I am sorry to say but speaking from personal experience, none of it works long term or in a permanent sense. The thing is life doesn't accommodate the pauses/tricks/solutions needed to mitigate stutters. Let's say you're having an pretty intense day where everything is coming at you one after the other. It doesn't have to be particularly personal either - could be something like you're on a lunch break from work and it's been hectic all morning but you get this one break to get your mind off things. But there's enough time so you think "I'm gonna go grab a bite at the local joint that's a block away and then on the way back to the office, I'm gonna stop by the ATM and get some cash". It doesn't go smoothly at all though - your order is taking longer than usual and once you're done eating and then head to the ATM, the guy in front of you is taking all the time he needs and you're lunch break is pretty much done and you need to get back to the office ASAP. Ultimately, you're able to get everything done that you had set out to do during your break but you're a couple minutes late getting back to your desk, the anxiety's been nerve-wracking, and your stuttering is worse than usual. These are situations that come at you from nowhere, that aren't anyone's fault really, that isn't on you either, and that no amount of speech therapy or any therapy can adequately "solve". It's just life and it sucks at times. I think one of the things my stutter has "helped" me in (if we can even call it that) is being more prepared, cautious, and tactful - more than the average person is. I try accounting for a lot more variables in situations and I'm able to relatively breeze through them without the fear of having to stutter. Could this chalked up to paranoia? Yes, perhaps slightly.