people want to really listen to other people. Edit: I forgot one other tip from long ago — in addition to prolonging the first syllable, It’s helpful to let out a little air, like a silent word as an immediate prelude to the prolonged syllable, a nice combination.