Two Sides of the Spectrum

We miss you! Get the updates on what's happening at Learn Play Thrive. And download our free packet of parent handouts at learnplaythrive.com View show notes and transcript at learnplaythrive.com/podcast

Coming soon:  The Neurodiversity Affirming Treatment Planning Party (FREE!): learnplaythrive.com/partyThe Learn Play Thrive Podcast Study Group: learnplaythrive.com/groupTrainings for Parents and Paraprofessionals: instagram.com/learnplaythriveparents (website launches next week!) View show notes and transcript at learnplaythrive.com/podcast

This episode dives deep into some of the more foundational questions around being Autistic and neurodiversity, tying this into the larger systems we are embedded in. Our guest, Dr. Devon Price, helps us explore the concepts of masking and authenticity and how we, as professionals supporting Autistic people, can push back against these pressures. Dr. Devon Price is a social psychologist, professor, author, and proudly Autistic person. He has written 'Unmasking Autism' and 'Laziness Doesn't Exist'. View show notes and transcript at learnplaythrive.com/podcast

In this episode, we talk about why and how part-time AAC use can support authentic participation for many autistic people. We also explore Dr. Alyssa Hillary Zisk's insights on teaching AAC from their perspective as an engineer, as a researcher, and as an AAC user.Dr. Alyssa Hillary Zisk is an Autistic part-time AAC user, using a variety of text-based tools. They are the AAC research team lead at AssistiveWare. Their doctoral dissertation was on brain computer interfaces for people with ALS. View show notes and transcript at learnplaythrive.com/podcast

In this episode with autistic AAC user Tiffany Joseph (they/them, she/her), we cover functioning labels, AAC access, how race intersects with disability in the Autistic community, aggressive behaviors, and so much more. But the thread that runs throughout the conversation is empowering our clients to participate more authentically in their daily life. Tiffany Joseph, or TJ, is an Autistic educational consultant, and runs the Instagram and Facebook pages 'Nigh Functioning Autism', where they post about AAC, being Black and Autistic, epilepsy, ADHD, OCD, and more. View show notes and transcript at learnplaythrive.com/podcast

In this episode (a repeat of one of our earliest episodes, episode 4), Dr. Kristie Patten takes us to the foundations of what it means to be strengths-based and the impact that it has on the lives of our Autistic clients. Dr. Kristie Patten is Counselor to the President and professor of occupational therapy at NYU and the Principal Investigator of NYU Steinhardt's NEST Project, supporting New York City Public Schools' largest inclusion program in the United States for Autistic students. In this episode Dr. Patten shares why it's really easy to be a bad therapist and really hard to be a good one (plus some concrete steps to take to help get us there!) View show notes and transcript at learnplaythrive.com/podcast

In this episode (a repeat of episode 44) we dive into interoception, our ability to understand the messages we are getting from inside our bodies. Our guest, Kelly Mahler, makes the connection between interoception and truly neurodiversity-affirming therapy practices. Kelly Mahler presents internationally on interoception and has authored 12 resources, including The Interoception Curriculum. This episode covers how a deeper understanding interoception can help us support authentic self-regulation for our autistic clients. It's a must-listen for any professional who supports Autistic clients. View show notes and transcript at learnplaythrive.com/podcast

How can we center the needs of our Black Autistic clients? And how can we create spaces that allow for joyful, authentic participation for all kids? Heather Clarke has a deep analysis of the barriers that exist - especially for Black Autistic youth - and a vision for how we can move towards making our spaces safer, more inclusive, and more joyful. View show notes and transcript at learnplaythrive.com/podcast

Many of us have never seen strengths-based, neurodiversity affirming goal writing in practice. In this episode, Autistic SLP Rachel Dorsey walks us through the ins and outs of how to write truly affirming goals for our Autistic clients that contribute to their well-being, not to burnout. Check out the newest version of Rachel's CE course, Goal Writing for Autistic Students, (co-taught with an incredible team of OTs and SLPs) at learnplaythrive.com/goals. View show notes and transcript at learnplaythrive.com/podcast

Ido Kedar is a non-speaking AAC user who chronicles his experience in therapies both before and after he learned to type to communicate. In this re-airing of episode 9, Ido shares concrete advice on how therapists can be more respectful and effective when supporting non-speaking Autistic clients. Ido Kedar is an autistic-self advocate and the author of two books.  View show notes and transcript at learnplaythrive.com/podcast

What is “neurosupremacy” and “neuronormativity,” and how does this differ from the idea of “neruotypicality”? What does peer counseling offer that traditional therapy misses? How can creativity help us break seemingly firm limits set by the systems of power and oppression that exist around us? In this episode, Honey Schneider helps us see the path to reclaiming our own wholeness, and to helping our clients do the same. Honey Schneider has an MA in Mental Health Counseling from NYU. They're white, disabled, and transsexual. Honey currently works as a peer coach.  View show notes and transcript at learnplaythrive.com/podcast

Our practice frameworks are supposed to guide our work…but what happens when their authors of our practice framework haven't analyzed their biases?  In this episode, we discuss how ableism is built into the practice framework of occupational therapists, and what it looks like to do something totally different. Today's guest, Dr. Bryden Carlson-Giving, wrote the first neurodiversity-affirming practice framework for OTs – and there's something to learn from it no matter what field you work in. We also dive into the cultural model of disability, the limitations of evidence-based practice, and so much more. Dr. Bryden Carlson-Giving is a queer, neurodivergent, and disabled occupational therapy practitioner who developed The EMPOWER Model.   View show notes and transcript at learnplaythrive.com/podcast

We talk a lot about neurodiversity-affirming practice…but what does this look like for physical therapists? Should their work be guided by developmental milestones? Is it ethical to use physical prompts and assistance? How do you know when toe walking is really a problem? And how exactly should we go about finding affirming physical therapists for referrals? Join Autistic PT Iris Warchall in episode 89 to tackle this and more.  View show notes and transcript at learnplaythrive.com/podcast

When this episode first aired, it was just directed at OT practitioners. But it's simply too full of insight to not share again with our broader audience. Jen Schonger is the part time operations manager at Communication FIRST and the mom to two daughters, one of whom is Autistic. In this conversation, Jen shares her insight about the important blind spots many providers have, and the concrete ways we can support parents to develop an empowering understanding of their Autistic kids. View show notes and transcript at learnplaythrive.com/podcast

As professionals, we are always working towards something with our Autistic clients. But are we working on the things that will truly help them lead the lives they want to live? In this episode, Autistic researcher Dr. Monique Botha helps us dive into the nuance, meaning, and impact of this question. They also help us identify what research should guide our practice as professionals, and what research we can leave behind. View show notes and transcript at learnplaythrive.com/podcast

We all know by now that feeling safe is foundational for learning, healing, and growing. But what does it look like to cultivate safety for our Autistic clients who have experienced trauma? LPCs Sharon Hammer and Lisa Hoeme help us get into the nitty-gritty of what trauma-informed care looks like in the context of neurodiversity. Get on the waitlist for their new CE course at learnplaythrive.com/trauma

Happy New Year! We're giving away a FREE 1.5 hour continuing education course by Autistic psychologist Matt Lowry to every professional who wants to watch it. It's called Understanding the Autistic Neurotype: A Deep-Dive from an Autistic Psychologist. It's registered for ASHA, AOTA, NASP, and ASWB CEUs and it's available on-demand from January 10 - February 21, 2024. Fill out the form at learnplaythrive.com/summit and to grab your spot! We'll be back in two weeks with a new episode.

In this conversation, Karina Saechao helps us understand what it looks like now for multiply marginalized kids to try and access and use AAC, and what concrete steps we can all take to try and change that. Karina gives the best advice to therapists on the ground who are collaborating with parents and teachers to improve access to communication for our clients. Karina Saechao is an SLP, researcher, scholar, and activist who's really passionate about increasing equity, access, and outcomes related to research, clinical practice, and course curriculum. She's also a PhD student and a speaker at the upcoming Learn Play Thrive continuing education summit. Check it out at learnplaythrive.com/summit

So many therapists are grappling with how to reconcile our feeding therapy training with what we are learning from Autistic adults. On the podcast, we've heard that systematic desensitization - even when it's play-based - can feel like torture. We've learned that what looks like progress towards accepting new foods can actually be Autistic masking. And we've learned that family meals simply aren't best for every child. In this episode, Marsha Dunn Klein, creator of the Get Permission Approach, shares with us her own journey towards aligning her work with neurodiversity-affirming practices. We dive into what this looks like for her, what she's learned from interviewing Autistic adults, and what affirming feeding therapy can look like in your work.

At Learn Play Thrive, we are recognizing Native American Heritage month with an episode that centers how we can support the well-being of our Native clients. In this episode, Diné and Acoma Pueblo SLP Dr. Joshua Allison-Burbank helps us dive into Native views on disability, cultural responsiveness for therapists who are supporting Autistic people on reservation or off reservation, and ways that non-Native folks can build trust and connection in their relationships with their Native clients. To keep learning from Joshuaa, join us in the 2024 Neurodiversity CE Summit at learnplaythrive.com/summit. 

Most of us who are trying to work in a way that is aligned with our values have so many moments of doubt. Are we actually doing a “skilled intervention”? Is the work we are doing truly making an impact on the child's life? Are we inadvertently causing harm? Is there something we should know but don't know that would help more in this situation? One of my favorite things to do is to find therapists who have really done the work to  align their work with their values. Kelsie Olds (she/they) exemplifies this. In this episode, we dive into the details of Kelsie's practice as a school-based OT and their journey to where they are today.

On the podcast we often hear from Autistic mothers diagnosed after their kids. But today, Tiffany Hammond (@fidgets.and.fries) tells us a different story. We hear about her life at the intersection of being Black and Autistic;  navigating services for her two Autistic sons; and her new book, A Day With No Words. Listen to the end for Tiffany's takeaway to providers. It's such a simple shift, but one we could go our whole careers without learning.

In this episode, Autistic psychology practitioner Matt Lowry helps us dive into what a strengths-based diagnostics process looks like for autism, and the incredible difference this can make. We also explore what parents and other professionals should look for to find a neurodiversity-affirming evaluator when making a referral. And Matt reads us a story that he wrote called The Legend of Autistica, which is his poignant, hilarious, and insightful origin story of the Autistic people. This episode is re-release of episode 51.

In today's episode, Autistic OT Kim Clairy talks about sensory differences, Autistic catatonia, and interdependence in a way that should be part of our life and graduate school curricula. She weaves in her clinical expertise with her personal story and her poetry, and even brings in a surprise guest at the end. Warning: the ending is so sweet it may leave you in tears.

Pull up a chair for this conversation! We are going to talk about how intersectionality is like Rubik's cube, what Plato's Allegory of the Cave has to do with our therapy work, the Barbie movie, and so much more. This podcast episode was gentle, profound, and transformative. Our guest, ChrisTiana ObeySumner, reminds us that our biases do come out in our work. And, gently, she encourages us to examine them. The 2024 Learn Play Thrive Continuing Education Summit has early bird tickets on sale now! Visit learnplaythrive.com/summit to see the lineup.

In this episode we explore the role of therapists in promoting positive sexual identity and reducing the risk of sexual assault for our clients. Our guest, Sarah Selvaggi Hernandez is an autistic  occupational therapist and educator working to promote an intentional identity-first approach to autism and OT. Promoting bodily autonomy starts with what we teach our youngest clients and how we treat them in our sessions. This is a must-listen episode for all therapists no matter their setting. This is a repeat episode. Sarah Selvaggi-Hernandez' course, Ethics & Neurodiversity: Let's Talk About Sex is now registered for ASWB, ASHA, and AOTA CEUs. Check it out at learnplaythrive.com/ethics

If you work with kids, here's the thing: Autistic kids become Autistic adolescents, who may become interested in sex and dating. And if we don't take the time to learn about what this means for them, as Autistic people, we are likely to miss the mark in how we support them. And if we don't support them, it's likely that no one will.The good news is that Autistic social worker Jen Harr is here to talk us through exactly what we should know about Autistic love, dating and romance.And hey social workers, good news! Our course, Ethics & Neurodiversity: Let's Talk About Sex, is now registered for ASWB CEUs (with more to come!). Check it out, along with our other courses (always registered for ASHA & AOTA CEUs!) at learnplaythrive.com/trainings. 

In this episode, Autistic researcher Dr. Mel Heyworth guides us in completely rethinking the pathologized model of autism. We talk about how we can tell kids they are Autistic, how we can support their passions, and so much more. Dr. Mel Heyworth is the founder of the Australian organization Reframing Autism.

We know by now that Autistic adults are the real experts on how Autistic people experience the world. In this episode, Autistic SLPs Rachel Dorsey and V Tisi take us deeper than we've ever gone into how we can understand and support authentic, Autistic social communication in any context. If you listen to this episode and want to keep learning, check out their newly released CE course Let's UNMASC: Understanding the Needs and Motivations of Autistic Social communication at learnplaythrive.com/unmasc

What can those of us working in behaviorally oriented spaces do to try and protect the well-being of our Autistic clients? What impact does shame have on the wellbeing of Autistic kids? What's it like to be a Black Autistic organizer in mostly white spaces? Why should we shift from a charity model to a direct aid model in supporting marginalized groups? In this episode, we dive into all of these issues with Finn Gardner, the Director of Policy and Advocacy at the Autistic People of Color Fund. He is a Boston-based queer, Black, and disabled writer, designer, community organizer, speaker, editor, researcher, advocate, activist, and more. 

In this episode we talk about the experience of trans and gender non-conforming Autistic people and their voices. Our guest, SLP Ruchi Kapila, has a really unique practice where they support their clients to use their voices in ways that feel authentic to them and their gender identity. But this episode isn't just for SLP's: the lessons about gender-affirming care are relevant to all of us supporting Autistic people. 

In this episode, Reyma McCoy Hyten helps us explore the root causes of oppression for Autistic people, and sit with the discomfort of examining our role in it. Reyma McCoy Hyten is Autistic and was the first Black woman to ever serve as the US Department of Health and Human Services Commissioner for the Administration on Disabilities. After two decades as a helping professional, Reyma now focuses her work on "how systems create marginalization in the first place.”

In this episode, our guest, Dr. Devon Price, helps us explore the concepts of masking and authenticity and how we, as professionals supporting Autistic people, can push back against these pressures. We also explore some of the more foundational questions around being Autistic and neurodiversity. Dr. Devon Price is a social psychologist, professor, author, and proudly Autistic person. He has written 'Unmasking Autism' and 'Laziness Doesn't Exist'.

This conversation starts with books, then goes into more books, takes a turn into self-advocacy, and then finishes with a powerful message for therapists working with Autistic kids. And if you're wondering, we'll get to the narwhals too. Our guest, Lei Wiley-Mydske, is an Autistic and otherwise neurodivergent and disabled writer, artist, advocate, activist, and parent. Lei runs so many cool projects – including a neurodiversity library inside of a tattoo shop – that we discuss in this episode.

Often as OTs and SLPs we skip right to teaching our Autistic clients new skills. But what about their feelings of felt safety while they are with us? What work do we need to do so that we can show up calm and connected and ready to support our Autistic kids to feel truly safe enough to learn? Psychologist and school psychologist Dr. Gillian Boudreau talks us through this essential and often over-looked first -step to supporting our Autistic clients. 

Autistic PDAers need different kinds of supports to feel safe. And before we can provide those, we have to get curious and learn about their needs. Casey Ehrlich from At Peace Parents helps us learn how to foster true safety for our PDA clients. Content warning: this episode includes a detailed description of Autistic burnout for a young child. 

Far too often research centers outcomes that actually harm Autistic people. Today's guest, Dr. T.C. Waisman, helps us move toward research that centers Autistic well-being as defined by Autistics. 

In this episode, we field listener questions to Alex Zachos of Meaningful Speech to learn how we can more authentically and effectively support kids who learn language through delayed echolalia. This episode is a follow-up to Episode 40 on supporting Gestalt Language Processors. 

Today's guests, Meghan Ashburn from Not an Autism Mom, and Jules Edwards from Autistic, Typing, will be our guides in examining how we as professionals can create the world Autistic kids and their families deserve. Together we'll dig through everything that is happening now for families of Autistic kids including going through the diagnostic process, finding a community of families for support, and looking for the right professionals to support Autistic kids in an affirming way. Check out Meghan & Jules' new book, I Will Die on This Hill, at your favorite bookstore!

This episode is about how we as therapists build something different to support our autistic clients' social and emotional development, with our ethics and values guiding us and our autistic students as our co-creators. Our guests are SLP Carolyn Long of Social Optics and her student-turned-colleague, Nick.

We are gearing up for our OT Neurodiversity Continuing Education Summit and it's going to be transformative. Learn more about it here or visit learnplaythrive.com/summit

Dr. Winnie Dunn totally changed how we think about sensory processing for Autistic people. In this episode, we explore a person-centered, strengths-based way to consider our Autistic clients' sensory needs in their daily lives. We also get Dr. Dunn's advice on how to use her tool – The Sensory Profile II – in a way that will make your work easier and more impactful. This is a re-release of episode 16 of the podcast.

There's a tool that is missing from most of our therapy bags: it's lowering the demands for our Autistic clients. This tool is irreplaceable for helping Autistic people recover from the burnout cycle, and even for preventing burnout all together. Amanda Diekman (“Low Demand Amanda”) helps us figure out how to do just that. 

How does the historical and present-day trauma of Native Autistic kids impact their experience of our therapy? And how does the linear worldview of non-Native therapists create a gap between us and our Native clients? In this episode, Jules Edwards, who is Anishinaabe and Autistic, talks about culturally responsive therapy for supporting Native Autistic kids. 

In this episode, Dr. Kristy Coxon and Dr. Caroline Mills look at how we can support Autistic people's meaningful participation in daily life as they enter older adulthood. And then they help us apply these lessons to supporting Autistic people of any age, in any setting.

EPISODE SUMMARYThe medical model is pervasive, and it asks us to silo the health needs of our Autistic clients. But our Autistic clients are full people, and their needs are intertwined. In this episode, Autistic primary care physician Mel Houser helps us reimagine healthcare and other systems that aren't working for the Autistic community, breaking down access barriers and implementing universal design for all neurotypes.

In this three part episode, we hear from parents of multiply disabled kids on their experiences of inclusion in the schools, collaborating with therapists, and AAC. This episode takes us back in time into the history of the disability rights movement in the US and then to the present day, with practical advice that should guide how we support multiply disabled Autistic clients. Our guests include Taina Moretti, whose son has Angelman Syndrome; Evie Jesperson, whose daughter is Autistic and has CP; and an anonymous caller.

Here's the truth: if we aren't engaging in a process to learn about our clients' cultures and our own biases, we are likely causing harm. In this episode, intersex and transgendered SLP AC Goldberg helps us explore how culturally responsive care can be the difference between causing micro-traumas for our clients or creating meaningful, positive relationships. We talk about gender, race, class and more, bringing it down to the make-or-break moments in our sessions that we may not even notice are happening.

Ready to dive deeper into neurodiversity-affirming approaches to feeding? Our guest Laura Hellfeld, Public Health Nurse, explores the relationship between PDA and feeding, dives into eating disorders, and shares her personal experience with PICA. This episode will take you deeper into dismantling ableist approaches to supporting picky eaters of all ages.

In this episode, neurodivergent RD Naureen Hunani helps us unpack the harm of systematic desensitization for picky eating in autistic kids. Then she lays out a framework for what we can do to support picky eaters in a more affirming way. This episode will inspire you to reassess everything you thought you knew about best practices in feeding therapy. 

Have questions on teaching AAC to your autistic clients? Kate McLaughlin, M.S., CCC-SLP has answers! In this episode we field listener questions to Kate and get her insight on the ins and outs of teaching AAC without prompting, where to start for beginners, getting parent buy-in, working with kids who hit the same button repeatedly, choosing the right software and grid size, paying for devices, and more. Kate brings us back time and time again to the key values of autonomy and authenticity in how we approach AAC.