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In this episode, Michelle sits down with Tim Mackesey, a board-certified specialist in fluency disorders with over 33 years of experience. Tim brings a unique perspective to the conversation, as he is both a seasoned clinician and a person who stutters. Together, they explore the complexities of fluency disorders, moving beyond the mechanics of speech to address the deep emotional and psychological components of stuttering. Tim shares his personal journey, from negative experiences with speech therapy in childhood to finding his own path to confidence. He discusses his fascinating work as an expert witness for cases involving sudden onset stuttering following brain injury and details how he integrates Cognitive Behavioral Therapy (CBT) into his practice to help clients manage social anxiety. Chapters 00:00 – Introduction to Tim McKenzie and Fluency Disorders 01:59 – The Role of an Expert Witness in Sudden Onset Stuttering Cases 03:30 – Tim’s Personal Journey: From "Stutterer" to Person Who Stutters 09:57 – The Anxiety of Stuttering in Professional Settings 11:42 – A Shift in Perspective: The Impact of Dean Williams 17:16 – Stuttering in High-Stakes Professions: Police, Pilots, and Medical Students 22:07 – Therapy Approaches: Direct Models for Preschoolers vs. CBT for Adults 26:22 – The Developmental Impact of Stuttering at Age Seven 30:15 – Timeline Therapy: Addressing Past Trauma and Reframing Memories 33:26 – Practical Techniques: Using Mind Lines and Conversational Reframing 37:00 – Essential Resources for SLPs: Where to Start with Fluency Learn more about our show: https://www.amnhealthcare.com/podcast... Show Sponsors: We're proudly sponsored by AMN Healthcare, the leader in healthcare staffing and workforce solutions. Explore their services at AMN Healthcare, https://www.amnhealthcare.com/ Discover job opportunities and manage your assignments with ease using AMN Passport. Download the AMN Passport App today! https://www.amnpassport.com/