Is this a troll comment, and do you have a stutter? "Regardless, if you can sometimes articulate a sound, but other times, it’s not coming out to the degree you consider changing your own name, it’s rooted in anxiety." ... https://www.ncbi.nlm.nih.gov/books/NBK603738/ READ: Etiology -- Here it lists the different types of stutters, developmental and acquired stutters, with acquired being branched into neurogenic, psychogenic, and pharmacological. Developmental is the most prominent type, by a very large margin. READ: History and Physical -- Here it lists all symptoms and results of stuttering. Here, it also says, "Adverse emotional reactions related to stuttering and secondary behaviors." If you can read properly, instead of interpreting this as "anxiety, and other reactions causing stuttering," you will correctly interpret it as "anxiety and other reactions as a result of stuttering." READ: Evaluation -- Stuttering reactions comprise the speaker's responses to their stuttering and how others react. Individuals who stutter may change their behavior or decisions based on their stuttering patterns and perceived reactions from others, which can adversely impact interpersonal interactions and self-confidence. Areas such as anticipation, awareness, coping strategies, and avoidance behaviors should be thoroughly discussed and assessed. Stuttering assessment, including the tools and procedures utilized, must always be tailored to meet the unique needs and requirements of each patient. >>> The experiences, reactions, and adverse consequences of stuttering, as well as the anticipated benefits from therapy, exhibit significant variability among patients. Therefore, a one-size-fits-all approach is not appropriate. <<< READ, IMPORTANT: Complications -- Individuals who stutter often develop amplified speech-motor preparation as a compensatory mechanism for their stuttering. Stuttering involves a heightened level of conscious speech monitoring, and stress can aggravate stuttering disfluencies. >>> In addition, the onset of stuttering can induce anxiety, which further impairs the ability to consciously monitor speech, which will in itself intensify the stuttering. This creates a self-perpetuating, positive feedback loop of events, where anxiety worsens stuttering and vice versa. <<< This is an important statement, but the importance for my points sake is that it's a general statement that is sometimes true for a lot of people. It's ALSO important because yes, if someone asks me my name, and I then become anxious in anticipation to say my name, it CAN be worse, and you're right that that anxiety is something that will linger to the next name and the next one. What you are missing, is that this anxiety is not directly related to my name, and is directly related to the fact that I HAVE TO SPEAK, the fact that it's a name I have a hard time saying is a separate anxiety "added" onto the main, "having to speak" anxiety. Of course, there are people who stutter, who also have names that are easy to pronounce for themselves, IN THIS CASE, they would never have anxiety to say their name, the anxiety, if any, would always be coming from HAVING TO SPEAK. Unfavorable reactions to stuttering can trigger anxiety, depression, and negative self-perception in individuals who stutter. Children who stutter may face bullying and teasing, exacerbating their challenges. In addition, stuttering has been associated with a greater occurrence of suicidal ideation. READ: Treatment and Management -- Stuttering therapy can be categorized as either direct or indirect. Indirect therapy focuses on creating environments conducive to fluency-enhancing behaviors while minimizing factors that hinder fluency. In contrast, direct therapy involves working with patients who stutter to enhance speech fluency and address other negative effects of stuttering. Proving my point that you are able to create an environment to help stuttering, which would include changing your name to an easier one. Differential Diagnosis: "Developmental stuttering should be distinguished from the "other disfluencies" that are considered normal during childhood. Clinicians can effectively differentiate between these various forms of stuttering through careful observation, evaluation, and a comprehensive history." I mean come on, he literally implicates that both anxiety and avoidance can NOT be found in people with stuttering, because "diagnostic criteria" is only a way to say, "if you have these things, you MAY have a stutter," never in history has anyone had to match a specific number of exact requirements to be diagnosed with any condition, they are only markers and there to estimate a diagnosis. >>> That is not how diagnosis works, and it will never work that way. <<< TLDR: There is, usually, no such thing as "rooted in anxiety" for most PWS, who have a developmental stutter (i.e. the most prominent type), and anxiety for these people usually only comes as a result of stuttering, and their fear to stutter. This anxiety of "fear to stutter" IS the underlying cause of "fear to say name," NOT the fact that it's that person's name. There are PWS who don't "fear to say name," because their name is not one to fear from, they are able to say their name with little to no difficulty, and from this we can conclude that THIS specific anxiety is subjective dependent on the name of the individual, and what letters make up their name, and what letters the PWS stutters the most one. Thanks