Traditional stuttering therapy often focuses on behavioral skills without considering individual differences or the broader context of the problem. For some clients, these approaches are only minimally effective; for others, there is relapse. This seminar presents a systems-based approach that considers the whole person. Three contexts are examined: the overall speech-language system, emotional/psychological framework and the even broader perspective of family, community and culture. The importance of this approach will be discussed, with implications for differential diagnosis, therapy, maintenance and preschool stuttering.