I think that your question "What should we do exactly" is hard to answer. Why? Because there are so many speech therapy techniques. Outside of speech therapy (such as, mindfulness, CBT, ACT etc) - I think there are just way too many techniques, out there to learn in 1 single lifetime. Unrelated to the post, I myself use a different strategy to target the "conditioned" parts, and psychological triggers. Which I explain [here](https://www.reddit.com/r/Stutter/comments/1aw3nmk/have_you_ever_tried_this_stutter_strategy_for/), [here](https://www.reddit.com/r/Stutter/comments/1amnur6/comment/kpogqk9/?utm_source=share&utm_medium=web3x&utm_name=web3xcss&utm_term=1&utm_content=share_button), [here ](https://www.reddit.com/r/Stutter/comments/18jdpgq/tips_to_improve_stuttering_according_to_the_book/)and [here](https://www.reddit.com/r/Stutter/comments/184l3yz/comment/kbea027/?utm_source=share&utm_medium=web3x&utm_name=web3xcss&utm_term=1&utm_content=share_button). In my strategy I go from the assumption that I can always intentionally send motor signals to move the speech muscles. So in other words, I go from the assumption that my body subconsciously knows how to send motor signals (not only when I"m not speaking, not only when people don't judge me, not only when I speak alone). Make a table with 2 columns with "sending motor signals" in the left column. Firstly, acknowledge that when I'm not speaking that I can voluntarily move the same speech muscles. Secondly I then write in the second column all the interventions (such as, compensatory strategy) that I do - which are not 100% required for fluent speech production, - which for example - if I would use the information in your own comment - could be: relying on somatosensory information like feeling negative sensations, self-imposing the demand to reduce such feelings that I perceive as disruptions or errors or any kind of obstacle, and requiring to feel more free which is like blaming your intolerance for the feeling of loss of control, and many other reasons you tell yourself you need to be able to speak fluently like willpower, positive anticipation, confidence, calmness, proper breath control etc. For your last question, personally I reverse-engineer it to re-formulate it as "I need unnatural speech to make it easier to execute speech motor plans". Regarding breathing, I reverse-engineer it as "I need to stop breathing to make motor program initiation easier". Lastly, I then unlearn or unlink all the factors (that I mentioned above) which I wrote in the right-column - from speech performance and from sending motor signals. If you have any questions, hit me back