>But I noticed that stuttering people still have OCD very often. Have you noticed that when we start talking, a severe panic attack, fear begins? Have you ever thought that ordinary people do not experience this, and therefore speak calmly. I've heard that those with OCD have cortisol overestimated by 7 times! I agree completely! [This](https://www.reddit.com/r/OCDRecovery/comments/xjsttj/tips_for_stutteringocd_observing_triggers_not/) post explains how OCD and stuttering could be related. I agree that there is no speech therapy to outgrow stuttering. In fact, medication to decrease anxiety is counter-productive to [desensitization](https://en.wikipedia.org/wiki/Desensitization_(psychology)) (which is a neurological process) that aims for 'evoking anxiety to reduce (avoiding, emotional, stutter speech plan etc) responses'. If we expose ourselves to anxiety with the expectation that it's going to work, then it could result in changing our unhelpful beliefs/attitudes (that would normally paralyze our speech muscles resulting in a speech block). Most PWS confuse desensitization with reducing anxiety. In one perspective, reducing anxiety is an avoidance response that may strengthen the future anxiety (prominent feature of specific phobias and anxiety disorders). For example, if my unhelpful attitude is: "I need to reduce anxiety first to prioritize fluency over accuracy", then we are not learning from 'exposure to anxiety stimuli'. The negative effect is then: \- (1) We won't improve our self-efficacy attitude, so we then will not believe in ourselves of being able to cope with anxiety or in our capacity to execute fluency speech plans necessary to maintain the forward flow of speech during moments of anxiety \- (2) and we won't be able to have confirmatory experiences of being able to cope from the lower levels