Absolutely. Anxiety plays a massive role for me and the vast majority of PWS I know. When I talk to another person who stutters, I very rarely stutter around them as well, so I do think there's definitely a psychological component to it. I think what you've been doing is great – challenging those negativ beliefs about myself and my speech in particular has played a huge part in my own journey of stuttering as well. The ways a PWS can take throughout their journey are vast. As I see it, a multi-pronged approach is best for most: 1. Dealing with the psychological components (as you have been doing): This can also include taking away some of the stigma of stuttering – it's not the worst thing in the world and there's a ton of people who stutter that live very happy and fulfilled lives. 2. Tools to better manage stuttering in the moment: There are people who get by by just doing the first one and stuttering away and I applaud anyone who is able to do that – for me personally, as a very severe stutterer (often blocks for up to 30 seconds until I ran out of breath and accompanied by severe full-body contortions), I desperately needed some tools to manage my speech and those symptoms for my own well-being. I can't speak for if that would be needed for your client – you and especially her will probably know if that's something she'd want to do. I won't post any specific speech tools here as there are a lot of different programs that teach a lot of different speech tools. If you would like more info on what program and methods have worked for me personally, feel free to shoot me a message. I wish you and your client the best of luck. You're doing great work – I wish I had a counselor at school that cared as much a you do when I was a kid. Keep doing what you're doing.