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< Back Caitney File Speaker Caitney File is the Member Outreach Coordinator for Sisters Who Stutter and serves on the Teen Advisory Council for the NSA. Caitney lives in Southern Illinois and just graduated from high school. She plans on going to Southern Illinois University to major in Social Work. Caitney enjoys reading, working out, shopping, and playing instruments in her free time. Previous Next

Learn how Jon Mohr,a person who stutters, achieved career success. Get inspired by their journey. Honda Deployment Specialist / Composer Jon Mohr Briefly describe your daily job duties. For Honda, I use historical and present data to determine how to send inventory throughout Honda’s network of warehouses and part centers across the U.S. For composing, I compose and produce cinematic music for films/video games/TV shows. I also create online content to share my work and workflows with others. As a person who stutters, share the most challenging part of your job. The most challenging part of my job with Honda is phone calls. They aren’t frequent, but they can be somewhat challenging to take sometimes, especially if a request is extremely urgent. Online meetings are a frequent part of the industry when I’m composing, especially meetings with people I’m not very familiar with and haven’t met in person. These are always enjoyable meetings, but they can be considerably intimidating. What are your long-term career aspirations? I would like to improve my skills at data analysis and logical thinking with Honda to deploy inventory in more strategic and beneficial ways to improve customer satisfaction and reduce backorders (I know how it feels to not be able to use your car because you have to wait weeks for a part to come in!) With my composing, I aspire to have my music featured on trailers for large franchises like Marvel, and to be able to work with live orchestras and musicians more frequently. Did you self-disclose your stuttering during the job hiring process? If so, how did you do it and how do you currently disclose your stuttering to unsuspecting co-workers, clients and or customers? With my work at Honda I disclosed. I waited until I had a few blockages while I was answering questions and then very briefly mentioned, “if my cadence seems off, I have a speech impediment, it’s no biggie.” The office I work isn’t super uptight so that makes it much easier too. For co-workers I don’t know yet, I don’t tend to disclose it. I’m usually able to manage it for brief interactions, but for longer interactions with people I don’t know, I’m likely to bring it up in a similar way to my interview. I don’t find myself in many “interview” positions in y composing work, but for my online content, I created 1 post in March of 2023 that talked about my stutter and the work I have to put in to my videos to keep them within Instagram Reels’ minute and a half length limit. For general meetings with people I don’t know well, I usually briefly mention the stutter via email/messages before the meeting and crack a little joke like, “if it seems like the call is frozen, it’s not. haha!” That also starts each meeting off on a lighter note too which also makes me stutter less! What is your proudest moment at your current company? I automated complex business processes to save loads of time with Honda! I taught myself Excel VBA and quickly realized that just about ANYTHING you do in Excel can be automated, so it’s saved me tons of time at the office and has improved my logical thinking. In my composition work it was working on a track from scratch with a composer from Atlanta, GA, preparing the sheet music for it, getting it recorded remotely by an orchestra in Budapest (and getting vocals recorded by a singer in Germany), and then releasing it in December 2023. We had a TON of meetings for this project–almost once a week–and also had to provide real-time input for the orchestra during the recording session over Zoom. I love ambitious projects like this. Describe how stuttering makes you a better, more valued contributor at work. Stuttering has given me a lot of patience at work. When I’m training someone new, or when I’m explaining my thought process to someone, I take things slow and speak as clearly as possible. I take a calm approach to every situation and am never quick to infuriate. Because of this, my stutter is less severe than it usually is and I am also a relaxed person a majority of the time. It’s a positive feedback loop. What’s your best advice for people who stutter just entering the workplace and for those in a career striving to achieve greater success? Your stutter does not define you. People will encourage you to be the best version of yourself no matter what, and they won’t look down on you for having a stutter. The most important part of being a good worker is to work smarter not harder, improve yourself, and contribute what you can to every situation. People will see your true value, even if you struggle to see it yourself.

< Back From the NSP to NSA: Paula Campbell-Schwab’s Story Some people are part of the foundation of the NSA community. Paula Campbell-Schwab is definitely one of them. She’s been involved with the NSA since 1984, back when we were still calling ourselves the National Stuttering Project! She joined because she needed more than what speech therapy alone could offer. I needed the support of other people in my community that lived nearby,” she says, “that I could call or see in person that were coping with similar communication issues.” Paula says she’s a quiet and shy person who doesn’t like the spotlight, but anyone in the NSA community who’s met her knows how she radiates warmth and wisdom. Over the years, the NSA became a source of transformation for her. The NSA has opened up my world to meeting and knowing some of the most beautiful people in the world,” she says. “They loved me and challenged me to be the very best Paula I could be.” Paula spent 26 years as a special education teacher, working in both public and private settings. She showed up, gave her heart, and made a difference in ways that can’t be measured by lesson plans or IEPs alone. Her advice for anyone new to the NSA? Keep coming back. “You are not alone! Keep your heart and mind open as you will learn so much about stuttering, yourself and others as you spend time in the various activities of the NSA.” When Paula’s not reading self-help books in a cozy coffee house, you might find her watching Waking Ned Devine (again), dancing to just about any music with a good beat, or relaxing with Rocky the Havanese by her side. And one day she’s heading off to a yoga and spa retreat somewhere beautiful. Paula’s been showing up, supporting others, and sharing her heart for over 40 years. And she’s not done yet! Previous Next

For most people, public speaking is usually pretty nerve-wracking. You start to feel uncomfortable at the thought of being judged. But imagine telling jokes for a living as a person who stutters (PWS). Comedy and stuttering might seem like an unlikely pairing, but some amazing comedians have demonstrated that humor and speech diversity can flourish together.  Here’s a closer look at how comedians who stutter not only find humor in human expression but also challenge the stigma around stuttering while connecting with their audiences on a whole new level. Stuttering on Stage: Breaking the Ice Comedy thrives on timing, rhythm, and that unexpected twist. Stuttering might seem like an obstacle to a punchline, but in the hands of a skilled comedian, it becomes part of the act itself. For many comedians who stutter, embracing their speech difference on stage opens up fresh, original material. They’re not only telling jokes - they’re sharing something vulnerable and refreshing. After Drew Lynch  suffered an injury that triggered his stutter as a young adult, it didn’t shy Drew away from the spotlight. He made it to the finals on “America’s Got Talent,” turning his stutter into a comedic superpower.  “I feel like a sideshow. I feel like for so long my career has been about 'the way' I'm saying something—not 'the things I'm saying.' Which, on a human level, can really invalidate all efforts to communicate. My career started because I made jokes about what was obviously there. But I think stuttering has taught me that people are quick to reduce you to what they hear or see... Only things they're experiencing on a surface level. When really, we're just trying to communicate that we're so much more than that. And that's why the power stuttering had over me could only be relinquished when I accepted that their perception is out of my control. And therefore not my responsibility.”   — Drew Lynch, PWS and comedian When she was 22, Dallas-native Avy Taylor entered a pageant and, to prepare for the public speaking portion, decided to take a comedy class. What started as public speaking practice quickly turned into a love of making people laugh and making them happy. “I remember a time early on when I first started doing stand-up. I was still very nervous and just trying to survive my set. In the middle of my performance haze, I heard someone in the audience say, “What does she mean?” and it completely snapped me out of it. I realized I was speaking over everyone’s head, instead of interacting and engaging with the audience. That moment made me realize I was talking at people instead of with them. I was so focused on getting the words out that I wasn’t actually connecting. I learned that communication is a two-way street. People want to understand you. You can’t just speak at people and hope it lands. Even if you’re scared, you have to take the time to give people the opportunity to understand you.” — Avy Taylor, PWS and comedian Joze Piranian was afraid to speak for 25 years. Today, he shares his story with organizations such as the FBI, Meta, Google, and Netflix through motivational speaking or stand-up comedy. He also delivered a keynote titled ‘Can Stuttering and Confidence Co-Exist?' that impressed NSA conference attendees in 2023. “I would say that some of my stand-up material is about stuttering, and some of it is not. I think that if I do a short set, like a very brief one at a comedy club, all my jokes might end up being about stuttering. On the other hand, if I perform a longer set, like 30 or 45 minutes, then at least half of my material will likely cover a variety of topics, such as Hawaiian pizza or Pablo Escobar. I believe that the more experiences one has in life, the more sources of comedic material tend to emerge. Even if my comedy evolves with new experiences, I do think stuttering would remain at the core of my performance. The main reason I got into comedy was to change how I felt about being different. It was to address a deep insecurity. So, it's not that I became a stand-up comedian despite stuttering. I became one because of stuttering, or some might say, thanks to it. And that's an important distinction.” — Joze Piranian, PWS and comedian Spotlight: Voices That Break the Mold Aidan Greene  is Ireland’s most popular stuttering comedian, with his performances blending vulnerability and wit. On stage, Aidan transforms his stutter into a well-delivered comedic performance—using pauses and repetitions as unexpected punchlines. Off stage, he’s a proud stuttering advocate, reminding audiences that a stutter doesn’t dull the shine of a good story. Nina G  dubs herself as “The San Francisco Bay Area’s Only Female Stuttering Comedian”—a title she’s earned through years of carving out her place in the world of stand-up. When she started nearly a decade ago, she was the only woman with a stutter on the circuit. That’s no small feat in the male-dominated field of comedy, where stuttering itself is often misunderstood, laughed at, or sidelined. Laughing With, Not At There’s a difference between laughing at  something and laughing with  it. These comedians are reclaiming the narrative. They decide how to talk about their speech—often weaving their experiences into jokes that highlight the quirks and joys of everyday communication. In interviews, Drew often emphasizes that his stutter doesn’t define him. Aidan uses his voice to help destigmatize stuttering. Nina uses humor to push back against social norms around speech. In doing so, they remind us that comedy is more than just perfection; it’s finding one's place on the mic. “Stuttering changed me for the better because it taught me to have compassion while listening. Some people might take a little more time to communicate their thoughts, but that doesn't make it any less valid. It took me experiencing mistreatment in that regard first hand to have grace for both the person struggling to speak, and the person struggling to listen—because I've been both.” — Drew Lynch Avy encourages listeners to be patient with PWS:  “We are working our darn hardest to get the words out, so please don’t look away. I was talking to a girl recently and I was stuttering. Instead of getting awkward, she stayed with me. She kept eye contact, nodded along, and smiled while I worked through my speech block. Patience, eye contact, and a smile go a long way for someone who is stuttering.” — Avy Taylor Joze Piranian defends himself against the trolls who mock him with his iconic wit: “Since I do acknowledge my stutter right away, people usually get with the program and accept it, like "okay, we’re with him on this journey through the space-time continuum." However, I’ll be performing at a comedy club and hear someone laugh during the setup. That’s when I’m stuttering in the premise of the joke, and they laugh instead of waiting until the punchline. When that happens, I always acknowledge it. So, if I'm starting a joke and I hear someone laugh right after I get stuck on a word, I might think it’s just random at first. But if it happens again and they laugh each time I get stuck, I realize it’s becoming a pattern. Sometimes I'll ask, "Wait, are you still laughing at my previous punchline?" and then I'll say, "Look, I cannot go any slower than this, so you have to keep up," and I will acknowledge it in a way that makes it clear to the audience that I am aware of what’s happening.” — Joze Piranian Mainstream Comedy as Stuttering Advocacy When comedians talk openly about their stuttering, they set the example that stuttering is simply a human expression. They show audiences that stuttering isn’t something to be ashamed of or hidden—it’s one part of life; how we talk. “The biggest misconception in my experience with stuttering as a comedian is that I'm terrified to stutter. I used to make many jokes about my stutter, which helped me stay in control if I did... but now, even with years of rehabilitation, when I think I've got a handle on it, it shows up. I try to surrender to the idea that I'm never fully in control, which takes some pressure off of ‘expectation.’ In the event that I stutter on stage, I'm never frustrated. I try to be comfortable showing the authentic part of me that says, 'Hey, I'm okay with this detour right now because I'm okay being human.' I'm okay with you seeing me at my best, and I'm okay with you seeing me be vulnerable—because when I'm vulnerable is when I'm at my best.” — Drew Lynch When Avy first started in the comedy scene, she said she thought she had to hide her stutter to be successful. She said in reality, the audience wants to connect with a real person. People attend comedy shows to escape from the polished version of life that everyone is expected to portray.  And she encourages PWS to be brave: “You’ll be successful in comedy—heck, even in life—when you own everything that makes you different. The world needs to hear our voices. Don’t wait for permission to take up space. Be brave and refuse to shrink yourself. Stay persistent and keep making your voice heard. The world will change when we show up, speak up, and redefine what it means to be someone who stutters.” — Avy Taylor Joze’s global success as a comedian demonstrates that stuttering can be recognized across different languages, cultures, and continents: “On one hand, stuttering is universal. It can exist in every community, in every country, in every culture, in every language. And in that sense, there will always be at least a minimal understanding of stuttering among humans. So in that sense, when a comedian starts to stutter, no one is completely dazzled or astonished by the concept of someone getting stuck on their words, which helps. So the fact that it is a universal experience that exists cross-culturally means jokes that work in one language or in one country involving stuttering will typically work in another. At least that's what I have found in other countries and languages, too.” — Joze Piranian, PWS and comedian A Final Laugh—and a Challenge Next time you’re at a comedy show or scrolling through stand-up clips online, listen for the unexpected. Listen for the pause, the repetition, the realness that comes from a comedian who stutters. You might just find that the best punchlines are the ones that come with a little extra pause. Learn more about stuttering.

By Michele Murphy My now 17-year old son, Kevin, started stuttering around the time he began talking at age 3. His older brother, Sean, was around 4-1/2 years of age at the time, and was a model of fluency and advanced articulation skills. So when our pediatrician told us that Kevin’s delayed speech was because his brother spoke for him and he didn’t need to talk, that made sense. And when the pediatrician said that Kevin would grow out of his stuttering, that made sense too. So in those critical years from 3 to 7 years of age, we did nothing but listen to the ill-informed, ill-advised and patently wrong advice of our well-intentioned but stuttering-ignorant pediatrician. Our next big mistake in dealing with Kevin’s stuttering was in taking adequate comfort from the fact that he was seeing various elementary school speech therapists. We naively thought that every school speech therapist would know whatever was needed to effectively deal with speech disorders such as stuttering. The next blunder actually led us towards a path that has been most successful for Kevin. By age 12, it was apparent that Kevin wasn’t going to outgrow stuttering, and the school speech therapy was not helping. So when we heard about an experimental fluency technique using a bio feedback device we jumped at it and brought Kevin for a tryout. I remember my airflow cutting off when the speech pathologist conducting the trial run said that Kevin was one of the few persons that did not experience any greater fluency while using the device. It came as an even greater blow when he stated that Kevin was one of the most severe stutterers he had ever seen. That was one of the lowest points of my life. I was wracked with guilt (I must have somehow caused this awful disorder) and despair (what kind of life would Kevin have ahead of him if he couldn’t even express himself). In closing, the therapist suggested we contact Temple University in Philadelphia, where the speech-language pathology department had significant experience dealing with stuttering. When we took Kevin to Temple for a consultation, it was the first time I really came to terms with the severity of his stuttering. I sat behind a one-way mirror and watched in horror as my son blocked severely on almost every word. The tears that I had been holding back for years came cascading over my eyelashes. There was some good news, however. The speech therapist who interviewed Kevin was really impressed by Kevin’s self esteem and sense of humor in the face of his severe stuttering. They strongly recommended private speech therapy with a speech pathologist experienced in dealing with stutterers. Kevin soon began weekly speech therapy sessions with a well known speech pathologist who specializes in stuttering. Kevin gained a lot of fluency in the therapy sessions, but even more important, he started on the path towards becoming an expert on his own stuttering, and really connected with his therapist on an interpersonal level. Two years later, we moved to Utah. Within months, Kevin had lost what fluency he had gained and was at an all-time high level of disfluency. That’s when I heard a radio advertisement for the National Stuttering Project, the nation’s largest support organization for people who stutter. After a phone call to the NSP’s (now NSA) national office, Kevin and I signed up for the NSP’s Annual Convention in Denver that year. What happened at that first convention is almost impossible to put into words. Suffice it to say that Kevin and I both experienced a turning point in our lives. I was able to shed the guilt that I had somehow caused Kevin’s stuttering, and accept the realization that neither could I “fix” it. I became part of a support group of other parents of children who stutter that has been a lifeline to me ever since. And I started my journey to becoming educated on the subject of stuttering. With more than 400 people who stutter in attendance, Kevin truly came to know and understand that he is not alone in dealing with his stuttering. He also continued his journey of gaining the education necessary to become an expert in his stuttering. Most importantly, Kevin began friendships with renowned speech pathologists, adults who stutter and youth who stutter that are his lifeline. At that first NSP convention, we also met a speech-language pathologist from Utah who specializes in stuttering. Kevin has been in treatment with him for several years and has profited enormously. Kevin also attended the Successful Stuttering Management Program (SSMP), a three-week intensive stuttering program, two summers ago. We also have remained active in the NSP, and in three years Kevin hasn’t missed a single local NSP meeting or national convention. This combination of appropriate speech therapy, participation in the NSP and an intensive speech therapy program such as the SSMP has placed and kept Kevin on the best possible course for dealing effectively with his stuttering. Yes, Kevin still stutters, sometimes even severely, but he has tools that enable him to communicate better and he does not carry the psychological burden that often accompanies stuttering. In short, his pain and mine over his stuttering are gone. In its place is knowledge, understanding, acceptance and a family of NSP members who love and support us. In hindsight, what would I have done differently? I would have educated myself about stuttering as soon as Kevin began to experience it. There are many sources of information, especially on the web, including the NSP and the Stuttering Foundation of America’s web sites. Next, at the age of three, and for as long as necessary, I would have arranged private speech therapy for Kevin from a speech-language pathologist with successful experience in treating children who stutter. If we continued with school speech therapists, I would have worked to get Kevin the same type of appropriate speech therapy through the school system. Finally, I would have had Kevin participate in the NSP at an earlier age. Knowing what I know now, if that had been done, Kevin might truly have “grown out of stuttering” as wrongly predicted by his pediatrician, because of the proven success of early intervention. We do not spend a lot of time regretting that we did not act sooner, however. Kevin is wise, loving and compassionate beyond his years: in part because of his stuttering and not in spite of it. The adversity that he has experienced has helped him to grow in so many beautiful ways. What’s important, for anyone who stutters, is to get the kind of help Kevin got regardless of age. Early intervention is best, but it is never too late! … MICHELE MURPHY IS AN NSA MEMBER AND AN ATTORNEY IN SALT LAKE CITY UTAH. THIS PIECE FIRST APPEARED IN ADVANCE FOR SPEECH LANGUAGE PATHOLOGISTS.

Acquired Stuttering  – is a broad term that refers to non-developmental stuttering and is interchanged with other terms such as “adult onset stuttering”, “neurogenic stuttering”, and “psychogenic stuttering”. Advertising  – (also known as ‘disclosing’) stuttering refers to being open about the subject of stuttering; letting other people know from the start of a conversation that you are a person who stutters. Self-advertising can be an empowering strategy for people to use, especially covert stutterers, so they do not feel the pressing need to hide their stuttering. It can also reduce or eliminate avoidance and secondary stuttering behaviors. Through self-advertising, people can realize that it acceptable to stutter in front of others and that one does not need to have flawless speech to be an effective communicator.  See Disclosing. Block  – when vocalizing stops before or during a sound or word Bullying  – When words or deeds are used to hurt someone or cause harm. Bullies try to make the person they are bullying feel afraid, rejected, or hurt. (This is contrasted with Teasing which is what we have all experienced and enjoyed as harmless “ribbing” from our family and friends; a way to show love or good feelings toward others. Teasing is having fun. Unlike bullying, it is not meant to control or harm anyone). Cluttering  – a type of fluency disorder that can coincide with stuttering or occur by itself. Cluttered speech may include rapid and/or irregular speech rate, atypical pauses, excessive linguistic nonfluencies, decreased awareness of one’s intelligibility, collapsing or omitting syllables, and language issues in general. Covert Stuttering – Covert stuttering is a strategy employed by a person who stutters to hide an otherwise overt, audible stutter. A covert stutterer may use word substitutions, circumlocution, and avoid certain words and situations which may trigger stuttering. People who are covert stutterers may go to great lengths to conceal their stuttering from others. Desensitization  – A process through which people can successfully overcome their fears, as well as other negative emotions such as shame or guilt, by gradually experiencing them in a supportive environment following a systematic, controlled hierarchy. Developmental Stuttering – occurs in young children who are still acquiring speech and language skills. Most scientists and clinicians believe that developmental stuttering stems from complex interactions of multiple factors including neurophysiological differences and genetics. Disclosing – (also known as ‘advertising’) stuttering refers to being open about the subject of stuttering; letting other people know from the start of a conversation that you are a person who stutters. Self-advertising can be an empowering strategy for people to use, especially covert stutterers, so they do not feel the pressing need to hide their stuttering. It can also reduce or eliminate avoidance and secondary stuttering behaviors. Through self-advertising, people can realize that it acceptable to stutter in front of others and that one does not need to have flawless speech to be an effective communicator.  See Advertising . Dysfluency  – the interruption in the smooth flow of speech, such as a pause or repetition of a word or part of a word. Evaluation  – Certified speech-language pathologists (SLPs) perform evaluations, or formal assessments, to determine whether an individual has a speech or language disruption. During a typical evaluation for a child, the SLP obtains a case history from the parents and observes/interacts with the child. Standardized tests are administered and informal observational assessments are conducted for both children and adults to determine a proper diagnosis. In a stuttering evaluation, the SLP may ask the clients about their family history, the stuttering history, how stuttering affects their daily lives, how they perceive their stuttering and their personal goals for treatment. This information is used to determine what kind of dysfluencies the person demonstrates, whether there are any complicating factors, the prognosis for improvement and possible goals for therapy. Fluency Shaping – a behavioral speech therapy approach that aims to alter clients’ breathing, speech rate, voice production, and articulation to elicit fluent speech. Visit ASHA’s website to learn more about speech therapy. IDEA  – Individuals with Disabilities Education Act – A federal law that ensures services to children with disabilities (please see idea.ed.gov ). IEP  – Individualized Education Plan- As mandated by the Individuals with Disabilities Education Act (IDEA), an IEP is designed to meet the needs of a child who has a disability or special learning need. Children between the ages of three and 21 with speech/language disruption who are in the public schools can receive evaluation and intervention services free of charge. If a child qualifies for speech-language services through the school district, the IEP team identifies the needs of the student, what services will meet those needs, and the individual speech and/or language goals. Parents work with teachers and SLPs to develop the student’s IEP, including goals and procedures for achieving them. Intersectionality – Refers to how a person’s experience of stuttering is influenced by factors such as race, gender, class, and disability. Acknowledging intersectionality helps us understand the diverse experiences of people who stutter and promotes inclusivity and equity. Person Who Stutters (PWS) vs. Stutterer – The terms “person who stutters” (PWS) and “stutterer” both refer to individuals who experience stuttering, but they carry different connotations. “Person who stutters” is a person-first language, which emphasizes the individual before their condition. It is a way of acknowledging that stuttering is just one aspect of the person’s identity and that it does not define them completely. On the other hand, “stutterer” is an identity-first language, which places the condition before the person. While some people who stutter may choose to identify as a stutterer, it is important to note that not all people who stutter prefer this term. It is important to respect individuals’ preferences when it comes to the language used to describe their experiences with stuttering. Some may prefer person-first language while others may prefer identity-first language. It is recommended to ask the individual how they prefer to be referred to. Prolongation  – the involuntary lengthening of airflow or speech. Recovery  – generally, refers to returning to a normal health condition or normal state. Research suggests that around 80% of children who start to stutter naturally recover from stuttering. Repetition  – the involuntary repeating of a sound, word or part of a word. Self-help Support  – people with, or affected by, a common need or condition working to help others with the same condition, often in an informal manner with the goal of bringing about personal or social change Standardized  – Any measure that is given in the same way to all people who take it. For example, standardized tests are administered using a protocol that must be strictly followed. If the protocol is not followed, the results of the test may be invalid. Sometimes referred to as “formal” measures. Stuttering Modification  – The goal of stuttering modification therapy is not to eliminate stuttering, but rather to modify the moments of stuttering so the disfluencies are less severe. Other objectives of stuttering modification therapy include reducing the fear of stuttering and eliminating avoidance behaviors. Stuttering modification therapy often includes identifying core and secondary stuttering behaviors, learning desensitization techniques, and specific stuttering modification techniques such as stopping in the middle of a stutter (cancellations), pulling out of a stutter and transitioning into smooth, fluent speech (pull-outs) and using easy stuttering on words which the speaker may anticipate stuttering (prepatory sets). Visit ASHA’s website to learn more about speech therapy. Stuttering  – A frequently misused and misunderstood word that means many different things to different people. Primarily, it can refer to observable behaviors (e.g., “stuttered speech”) or it can refer to the stuttering, which comprises both the observable behaviors as well as a variety of “under the surface” features including fear, avoidance, attitudes, beliefs, etc., that are experienced by the person who stutters but are not seen by the listener. Many people confuse the two uses of the term. Secondary Characteristics (secondaries)  – In addition to speech dysfluency (word, sound or syllable repetitions, prolongations and blocks), many people who stutter exhibit secondary symptoms unrelated to speech production. Some secondary characteristics or “secondaries” include eye blinking, facial tension, lip tremors, head jerks or other unusual body movements. Secondary characteristics also include avoiding feared words, interjecting starter words (such as “um” or “you know”) or switching words midsentence. Edited by Angela Medina, PhD, CCC-SLP and Courtney Margulis, MA, CCC-SLP (5/2023)