commentr/StutterSeptember 22, 2022

Content

Regarding your questions I try to answer them. In my opinion: **Question 1: Did you go to speech therapy and when?** Yes, in primary school, high school and University ​ **Question 2: What do you feel like the barriers were for you to go if you didn’t?** If I didn't go, then I hadn't learned to reduce (desensitize) fear to stutter. ​ **Question 3: What did your speech therapist do really well?** Tackling secondary behavior or social anxiety or phone anxiety. ​ **Question 4: What did they do that you maybe didn’t find helpful or even hurtful?** What I found less helpful in therapy were in my experience: \- I maintain chronic compulsion because I'm still reinforcing the stutter habit \- I didn't learn from my triggers by changing my perspective about and response to the trigger \- My compulsion is, not moving my tongue or jaw to the next position to form a letter. I still do compulsion (freezing speech). The more I do my compulsion, the harder it is to stop the compulsion. It increases my fear when I stop compulsion \- I"m not achieving my goal: 1. becoming resilient against trigger 2. detaching importance from trigger 3. disconfirming expectancy of compulsion \- by using fluency shaping techniques and tips from therapy (like easy onset, distraction, breathing) my mind learned that the trigger (anticipatory anxiety) is fearful and real. So I reinforce my perspective that the trigger has a meaning. This is the opposite of my goal which is, to learn that the anticipatory anxiety doesn't have a meaning (is not fearful or real) \- I reinforce my lack of confidence (believing I can't stop compulsion, I stopped believing in progress to stop compulsion) \- I disconfirm faith in my body to automatically stop compulsion (because I do reassurance-seeking by relying on a technique or Easy Onset) \- Easy onset requires me to deliberately anticipate a stutter in order to prepare for it. This is the opposite of my goal which is disconfirming expectancy. As long as I use easy onset or a fluencly shaping technique, I reinforce anticipation of a stutter, keeping me in the cycle of a stutter habit. \- I find it acceptable to do rituals to relieve myself from anticipatory anxiety. This is the opposite of my goal, which is stop doing rituals \- I create a condition that I need a technique (in this case easy onset, fluency technique and distraction as a coping strategy) because without it I 'would' not be able to control my speech (or stop compulsion). This condition (or reason) leads to a stutter anticipation. I reinforce my stutter habit whenever I don't do these three techniques. My mind creates subconscious conditions: "If I don't focus on these three therapy techniques, then it makes sense to do compulsion" "I haven't focused on the techniques enough, so it's time to do compulsion". Result: I make my condition unquestionable. **Question 5: Did you find your parents were not informed well enough about stuttering?** Yes, because they didn't have knowledge about above.

Themes

Therapy & ProfessionalCoping & Advocacy

Subthemes

Seeking TherapyTherapy ExperiencesPositive Therapy TechniquesUnhelpful Therapy TechniquesFluency TechniquesVoluntary Stuttering & Exposure