Kurt Eggers

This chapter examines the integration of psychology-based therapies into stuttering treatment, with a focus on addressing the covert aspects of stuttering such as fear, anxiety, shame, and avoidance behaviours. While traditional speech therapy targets overt dysfluencies, psychological approaches aim to reduce the emotional and cognitive burden that often exacerbates stuttering. The chapter outlines five therapeutic models—cognitive-behavioural therapy (CBT), personal construct therapy, narrative therapy, mindfulness, and acceptance and commitment therapy (ACT)—and explains their relevance and application in speech-language therapy. These approaches help individuals who stutter reframe maladaptive thoughts, develop emotional resilience, and engage more confidently in communication. By incorporating these methods, speech-language therapists can better support clients in achieving lasting progress, reducing relapse risk, and improving overall quality of life. Emphasis is placed on the need for therapists to be adequately trained in counselling strategies and to collaborate with mental health professionals when chronic psychological issues are present.