Oh, no...he can choose to do a presentation in front of the class if he wants to. Usually at the beginning of the year, he tries to push thru, and ends up struggling with the exact same things the OP mentioned. He feels self conscious about getting special treatment, and he fights it a little at the start of each year. I usually have to talk with him about it and remind him that it's okay for him to take his accommodations if he feels like he needs to. He worries about other students thinking that he just gets to get out of doing stuff. I have to remind him that other students aren't having to fight so hard to speak like he is. He's 16 and in 11th grade, so at this point, he likes to handle talking to his teacher about it himself. They tailor it to whatever the assignment and situation is. We are in the US, so he's protected by his IEP. Both of my kids have speech issues, and one is a diabetic. I've always been very proactive about getting them accommodations and advocating for them. I'm not sure where the OP is, and unfortunately not every country protects students that need accommodations. No matter where they are, I would still recommend the OP talk to their teacher and see if they can come up with an alternative way to do presentations. Every teacher we've ever dealt with has always been more than happy to help in whatever way they can.