What are the most significant challenges you face as a person who stutters?

What are the most significant challenges you face as a person who stutters? A background on me: I've been stuttering since I was 2 and I just entered my freshman year of college. When I was younger I dismissed speech therapy, never making an effort to improve my speech despite the mental anguish I went through in MS and HS because of it. Over the last year I've made an active effort to improve my speech and I'd say I'm a relatively confident speaker now thanks to work on self-acceptance and strategies. If you're contemplating speech therapy, it does work if you give it your all! I feel 10x more secure in my relationships and I'm more open about my speech with new people. Right now, I’m doing some research into the biggest challenges stutterers face, as well as what you feel you need most to help overcome those issues. From personal experience, mine would be struggling to remember or implement speech therapy strategies in real-life conversations and degrading thoughts about how other people see me. TLDR; I'm also a stutterer and I'm doing research on stuttering. What are your biggest challenges/needs as a person who stutters?