>It’s exhausting and tiring having to monitor your speech all the time. > With proper speech therapy, fluent speech does not require one to monitor their speech all the time. I very much believe this is the disconnect that I often see here between my experience with speech therapy and the experiences of others. I never learned to reduce my disfluent speech or techniques to get through blocks. I didn't improve. There was no gradual progression from severe disfluency to fluency. I was taught fluency separately from my disfluent speech. Best analogy would be learning a second language. As I worked with my SLP learning fluency, I maintained my severe stutter throughout my everyday life. It wasn't until I mastered my fluency that I began using my fluency in the real world. There was no constant monitoring. There were exercises twice a day. I had learned and earned my fluency.