I admire your care and love for her. As someone who stutters too, I understand how overwhelming it can feel, especially when things like twitching, spitting, or involuntary movements show up. It’s not easy, and it’s definitely not something we choose. About the arm and hand movements: yes, they can happen. When we’re stuck on a word, the tension builds up and sometimes our bodies react in ways we don’t expect. It’s more common than people think, especially when the stutter is severe or when we’re feeling anxious. It’s not something to be ashamed of, it’s just part of how our brains and bodies try to push through the block. I don't personally do it and I've never seen anyone doing that, but every stutterer twitches in different ways. About the mask... I know it’s been her shield, her way of hiding what she’s afraid others might see. But the truth is, the first step toward healing or towards feeling free... is taking it off. Not for the world, but for herself. I know it’s scary. I’ve been there. I used to worry about spitting too. Honestly, I don’t even know how I manage not to, it just happens less when I’m relaxed. I try not to face my mouth towards the other person and I also try not to put a lot of effort into letters that I know will make me spit. If she’s worried about that, maybe start small: take the mask off in safe spaces, with people who love her. Like you. You can help by making her laugh, keeping things light, and reminding her that her stutter doesn’t define her. Celebrate the little wins, like whenever she finishes ordering food somewhere or whenever she finishes a phone call. But don't get me wrong: you don't have to celebrate everything because it's just how we talk. Let her know that her voice matters, even when it shakes. Listen to her as if you were listening to any other person.