Great questions!!! This is my attempt to answer them. Yes, I think hypnotherapy can help to address the psychological factors and triggers. Regarding your use of the terminology '*Neurological*', it would seem that you are using it as it being brain damage, but most people here on reddit don't have neurogenic stuttering, rather developmental stuttering. Therefore, I argue that your statement: "*It's not neurological if I stutter alone*" is invalid. Many PWS believe that certain sounds or words make them stutter, for example, if we think that our feared letters are A, T, M, then this belief might increase stuttering on those sounds. According to this [researcher](https://www.reddit.com/r/Stutter/comments/14t0946/comment/jr0qi6j/?utm_source=share&utm_medium=web2x&context=3): "*Stuttering remission may occur, if the novelty effect of a therapy lasts long enough to enable the development of faith in one’s ability to speak without stuttering. This may explain why some therapists with a convincing manner, succeed in eliciting better results, regardless of what type of therapeutic approach they adopt.*" So, our own belief can result in increased confidence or being convinced to say it fluently or stuttered. So, by this logic, I think that most people believe that they don't stutter when alone - it's like a self-fulfilling prophecy. In contrast, the other people who do stutter when alone, they might simply define "*being a stutterer*" differently, for example, they might perceive the label "stutterer" as someone who stutters in all situations, even when they are alone. And thus, if they **believe** this (or identify with this / or justify this) then it might result in stuttering when they speak alone. Additionally, if they stutter when speaking alone, then it might indicate that they are triggered when alone. **Your thoughts?** It's noteworthy to mention that various research studies found that: * If people who stutter (PWS) - stutter on an anticipated feared word, then neurological differences occur (they are not referring to brain damage; more in the sense of inhibition, compensation (like tension or other secondaries/compensatory strategies) and responses to stuttering (like emotional analysis, overthinking etc)) * If people who stutter - speak fluently on the word, then there are no neurological differences Your question has been often discussed in research. Various researchers have the idea that, since we don't stutter on each syllable that it can be explained by triggers (like, linguistic, environmental or psychological factors or whatnot that put a high demand on the speech system), see [this screenshot](https://i.imgur.com/PWB8dkn.jpeg).