I also regularly experience severe blocks, often also midword, and almost always accompanied by facial grimaces, e.g, closing my eyes abruptly and with such a strong force that I also squeeze my mouth and all the way down to the neck. It improved after speech therapy a few years ago, but the severity varies from day to day. Just like you I stutter from the first/second year of primary school and guess what. Despite a stutter, I finished high school with a scholarship for talented students, went to uni, failed several times, finished it as a best student, and finally finished with a PhD degree. Now I work in a team with daily online meetings. Albeit we don't turn on our webcams, I often stutter, most often with blocks before or in the middle of the word. I do care about it and I'm aware that I'm sometimes hard to understand. But in the end my work and contribution matter more than the way I present it to other team members. After some years my fluency went down and it's now time to go to the SLT again, but that's life ... constant improvement and work on yourself, if you like to hear it that way. In the end, if you're valuable to someone or some organization, they will find a way to overcome your stutter problem. You have to start somewhere and delaying your dreams or even putting them off would hurt you the most. If you want to go to college, just do it! You can achieve more than you ever imagined yourself to be capable of. ​ Sorry for my bad English. Not accustomed to writing non-academic texts. :)