I know first hand the kind of anxiety stuttering causes. It's crippling at times, and can wreck your self esteem. That being said, don't look to medication for your first solution. Taking pills should never be your first thought to solve a problem. You are a lot like me in that you are secretive about your stutter. This is the source of your anxiety. You want to hide it, hold it in, manoeuvre around it, and this is what scares you. I was a lot like this until I realized I cannot get through life hiding my stutter. People are going to find out one way or another. So own it. Own your stutter. If people don't understand it, then explain it to them. If they still are inconsiderate, then fuck em! I developed a thick skin from being ridiculed all through school for my stutter, so when the time came when I wanted to be in charge of my stutter, i knew the worst was over. I still get nervous in some situations, but I always tell myself I'll get through it, and you know what? I do. I may have a block here or there, but the feeling of challenging yourself only to succeed is one of the best feelings. Getting a class presentation done in university was one of the most liberating experiences for me this year. I stressed about it for months, but when the time came, I knew it's something I have to do, so why worry? I'm not sure how old you are, but if your still in school, just remember: kids can be the meanest sons of bitches out there. So don't sweat it. There's nothing wrong with you, you don't need medication. You need confidence, and that comes from within. It took me years and years to figure this out, and I still am, but I feel a lot less anxious proving to myself I can do what everyone else can do, sometimes even better. Good luck, and don't sweat the small stuff. Everything isn't as bad as it seems :) Edit: Oh, and don't strive for perfect fluency. Strive for confidence and finding yourself. Once you do that, you won't care about being fluent.