The cause of stuttering remains a mystery—a point often emphasized in research. But current studies suggest that genetic and neurological factors may be among the most promising explanations, basically we’re still working with theories rather than definitive answers. Theories aren’t facts, but thoughtful possibilities meant to inspire conversations. One area that’s gaining attention is the role of repetitive negative thinking in how we anticipate moments of stuttering (see, for example, the work by [Yaruss and Seth](https://pubs.asha.org/doi/abs/10.1044/2025_JSLHR-24-00175), 2025). If anyone happens to have access to that study, would you be open to sharing it? It might offer some valuable insights for all of us 😊 It seems that the more we worry about stuttering—like when saying our name—the more our mind might *link* that moment with a freezing response, and which is rooted in an internal push-pull conflict. I believe this is often referred to as an *approach-avoidance conflict*. But the good news is: this *link* isn’t set in stone. There are many ways it can gradually be weakened, a *process of extinction*. One helpful shift can be changing how we relate to anticipation itself for example, when we say our anticipated name—where we no longer treat it as something threatening or urgent. My point is that there are many approaches across therapies and modalities. Perhaps *acceptance is highly effective.* Would you agree? That said, here I want to add that it’s important to make a clear distinction: there’s general kind of acceptance "component". and then there’s using acceptance more intentionally, where we specifically target the weakening of that conflict-freeze *link*. I think that nuance really matters, and where many speech therapies fail. That's just my own take on it. Conclusion: I think this really needs to be talked about openly like on Reddit—so that SLPs and researchers can hopefully shift how they approach therapy