an improved stuttering treatment program provides for a multi dimensional diagnostic procedure for identifying the problems associated with stuttering . a simultaneous attitude modification phase and a speech fluency enhancing techniques phase define a supervised , hands - on exercise portion of the program which is intended to advance the level of speech of a stutter afflicted person to speech fluency . upon completion of attitude modification and speech fluency enhancing exercises , which raises the patient to speech fluency , a self - discipline phase of the program is provided where the patient supervises himself during speech exercising , monitors and analyzes exercise effect and reports his analysis to speech professionals . the self - supervised exercise is up - dated and communicated to the patient , for preventive maintenance of speech fluency .