Why is it so shameful for something to “be in your head”? As society, we’ve made a lot of progress towards acceptance of mental health struggles, so let’s try to have some of that here. All the academic info says that it’s usually a combination of born-with-it and acquired anxiety. And I’ve seen lots of posts taking about doing very hard work to reduce the anxiety associated with stuttering, as that causes the most troubling symptoms (avoidances, silent blocks, etc).