Great post. This is my attempt to summarize your triggers. Triggers (of stuttering): * Being terrified by stuttering * Thinking: “I'm not able to get that the word out” * My entire body gets tense * I don’t have enough air * People (like my classmates) are listening to me * feeling embarrassed * Feeling the need to create long pauses between words * Thinking: "I will/might stutter" * Fearing stuttering * People watching me intensely and doubting me * Social anxiety * Feeling the need to use elongating vowels to get past blocks * Not being relaxed * Feeling sick of it Clinical interventions: (that you can try out if you haven't already) * You could mindfully observe the above triggers + but without desiring/expectating to reduce them (in other words, deliberately observe more triggers, the more the better) + while reducing your reaction to them (or while reducing your intervention with the triggers). For example: If someone randomly in class shout "You are purple". Then you will likely not be triggered as you have no idea who your classmate was talking to or what he meant by that. But you also won't be triggered if you know that he's talking to you, because you still have no clue with it means. Even if you realize that your outfit is purple which classmates might perceive as out of fashion, if you believe that your classmate didn't really mean it then you likely won't get triggered, even if it did convince you though, you also might not have been triggered. That's basically how we should look at all the triggers (in above list).. in that, we have created so many reasons, expectations, beliefs or rules why we should be triggered by those factors that we self-hypnotize ourselves into actually 'freezing' to such triggered conditions. So, one mindfulness/cbt/act (etc) exercise is to desensitize to such triggers by deliberately observing them and learning to not let it disrupt our ability to execute speech movements, and without needing to convince ourselvs that we can do it (or other expectations/rules/beliefs). It's not about adding interventions, it's more about not caring about the triggers so we just let go of the pressure/sensation. Hope this makes sense