Hi ! Thank you very much for your response. Reading your post, I see how you have worked hard to untangle the psycho-emotional-socio impacts it has had in your life, as well as internal conflict. You sound like a hardworking and great person, and I would like to tell you that therapy for fluency disorders and how speech therapy approaches stuttering has dramatically changed over the past 30 years for good in the United States. In my class, we learn about the psycho-emotional and socio-aspects that impact people who stutter. We have yet to touch on fluency modification and shaping strategies, but I can see how important it can be, given that every person is different. It is important to tailor goals to the patient's desires, even at an early age. Education on stuttering for the child or adult, and family are essential in the United States teaching. Your post gave me perspective and application to my future clients and my approach as a graduate student clinician. Thank you for your time. God bless you!