I had to look up NLP anchor, and I'm not sure I have a decent grasp on what NLP anchoring actually is... When I speak of physical cues, these were physical cues that I used to reinforce the transition between one state of speech and another. Before I describe my therapy, I want to do my usual disclaimer. *This isn't the entire program. No one should be trying to implement what I describe here. I received a tremendous amount of guidance and feedback in speech therapy. There were setbacks and corrections along the way. I can't imagine achieving fluency without their expertise guiding me through this program.* ***Don't try this on your own!*** Let's start with the mush-mouth-mono-speaking (not a clinical term. shortened to MMMS for the rest of this thread.) : * I would begin to exhale before starting my voice * Speak without hitting any hard sound. No closed lips. Very lazy tongue, avoiding (or very lightly) 'pressing' my tongue to the inside of my mouth. * Slower rate of speech. * Ensuring that I didn't run out of air while speaking. I practiced fluency in the office using MMMS. We started with single syllable words. I'd work through sheets of those, one word at a time. Then three single syllable words at a time. Gradually increasing. Multisyllable words. Full sentences. When I was adept at MMMS, we began transitioning to normal speech. I started my speech using MMMS, and on the last syllable, I would transition to normal speech. This is where we introduced the physical cues. We started with large cues, and then transitioned to smaller cues. Cues had two states. Let's use the terms On and Off for clarity. When I used MMMS, I would have the physical cue in the 'on' state. The first physical cue was a raised hand. Elbow on the table. When I used MMMS, my hand was raised. When I transitioned to normal speech, I would lower my palm to the table. This actually took me a bit of practice and coordination to master. The transition from MMMS to normal was almost like learning to left the clutch out on a manual transmission. Over the course of time, we moved the transition point forward in the sentence. I'd transition from MMMS on the second to last word. The middle of the sentence. Three words in. Two words in. After the first word. First syllable. During this same timeframe, we also changed the physical cues. IIRC, the physical cues might have moved along a bit quicker. We went from raised / lowered hand to closed / open hand. Then to closed / open finger/thumb. Eventually coming to pressed / released finger. No one in public ever recognized me using MMMS on the first syllable when I started speaking. Nor could they ever notice my forefinger gently release. I hope that helps better describe the physical cues I used to use as part of my fluency. Again, for anyone reading this... Don't try any of this on your own. These are broad strokes, recalled from more than 20 years ago. "mush-mouth-mono-speaking" is what I am calling it for the purpose of discussion. It isn't a clinical term.