I have a couple thoughts. 1) The variable nature of stuttering makes it next to impossible to provide "tricks and tips" that will apply to everyone equally. There are many many tricks and gimmicks, but not all of them will work for him. Tricks and gimmicks wear off eventually (e.g., speaking in an accent often will decrease stuttering severity only temporarily. After days / weeks stuttering appears in the "new" accent). 2) It's not shameful to ask for help when one is in need of help. Your cousin is the expert in his own stutter, but speech pathologists know how to treat stuttering. Learning to "manage" (I hate that word but it's functional) stuttering is a job skill. At least that's how I think about it. I'm training to be a public speaker (college professor) talking to large, new audiences will be part of my career for ever. He can "fight it out" on his own and will likely do just fine. But the experience and advice from a [good] speech pathologist is likely to prove beneficial. 3) From a clinical perspective covert stuttering (anonymous stuttering) is actually a more severe form of stuttering than the "classic" sound / syllable / word repetitions and silent and filled prolongations. If I choose to not say words beginning with /m/ because I'm convinced I stutter on /m/, my life is interrupted in more substantial ways (e.g., I no longer introduce myself as Michael, but use another name, perhaps my middle name John). So, as a clinician I don't advocate attempting to stutter "anonymously." As a researcher I also don't advocate attempting to avoid stuttering. Given the wealth of information regarding the psychosocial impacts of covert stuttering, it's fairly safe to say that avoiding stuttering rarely disarms the negative experience of stuttering in the long run. I wish I had more helpful news for you. But the one thing I absolutely recommend is joining up with a support group. If you're American the National Stuttering Association (www.westutter.org) is a great tool -- there are local chapters in most large urban areas. Getting in contact with other people who stutter is often cathartic. I highly recommend it. Another organization is Friends, the organization for Young People who Stutter (www.friendswhostuter.org). This is a similar group, however, is geared toward children (granted mostly younger than your cousin, but they might have teens). Friends is based out of New York City, but has a yearly conference at various locations throughout the country. edit: grammar