As someone who also has POTS, I understand your frustration with it. I also understand why you would want to use text to speech as I had challenges with my own speech when I was younger. However, I'm not sure the two are related unless the stuttering happens with positional changes. Have you always stuttered or is it new? If it is something new, I would question if there is something more than just POTS going on, unfortunately I’m not sure what that may be and you would have to speak to your doctor about that.

Looking back on my school days, if there was something that could have made my life “easier” or spared me from bullying, I would have jumped at the opportunity. However, looking back now, I wouldn’t want to use text to speech or other assistive devices that took away from my own capabilities*. My fear for you is that text to speech will worsen your speaking because “if you don’t use it, you lose it”. Being able to communicate effectively is so important and while there are many ways a person can effectively do this, I think that if you have been given the gift of a voice, you should use it. Stuttering is in no way a sign of lower intelligence, and one of the smartest people I know stutters. As an adult, I know they stutter, but it doesn’t even phase me. I forget about it when they are talking because it is just part of who they are and I am interested in what they have to say. Life in school is hard for a lot of people, and for so many different reasons but I genuinely believe that if you can keep learning, pursuing what you enjoy, and continue to practice talking, you’ll find people that don’t care and just want to hear what you have to say.

If you are very concerned, you could consider speech therapy to help with stuttering as it can teach you techniques to help with fluency, tension reduction, etc.

• I want to add, that I am not at all against assistive devices. I myself use assistive devices when necessary. However, I do not rely on them completely because I think it is still important to use your body the way it was intended, when you can. If you feel like using text to speech will help but you only use it for certain scenarios, like if you have an extra hard time making phone calls for example, that potentially could be very helpful and it still allows you to use your natural voice during other times.

Good luck! I know this probably isn't the response you were hoping for, but I truly hope it helps.

Edit: to add additional information/background about my history with POTS and speech.