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 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).