Drug-free cortisol management for speech fluency

Every stutter wires your brain
to expect the next one.
FluentPlay rewires it back.

Stuttering triggers cortisol. Cortisol degrades the motor circuit. The circuit fails again. FluentPlay breaks that loop — personalized, voice-driven games that lower your cortisol response during sessions, weaken the conditioned fear over time, and prepare you to speak in the real world with less fear. No drugs. No clinic required.

The Science

Stuttering is a timing problem.
We built tools that measure it.

When someone stutters, the problem isn't in their mouth — it's in the brain's timing system. The part of the brain that plans speech sends signals that are mistimed or unstable. FluentPlay's games are designed around this science: they track how speech is produced, syllable by syllable, and show where the timing breaks down.

Technical: the speech-motor circuit — from phonological encoding in the IFG to motor gating in the putamen to execution at M1 — breaks down at specific points. FluentPlay's PAD framework monitors those breakdowns in real time, per syllable, during gameplay.

Signal flow — fluent speech production
IFG
Pre-SMA
SMA
Premotor
Putamen
Thalamus
M1
Auditory
Interactive speech-motor connectome
Click any brain region to explore. Toggle between fluent and stuttered signal flow. Click "Explore" for full mechanistic detail and PAD integration.
PAD Framework
Per-Syllable Acoustic Monitoring
PAD scores every syllable in real time — voice onset time, formant transitions, F0 variability — and maps those acoustic features to known speech-motor dynamics. Game results become a structured window into what the circuit is doing. The scoring framework connects what you hear to what the neuroscience says is happening underneath.
Neuroimaging
fNIRS + Pre-SMA Targeting
In collaboration with NIRx, FluentPlay is developing a wearable fNIRS protocol using NIRSport2 to characterize pre-SMA hemodynamic activation during speech planning in people who stutter. The core hypothesis: stuttering reflects predictable instability during pre-articulatory planning — measurable before articulation onset.
The Problem
Why Stuttering Persists
Stuttering is not a psychological problem. It is a neuromotor timing failure in the basal ganglia-thalamocortical loop. The putamen gates motor plans with unreliable timing. The pre-SMA shows reduced, delayed, or variable activation. Every existing therapy works around this circuit. FluentPlay works inside it.
Clinical Integration
SLP-Partnered Design
Every FluentPlay game is co-developed with speech-language pathologists. Clinicians assign games, review per-syllable analytics, and adjust difficulty parameters. The tools extend clinical practice into the spaces between sessions — where stuttering actually gets better or worse.
Framework

What is PAD?

FluentPlay models stuttering as predictable instability in speech-motor timing during pre-articulatory planning — not at articulation onset. The breakdown happens before your mouth moves. Every factor is measurable and trainable.

▾ tap any factor to explore the science
P
Pressure
Accumulated cortisol wiring on a motor sequence

Pressure isn't about phonetic complexity. It's about how much neural load a specific word carries for you, based on your history with it.

A word like "cat" is phonetically simple — one syllable, common consonants. But if you've stuttered on "cat" hundreds of times, your brain has hardened a cortisol-linked stress response around that exact motor sequence. The pre-SMA fires the plan, but the basal ganglia gates it with accumulated hesitation. The wiring remembers.

Pressure is measured per syllable through voice onset time, formant stability, and F0 variability. High Pressure on a simple word is the signature of learned motor disruption.

A
Anxiety
Anticipatory cortisol spike before speech

Anxiety is the cortisol spike that fires between knowing what you want to say and saying it. The amygdala detects the feared word approaching and triggers cortisol release before the motor plan even reaches execution.

This isn't general nervousness — it's word-specific anticipatory cortisol. You can be completely relaxed in a conversation and still feel a spike of dread when you see a specific sound coming. That cortisol surge modulates the basal ganglia gating system, making the putamen's timing more erratic.

Anxiety is independent of Pressure but amplifies it. A high-Pressure word with low Anxiety may flow fine. Add the anticipatory cortisol spike and the gate misfires.

D
Disfluency
Signal emerging from P × A interaction

Disfluency isn't a score you control — it's a signal that emerges. It's the product of Pressure and Anxiety interacting, not the sum. This distinction matters.

If Pressure is 5 and Anxiety is 2, the output isn't 7 — it's 10. If Pressure is 20 and Anxiety is 20, the output isn't 40 — it's 400. The multiplicative relationship means that reducing either factor dramatically reduces the output. Drop Anxiety in half and you cut Disfluency in half, even if Pressure stays the same.

This is why exposure therapy works on Pressure while real-time feedback stabilizes both. You don't need to fix everything — you need to break the multiplier.

G
Ground
Cortisol stabilization across a session

Ground measures whether cortisol is settling or accumulating across a session. It tracks the trajectory — are Pressure and Anxiety trending down as you practice, or is the stress response building up?

A rising Ground score means the cortisol response is habituating. The basal ganglia gates are becoming more reliable with each repetition as the neurochemical load decreases. A falling Ground score means cortisol is accumulating — you may need to step back to an easier phrase or take a break.

Ground is the factor that tells you whether the cortisol loop is weakening. Not on a single word, but across the whole session. It's the foundation for progressive difficulty and real-world transfer.

How they interact
P
Pressure
×
A
Anxiety
D
Disfluency
G
Ground

Pressure and Anxiety are independent inputs. Disfluency emerges from their interaction — it's not additive, it's multiplicative. Ground measures whether your system is settling or accumulating strain.

The therapeutic goal

Lower cortisol. Rewire the response. Prepare for the real world.

Pick a word below. Watch what happens in your brain when it's feared — and how repeated practice rewires the cortisol response over sessions. The goal is not just fluency in the game. It's lowering your cortisol baseline so that speech techniques carry into real conversations with less fear.

Select a feared word
cat say come water the
cat
high cortisol load
Cortisol85%
Anticipatory78%
Recovery15%
Session 1
Simulate 20 sessions Reset
Peak cortisol
85%
baseline
Anticipatory
78%
baseline
Recovery
15%
baseline
Ground
58%
baseline
Real-world readiness12%
In-game onlyControlled speechReal conversations
Session 1 — "cat"
The /k/ onset carries a full cortisol load. Your amygdala has flagged this motor sequence as a failure site. The stress response fires before you open your mouth. In-game, the word is presented in a low-stakes context — no audience, no time pressure. The first repetitions are hard. But the environment doesn't punish you for it.
How each game targets cortisol
Summit
Exposure habituation — repeat feared words until cortisol attenuates
Rainbow Syllables
Feedback reduces uncertainty, lowering anticipatory cortisol
Sound Bridge
Smooths transitions that trigger the cortisol spike
Phoneme Drill
Strengthens execution so the gate fires without hesitation
FluentPlay is conducting ongoing research into the relationship between PAD-scored acoustic features and cortisol-mediated motor disruption, with the goal of validating game-based intervention as a measurable, drug-free therapeutic pathway for speech-motor fluency.
The History Layer

Why "cat" is harder than "encyclopedia"

Phonetic complexity doesn't predict stuttering. Neural history does. Tap each word to see the difference.

▾ tap a word to see how the circuit responds
Signal path — pre-articulatory planning
IFG Pre-SMA Putamen Thalamus M1

Select a word below to see where the circuit breaks

cat
/kæt/ — 1 syllable
P
85
A
72
D
78
high signal
encyclopedia
/ɛnˌsaɪ.kloʊˈpiː.di.ə/ — 6 syllables
P
18
A
12
D
8
minimal signal

Select a word above to see why its PAD scores look the way they do — and where the signal breaks down in the speech-motor circuit.

═══════════════════════════════════════ -->
The Games

Games you play with your voice.

Each game listens to your speech through the microphone and responds in real time. You don't type or tap — you talk. The games are designed to exercise specific parts of how your brain plans and produces speech — and they personalize to you. Choose your own phrases, target your hardest sounds, and build sessions around the words that matter most.

Phrase-Level
Rainbow Syllables
TARGET: Full phrase production, coarticulation, sustained voicing
Say a phrase and watch each syllable light up as you speak. The game shows whether you're speaking softly, at medium volume, or loudly — and tracks how smoothly you move through the whole phrase. Difficulty adjusts automatically based on how you're doing.
Why this works
SLP Technique

Easy onset and prolonged speech are among the most widely used fluency shaping techniques. Rainbow Syllables operationalizes these by requiring sustained, controlled voicing across an entire phrase. The volume zone feedback reinforces proprioceptive awareness — the speaker learns to feel and regulate their airflow and laryngeal tension in real time, which is the foundation of easy onset work.

Neuroscience

Phrase-level production exercises the full basal ganglia-thalamocortical loop. Each syllable requires the putamen to gate the next motor plan in sequence. By practicing full phrases with real-time feedback, the speaker is training the SMA to coordinate smoother handoffs from one articulatory gesture to the next — the exact point where stuttering disrupts the timing chain.

CORTISOL TARGET: Reduces anticipatory spike through real-time feedback — uncertainty drops, cortisol follows
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Coarticulation
Sound Bridge
TARGET: Phoneme transitions, sustained voicing across boundaries
Keep your voice going as you transition between two sounds — like moving from "s" to "a" without stopping. This trains the smooth blending between sounds that often breaks down during stuttering. 28 sound pairs across four difficulty levels.
Why this works
SLP Technique

Continuous phonation and coarticulation drills are standard in fluency therapy. Sound Bridge isolates the exact moment where voicing breaks down — the transition between two sounds. SLPs use connected speech tasks to train this, but most tools don't give real-time feedback on whether the speaker actually sustained voicing through the boundary. Sound Bridge does.

Neuroscience

Coarticulation is controlled by the premotor cortex, which programs the specific sequence of articulatory muscle movements. In stuttering, premotor programming is less reliable during transitions — the abstract phonological plan fails to convert smoothly into continuous motor commands. Sound Bridge directly trains this conversion by requiring unbroken voicing across phoneme boundaries, strengthening the feedforward control described in the DIVA model of speech production.

CORTISOL TARGET: Eliminates the coarticulation break that triggers the cortisol spike at phoneme boundaries
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Desensitization
Summit
TARGET: Challenge word desensitization, repetition confidence
Pick a word you avoid or dread. Say it again and again. Each repetition fills a progress bar and moves a climber up the mountain. The word that used to feel impossible becomes the word you've said fifty times. It's exposure therapy — turned into a game.
Why this works
SLP Technique

Avoidance reduction therapy (Sheehan) and voluntary stuttering (Van Riper) are foundational approaches in stuttering treatment. The principle: avoidance reinforces fear, and fear drives more avoidance. Summit applies structured exposure — the speaker confronts their most feared words through repetition until the emotional charge diminishes. This is the same habituation mechanism used in cognitive behavioral approaches to anxiety.

Neuroscience

Word-specific fear activates the amygdala, which modulates the basal ganglia gating system. When a feared word triggers an anxiety response, the putamen's motor gating becomes more unreliable — the gate misfires, producing blocks and repetitions. Repeated voluntary production of the feared word reduces the amygdala's threat response over time, which stabilizes the downstream motor gating circuit. Summit quantifies this process: the progress bar is a visible record of exposure volume.

CORTISOL TARGET: Exposure habituation — repeat feared words until the conditioned cortisol response attenuates
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Phoneme-Level
Phoneme Drill
TARGET: Isolated phoneme production, rhythm, precision
Three mini-games that focus on individual sounds rather than full phrases. Practice hitting the right volume, keeping a steady rhythm, or landing sounds precisely under time pressure. Builds the foundation that the other games rely on.
Why this works
SLP Technique

Motor learning principles — specificity of practice, distributed practice, and variable practice — are the foundation of speech-motor training. Phoneme Drill isolates individual sound production so the speaker can build accuracy and consistency at the smallest unit before combining sounds into connected speech. Rhythm Pad trains proprioceptive control (hitting volume targets). Cadence trains temporal regulation (steady rhythm). Bubble Hunt trains precision under cognitive load (accuracy with time pressure).

Neuroscience

Isolated phoneme production targets the M1 orofacial region — the final cortical output for speech motor commands. By training individual sound production with immediate feedback, the speaker strengthens the mapping between motor plan and motor execution. The cerebellum provides the millisecond-level timing coordination required here. The three sub-modes exercise different aspects of cerebellar-cortical coordination: volume regulation, temporal pacing, and adaptive motor control under varying demands.

CORTISOL TARGET: Strengthens motor execution path so the gate fires cleanly — less hesitation, less cortisol
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Rhythm Pad
Cadence
Bubble Hunt

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Six games are live now with early-access partners. The suite is expanding. Drop your email to request access.

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About

Built by someone who stutters.

Will Carbone is the founder of FluentPlay Technologies. He's stuttered since childhood — the kind that teaches you to plan every sentence before you say it.

He came to speech technology from synthetic mRNA manufacturing — process development, tech transfer, production science. When he looked at what existed for people who stutter, he found clinical tools that hadn't evolved in decades and apps disconnected from the neuroscience. The research was clear that stuttering is a motor timing problem. The tools ignored it.

He left biotech, learned to build, and made the tools himself. Voice-driven games. Real-time speech scoring. A detection framework grounded in how the speech-motor circuit actually works. SLP and neuroimaging partnerships to keep it honest.

FluentPlay operates out of Somerville, Massachusetts. The games work because they were built by someone who needs them.

Role
Founder + Speech Technologist
Background
Process Dev Scientist Speech Tech
Games Live
6 deployed WebGL titles
Research
fNIRS + PAD
Base
Somerville, MA

"People who stutter deserve tools they can use at home, at a price that doesn't shut them out. They didn't exist. So I built them."

— Will Carbone, Founder
Contact

Talk to us.

Have a question? Want to try the games with your SLP? Looking for tools for your child? Just want to say hi? Will reads every message personally.

For Parents
If your child stutters and you're looking for tools grounded in how the brain actually produces speech, FluentPlay's games are built for exactly that. Each game personalizes to your child's speech patterns. They work in a browser — no downloads, no special hardware. Your child's SLP can use them in sessions, and your child can practice at home.
SLP Licensing
License FluentPlay games for your clinical practice. Per-syllable analytics, session reports, and adaptive difficulty — tools that extend your clinical work into the spaces between sessions. Currently onboarding early-access SLP partners.
Research Collaboration
FluentPlay is actively partnering with neuroimaging labs and SLP researchers. Current focus: fNIRS characterization of pre-SMA activation during speech planning using NIRx NIRSport2. If you work in speech-motor neuroscience, let's talk.
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