Sorry to hear your experiences with speech therapy haven't helped you achieve your goals. That sucks. The program I experienced was also 1:1 therapy. But it was a 'rebuild from the ground up' program. The first thing they did was instruct me not to implement what I was learning until we got to the right milestone in the program. Breathing was key, but diaphragm breathing wasn't. It was making sure I started breathing out before my speech, and maintaining breath flow while speaking. I'm not sure what you refer to when you mention stretching. I'm scratching my head on what that might entail. We used slow, monotone speech as part of the process, but that was an interim part of the program. By the time I was allowed to start implementing my fluency outside of the office, I was past the slow, monotone speaking. I remember being really concerned the first time they had me do the mush-mouth-mono-speaking. I thought "I can't do this in front of other people." And they assured me that it was not for use in public. It was only used in the therapy setting (and daily home practice.) It was a matter of getting so practiced at fluency in the office, that I was ready to use my fluency outside of the office. It was reinforced with a physical cue as well (I've not used that physical cue in years and years.) I'm just giving broad strokes here. The program was quite a bit more than what I outlined. But this was back in the mid to late 90s. It's disappointing to hear that there aren't better programs out there.