Hey! This must be tough for you. From experience, when I'm anxious I stutter more and then obviously the fear of stuttering makes me more anxious. It's kind of a cycle, and from what I read from your post it seems like it might be fairly similar? I think to break the cycle, the stuttering part directly might not change, but maybe if you look into methods and techniques to control anxiety and nervousness? Personally, mindfulness and breathing exercises are what have helped me most. There is a stigma around both due to cliches but honestly, when done right, they can be super helpful. Headspace is a great place to start for mindfulness. They have free courses to start out on but I honestly cannot recommend the paid version enough. There's also a ton of content on their youtube channel for free. Mindfulness should help learn to manage the anxiety and nervousness, which should in turn should hopefully help stay calm and focus on techniques and methods that help with stuttering. Hopefully this might help break the what-could-seem-to-be worsening cycle of feeling super anxious and then stuttering more because of it. ​ Stuttering is tough because it can feel embarrassing for us, but I think the embarrassment a lot of the time can be less about the stuttering and more due to how nervous we feel we come across when stuttering. I suggest disclosing your stutter to your patient when they come in too, as this might relieve some pressure also. 99% of people don't mind stuttering, I think what is more on peoples minds is when they are not sure if the person (us stuttering) is just SUPER nervous or whether \*something else could be going on\*. Telling them, at least in my experience, puts both parties much more at ease. ​ Anyway I hope this helps :)