In a nutshell, they had me *relearn* how to speak 'from the ground up.' It was NOT learning small changes to how I speak to avoid stuttering. Stuttering was part of my learned speech. To achieve fluency, I learned to speak all over again. As if teaching a machine to speak. We started at foundational things. Breathing and airflow. How to begin your airflow before you start your voice. How to maintain airflow. Single words. Monotone. Mush mouth. Just working on the mechanics. Getting the muscle memory down through repetition. When I was successfully achieving reading lists of single words, one at a time, with proper airflow beginning before each word, I graduated to three word sentences. Everything is still monotone. Everything is a little mush mouth. No hard sounds. I should explain mush mouth... The letter B is a good example. You press your lips together to say the word 'book.' What happens when you press your lips together? Your airflow stops. Airflow is critical. So you hit the B sound softly. You don't press your lips together. You keep the air going. You sound mush mouthed. But that's ok. You're still learning, and your fluency is the priority at this stage. B is only one of the many sounds that you mush through at this stage. Once I was practiced with the lists of three word sentences, we continued to increase the length of the sentences. Eventually getting to sentences long enough that I had to learn to stop speaking before I ran out of breath, pause, breathe, and continue. Any time I'd stumble or block, we'd review what happened. Learn from the mistakes. Sometimes we'd decide to take a step back to some earlier exercises. Make sure that I was proficient at an earlier stage before resuming where I struggled. Later in the process, we began transitioning from mush / monotone to more normalized speech. We to shorter sentences again. Using physical cues to reinforce the behavior, I'd transition to normal speech on the last syllable of a short sentence. I remember it was really hard not to "race" during the transition. Almost like learning to shift gears on a manual transmission. Physical cues began with a raised hand while monotone, and lowering it as I transitioned to normal speech. As I progressed, we changed the cues to smaller physical actions. Closed hand to open hand. Pinched finger and thumb to open. Finger pressed down to released (something you could do in public without anyone ever noticing.) During this process, I worked on moving the transition point forward. Instead of mush / monotone for all but the last word, we'd move it up a few words. Half-way through the sentence. Three words into the sentence. First word. First syllable. I can't recall exactly when I started using my fluency speech in public. But I can tell you that no one ever noticed. Never once did someone ask "what are you doing?" Even though I was still using the soft / mush / monotone for the first word or syllable.