I (M50) was a severe stutterer at that age. From age three until my mid 20's. I think it's incredible that you've already started professional speech therapy for him. Honestly, I applaud you for it. (Back in the day, my parents was told "He'll grow out of it" and that the school's speech therapist was adequate to the task. Grr...) It sounds like your son is suffering under the weight of stuttering. I encourage you to stay the course with therapy. As others have suggested, you may want to find a different speech pathologist if you aren't seeing any results with the current therapist. But it may not be the speech therapist. I didn't start professional speech therapy until I was about 15 years old. I got very little out of it. For about two years, I went through the motions, but with little improvement. I quit going. Fast forward about 10 years. I decided to go to speech therapy again. I went back to the same therapist that I hadn't seen in 10 years, and was able to achieve fluency in a very short period of time. The therapist was using the same techniques and exercises I had used when I was in my teens. Nothing had changed on their end. The x-factor was me. I was serious about getting fluent. I was doing the homework. I was practicing and working towards my fluency. An hour a week in a therapist's office isn't going to achieve much. You have to do the work. Think of it more along the lines of spending an hour a week with your physical trainer. If that's the only hour you spend hitting the weights, you won't show any gains. But if you spend an hour or two a day on the weights, the trainer will be able to fine tune your technique and form once a week. At 15, I lacked the maturity and dedication to achieve fluency. I have school age children of my own, so I'm familiar with what type of work ethic one might get from a 7 year old. Did the therapist set up any type of homework? practice sheets for your son to work with daily? If you can get your son to practice daily, that might be a good starting point. At 7, you can probably implement some sort of small reward system for him doing his speech homework daily. You mentioned that he's a smart kid? How smart? School comes very easy to him smart? Sometimes being smart is a double edged sword. They learn quickly and easily, and as such, they don't develop work / study habits as early as others. Fluency is going to require work / study. You might say fluency is a habit. I hate to see any young person struggle with this. It can have such devastating effects on their psyche. Conversely, it can also be a major achievement in their young life when they achieve fluency. Best wishes to you and your son.