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Counseling & Life SkillsSelf-AwarenessBasic Emotion RecognitionComplex Emotion IdentificationEmotional Nuance & Mixed FeelingsBuilding Positive Self-ImageRecognizing Strengths & Growth AreasAccurate Self-AssessmentPersonal Values IdentificationCultural & Individual Identity ExplorationValues-Based Decision MakingSelf-ManagementStop-and-Think StrategiesDelaying GratificationIndependent Impulse ManagementIdentifying Stress TriggersShort-Term Goal SettingSMART Goals DevelopmentGoal Monitoring & AdjustmentBuilding Perseverance & ResilienceInternal Motivation DevelopmentComprehensive Stress Reduction PlanningSocial AwarenessRecognizing Others' FeelingsDemonstrating EmpathyRespecting Individual DifferencesUnderstanding Cultural DiversityComplex Empathetic ResponsesMultiple Viewpoint ConsiderationMulti-Perspective AnalysisChallenging Stereotypes & BiasRelationship SkillsActive ListeningClear Verbal & Nonverbal CommunicationBuilding Positive FriendshipsWorking Cooperatively in GroupsCommunicating Personal BoundariesRespecting Others' BoundariesAssertive ExpressionPeaceful Problem-SolvingContributing to Team GoalsComplex Conflict NavigationMediation & NegotiationHealthy Romantic RelationshipsResponsible Decision-MakingDaily Problem IdentificationBrainstorming Multiple SolutionsEvaluating Pros & ConsRecognizing Risks & ConsequencesApplying Ethical FrameworksInformed Risk-Benefit DecisionsRoot Cause AnalysisMindfulnessMindful BreathingBody Scan MeditationDaily Mindfulness ApplicationDaily Self-Care RoutinesBalancing Life DemandsAdvocating for Wellness NeedsMental Health SupportUnderstanding Anxiety SymptomsWorry Management StrategiesProgressive Muscle RelaxationRecognizing Depression SignsBuilding Mood-Supporting RoutinesBehavioral Activation for MoodUnderstanding Grief StagesHealthy Grief CopingCreative Expression of LossBehavioral SupportDaily Check-In ProceduresDaily Goal Setting & ReviewRecognizing Escalation Warning SignsRequesting Breaks & SupportSelf-Calming During DistressUnderstanding Positive ReinforcementToken Economy ImplementationBehavior Chart TrackingAnalyzing Behavior PatternsIdentifying Antecedents & ConsequencesDetermining Behavior FunctionFunction-Based InterventionsIndividualized Behavior ContractsData-Driven Behavior AdjustmentTherapeutic ApproachesThoughts-Feelings-Behaviors ConnectionRecognizing Thinking PatternsChallenging Negative ThoughtsPositive Self-Talk PracticeThought Record TrackingAdvanced Cognitive RestructuringComprehensive CBT PlansBehavioral Activation TechniquesBuilding Positive ExperiencesExposure Hierarchies for AnxietyPresent-Moment AwarenessNon-Judgmental ObservationSelf-Soothing & DistractionComplex Emotion LabelingReducing Emotional Vulnerability (PLEASE)DEAR MAN CommunicationGIVE Skills for RelationshipsFAST Skills for Self-RespectRadical Acceptance PracticeCrisis Survival Skills (TIPP)Understanding Trauma EffectsTrauma Responses & TriggersIdentifying Trauma FeelingsGrounding TechniquesRegulation During Trauma DistressSafe Place VisualizationProcessing Through NarrativeDeveloping Trauma StoryPersonalized Safety PlanningGroup SupportTurn-Taking & SharingGroup Conversation SkillsSharing in Supportive EnvironmentLearning from Similar ChallengesBuilding Community & BelongingNavigating Peer RelationshipsGroup Skill PracticeGroup Mental Health EducationStress & Anxiety UnderstandingCrisis Support & SafetyKnowing When to Seek HelpIdentifying Mental Health CrisesGrounding During CrisisUsing Crisis HotlinesBuilding Support NetworksAccessing Mental Health ResourcesWarning Signs & Coping StrategiesDeveloping Personal Safety PlansUnderstanding Suicide Warning SignsGatekeeper Skills for PeersDigital LiteracySocial MediaTechnology BasicsProductivity ToolsInternet and Online ResearchWeb Design and PublishingDigital CitizenshipOnline Safety and PrivacyEmerging TechnologiesFinancial LiteracyMaking Financial DecisionsBanking and AccountsConsumer SkillsSaving and InvestingCredit and DebtEmployment and IncomeTaxesInsuranceMajor PurchasesEconomic ConceptsFinancial PlanningCollege & Post-Secondary PlanningCareer ExplorationUnderstanding Post-Secondary OptionsCollege Research & SelectionAdmission RequirementsCollege Application ProcessPersonal Statement WritingFAFSA CompletionScholarship Search & ApplicationsUnderstanding Student LoansContinuing Education PlanningInterview PreparationResearching EmployersCommon Interview QuestionsSTAR Method ResponsesProfessional Interview PresenceVirtual Interview SkillsInterview Follow-UpJob Search SkillsUnderstanding Job PostingsEffective Job Search StrategiesNetworking for OpportunitiesResume Writing BasicsAction Verbs & AchievementsTailoring Resumes to JobsCover Letter WritingProfessional ReferencesProfessional CommunicationBusiness Email EtiquettePhone & Voicemail ProfessionalismMeeting ParticipationPresentation SkillsProfessional Work EthicTime Management & ProductivityTeamwork & CollaborationAdaptability & 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Words Under Pressure

A small group stuttering therapy lesson focused on identifying, ranking, and discussing stressful speaking situations across everyday contexts. Students construct personal communication hierarchies and explore coping mindsets in a supportive peer environment.

KCKristina Carnes

Words Under Pressure

A small group stuttering therapy lesson focused on identifying, ranking, and discussing stressful speaking situations across everyday contexts. Students construct personal communication hierarchies and explore coping mindsets in a supportive peer environment.

KCKristina Carnes

Group Focus: Owning your voice Card #4

Classroom

The Cold Call Dilemma

When a teacher suddenly calls on you, what is your immediate reflex? What is one accommodation or self-advocacy phrase you could teach your teachers?

Group Focus: Self-advocacy Card #5

Listeners

The Listener's Face

When people look surprised, look away, or try to finish your sentence, how do you feel? What do you wish fluent listeners knew about how to listen to you?

Group Focus: Educating listeners Card #6

Courage Test

Voluntary Stuttering (Brave Bumps)

Therapists often practice stuttering on purpose. Why would anyone ever stutter on purpose? How does practicing an intentional stutter change your fear?

Group Focus: Desensitization Card #7

Self-Compassion

Fluency vs. Communication

Is a conversation a "failure" if you stuttered a lot, but still said everything you wanted to say? What is the real definition of successful communication?

Group Focus: Reframing success Card #8

Therapist Tip: Validate that feeling nervous is normal. Remind students that courage isn't the absence of stuttering—it's speaking anyway.

Goal: Gently uncover covert avoidance without confrontation.

Scenario 2 When a student puts ALL cards in Level 3

"Looking at your board, talking feels like walking into a storm right now. That must feel exhausting. Let's look at just these two situations: if you HAD to pick one that is just 1% less scary than the other, which one would it be?"

Goal: Deconstruct monolithic fear through fractional grading.

Scenario 3 When listeners finish sentences or look impatient

"When someone cuts in, it often comes from their own awkwardness, not because they are angry at you. You have the right to say, 'Hold on, I've got this,' or 'I want to finish my thought.' How would it feel to say that?"

Goal: Shift from passive victimhood to assertive self-advocacy.

Sample IEP & Treatment Goals (Affective / Cognitive)

Hierarchy & Awareness Goal: "Student will identify and rank at least 10 speaking situations across school and community environments, explaining 2+ personal tension triggers across 3 consecutive sessions."

Desensitization & Action Goal: "Student will independently select and execute one Level 2 speaking challenge per month, demonstrating self-advocacy or easy speech tools with clinician debrief in 4 of 5 trials."

Materials to prep: Print copies of Speaking Meter Activity & Discussion Prompts; provide scissors/glue sticks or pens for sorting.

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