Went back to speech therapy in my mid-20s and I got fluent. (1990's) I still have the occasional block, but it's nothing compared to the severe stutter I had. "Occasional" : I work with people and talk with them daily. It was six months at my job before someone noticed a block. "Severe" : Never a fluent sentence. Running out of breath blocks. What's a "Speechie?" It wasn't any single technique I learned. It was a relearning of speech. Ground up approach. Developing fluent speech a layer at a time. Practice every day. Months and months of development before ever using my fluency in public or with anyone outside of therapy. I guess another way to say it would be that therapy didn't teach me how not to stutter. I wasn't learning how to manage blocks. It wasn't changes to my existing speech. My speech had a severe disfluency component to it. Instead of trying to correct my disfluent speech, the therapy I received started with basics. Breathing, easy onset, mushmouth, monotone, physical cues to associate with the process. Single syllable words. One at a time. Build success with the most basic elements of speech. Nothing that you'd ever use in the real world. But as you achieve fluency with this rudimentary speech, you step forward to slightly more advanced speech. Three single syllable words together. And when you are fluent with short sentences, you advance to slightly longer sentences. You advance to multisyllable words. The speech is still horrendous. It's mushy and monotone. *But it's fluent.* All the while you've been reinforcing basics like starting with good breath. Then you're allowed to transition from rudimentary fluency to normal speech on the last word of each sentence. This was one of the points where I had a setback. (Any time disfluency tried to work its way in, you'd back up a stage or two. Go back to the fluency stage you had mastered. Solid ground. And you work forward from there.) Shifting from rudimentary fluency to normal speech was a bit like learning to shift a manual transmission. Until you get the feel for it, you're stalling, grinding, or hopping. The therapist was really good about making sure they helped learn how to make that transition. Then you kept practicing. Performing your rudimentary fluency sentences, transitioning to normal speech on the last word. When you have that down pat, you shift earlier in the sentence. Last two words. And they keep advancing the point of transition earlier in the sentences. (This is happening over the course of weeks / months.) As you've been moving the transition point, you're also modifying the physical cues you've been associating with the rudimentary fluent speech vs normal speech. Initially these cues are gross motor cues. Raised hand during rudimentary fluent, lowered hand during normal speech. Closed fist/open hand. Pinched Finger and Thumb / Open Finger and Thumb. Finger pressed / Finger released. Eventually, the shift point is after the first syllable in the sentence. And the physical cue all but invisible. At this point, no one can tell you're employing fluency. And it's been reinforced through repetition. You get to the point where it's coming naturally. It's at this point where the therapist says "Let's have you try this speech a couple times over the next week in your everyday life." Therapy sessions at that point are minor tuning and review of how things went over the past week. And what goals are for the next week. It's basically an hour of fluent and comfortable speech. One thing I haven't mentioned is practice. Practice was every day. Twice a day. Doing the worksheets. Going off book and just using my fluency speech to talk out loud about my plan for work. Or whatever. But practicing every day is a key component. An hour or two a week with the therapist won't yield the results. You have to work at it. I currently work as a dispatcher / bus driver. While I am dispatching, I'm on the radio, phone, and face to face with people. It's fast paced and can be stressful. While I'm driving, I am interacting with students. I talk with all of the students. I'm actually considering finding an SLP in the area. I could do with a tune up. It's been over 25 years since I saw a speech therapist. I've noticed more disfluencies recently. It's been a stressful year. I'll always be a stutterer. I don't think it ever entirely goes away. But I can be as fluent as I want to be. It's a matter of doing the work.