For others, however, communication difficulties are apparent to varying degrees across a host of activities at home, school, or work.
In order to avoid stuttering, some speakers may limit the extent to which they participate in these activities. Such "participation restrictions" often relate to concern over how others might react to dis-fluent speech.
Other speakers may attempt to conceal their dis-fluent speech from others by re-arranging the words in their intended sentence, pretending to forget what they wanted to say, or declining the opportunity to speak. Clearly, the impact of stuttering on daily life is severe and limiting.