What approach directly addresses a patient's fear of coworkers reacting negatively to their stuttering?

Cognitive behavioral therapy principles are particularly effective in addressing a patient's fear of negative reactions from coworkers regarding their stuttering. This approach allows individuals to identify and challenge their negative thoughts and fears associated with social situations and communication. By addressing these cognitive distortions, patients can develop healthier perceptions of how others may react to their stuttering, ultimately reducing anxiety and improving their social interactions.

Additionally, cognitive behavioral therapy encourages the development of coping strategies and communication skills, which can empower individuals to face their fears more openly. This focus on rethinking negative assumptions and fostering resilience in social contexts makes it the most suitable choice for dealing with fears related to external perceptions of stuttering. Other approaches, such as fluency-shaping therapy or pharmacological management, may address the stuttering itself but do not specifically target the emotional and cognitive aspects of fear related to social interactions.