Self therapy for the stutterer helped me so much with confronting my stutter, and not hiding it, or running away from it w word substitutions, deletions, etc., which only work so long, then the substitutions cause problems, and then I’m out of options. I can be speaking and feeling very relaxed, then a block comes on, and the tension comes quick, then it’s word salad, and that helplessness watching it unfold like a runaway truck is the snowball that heightens tension, anxiety, etc. it all happens so fast, I found it impossible to prepare for, and I’d just get swept away. So instead I focused on the sound I feared and worked to deliberately draw it out. Manipulating the stutter until it’s not an involuntary sound, but a sound I can control, and the anxiety drops away. Example, if I know I’m going to stutter on Hello, I’d go into the word drawing out the h-sound and transition to the ‘e’ for way longer than is comfortable, say 1-2 seconds. It was so difficult at first, bc I’d spent my life up to that point wishing for fluency, and any aberration of that was an abject failure, and I’d despise myself for it. So to deliberately manipulate my voice in an effort to draw out the stutter shined a spotlight on my speech, and that was very hard to deal with. But it led to acceptance of my stutter. Trying to get rid of it was a failure for me, it just got worse when I expected fluency. Instead, when I said to myself before an important interaction, you are going to stutter, now how about trying to manipulate it so the grip isn’t so harsh, try to tailwind out of a block by slowing down and holding a single sound until it’s clear and stable was the action that broke the hold for me. Take away the fear, you take away the power it has over you, and fluency just comes naturally. I found that fluency is a by-product of other actions aimed at gaining control of my stutter, fluency is not an action in and of itself. Hope this helps!