The symptoms may lessen when the person whispers, sings, talkx to pets, speaks along with others, or copies another person s manner of speaking. On the other hand, symptoms get worse because of certain situations such as increased anxiety and nervousness when a person has to speak in public or to talk on the phone. There are some electronic devices that are available these days, which focus on the choral effect and technique of choral speech. With these, the words of the one who stutters are being matched with another voice. There are also devices that are placed in the ear of the child. This tool can replay the words of the child after a brief delay. The Breathing Monitor, for instance, provides stutterers with real-time feedback on gaining adequate respiratory intake. It is part of a therapy, say the CAFET (Computer Aided Fluency Establishment Trainer). Both phonation and articulation are other physiological processes, which often appear to function abnormally in people who stutter. But do remember that mostly clinicians and pathologists here are graduate students in training. The graduate students also change each semester, so your relationship with your clinician is also changing. Choosing a clinician and pathologist is another important factor in your therapy process. Vital aspects of time, financial resources, and plans are to be considered here. In some cases, people stammer when they are intensely excited, enraged, scared, or shocked. Aside from these extreme emotions, fatigue, intense pressure, and self-consciousness may also increase a person s tendency to stutter while speaking. Interestingly, many people who usually stutter can speak fluently when they talk to themselves, speak with a few friends, or sing with a crowd or group. It also considers motivation and relapse as major difficulties in many adult stuttering therapies. In addition, it believes that therapist plays a lesser role in most adult stuttering therapies. The Van Riper Program is done in a group about 12 patients with two therapists. This is often conducted in a church-run boarding house.