Podcasts about slp

Ep 333: Transforming airway health & smiles with MARPE featuring Dr. Svitlana Koval, DMD, MSc, BDSThis week on The Untethered Podcast™, Hallie welcomes back Dr. Svitlana Koval, Florida's leading provider of Miniscrew-Assisted Rapid Palatal Expansion (MARPE). Together, they explore the powerful connection between dental expansion, airway health, and facial balance covering MARPE and clear aligner mechanics, Hallie's personal experience with her children's treatment, timelines, post-care, and the transformative outcomes of a holistic approach.If this episode resonates with you, snap a screenshot of you listening and share it on your Instagram Stories! Tag Hallie @halliebulkin and @drsvitlanakoval to spread the word.In this episode, you'll learn:✔️ Clear Aligner (e.g., Invisalign) Journey and Airway Health✔️ Personal Experience with MARPE and Facial Asymmetry✔️ Understanding MARPE: Procedures and Techniques✔️ Comparing Traditional Expanders and MARPE✔️ Timeline and Procedures for Adult Expansion✔️ Understanding Bone Remodeling and Expansion Techniques✔️ Aesthetic Considerations in Orthodontic Treatment✔️ Timeline for Appliance Removal and Bone Fusion✔️ Impact of Expansion on Facial Structure✔️ Addressing Concerns with Mini Screws and TADs✔️ In-Office Procedure Insights and Patient Care✔️ Managing Asymmetries in Facial StructureRELATED EPISODES YOU MIGHT LOVEEp 263: Breathing Easy – Link Between Orthodontics, Speech & Health with Dr. Svitlana Koval & Tiffany ZilbermanEp 331: Inside My MARPE Journey with yours truly, Hallie BulkinABOUT TODAY'S GUESTI am so excited for you to meet Dr. Svitlana Koval! You can hang out with her over on Instagram and check out her practice at drssk.com.✨ FREE TRAINING ALERT – HAPPENING SEPTEMBER 8–10!If you're an SLP, OT, or student… you need to join me for the FREE 3-Day Pediatric Feeding Screening Training. Over 34,000 of your colleagues have done it — now it's your turn!Here's what you'll get when you sign up:4 hours on a certificate of completion (perfect for your renewal hours)My complete pediatric feeding screening packet — development chart, 50-symptom checklist, findings chart & referral formA chance to win one of FOUR full scholarships to the 12-week Feed The Peds® courseGrab your spot here → www.feedthepeds.com/trainingOTHER WAYS TO CONNECT & LEARN

Virginia is shaking up SLP licensure. Dr. Jeanette Benigas, SLP, talks with Ed Bice, M.Ed./SLP, acting president of the Speech-Hearing Association of Virginia, about their petition to eliminate provisional licenses and grant full licensure to new grads immediately upon graduation. They unpack the petition's purpose, address mentorship versus supervision, explore impacts on The Audiology & Speech-Language Pathology Interstate Compact, and discuss how Virginia's model could inspire other states to modernize their systems.

If you've ever wondered what it's really like to step into the mission field for Jesus —or how you can make a difference for the kingdom in global missions without leaving home — this is your episode. Today, I'm joined by Julianne Heilman, founder of Asifiwe Child Care Ministries in Uganda, a life-changing ministry that rescues vulnerable children, gives them hope and opportunity, and shares the love of Jesus. Think stories you've only read in missionary biographies—except they're happening right now. This conversation is extra special for me, because She Lives Purposefully began as a college project where I interviewed six women who live with purpose—and Julianne was one of them! Now, years later, we get to sit down again and hear how God has been moving in powerful ways. In This Episode, We Talk About: How Julianne knew she was called by God to missions—and the spiritual & practical steps to take if you feel the same How Asifiwe Child Care Ministries began and where it is today  How to support missions even if you're not called to go abroad Ways you can get involved Whether you're praying about your own call to missions, looking for ways to support from home, or just want to be encouraged by God's faithfulness, this conversation will inspire and challenge you. Resources & Links Mentioned: Learn more about Asifiwe Child Care Ministries: https://asifiwechildcare.org Julianne's original She Lives Purposefully story: https://www.shelivespurposefully.com/2018/08/04/julianne-heilman/ Subscribe to She Lives Purposefully for ad-free episodes on SLP+: https://shelivespurposefully.supercast.com Learn more about your ad choices. Visit megaphone.fm/adchoices

Frankenstein Bunnies Boomers hate the salute emoji - Gen Z Love it Top 6 Superhero's dying in ironic ways Men cheat because they're stressed SLP are you wanting to break up but can't afford it? Taylor Music Shannon's Hack Bad news Brad - lifestyle creepFriday Flashback Hayley did a thing What's his name and who's going to take it first? Fact of the Day What do you take on holiday?See omnystudio.com/listener for privacy information.

This week we return from our July break with episode 65 of Music in the Minor League. This episode brings us back to our near second home at this point: Fort Collins, CO. We'll be talking to Slp (pronounced 'slip') of Maudlyn Monroe.Classically trained, with a love for riot grrl and 70's NY punk, Maudlyn Monroe is a vocalist/guitarist/saxophonist/pianist with an up-tempo emo feel—an electrified lackadaisical punk. Their voice, with its three octave range, has been called "angelic" and "soulful", "bird-like" and "desperate", and lends to quiet folk contemplation, shocking soul, and raw punk sounds.We had an absolute blast spending an evening discussing music, life and so much else with Slp. If y'all have half as much fun listening as we did recording this one, this will be one of our most popular episodes. Enjoy!

In this episode, I'm giving you a behind-the-scenes tour of the three digital binders I created to save SLPs hours of prep time and reduce session stress. We'll explore the Assessment Binder, Probe Binder, and Visuals Binder—with over 2,400 pages of ready-to-use tools. I also share practical ways to use them for instant access, better data collection, and more engaged students. Whether you're planning therapy, writing IEPs, or tracking progress, these binders make it easy to work smarter, not harder as an SLP!Need these binders? Head to slpnow.com/summit to find out more! Or email hello@slpnow.com.

Cindy Watson, celebrating 30 years as an SLP and making her third appearance on the podcast, returns with BCBA Ashley Snavely to share how their clinic blends multidisciplinary and interdisciplinary care.“We were missing something,” Cindy reflects. Already offering PT, OT, and Speech, their team recognized therapists needed tools to address challenging behaviors. Adding ABA was the evidence-based solution. In this episode, Cindy and Ashley discuss the early stages of collaboration—how large group trainings, comprehensive education, and the creation of the BILT (Behavior Intervention Leadership Team) empowered therapists to problem-solve before BCBAs step in. They also dive into AAC in a collaborative setting, emphasizing curiosity, data-driven decisions, and open communication as key to success.Together, they show how a “we want to learn from you” mindset builds trust, resolves disagreements, and ultimately leads to what matters most—meaningful progress for every learner.#autism #speechtherapyWhat's Inside:Integrating ABA into a multidisciplinary clinic.How to collaborate with ACCHandling disagreements across providers.Fostering open communication and learning among therapists and providers. Mentioned In This Episode:Episode #115: Early Intervention Speech Therapy Services – A Talk With Cindy WatsonEpisode #191: Autism in Girls- A Conversation with Cindy and MCSpeech Membership - ABA Speech  ABA Speech: Home

  Fostering positive relationships with autistic preschoolers is incredibly important. In this episode, I talk about emotional safety, understanding sensory needs, and the role of co-regulation in supporting self-regulation. The discussion highlights the need to step out of traditional teacher roles, validate autistic play, and harness deep interests to create meaningful connections. Core values such as compassion over compliance and honoring neurodiversity are explored, along with strategies for creating joyful, neuroaffirming classrooms. The conversation concludes with a focus on the long-term impact of connection and the importance of empowering educators and caregivers. Takeaways: Positive relationships create emotional safety for children. Understanding sensory needs is crucial for connection. Co-regulation supports self-regulation in children. Stepping out of teacher mode fosters authentic connections. Autistic play is valid and meaningful, reflecting unique interactions. Deep interests can be a doorway to connection. Compassion over compliance is essential in education. Creating joyful, neuroaffirming classrooms enhances learning. Presuming competence in communication builds trust. Connection lays the foundation for long-term success. Links: Episode 90: Autism & Play Culture with Dr. Pamela Wolfberg https://podcasts.apple.com/us/podcast/the-autism-little-learners-podcast/id1665404820?i=1000671411034 Blog: Strength-Based Approach For Teaching Autistic Children: https://autismlittlelearners.com/strength-based-approach/ You may also be interested in these supports: Visual Support Starter Set  Visual Supports Facebook Group Autism Little Learners on Instagram Autism Little Learners on Facebook      

Want to share your feedback? Send us a message!A research-clinical team from the University of Tennessee Health Science Center—Dr. Tim Saltuklaroglu, Tricia Hedinger, M.S., CCC-SLP, BCS-SCF, and Eddie Brown, M.A., CCC-SLP—join host Sara MacIntyre, M.A., CCC-SLP, to share insights into Finding Your Voice, a stuttering therapy program they created, have seen make a meaningful difference in clinical settings, and are now beginning to test in an early-stage clinical trial. The program seeks to support clients through self-discovery, first-hand exploration, and awareness building to promote agency and meaningful change—helping individuals find their “ideal voice,” one that aligns their values and desired outcomes with how they see themselves both inside and out. The team discusses the program's origins and development, highlights clinical experiences and personal stories of impact, and outlines the ongoing trial's goals and design.For questions and inquiries related to their work, please feel free to contact the research team: tsaltukl@uthsc.eduBios:Tim Saltuklaroglu, Ph.D., is person who stutters who entered the field of speech pathology to learn more about the disorder and help children and adults who stutter. He completed his undergraduate degree at Washington State University and then his Master's degree at the University of Alberta. After practicing as an SLP in the North Carolina school system, he entered the Ph.D. program at East Carolina University. He earned his Ph.D. in 2004 and since then has been on faculty at the University of Tennessee, where he is currently a full professor. He has co-authored over 55 peer reviewed publications and one textbook, and has received external funding through the National Institute of Health.Tricia Hedinger, M.S., CCC-SLP, BCS-SCF is a clinical professor at the University of Tennessee Health Science Center in Knoxville and a board-certified specialist in stuttering, cluttering, and other fluency disorders. Ms. Hedinger serves as Vice Chair and Director of Continuing Education for the World Stuttering Network. She is also a published author, contributing to books, chapters, and peer-reviewed articles on stuttering and speech-language development. Ms.Hedinger also serves on the advisory board for the Stuttering Treatment and Research Society (STARS).Eddie Brown, M.A., CCC-SLP is a Speech-Language Pathologist, researcher, and educator dedicated to advancing the understanding and treatment of developmental stuttering. He is a person who stuttesr, a 5th year PhD student at the University of Tennessee Health Science Center in Knoxville, a national stuttering association chapter leader, and a teaching assistant for stuttering classes.

ASHA doesn't own the SLP Interstate Compact, but in Virginia, they used it as leverage to oppose a petition aimed at removing the supervised experience requirement for full licensure. In this bonus episode, Dr. Jeanette Benigas, SLP, and Preston Lewis, MS/SLP, unpack the petition, ASHA's public letter of dissent, and why using the SLP Interstate Compact as a scare tactic matters for SLPs nationwide. We break down the Medicare Administrative Contractor and private insurance barriers, the CMS connection, and Fix SLP's alternative solution to qualify new graduates for full licensure immediately after graduation while protecting both access to care and new graduate support.·Want to earn some PDHs or CEUs with a discount? Find our most up-to-date promo codes and discounts here.·We want to collaborate with YOU. If you would like to lead or join your state team, please email your name and state to states@fixslp.com.·Become a sustaining partner to support our work.·Follow us on Instagram, Facebook, TikTok, and YouTube.·Find all our information at fixslp.com, and sign up for our email list to be alerted to new episodes and content.·Email us at team@fixslp.com.·Leave a message on our Minivan Meltdown line! ★ Support this podcast ★

‘I believe life is one thing. It's not professional life and personal life – it's one thing. It's got a very clear starting point and an incredibly clear ending point as well and everything in between is just life. I do very much look at the whole person. And I love the fact I am… Continue reading SLP 504: Living Fully From Start to Finish with Mick Todd The post SLP 504: Living Fully From Start to Finish with Mick Todd appeared first on The Wellness Couch.

Bienvenidos a Saga Noticias con Max Espejel y Kim Armengol. En la emisión de hoy: Claudia Sheinbaum encabezó en Palacio Nacional la revisión del programa IMSS-Bienestar; Marcelo Ebrard anunció más de 12 mil millones de pesos de inversión farmacéutica dentro del Plan México; Luisa María Alcalde impulsa comités regionales de Morena; el juez Brian Cogan rechazó una petición relacionada con Joaquín “El Chapo” Guzmán; y seguimos la investigación sobre la operación “Caballo de Troya” y el aumento de redadas en Los Ángeles. Además: entrevistas con Arturo Ángel y especialistas en migración, el caso del sacerdote fallecido en Veracruz, la tormenta tropical Ivo, la polémica por la presentación de Marilyn Manson en SLP, sentencias y detenciones relevantes en el país, cambios económicos (inflación y Banxico), la alerta sísmica en celulares y el brote de chikungunya en Guangdong. No olvides suscribirte, activar la campanita y escuchar todos nuestros contenidos en Saga Podcast. ¡Comenta, comparte y quédate en la Saga!

Bienvenidos a Saga Noticias con Max Espejel y Kim Armengol. En la emisión de hoy: Claudia Sheinbaum encabezó en Palacio Nacional la revisión del programa IMSS-Bienestar; Marcelo Ebrard anunció más de 12 mil millones de pesos de inversión farmacéutica dentro del Plan México; Luisa María Alcalde impulsa comités regionales de Morena; el juez Brian Cogan rechazó una petición relacionada con Joaquín “El Chapo” Guzmán; y seguimos la investigación sobre la operación “Caballo de Troya” y el aumento de redadas en Los Ángeles. Además: entrevistas con Arturo Ángel y especialistas en migración, el caso del sacerdote fallecido en Veracruz, la tormenta tropical Ivo, la polémica por la presentación de Marilyn Manson en SLP, sentencias y detenciones relevantes en el país, cambios económicos (inflación y Banxico), la alerta sísmica en celulares y el brote de chikungunya en Guangdong. No olvides suscribirte, activar la campanita y escuchar todos nuestros contenidos en Saga Podcast. ¡Comenta, comparte y quédate en la Saga!

He was the Church’s most unlikely general authority. A coffee habit, an oft-shot-off mouth, and–according to this great-grandnephew–a deep spirituality. This episode includes some of J. Golden Kimball’s funniest stories and reflections by James N. Kimball on the man behind the myth. https://sunstone.org/wp-content/uploads/2025/06/SLP-200.mp3

A faith crisis is one of the most destabilizing things that can happen to an LDS marriage. Both partners feel betrayed. Feelings either erupt or are suppressed. In this episode, therapists Adam Fisher and Mary Fisher talk about the three most important things a couple can do to help each other. https://sunstone.org/wp-content/uploads/2025/07/SLP-202.mp3

In this podcourse episode we had an insightful conversation with Danielle Kent, a licensed SLP with over 14 years of experience, as she delves into the importance of co-regulation before self-regulation. In celebration of Speechy Side Up's 10th anniversary, Danielle revisits and expands on topics from her popular episode, discussing recent research on behavior management and the developmental relationship between co-regulation and self-regulation. Learn practical strategies for supporting co-regulation in educational or therapeutic settings, and discover signs that indicate when a child needs more co-regulation support. Danielle also shares valuable resources and references for further exploration of these critical topics.Register ⁠⁠⁠here⁠⁠⁠ to earn ASHA CEUs and visit Speechie Side Up to learn more about this episode.

This week on Fix SLP, Dr. Jeanette Benigas, SLP, and Preston Lewis, MS/SLP, call out the emotional and professional fallout from the Praxis exam scandal, the profession's empathy deficit, and what the response reveals about the culture of speech-language pathology. They discuss how shame and judgment are being used to gatekeep the field, what really happened with the 180 impacted students, and what Fix SLP is doing to investigate and support those caught in the storm. Plus: how to prepare for the upcoming CCC renewal deadline and why this is a moment for reflection, action, and change.

In this week's Quicky we're diving into something pretty powerful – Tony Robbins' 6 Human Needs – and how understanding them can radically transform your relationship with self-love. Tony teaches that we're all driven by six basic human needs. These aren't just wants – they're needs, wired into our psychology. And the way we meet… Continue reading SLP 503: Self Love Quicky – The 6 Human Needs The post SLP 503: Self Love Quicky – The 6 Human Needs appeared first on The Wellness Couch.

‘Life can give us these horrible bolder moments that make decisions that we are sort of forced into change. Or we can say, hey I am going to create some change myself, some positive change and shake things up. So that, Universe or Light whatever you want to call it doesn't do it for us.… Continue reading SLP 502: Kensho and Satori – Two Roads to Becoming with Maritza Barone The post SLP 502: Kensho and Satori – Two Roads to Becoming with Maritza Barone appeared first on The Wellness Couch.

In this episode of SLP Coffee Talk, Hallie chats with Jacquilyn Arias—pediatric SLP and co-founder of Habla Cadabra SLP—about how narrative language sampling (NLS) can make your assessments faster, more meaningful, and way more aligned with real classroom demands. Jacquilyn breaks down why NLS is a must-have tool for busy school SLPs, how it works across languages and cultures, and which free resources (like MAIN, ENNI, and SLAM) she swears by. Plus, she shares how new-ish, objective measures like Percent Grammatical Utterances (PGU) can help you confidently distinguish between a language difference and a disorder—no fancy software required. Whether you're brand new to NLS or just looking to level up your evals, this conversation will leave you feeling empowered, efficient, and ready to try it out.Bullet Points to Discuss: Narrative language samples save you time—they're way more efficient when you've got a structured planThey're super aligned with what students are doing in school and give you rich info on their grammar, vocab, and storytellingYou can use them across languages and cultures—tools like MAIN and SLAM are built for thatNewer measures like PGU are fast, easy to score, and actually help you spot a real language disorder—no fancy software neededHere's what we learned: NLS saves time and gives richer data than conversational samplesIt's aligned with academic standards and shows real classroom impactTools like MAIN, ENNI, and SLAM are free, easy to use, and multilingualGreat for bilingual evals—helps tell difference vs. disorderPGU is a quick, reliable measure—no special software neededAI tools make transcribing faster and easier than everEven short samples can give strong, goal-driving insightsStart small—confidence comes with trying it outLearn more about Jacquilyn Arias: Website: www.hablacadabraslp.com Instagram: https://www.instagram.com/HablaCadabraSLP/ Freebies: https://www.hablacadabraslp.com/blog-english Learn more about Hallie Sherman and SLP Elevate:  

Have you wondered if it's possible to launch your private practice sooner than planned? Today's guest will encourage you to trust your gut and go for it! Joining me is Laura D'Surney, SLP and owner of Play on Words Speech Therapy, her private practice just outside of Richmond, VA. Laura, an alum of the Start Your Private Practice Program, was hit with the curveball of losing her job shortly after returning from her honeymoon! She chose to go all in and launch her practice, despite not feeling as ready as she'd planned. In this episode, Laura shares how she turned her unexpected job loss into a thriving practice and offers tips for setting boundaries and marketing as a small business owner.Laura D'Surney is a licensed speech pathologist and private practice owner of Play on Words Speech Therapy. She currently provides mobile speech, language, and reading services to the Richmond, VA area. She also develops and sells speech therapy materials on TPT and has provided professional development for other SLPs on speech sound disorders. In Today's Episode, We Discuss:The boundaries Laura has built into her business to protect her personal needsHow to take the scary feeling out of marketing by taking a natural approachLaura's advice for those who are unsure if they can really start their practice right nowTaking time to step back from comparison syndrome and acknowledging your progressWhether you're wondering if now is the right time or if life forces your hand, don't be afraid to take the next step toward private practice! I hope Laura's story inspires you to follow your heart and lean in to the support and help available to you.If you want help to start your private practice step-by-step (just like we helped Laura!) please visit www.StartYourPrivatePractice.com.Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more.Resources Mentioned: Laura's website: www.playonwordsrva.comFollow Laura on Instagram: www.instagram.com/lauratheslpLaura's TPT: www.teacherspayteachers.com/store/laura-the-slpFind support and start your private practice: www.StartYourPrivatePractice.comWhere We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/private-practice-success-stories/id1374716199Follow Me on Instagram: https://www.instagram.com/independentclinician/Connect on Facebook: https://www.facebook.com/groups/slp.private.practice.beginners/

Full conversation between Michelle Dawson MS, CCC-SLP, CLC, BCS-S and Erin Forward MSP, CCC-SLP, CLC,Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/cours...Do you feel like AAC is outside your comfort zone as an SLP or OT? You're not alone, and we're here to help.Join Erin and Michelle for a practical and encouraging conversation about why it's essential for every clinician to develop a foundational understanding of AAC, especially when serving children and families in community settings.With AAC evaluations often delayed for months at larger organizations, clinicians need tools and confidence to support communication in the meantime. Erin and Michelle will walk you through the key components of an AAC evaluation, the importance of building strong relationships with your clients, and how to get started, even if you're not an AAC specialist.They'll also share valuable resources to guide your next steps and help you support families when AAC services feel out of reach. You may not have all the answers, but we'll help you know where to start and how to keep learning.Watch First Bite on YouTube: https://youtu.be/ykkZ__rpQNY?si=7Nt0uOk736FEz7dw

This week, we break down the shocking Praxis exam scandal that has rocked the SLP world. ETS canceled scores for over 180 future clinicians, citing cheating and policy violations tied to a shared Google Doc. We explain what happened, who's being penalized, and why the response from ASHA is raising eyebrows. Dr. Jeanette Benigas and Preston Lewis, MS/SLP, bring clarity, evidence, and a call to stop fear-based culture in the field. If you're impacted or just want to understand what this means for the profession, you don't want to miss this episode.·Want to earn some PDHs or CEUs with a discount? Find our most up-to-date promo codes and discounts here.·We want to collaborate with YOU. If you would like to lead or join your state team, please email your name and state to states@fixslp.com.·Become a sustaining partner to support our work.·Follow us on Instagram, Facebook, and TikTok·Find all our information at fixslp.com, and sign up for our email list to be alerted to new episodes and content.·Email us at team@fixslp.com.·Leave a message on our Minivan Meltdown line! ★ Support this podcast ★

Today's Quicky is a gentle, powerful reflection on change – the kind we fight, the kind we learn to accept, and the kind we bravely choose to create. Whether you’re in the midst of a life shift or simply feeling the undercurrent of something new, this conversation is here to hold you. We explore the… Continue reading SLP 501: Self Love Quicky – Endure, Accept or Create Change The post SLP 501: Self Love Quicky – Endure, Accept or Create Change appeared first on The Wellness Couch.

Send us a textIn this special episode of Better Skills. Better Doctors., I'm joined by Lauryn Williams of Student Loan Planner to break down what's really happening with student loan repayment in 2025. We cover the end of interest-free forbearance, the reality behind the new RAP plan, and the major shifts in income-driven repayment programs that will impact nearly everyone with federal student loans. Whether you've never made a payment, are self-employed with fluctuating income, or borrowed under old rules, this episode gives you the clarity you need to take action. Lauryn also explains why servicers can't give you personalized advice—and why a consultation may be the smartest money move you make this year.

Are you worried that starting a private practice will be too much work and take you away from your family life? Today's guest is proof that you can build a career on your own terms and make it work for you!Joining me is Ricki Klein, someone I've actually known for a while! Ricki is an SLP, mom, and owner of Kid Speak Easy, her private practice in Sudbury, Massachusetts. Ricki left the workplace during the pandemic as her young family experienced a lot of change. After constantly giving out free advice at the park, Ricki realized she missed working and wanted to figure out a way to dip her toe back into clinical work. In this episode, Ricki shares how she created a private practice that is professionally fulfilling, fits her family's needs and schedule, and gives her the balance that so many family-oriented SLPs are searching for.Ricki Klein is licensed in the state of Massachusetts and holds a certificate of clinical competence from the American Speech-Language-Hearing Association. She graduated from Hamilton College with a Bachelor of Arts degree in Psychology, then went on to Emerson College, where she obtained her Masters of Science in Communication Disorders. Ricki supports children of all ages, with a focus on preschool and school-age children, who have a range of speech and language difficulties. Ricki enjoys working closely with families and teachers in a collaborative manner to develop treatment plans that allow children to make progress across all contexts. Ricki lives in Sudbury, MA, with her husband and two young children. In Today's Episode, We Discuss:Ricki's hesitancy toward the logistics of starting a private practice How her first paying client gave her enough fulfillment to go all in Learning to get over fear and network organically How Ricki gives back to her community through her businessWhy you shouldn't worry if your area is oversaturated with providersEven though Ricki's journey started differently than what she had planned, she was able to grow her practice intentionally while maintaining balance at home. If Ricki's story inspired you and you're thinking, “I want to do that…” — you can. We help SLPs and OTs get set up, start seeing clients, and build sustainable businesses through our Start Your Private Practice Program. If you're ready to take the next step, head over to www.IndependentClinician.com to learn how we can support you.Resources Mentioned: Check out Ricki's practice: https://www.kidspeakeasy.com/ Find support to start your private practice: http://www.IndependentClinician.comWhere We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/private-practice-success-stories/id1374716199Follow Me on Instagram: https://www.instagram.com/independentclinician/Connect on Facebook: https://www.facebook.com/groups/slp.private.practice.beginners/

‘I mean it's awful to have to go through them, but if I hadn't gone through any of them, I wouldn't be the person I am today. So, as painful as it is, you can't have light without the dark, a rainbow without the rain, you just know you the more you avoid the dichotomies… Continue reading SLP 500: The Universe Always Has A Plan with Tayla Morrison The post SLP 500: The Universe Always Has A Plan with Tayla Morrison appeared first on The Wellness Couch.

We're combining two of the most highly requested topics—Gestalt Language Processing and AAC (Augmentative and Alternative Communication)—into one conversation with Farwa Husain of First Phrases. We're answering some key questions about AAC + Gestalt: What do we actually know about integrating gestalts with high-tech AAC systems? What's missing in the research? How can SLPs move forward confidently on Monday morning without waiting for perfect data? What Gestalt Language Processing really means (and why you can't “give” a child a gestalt)? What common AAC myths are holding children back—and what to do instead? Is the child “stimming” on AAC devices (spoiler: often exploration, a good thing)? Why focus on relationship-first therapy? How can we model extensively and in a meaningful manner? What are some joyful learning strategies for introducing AAC to Gestalt Language Processors in preschool? Whether you're a seasoned SLP or just getting started, this episode is packed with actionable insights and evidence-informed best practices for Monday morning therapy with autistic preschoolers. Guest Bio: Farwa Husain is a specialist in Gestalt Language Processing and AAC integration. Follow her on Instagram @firstphrasesofficial and learn more at www.firstphrases.com. Roll up your sleeves and join the SIS Membership today! Get ready to implement what you hear on the podcast with done-for-you, ready-to-use literacy, music, and movement-based activities that treat the whole child. The SIS Membership is your go-to toolbox for engaging, evidence-based, educationally rich, neurodiversity-affirming therapy activities that treat the whole child in preschool and elementary school settings. Get AAC support, weekly movement activities, visuals, behavior supports, AAC strategies, Google Slides Decks, and more—all aligned with best practices discussed in today's episode. I look forward to seeing you at the SIS Membership drawing board. Join now at www.kellyvess.com/sis

In this week's Quicky we explore the powerful connection between smell and emotions, and how smell bypasses the thinking brain to influence the limbic system and affect memory and attraction. Our sense of smell can be dulled by pollution and synthetic fragrances, but we can do exercises like using essential oils to reset and retrain… Continue reading SLP 499: Self Love Quicky – The Power of Smell The post SLP 499: Self Love Quicky – The Power of Smell appeared first on The Wellness Couch.

Jennifer Houston joins me to share her journey from speech‑language pathologist (SLP) to dual‑credentialed SLP/Board Certified Behavior Analyst (BCBA)—a rare “unicorn” duo found in fewer than 500 professionals worldwide. After more than two decades of diverse SLP roles, Jennifer found herself increasingly drawn to addressing challenging behaviors across her caseload. Motivated by this evolving passion and a push from her boss, she pursued BCBA certification, blending her communication expertise with applied behavior analysis to better support her clients.In our conversation, Jennifer tackles common misconceptions about both fields and describes her thoughtful approach to professional introductions. She emphasizes the importance of gently educating colleagues about the shared foundations of speech‑language pathology and behavior analysis, fostering collaboration rather than competition.Jennifer is also an active member of ABA Speech Connection, our community that provides science‑backed resources on the latest developments in ABA. She explains how this network helps her stay current and deliver evidence‑based interventions. Highlighting that education doesn't end at graduation, Jennifer contrasts what she loves about our live courses—robust chat interactions—with the flexibility of ABA Speech's comprehensive course library, underscoring her belief in lifelong learning. #autism #speechtherapy What's Inside:Becoming dually certified: SLP to SLP/BCBA.Common misconceptions cross the fields of Speech Pathology and ABA.Finding common ground across professions.Utilizing ABA Speech Connection to bolster learning across the career.Mentioned In This Episode:Speech Membership - ABA Speech  ABA Speech: Home

In this powerful reflection episode, Tara shares one of the most impactful moments of her career—her conversation with Jordyn Zimmerman during the 2025 Preschool Autism Summit. Together, they unpack the importance of presuming competence, providing early AAC access, and creating neurodiversity-affirming learning spaces. Tara also shares emotional ripple stories from participants, illustrating how nearly 50,000 educators and therapists are creating waves of change for autistic children around the world. Key Takeaways: Presume competence—always. Speech is not the same as intelligence, and we must stop making assumptions based on verbal ability. Non-speaking ≠ non-verbal. The term “non-verbal” implies a lack of language; “non-speaking” affirms that language exists, even without speech. There are no prerequisites for AAC. Children do not need to match, point, or “behave” a certain way before receiving access to communication tools. PECS is not a communication system. It is a requesting system and does not provide full language access. AAC must include access to robust, literacy-based tools. Limiting a child to a core board or basic images restricts their ability to truly communicate. Talking about students in front of them causes real harm. Many non-speaking students hear and understand far more than people assume. Lack of access to communication is traumatic. It can lead to emotional and physical distress—and we have a responsibility to prevent that. Real inclusion means access, not separation. Segregated classrooms limit growth and potential; all students deserve meaningful academic instruction. Educators are making real-time ripples. From texting SLPs during the summit to creating team trainings, attendees are already pushing change. Small shifts create big waves. With over 49,000 participants, the summit's ripple effect may reach nearly half a million autistic children—and it all starts with choosing compassion over compliance. Links Jordyn's Documentary: https://thisisnotaboutme.film/ Jordyn's Website: https://www.jordynzimmerman.com/ You may also be interested in these supports: Visual Support Starter Set  Visual Supports Facebook Group Autism Little Learners on Instagram Autism Little Learners on Facebook  

In this summer school episode, Dr. Jeanette Benigas and Preston Lewis, MS/SLP, unpack everything SLPs need to know about CCC reinstatement, from costs and Praxis requirements to outdated myths. Whether you're a new grad, stay-at-home mom, or seasoned clinician ready to let the CCC go, this episode breaks down the three requirements for reinstatement and what's actually worth worrying about. Plus, updates on the Fix SLP on our way to 100K contest!·Want to earn some PDHs or CEUs with a discount? Find our most up-to-date promo codes and discounts here.·We want to collaborate with YOU. If you would like to lead or join your state team, please email your name and state to states@fixslp.com.·Become a sustaining partner to support our work.·Follow us on Instagram, Facebook, and TikTok·Find all our information at fixslp.com, and sign up for our email list to be alerted to new episodes and content.·Email us at team@fixslp.com.·Leave a message on our Minivan Meltdown line! ★ Support this podcast ★

In this practical episode of SLP Coffee Talk, Hallie chats with Dr. Danika Pfeiffer—preschool SLP, assistant professor, and early literacy researcher—about how we can support early writing in young kids, especially those with developmental language disorder (DLD). From understanding why name writing is more about memory than letters, to how SLPs can build in writing practice without adding to their workload, Danika breaks it all down. You'll hear simple ideas, ways to team up with teachers and OTs, and why even small moments of print awareness can go a long way. If you've ever wondered if writing is in your scope, this convo will leave you feeling inspired and ready to dive in—one crayon at a time.Bullet Points to Discuss: Why early writing starts earlier than you think—even in preschoolThe difference between name writing and letter writingHow writing challenges show up in kids with developmental language disorder (DLD)Simple ways to embed writing practice into your existing sessionsWhat SLPs can look for during evaluations—no fancy tools neededBuilding print awareness without overhauling your therapyPartnering with teachers and OTs around early writing supportThe SLP's role in preventing future writing difficultiesMaking early writing doable (and meaningful) for busy SLPsHere's what we learned: Name writing is visual recall—not true letter-sound knowledge.Letter writing is harder and needs explicit, repeated support.Kids with DLD follow typical writing development but at a slower pace.Easy, everyday strategies (like sign-in sheets or labeled items) can build writing skills.Print awareness fits naturally into speech sessions—no overhaul needed.Informal assessments (paper + crayon!) are enough to track early writing.Collaborate with teachers and OTs to target both language and motor skills.Early writing support helps prevent bigger literacy challenges laterLearn more about Dr. Danika Pfeiffer: Website: www.danikapfeiffer.com Instagram: https://www.instagram.com/danikapfeiffer.slp/ LinkedIn: www.linkedin.com/in/danika-pfeiffer Bluesky: https://bsky.app/profile/danikapfeiffer.bsky.social Podcast: https://open.spotify.com/show/444VIuWOxBzZ8fI2hqGyFj Learn more about Hallie Sherman and SLP Elevate:  

‘The N8 Self, again it stands for our higher nature – N8 – it has eight characteristics, But, it has some qualities outside of characteristics and one of those qualities is – it is both individual and universal. So, it's something I have, but it's something you have, we all have this aspect of self.… Continue reading SLP 498: You Are More Than Your Mind, Body and Emotions – N8 with Jules Kuroda The post SLP 498: You Are More Than Your Mind, Body and Emotions – N8 with Jules Kuroda appeared first on The Wellness Couch.

Is the way you're working… actually working? In this candid and empowering episode of The Preschool SLP, I sit down with the SLP Happy Hour host, Sarah Lockhart, to talk about what no one tells you in grad school: the path to sustainability as an SLP is rarely linear. Together, we unpack what it really takes to thrive in this field—from navigating burnout to rebuilding self-trust, shifting careers, and defining success on your own terms. Whether you're in public schools, private practice, teletherapy, or contracting, this conversation will meet you exactly where you are. What You'll Learn: The hidden costs of perfectionism and overworking When private practice becomes unsustainable The real pros and cons of contracting, teletherapy, and salaried school positions How to build a fulfilling SLP career through self-trust and clinical intuition Why working smarter (not harder) is the key to staying in this field long term If this episode hit home, and you're craving less prep and more purpose in your therapy sessions, then it's time to join the SIS Membership. Inside SIS, you'll get: ✅ Weekly ready-to-go, research-backed therapy materials ✅ Tools like the Behavior Flip Cards and Progress Diplomas featured in this episode ✅ Multimodal strategies that support the whole child ✅ A system that protects your energy so you can focus on what matters: being present Join now and start working smarter today: www.kellyvess.com/sis 00:00 Introduction and Inspirational Opening 02:33 Sarah's Journey as an SLP 04:16 Challenges and Realities of Private Practice 04:46 The Shift to Telepractice 07:24 Balancing Work and Personal Life 18:12 Top Recovery Tips for SLPs Get your Behavior Rule Flip Cards + Behavior Diplomas at:

In this episode of Longwood GradCast: Beyond the Degree, host Dr. Sarah Tanner-Anderson sits down with Daija Fowler, a speech-language pathologist whose journey from psychology major to Communication Sciences and Disorders leader highlights the power of purpose, mentorship, and professional reinvention.Daija traces her path back to her undergraduate days at UNC Greensboro, where a shift in academic focus—and a few pivotal conversations with her mom and a childhood friend—led her to discover a calling in Communication Sciences and Disorders. That moment of clarity set her on a path toward Longwood University, where she pursued her Master's degree in speech-language pathology.A first-generation college student, Daija speaks openly about the challenges she faced navigating graduate school applications, tuition costs, and the weight of doing it all without a roadmap. But it was at Longwood where she found her footing—and her voice. As a graduate assistant in the CSD department, Daija stepped into roles that demanded precision, organization, and adaptability. With the mentorship of faculty like Dr. King, she not only helped run the behind-the-scenes operations of the clinic but also developed a deeper appreciation for the profession she was preparing to enter.Now working full-time in the school system, Daija reflects on her transition from private practice to public education while maintaining her original clients in an after-school capacity. From the nerves of her first interviews to the satisfaction of helping students meet their communication goals, Daija shares how each stage of her journey has deepened her confidence and commitment. Her passion for augmentative and alternative communication (AAC) and fluency—specialties she didn't expect to fall in love with—demonstrates the value of staying open to new possibilities.Throughout the episode, Daija shines a light on the often-overlooked complexities of the SLP role. From diagnostics to collaboration with classroom teachers, she makes it clear that speech-language pathology is about far more than “teaching kids to talk.” It's about connection, growth, and giving students the tools to be heard.A standout moment in the conversation is Daija's tribute to the mentors who helped shape her: Dr. King, Dr. Wallace, and Dr. Walker. Their belief in her potential fueled her drive and underscored the lifelong impact of supportive academic relationships.As she looks ahead, Daija's considering ways to share her story more broadly—possibly through a YouTube channel—to support others navigating the early stages of their SLP careers. Describing her journey in three words—authentic, adaptable, creative—Daija's story is one of resilience, resourcefulness, and the courage to grow beyond expectations.Subscribe now to hear more powerful stories from Lancers making a difference beyond the degree—and follow us to stay connected: Facebook: @longwoodgraduatestudies Instagram: @longwoodgradstudies Twitter: @longwoodcgps YouTube: @longwoodgradstudies Website: www.Longwood.edu/Gradprograms

We've made it to the final installment of my mini summer series!In today's episode, I'm asking an important question: Do you feel valued at work?Feeling valued and building mutual trust are key ingredients for meaningful collaboration, which is essential in the work we do as providers.I'm sharing practical, collaborative phrases you can use to build trust and strengthen your professional relationships. (You'll also find a link to a free phrase bank—a helpful part of a larger freebie I offer!)The truth is, we don't get much formal training on how to collaborate—especially with colleagues from different backgrounds or disciplines. That's something I'm passionate about changing through ABA Speech, so be sure to check us out!You'll learn phrases like“How do you usually approach this? I want to make sure we're aligned on our strategies.”How we show up in the world and with each other matters. We don't want to work in silos. We want synergy. Because when we collaborate well, we can transform not just the lives of the learners in front of us—but ripple outward beyond the therapy room.#autism #speechtherapy What's Inside:Practical phrases to foster collaboration.How to create a positive working relationship with different disciplines.Highlighting training in collaboration across the field. Mentioned In This Episode:ALP for AAC SLP/BCBA collaborative phrases—Speech Therapy Hack #30 Speech Membership - ABA Speech  ABA Speech: Home

In this encore episode of The Autism Little Learners Podcast, Tara reconnects with Cari Ebert, a respected speech-language pathologist and passionate advocate for neurodiversity-affirming practices. Together, they revisit a powerful conversation that redefines what play and connection can look like for autistic children. Cari shares valuable insights into why autistic play is real, meaningful, and should be honored as such. She explains how deep interests can be a gateway to learning, joy, and communication—and how adults can build stronger relationships with children by embracing these passions. The episode also explores the idea of presuming competence and cultivating supportive environments where every child feels seen and valued. Whether you're hearing this conversation for the first time or listening again, it's packed with practical ideas and heart-centered strategies to help you support autistic children in ways that truly honor who they are. Key Takeaways: Autistic children experience and express play in unique, valid ways. Deep interests are powerful tools for building trust and engagement. Connection and respect must come before compliance or correction. Play is not a prerequisite for learning—it is learning. Presuming competence opens the door to authentic communication. Environments that support individuality fuel growth and joy. Reflecting on our practices helps us better support each child. Bio: Cari Ebert, MS, CCC-SLP, is a pediatric speech-language pathologist in private practice in the Kansas City, Missouri area. She received her bachelor's degree from the University of Iowa in 1993 and her master's degree from Southern Illinois University at Carbondale in 1995. Cari is a therapist, consultant, author, product developer, and nationally recognized speaker who gets paid to do what she loves most—TALK! She has an animated personality, and this translates to a high-energy speaking style. Cari has an Autistic son, allowing her to engage audiences both as a professional and as a parent of a neurodivergent child. Website: www.cariebert.com Cari's free handout "Autistic Play Is Authentic Play": https://cariebert.com/freebie You may also be interested in these supports: Visual Support Starter Set  Visual Supports Facebook Group Autism Little Learners on Instagram Autism Little Learners on Facebook  

Take aways: Learn about Hilary and Steve's journey to enhance care for people with aphasia. Learn about communication access as a health equity issue. Identify systematic gaps and the disconnect between training and real world needs of people with aphasia. Learn about the development of the MedConcerns app. Get sneaky! Learn how the MedConcerns app can serve four functions simultaneously: 1) meeting the needs of someone with aphasia 2) serving as a tool that providers can use to communicate with people with aphasia 3) providing education to providers who learn about aphasia as they use the app 4) bringing SLPs and other providers together to meet the needs of people with aphasia   Welcome to the Aphasia Access Conversations Podcast. I'm Jerry Hoepner. I'm a professor at the University of Wisconsin – Eau Claire and co-facilitator of the Chippewa Valley Aphasia Camp, Blugold Brain Injury Group, Mayo Brain Injury Group, Young Person's Brain Injury Group, and Thursday Night Poets.  I'm also a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's host for an episode that will feature Hilary Sample and Dr. Steven Richman to discuss their app, MedConcerns. We're really excited to share this with you, so I'll jump into introducing them.   Hilary G. Sample, MA, CCC-SLP Hilary is a speech-language pathologist, educator, and co-creator of MedConcerns, a communication support app that helps people with aphasia express medical concerns and participate more fully in their care. The app was born out of her work in inpatient rehabilitation, where she saw firsthand how often individuals with communication challenges struggled to share urgent medical needs. Recognizing that most providers lacked the tools to support these conversations, she partnered with physician Dr. Steven Richman to create a practical, accessible solution. Hilary also serves as an adjunct instructor at Cleveland State University.   Steven Leeds Richman, MD Dr. Steven Richman is a hospitalist physician and co-creator of MedConcerns, a communication support app that helps people with aphasia express medical concerns and participate more fully in their care. With nearly two decades of experience in inpatient rehabilitation, he saw how often communication barriers prevented patients from being heard. In partnership with speech-language pathologist Hilary Sample, he helped translate core medical assessments into an accessible tool that supports clearer, more effective provider-patient communication.     Transcript: (Please note that this conversation has been auto-transcribed. While we do our best to review the text for accuracy, there may be some minor errors. Thanks for your understanding.)   Jerry Hoepner: Well, Hello, Hillary and Steve. Really happy to have you on this aphasia access conversations podcast. With me, I'm really looking forward to this conversation. It's maybe a year or 2 in the making, because I think this was at the previous Aphasia Access Leadership Summit in North Carolina. That we initially had some discussions about this work. And then life happens right? So really glad to be having this conversation today. Hilary Sample: And we're really glad to be here.   Jerry Hoepner: Absolutely. Maybe I'll start out just asking a little bit about your background, Hillary, in terms of how you connected with the life participation approach and aphasia access and how that relates to your personal story.   Hilary Sample: Sure, so I haven't been in the field long. I graduated in 2019 and began my career immediately in inpatient rehab. I have to remember. It's talk slow day, and I'm going to make sure that I apply that as I speak, both for me and for listeners. So I began on the stroke unit, primarily in an inpatient rehab setting, and I've worked there for the majority of my career. I came in as many, probably in our field do, trained and educated in more of an impairment based approach but quickly when you work with people, and they let you know who they are and what they need. The people that I worked with on the stroke unit, the people with aphasia let me know that they needed more of a life participation approach. You know I learned how vital it was to support communication and to help him, you know, help them access their lives, because most of the time I entered the room. They had something they wanted to communicate, and they had been waiting for someone who had those skills to support communication in order to get that message across. So it wasn't about drills it was about. It was about helping them to communicate with the world, so that I spent more and more time just trying to develop my own skills so that I could be that professional for them and that support. And then that took me. You know that it just became my passion, and I have a lot of room to improve still today, but it's definitely where my interest lies and at the same time I noticed that in general in our hospital there was a lack of communication supports used, and so I thought that in investing in my own education and training, I could help others as well. And so I started doing some program development to that end as well with training and education for healthcare staff.   Jerry Hoepner: I just love the fact. And actually, our listeners will love the fact that it was patients who connected with you, people with aphasia, who connected with you and encouraged you to move towards the life participation approach, and how you learn together and how that's become your passion. That's just a really great outcome when people can advocate for themselves in that way. That's fantastic.     Hilary Sample: Yeah, it really meant a lot to me to be able to receive that guidance and know that, you know there's an interest in helping them to let you know what they want from therapy, and that was there. But a lot of times the selections were impairment based, and then we. But there was something wrong, and we needed to uncover that. And that was, you know, that was the push I needed to be able to better support them.   Jerry Hoepner: Yeah, that's really great, Steve. I'm interested in your story, too. And also how you came to connect with Hillary.   Steve: I started as a trained as a family physician, had a regular outpatient office for a number of years, and then transitioned into inpatient rehab. That's where I really started to meet some people with aphasia. For the 1st time. Hilary and I have talked a few times about my training and education about aphasia before we met each other, and it was really minimal in Med school. They had lectures about stroke and brain injury, and some of the adverse effects you might get from that. And they, I'm sure, mentioned aphasia. But I really don't recall any details, and if they did teach us more, it would just nothing that I grasped at the time. So I would walk into these patient rooms, and what I would normally do for my trainings. I would ask people all these open, ended questions to start with, and then try to narrow down, to figure out what their problems are, and with people with aphasia, especially when they have minimal or no language skills. They couldn't. I was not successful at getting useful information out, and I remember walking out of those patient rooms and just being frustrated with myself that I'm not able to help these people, and the way I can help everyone else, because if I don't know what's going on. you know. How can I? It was really challenging and I really didn't know where to go. I talked to a few other doctors, and there didn't seem to be much in the way of good information about how to move forward. Eventually I met Hillary, and we would have these interesting episodes where I would talk or try to talk with the patients and get minimal, useful information. And Hillary would come back and say, they're having this problem and this concern. And with this medicine change. And how do you do that? How and that kind of started our us on the pathway that we've taken that recognition from my end that there's a lot that can be done. And the yeah.   Jerry Hoepner: Yeah, I love that story, and it's a really good reminder to all of us that sometimes we forget about those conversations, the conversations with physicians, with other providers who might not know as much about aphasia. I'll just tell a really quick story. My wife used to work in intensive care, and of course she had been around me for years, and they would have someone with aphasia, and her colleagues would be like, how do you even communicate with them, and she would be coming up like you, said Steve, with all of this information about the patient, and they're like, where are you getting this information. The person doesn't talk.   Hilary Sample: Yes.   Jerry Hoepner: And that just emphasizes why it's so important for us to have those conversations, so that our all of our colleagues are giving the best care that they can possibly provide.   Hilary Sample: That's a great story. That was very much like almost verbatim of some of the conversations that we initially had like, where is this coming from? They don't talk, or you know they don't have. Maybe they don't have something to say, and that's the assumptions that we make when somebody doesn't use verbal communication. You know, we quickly think that maybe there's not something beneath it, you know. I have a story as well. So what led to a little bit more toward where we are today. sitting in those rooms with people with aphasia and apraxia and people with difficulty communicating. There's 1 that stuck out so much. She was very upset, and that it was. And I we had just really developed a very nice relationship, a very supportive relationship she kind of. She would let me have it if she was upset about something. We had really honest conversations and it and it was earlier on to where I was stretching my skills in in using communication supports, and she really helped me grow. But I remember being in her room one day, and she had something to share. And this is a moment that repeated itself frequently, that the thing that needed to be shared was medical in nature, you know, in inpatient rehab. That's a frequent. That's a frequent situation that you run into. And we sat there for maybe 15 min, maybe more. And we're working on getting this out. We're narrowing it down. We're getting clarity. We're not quite there yet, as I said, I'm still new, and but the physician walks in and we pause. You know I'm always welcoming physicians into the into therapy, because I really see that we have a role there. But and talk slow. Hilary, the physician, asked an open-ended question like Steve was talking about asking those open-ended questions as they're trained to do, and it was a question that the person with aphasia didn't have the vocabulary available to answer, and before I would jump in, that person shrugged her shoulders and shook her head that she didn't have anything to share with them, and I was like, but we had just been talking. You know, there's definitely something, and I think I just sat there a little bit stunned and just observing more. And you know the physician finished their assessment mostly outside of verbal communication, and left the room, and then I spoke to her, and we. We tracked down what the rest of her concern was, and clarified it, and then I found the physician who was not Dr. Richman, and I shared all the things that they had told me that she had told me, and I remember her saying I was just in there. She didn't have anything wrong. and I and I was, you know, I told her, like the communication supports that I used, and you know we got that. We moved forward with the conversation. But there were a few things that stuck out to me in that, and one was the way that the physician was communicating wasn't using. They weren't using supports. For whatever reason, I didn't have that knowledge yet. We dove into the literature to learn more later on. The second thing was that the person with aphasia seemed to give up on the provider, knowing that since supports weren't being used. It wasn't going to be a successful communication attempt. So why even bother, and that definitely fits her personality. She's like I give up on you. And the 3rd thing was that the education about that somebody has something to share the education about. Aphasia was lacking, so you know that the person's still in there. They still have their intellect, their identity, their opinions, beliefs. But they didn't have the ability to communicate that piece seemed to be missing on the part of the provider, because they were saying they didn't have anything to share. So, it was like, I said that situation happened repeatedly, and very much. Sounds just like yours, but it hit me how much there was to do. And so, hearing, you know Steve's experiences that are on the other side of that. Such a caring, the one thing that led me to want to speak to Steve is that he's a very compassionate caring physician, so it's not a lack of care and compassion. But what else was going on what led to this, and we started learning that together. It was really interesting for me to learn how Hillary's 1st assumption is. Why aren't these physicians using communicative supports or other things that we were never taught about? The assumption that the docs know all this, and there's plenty we don't know. Unfortunately, there's, you know there's so much out there.   Steve Richman: The other thing Hillary touched on that was so true in my experience, is here. I'm meeting people that had a significant event, a traumatic brain injury, a bad stroke. And we're so used to judging people's intelligence through their speech. And they're not speaking. And it's so easy to start thinking there's just not much going on up there, and I didn't have the education or information or training to know for a long time. That wasn't the case until my dad had a stroke with aphasia. And so yeah, there's still plenty going on there just hard to get it out. And even as a medical provider, I really wasn't fully aware of that. And it took personal experience and learning from Hillary to really get that. it's still there just need to find out how to help them get it out.   Jerry Hoepner: Yeah, I think that's a rather common story, especially for people with aphasia. But even for people without aphasia, that sense that the doctor is coming in, and things have to happen. And I know I'm sitting here with Steve, who is very compassionate and wants to ensure that communication. But I think there's a little bit of fear like, oh, I can't get it out in this context, and just bringing awareness to that, and also tools. So, tools in education. So those physicians can do the work that they need to do and get that knowledge that they may have never been exposed to, and probably in many cases have never had that training to communicate with someone so like you, said Steve. How are you supposed to know when they didn't train us in this? And I guess that brings us back around to that idea that that's part of the role of the speech language pathologist and also kind of a vacancy in tools. Right? We're. We're just missing some of the tools to make that happen consistently across facilities and across people. So, I'm really interested in hearing a little bit about the tools you've created, and kind of the story leading up to that if you if you don't mind sharing.   Hilary Sample: Absolutely. 1st I'll share. There's a quote, and I'm not going to remember who said it. Unfortunately, I'll come up with it later, and I'll make sure to share with you. But that healthcare is the medium by or I'm sorry. Communication is the medium by which healthcare is provided, or something to that extent. We need communication in order to ensure equal access to health care. And like you said that gap, it's really big, and it's a systemic issue. So, leading up to us, coming together, we had those experiences on both of our ends. I realized that I wasn't a physician. I already knew this, but I also I was trying to provide communication support to enable them to communicate something on a topic that I'm not trained in. In order to really give what it's due right? I don't know what questions that Steve is going to ask next, you know I tried, but I and I tried to listen, but I didn't always have, you know. Of course, I don't have that training, so know your limits right. But I did. The general overarching method that I was using was we'd have concerns to choose from, including the question mark that enabled them to tell. Tell me that you're way off, or you didn't guess it, or it's not on here. And then narrow choices that I try to come up with, and we'd move on like that. And anytime somebody appeared to have a medical concern. There's those general topics that you would try to see if it's 1 of these things. One of these concerns, and then those would generally take you to a series of sub questions, and so on, and so forth. So, I recognize that this was repeatable. I also, at the same time as I shared, was recognizing that communication supports weren't being used. And that doesn't. That doesn't end with, you know, a physician that's also nurses nursing aides. That's therapists, including SLPs, and you know, so I'm doing a thing that can be repeated. Why not stop recreating it every time I enter the room and make it into something that I can bring with me a prepared material that I can bring with me and ideally share it with others. So, I again, knowing my limitations, know what I have to bring to that equation. But I knew that I needed to partner with someone that cared just as much but had the medical knowledge to inform that tool. So at 1st it was a print little framework that I brought, and what happened is, I came up to Steve, and I let him know what I was thinking, and he was open and willing to work together on this, and Hillary showed me these pictures that were kind of showing some general medical concerns, and brought up the whole concept and we initially were going for this pamphlet booklet idea, you know. If you have this concern, you go to this page to follow it up with further questions, and then you go to this other page to finalize the subs. We realized there was a lot of pages turning involved to make that work, and we eventually turned it into an app where you could take your concern, and we start with a general Hello! How are you? You know? Kind of what's the overall mood in the room today. And then what medical concerns do you have? And then from those concerns, appropriate sub questions and sub questions and timeframes, and the stuff that you would want to know medically, to help figure out the problem. And then go ahead. I'm sorry.   Jerry Hoepner: Oh, oh, sorry! No, that's terrific. I appreciate that that process and kind of talking through the process because it's so hard to develop something like this that really provides as much access as is possible. And I think that's really key, because there's so many different permutations. But the more that you get into those the more complex it gets. So, making it easy to access, I think, is part of that key right?   Hilary Sample: One thing that I'm sorry. Did you want to say? Yeah, I'll say, okay, 1. 1 part of it. Yes, the accessibility issue. Every provider has a tablet or a phone on them, and many of our patients and their families also do so. It made it clear that it's something that could be easier to use if that's the method somebody would like to use, but also having a moment where my mind is going blank. This is gonna be one of those where we added a little bit. This is what you call a mother moment.   Jerry Hoepner: Okay.   Steve Richman: The one thing that was fascinating for me as we were developing this tool is I kept asking why? And Hillary kept explaining why, we're doing different parts of it. And at this point it seems much more obvious. But my biggest stumble at the beginning was, why are these Confirmation pages. Why do we have to keep checking, you know? Do they mean to say yes? Do they mean to go ahead? And that education about how people with language difficulties can't always use language to self-correct. We need to add that opportunity now makes so much sense. But I remember that was a stumbling block for me to acknowledge that and be good with that to realize. Oh, that's really important. The other thing that Hillary said a lot, and I think is so true is in developing this tool. We're kind of developing a tool that helps people that know nothing about communication supports like myself how to use them, because this tool is just communication supports. You know, I hear these repeatedly taught me about the importance of layering the clear pictures and words, and the verbal, and put that all the well, the verbalizing, the app is saying the word in our case, so that could all be shared and between all that layering hopefully, the idea gets across right and then giving time for responses.   Jerry Hoepner: It sounds like the tool itself. Kind of serves as an implicit training or education to those providers. Right?   Hilary Sample: And there's the idea that I was missing when I had a little bit of.  So yes, all of those strategies. They take training right? And it takes those conversations. And it takes practice and repetition. And there's amazing, amazing things happening in our field where people are actually undertaking that that transformation, transforming the system from above right.   Jerry Hoepner: Right.   Hilary Sample: But one thing that a big part of this work was trying to fill the gap immediately. I know you and I had previously talked about Dr. Megan Morris's article about health equity, and she talks a lot about people with communication disorders, including aphasia. And you know there's and she mentions that people cannot wait. The next person pretty much cannot wait for that work to be done, though that'll be amazing for the people that come down the line, the next person, what can we do for them? So we also need to be doing that. And that's where we thought we could jump in. And so I think the biggest you know. The most unique aspect of MedConcerns is that, or of the tool we created is that it kind of guides the clinician, the healthcare provider, through using communication supports. So you know, when I go in the room I offer broad options, and then I follow up with more narrow choices, always confirming, making sure I'm verifying the responses like Steve talked about, and or giving an opportunity to repair and go back and then that I summarize at the end, ensuring that what we have at the end still is valid, and what they meant to say. And so that's how the app flows, too. It enables the person to provide a very detailed, you know, detailed message about what's bothering them to a provider that has maybe no training in communication supports, but the app has them in there, so they can. It fills the gap for them.   Jerry Hoepner: Absolutely. It's kind of a sneaky way of getting that education in there which I really like, but also a feasible way. So, it's very pragmatic, very practical in terms of getting a tool in the hands of providers. It would be really interesting actually, to see how that changes their skill sets over time but yeah, but there's definitely room for that in the future. I think.   Hilary Sample: We could do a case study on Dr. Richman.   Steve Richman: whereas I used to walk out of those patient rooms that have communication difficulties with great frustration. My part frustration that I feel like I'm not doing my job. Well, now you walk out much more proudly, thinking, hey, I able to interact in a more effective way I can now do in visit what I could never accomplish before. Not always, but at least sometimes I'm getting somewhere, and that is so much better to know I'm actively able to help them participate, help people participate. I love writing my notes, you know. Communication difficulties due to blank. Many concerns app used to assist, and just like I write, you know, French interpreter used to assist kind of thing and it does assist. It's it makes it more effective for me and more effective for the person I'm working with. It's been really neat to watch you know, go from our initial conversations to seeing the other day we were having a conversation kind of prepping for this discussion with you and he got a call that he needed to go see a patient and I'll let you tell the story. So we're prepping for this. A couple of days ago. I think it was this Friday, probably, or Thursday, anyways, was last week and I'm at my office of work and again knock on the door. Someone's having chest pain. I gotta go check that out. So I start to walk out of the room. Realize? Oh, that room! Someone was aphasia. I come back and grab my phone because I got that for my phone and go back to the room. And it's interesting people as with anything. People don't always want to use a device. And he's been this patient, sometimes happy to interact with the device, sometimes wanting to use what words he has. And so I could confirm with words. He's having chest pain. But he we weren't able to confirm. What's it feel like? When did it start? What makes it better. What makes it worse? But using the app, I can make some progress here to get the reassurance that this is really musculoskeletal pain, not cardiac chest pain. Yes, we did an EKG to double check, but having that reassurance that his story fits with something musculoskeletal and a normal EKG. Is so much better than just guessing they get an EKG, I mean, that's not fair. So, it would have been before I had this tool. It would have been sending them to the er so they can get Stat labs plus an EKG, because it's not safe just to guess in that kind of situation. So, for me, it's really saved some send outs. It's really stopped from sending people to the acute care hospital er for quick evaluations. If I if I know from the get go my patient has diplopia. They have a double vision, because that's part of what communicated. When we were talking about things with help from MedConcerns. Yeah, when I find out 4 days later, when their language is perhaps returning, they're expressing diplopia. It's not a new concern. It's not a new problem. I know it's been a problem since the stroke, whereas I know of other doctors who said, Yeah, this person had aphasia, and all of a sudden they have these bad headaches that they're able to tell me about. This sounds new. I got to send them for new, you know whereas I may have the information that they've been having those headaches. We could start dealing with those headaches from the day one instead of when they progress enough to be able to express that interesting.   Jerry Hoepner: Yeah, definitely sounds like, I'm getting the story of, you know the improvement in the communication between you and the client. How powerful that is, but also from an assessment standpoint. This gives you a lot more tools to be able to learn about that person just as you would with someone without aphasia. And I think that's so important right to just be able to level that playing field you get the information you need. I can imagine as well that it would have a big impact on medication, prescriptions, whatever use? But also, maybe even counseling and educating that patient in the moment. Can you speak to those pieces a little bit.   Steve Richman: You know, one of my favorite parts of the app, Hillary insisted on, and I'm so glad she did. It's an education piece. So many people walk into the hospital, into our inpatient rehab hospital where I now work, and they don't recall or don't understand their diagnosis, or what aphasia is, or what happened to them. And there's a well aphasia, friendly information piece which you should probably talk about. You designed it, but it's so useful people are as with any diagnosis that's not understood. And then explained, people get such a sense of relief and understanding like, okay, I got a better handle of this. Now it's really calming for people to understand more what's going on with them.   Hilary Sample: This is, I think you know, that counseling piece and education, that early education. That's some of the stuff that could bring tears to my eyes just talking about it, because it's; oh, and it might just now. So many people enter, and they may have gotten. They may have received education, but it may not have. They may have been given education, but it may not have been received because supports weren't used, or there's many reasons why, you know, even if it had been given, it wasn't something that was understood, but so many people that I worked with aphasia. That one of the 1st things that I would do is using supports. Tell them what's going on or give them. This is likely what you might be experiencing and see their response to that. And that's you know what aphasia is, how it can manifest. Why it happens, what happened to you, what tools might be useful? How many people with aphasia have reported feeling? And you might be feeling this way as well, and these things can help. And it's very simple, very, you know. There's so much more to add to that. But it's enough in that moment to make someone feel seen and you know, like a lot of my friends, or one of my friends and former colleagues, uses this, and she says that's her favorite page, too, because the people that she's working with are just like, yes, yes, that's it, that's it. And the point and point and point to what she's showing them on the app. It's a patient education page, and then they'll look at their, you know, family member, and be like this. This is what's going on this, you know, it's all of a sudden we're connecting on that piece of information that was vital for them to share. And it was. It was just a simple thing that I kept repeating doing. I was reinventing the wheel every time I entered the room, but it was. It stood out as one of the most important things I did. And so that's why Steve and I connected on it, and like it needed to be in the app. And there's more where that came from in the future planning. But we added to that A on that broad, you know, kind of that page that has all the different icons with various concerns, we added a feelings, concern emotions, and feelings so that someone could also communicate what's going on emotionally. We know that this is such a traumatic experience, both in the stroke itself, but also in the fact that you lost the thing that might help you to walk through it a little easier which is communicating about it and hearing education learning about it. But so those 2 tools combined have really meant a lot to me to be able to share with people, with aphasia and their families, and also another sneaky way to educate providers.   Jerry Hoepner: Yeah, absolutely.   Hilary Sample: Because that's the simple education that I found to be missing when we talked about training was missing, and this and that, but the like when Steve and I talked recently, we you know, I said, what did you really learn about aphasia? And you kind of said how speech issues? Right?   Steve Richman: The speech diagnoses that we see are kind of lumped in as general like the names and general disorders that you might see, but weren't really clearly communicated as far as the their differential diagnoses being trained as a generalist, we would learn about, you know, neurology unit stroke and traumatic brain injury. And somewhere in there would be throwing in these tumors, which are huge aphasia and apraxia and whatnot, and I don't think I recall any details about that from Med school. They probably taught more than I'm recalling, but it certainly wasn't as much as I wish it was.   Hilary Sample: and so that education can just be a simple way to bring us all together on the same page as they're showing this to the person that they're working with. It's also helping them to better understand the supports that are needed.   Jerry Hoepner: Sneaky part.   Steve Richman: Yeah, speaking of the sneaky part, I don't think I told Hilary this yet, but I'm sure we've all had the experience or seen the experience where a physician asked him, What does that feel like? And the person might not have the words even with the regular communication, without a communication disorder. and last week I was working with a patient that just was having terrible pain and just could not describe it. and using the icons of words on that he had a much better sense of. You know it's just this and not that, and those descriptors of pain have been really useful for people now without more with communication difficulties that I just started doing that last week. And it was really interesting.   Hilary Sample: You mentioned about how those interactions with physicians are can be. Well, it's not nothing about you guys.   Jerry Hoepner: It's the rest of the physicians.   Hilary Sample: No, it's the, you know. There's a time. It's the shift in how our whole system operates that it's, you know I go in and I'm like, I just need notes if I need to speak about something important to my physician, because, like, I know that one reason I connect so deeply with people with communication disorders is that my anxiety sometimes gets in the way of my ability to communicate like I want to, especially in, you know, those kind of situations. And so, you know, it can help in many ways just having something to point to. But we also saw that with people with hearing loss, which, of course, many of the people that we run into in many of the patients that we work with are going to have some sort of hearing loss. People that speak a little different, you know. Native language. You know English as a second language.   Jerry Hoepner: Absolutely.   Hilary Sample: There and then. Cognitive communication disorders, developmental disorders, anybody that might benefit with a little bit more support which might include you and me. You know it can help.   Jerry Hoepner: And I think you know the physician and other providers having the tools to do that education to use the multimodal supports, to get the message in and then to get responses back out again. I think it's really important. And then that process of verifying to just see if they're understanding it. Are you? Are you tracking with me? And to get that feedback of, I'm getting this because I think sometimes education happens so quickly or at a level that doesn't match, and they might not understand it. Or sometimes it's just a matter of timing. I know we joke about Tom Sather and I joke about this. We've had people come to our aphasia group before who traveled out to a place in the community and they're sitting next to you. And they say, what is this aphasia stuff everyone's talking about? And I'm like, you literally just passed a sign that said Aphasia group. Right? But it's so hard to ensure that the message does go in, and that they truly understand that until you get that Aha moment where you describe like, yes, that's me, that's it. And that's just so crucial.   Hilary Sample: yeah, it's 1 of the most important pieces, I think to name it doesn't for anything that anybody is dealing with that's heavy, you know, to have to have it named can really provide relief just because that unknown, you know, at least at least you can have one thing that you know. I know what it is, and then I can learn more about it. Once I know what it is, I can learn more about it, and I can have some sort of acceptance, and I can start that grieving process around it, too, a little bit better. But when it goes unnamed, and the other part of it is if you don't tell me that, you know like that, you can see and understand what I might be experiencing, I might not think that you know what it is either, and I might not feel seen. So just the fact that we're both on board that we know I have this thing. I think it can take a lot of the weight off. At least, that's what I've seen when it's been presented.   Jerry Hoepner: No or care, right?   Hilary Sample: Yeah. Yes. Exactly.   Jerry Hoepner: Yep, and that's a good a good chance to segue into we I know we picked on Steve a little bit as a physician but the system really kind of constrains the amount of time that people have to spend with someone, and they have to be efficient. I'll go back to that sneaky idea. This seems like a sneaky way to help change the system from within. Can you talk about that a little bit like how it might move care forward by.   Hilary Sample: Showing what's possible. Yeah, I'm sorry, sure. In part time. Constraints, unfortunately, are very real, and without the knowledge of training how to communicate or support communication. It's challenging for us to move us physicians to move forward, but with something like our app or other useful tools in a short amount of time you could make some progress. And then, if you could document, this is worthwhile time worthwhile that I'm accomplishing something with my patient. I'm helping to understand what their issues are, and helping to explain what we want to do. That all of a sudden makes the time worthwhile, although time is a real constraint. I think, is general. Doctors are happy to spend extra time. If it's worthwhile that's helping our patient. That's the whole reason we go into this is help our people. We help the people we're working with, you know. No one wants to go in there and spend time. That's not helping anybody. But if you could justify the time, because I'm making progress. I'm really helping them great go for it. It's worth doing, and the part about efficiency. So there's so many ways that this focus on. And it's not even efficiency, because efficiency sounds like some success was achieved, you know. But this, this we only have this amount of time. One of the one of the things that's kind of interesting to me is that it an assumption? I've seen a lot, or I've heard a lot is that using communication supports takes time. More time and I have watched plenty, an encounter where the physician is trying, and it takes forever. I've experienced my own encounters as I was growing and deepening my own skills, and where it took me forever. And that's because we're trying. We care, but we don't have something prepared. So when you have a prepared material, it not only helps you to effectively and successfully you know, meet that communication need and find out what is actually bothering the person that you're working with. But it enables you to move at a pace that you wouldn't be able to otherwise, you know. So if Steve and I have this kind of running joke that I'll let you tell it because you have fun telling it.   Steve Richman: With the MedConcerns app. I could do in a little while what I can never do before, and with the med concerns App Hillary could do in 5 min. What used to take a session? It's really.   Jerry Hoepner: Yeah.   Hilary Sample: Makes huge impacts in what we could accomplish, so less of a joke and more of just.   Jerry Hoepner: Yes, but having the right tools really is sounds like that's what makes the difference. And then that gives you time and tools to dedicate to these conversations that are so important as a person who's really passionate about counseling. One of the things we were always taught is spending time now saves time later, and this seems very much like one of those kind of tools.   Hilary Sample: Yeah. Well, we had one of the 1st times that we brought the prototype to a friend of ours who has aphasia. And it kind of speaks to the exactly what you just said. Spending time now saves time later, or saves money. Saves, you know, all the other things right is our friend Bob, and he doesn't mind us using his name. But I'll let you tell this story a little bit, because you know more from the doctor. Bob was no longer a patient of ours, but we had spent time with him and his wife, and they were happy to maintain the relationship, and we showed him that after he had this experience but he was describing experience to us, he was having hip pain. He had a prior stroke hemiplegic and having pain in that hemiplegic side. So the assumption, medically, is, he probably has neuropathy. He probably has, you know, pain related to the stroke, and they were treating with some gabapentin which makes sense. But he kept having pain severe. 10 out of 10. Pain severe. Yeah. And just. We went back day after day, and not on the 3rd day back at the er they did an X-ray, and found he had a hip fracture and look at our app. He was like pointing all over to the things that show the descriptors that show not neuropathic pain, but again, musculoskeletal pain and that ability to, you know, without words we could point to where it hurts. But then, describing that pain is a makes a huge difference. And he knew he very clearly. Once he saw those pictures he like emphatically, yes, yes, yes, like this is this, we could have, you know, if we could have just found out this stuff, we wouldn't have had to go back to the er 3 times and go through all that wrong treatment and this severe amount of pain that really took him backwards in his recovery to physically being able to walk. And things like that, you know, it's just finding out. Getting more clarity at the beginning saves from those kind of experiences from the pain of those experiences. But also, you know, we talked about earlier. If you have to sort of make an assumption, and you have to make sure that you're thinking worst case scenario. So in other situations where you send out with a chest pain and things like that, there's a lot that's lost for the person with aphasia because they might have to start their whole rehab journey over. They have to incur the costs of that experience. And you know they might come back with, you know, having to start completely over, maybe even new therapists like it's. And then just the emotional side of that. So, it not only saves time, but it. It saves money. It saves emotional. Yeah, the emotional consequences, too.   Jerry Hoepner: Yeah. Therapeutic Alliance trust all of those different things. Yeah, sure. Yeah. I mean, I just think that alone is such an important reason to put this tool in the hands of people that can use it. We've been kind of talking around, or a little bit indirectly, about the med concerns app. But can you talk a little bit about what you created, and how it's different than what's out there.   Hilary Sample: Yeah, may I dive in, please? Okay, so we yeah, we indirectly kind of talked about it. But I'll speak about it just very specifically. So it starts with an introduction, just like a physician would enter the room and introduce themselves. This is a multimodal introduction. There's the audio. You can use emojis. What have you then, the General? How are you? Just as Steve would ask, how I'm doing this is, how are you with the multimodal supports and then it gets to kind of the main part of our app, which is, it starts with broad concerns. Some of those concerns, pain, breathing issues, bowel bladder illness. Something happened that I need to report like a fall or something else and the list continues. But you start with those broad concerns, and then every selection takes you to a confirmation screen where you either, you know, say, yes, that's what I was meaning to say, or you go back and revise your selection. It follows with narrow choices under that umbrella concern, the location type of pain, description, severity, exacerbating factors. If you've hit that concern so narrow choices to really get a full description of the problem, and including, like, I said, timing and onset. And then we end with a summary screen that shows every selection that was made and you can go to a Yes, no board to make sure that that is again verified for accuracy. So, it's a really a framework guiding the user, the therapist healthcare provider person with aphasia caregiver whomever through a supported approach to evaluating medical concerns. So generally, that's the way it functions. And then there are some extras. Did you want me to go into those? A little bit too sure.   Jerry Hoepner: Sure. Yeah, that would be great.   Hilary Sample: Right? So 1 1. It's not an extra, but one part of it that's very important to us as we just talked about our friend Bob, is that pain? Assessment is, is very in depth, and includes a scale description, locations, the triggers, the timing, the onset, so that we can get the correct pathway to receiving intervention. This app does not diagnose it just, it helps support the verbal expression or the expression. Excuse me of what's wrong. So, it has that general aphasia, friendly design the keywords, simple icons that lack anything distracting, clear visuals simple, a simple layout. It also has the audio that goes with the icon, and then adjustable settings, and these include, if you know, people have different visual and sensory needs for icons per screen, so the Max would be 6 icons on a screen, although, as you scroll down where there's more and more 6 icons per screen. But you can go down to one and just have it. Be kind of a yes, no thing. If that's what you need for various reasons, you can hide specific icons. So, if you're in a setting where you don't see trachs and pegs. You can hide those so that irrelevant options don't complicate the screen. There's a needs board. So we see a lot of communication boards put on people's tray tables in in the healthcare setting, and those are often they often go unused because a lot of times they're too complex, or they're not trained, or they, for whatever reason, there's a million reasons why they're not used. But this one has as many options as we could possibly think might need to be on there which any of those options can be hidden if they need to be. If they're not, if they're irrelevant to the user language it's in. You can choose between English and Spanish as it is right now, with more to come as we as we move along, and then gender options for the audio. What voice you'd like to hear? That's more representative. And the body image for the pain to indicate pain location. There's some interactive tools that we like to use with people outside of that framework. There's the whiteboard for typing drawing. You can use emojis. You can grab any of the icons that are within the app. So, if you know we if it's not there and you want to detail more, you can use the whiteboard again. That needs board the Yes, no board. And then there's also a topic board for quick messages. We wanted to support people in guiding conversations with their health care providers. So, I want to talk to Steve about how am I going to return to being a parent? Once I get home, what's work life going to be. I want to ask him about the financial side of things. I want to ask him about therapy. I want to report to him that I'm having trouble with communication. I want to talk on a certain topic. There's a topic board where you select it. It'll verify the response. It has a confirmation page, but from there the physician will start to do their magic with whatever that topic is. And then, of course, there's those summary screens that I already detailed, but those have been very useful for both, making sure at the end of the day we verify those responses but then, also that we have something that's easy to kind of screenshot. Come back to show the physician. So show the nurse as like a clear message that gets conveyed versus trying to translate it to a verbal message at the end from us, and maybe missing something so straightforward, simple to address very complex needs, because we know that people with aphasia would benefit from simple supports, but not they don't need to stay on simple topics. They have very complex ideas and information to share. So we wanted to support that. That's what it is in a nutshell that took a nutshell. I love that. It's on my phone, or it could be on your.   Jerry Hoepner: Oh, yeah.   Hilary Sample: Or on your or on your apple computer. If you wanted that, it's on the app store. But I love this on my phone. So, I just pull in my pockets and use it. Or if you happen to have an another device that works also.   Jerry Hoepner: Sure.   Hilary Sample: We're in the. We're in the process of having it available in different ways. There's a fully developed android app as well. But we're very much learners when it comes to the business side of things. And so there's a process for us in that, and so any. Any guidance from anybody is always welcome. But we have an android that's developed. And then we're working on the web based app so that we could have enterprise bulk users for enterprise, licensing so that that can be downloaded straight from the web. So that's all. Our vision, really, from the onset was like you said, shifting the culture in the system like if there's a tool that from the top, they're saying, everybody has this on their device and on the device that they bring in a patient's room, and there's training on how to use it, and that we would provide. And it wouldn't need to be much, just simple training on how to use it. And then you see that they are. They get that little bit more education. And then it's a consistent. We know. We expect that it'll be used. The culture can shift from within. And that's really the vision. How we've started is more direct to consumer putting it on the app store. But that's more representative of our learning process when it comes to app development than it is what our overall vision was, I want to say that equally as important to getting this into systems is having it be on a person's device when they go to a person with aphasia's device when they go to an appointment. I always, when we've been asked like, Who is this? For we generally just kind of say, anybody that that is willing to bring it to the appointment, so that communication supports are used, and maybe that'll be the SLP. Maybe it's the caregiver. Maybe it's care partner or communication partner, maybe a person with aphasia. Maybe it's the healthcare staff. So, whoever is ready to start implementing an easier solution. That's for you.   Jerry Hoepner: Yeah, absolutely. And that brings up a really interesting kind of topic, like, what is the learning curve or uptake kind of time for those different users for a provider on one hand, for a person with aphasia. On the other hand, what's a typical turnaround time.   Hilary Sample: We've tried to make it really intuitive, and I think well, I'm biased. I think it is   Hilary Sample: I for a provider. I think it's very easy to show them the flow and it, and it becomes very quickly apparent. Oh, it's an introduction. This is putting my name here. What my position is next is a how are you that's already walk in the room, anyways. And that's that. What are your concerns? Okay, that that all. Okay. I got that I think with time and familiarity you could use the tool in different ways. You don't have to go through the set up there you could jump to whatever page you want from a dropdown menu, and I find that at times helpful. But that's you. Don't have to start there. You just start with following the flow, and it's set up right there for you. The, as we all know people with the page I have as all of us have different kind of levels, that some people, they, they see it, they get it, they take the app, and they just start punching away because they're the age where they're comfortable with electronic devices. And they understand the concept. And it takes 5 seconds for them to get the concept and they'll find what they want. Some of our older patients. It's not as quick. But that's okay. My experience with it's been funny to show to use it with people with aphasia versus in another communication disorders, and using it with or showing it to people in the field or in healthcare in general, or you're just your average person most of the time that I showed this to a person with aphasia or who needed communication supports. It's been pretty quick, even if they didn't use technology that much, because it is it is using. It's the same as what we do on with pen and paper. It's just as long as we can show them at the onset that we're asking you to point or show me right. And so once we do that and kind of show that we want you to select your answer, and some people need more support to do that than others. Then we can move forward pretty easily. So people with aphasia a lot of times seem to be waiting for communication supports to arrive, and then you show them it, and they're like, Oh, thanks, you know, here we go. This is what's going on. Of course, that's there are varying levels of severity that would change that. But that's been my experience with people with aphasia. When I show people that do not have aphasia. I see some overthinking, because you know. So I have to kind of tell people like, just them you want them to point and hand it over, you know, because when I've seen people try to move through it, they're overthinking their what do you want me to do? I'm used to doing a lot with an app, I'm used to, you know, and the app moves you. You don't move it. So the real training is in stepping back and allowing the communication supports to do what you're thinking. I need you to do right. Step back and just let the person use the communication supports to tell you their message. And you, you provide those supports like we tend to provide more training on how to help somebody initiate that pointing or maybe problem solving the field of responses or field of icons that's on the page, or, you know, troubleshooting a little bit. But the training more is to kind of have a more hands off. Approach versus you know, trying to move the app forward since the apps focus, really, on describing what's going on with somebody and not trying to diagnose once someone gathers. Oh, I'm just trying to get out what I'm experiencing, it becomes very intuitive. Yeah, that's the issue. And this is, yeah, that's how describes it more. And yeah, this is about when it started that   Jerry Hoepner: That makes sense. And it's in line with what we know about learning use of other technologies, too, right? Usually that implicit kind of learning by doing kind of helps more than here's the 722, you know, pieces of instruction. So yeah, that kind of makes sense.   Hilary Sample: Simple training. I just to throw in one more thought I you know a little bit of training on what communication supports are, and then you show them. And it really, the app shows you how to use communication supports. And so it, you know instead of having to train on that you can just use the app to show them, and then and then they sort of start to have that awareness on how to use it and know how to move forward from there. Generally, there's some training that needs to be to be had on just where things are maybe like the dropdown menu, or you know what's possible with the app, like changes, changes, and settings and the adjustments that we talked about earlier but usually it's a little bit of a tool that I use to train people how to use communication support. So, it's sort of like the training is embedded. So we're doing both at the same time. You're getting to know the app, and you're learning more about how to support communication in general.   Jerry Hoepner: I think that's a really great takeaway in terms of kind of that double value. Right? So get the value to the person with aphasia from the standpoint of multimodal communication and self-advocacy and agency, those kinds of things, and then the value to the providers, which is, you learn how to do it right by doing it.   Hilary Sample: Which is great. Yeah.   Jerry Hoepner: Really like that.   Hilary Sample: Some of the most meaningful experiences I've had are with nurses like, you know, some of those incredible nurses that, like they see the person with aphasia. They know they know what to say, they want to. They know that the person knows what they want to say, but has difficulty saying it. We have one person I won't mention her name, but she's just incredible, and you know the go to nurse that you always want to be in the room she pretty much was like, give me this as soon as we told her about it, and I did, you know, and she goes. She's like, see, you know she uses it as a tool to help her other nurses to know what's possible for these. She's such an advocate but if it can be used like that to show what's possible like to show, to reveal the competency, and to let other nurses know, and other physicians, and so on, to help them to truly see the people that they're working with. It's like that's my favorite part. But the it's not only like a relief for her to be able to have a tool, but it's exciting, because she cares so much, and that like Oh, I'll take that all day long. That's wonderful.   Jerry Hoepner: Absolutely well, it's been really fun having a conversation with you, and I've learned a lot more than I knew already about the app. Are there any other things that we want to share with our listeners before we close down this fun conversation.   Hilary Sample: I think maybe our hope is to find people that are ready to help kind of reach that vision of a culture shift from this perspective from this angle. Anybody that's willing to kind of have that conversation with us and see how we can support that. That's what we're looking for just to see some system change and to see what we can do to do that together, to collaborate. So if anybody is interested in in discussing how we might do that, that's a big goal of ours, too, is just to find partners in in aphasia advocacy from this angle.   Jerry Hoepner: That's great!   Hilary Sample: Perfect. I totally agree. We're very grateful for this conversation, too. Thank you so much, Jerry.   Jerry Hoepner: Grateful to have the conversation with both of you and just appreciate the dialogue. Can't wait to connect with you in future conferences and so forth. So, thank you both very much.   Hilary Sample: Thank you.   Jerry Hoepner: On behalf of Aphasia Access, thank you for listening to this episode of the Aphasia Access Conversations Podcast. For more information on Aphasia Access and to access our growing library of materials go to www.aphasiaaccess.org. If you have an idea for a future podcast series or topic, email us at info@aphasiaaccess.org. Thanks again for your ongoing support of Aphasia Access.

What happens when one bilingual SLP decides she's tired of feeling alone? She builds a whole movement! In this feel-good episode, Hallie sits down with Sara Gonzalez—a certified Spanish-English SLP in New York and the powerhouse behind the B.E.A.M. SLP Program aka Bilingual Empowerment through Allied Mentorship

Are ASHA elections really democratic? In this episode of the Fix SLP Podcast, Dr. Jeanette Benigas, SLP, and Preston Lewis, MS/SLP, dig into ASHA's so-called “elections,” exposing how the committee system hand-picks a slate, leaving SLPs with no real choice. They discuss the heavy tilt toward academia, why it keeps the same priorities in power, and how voting NO is a small but powerful protest. Learn why thousands of SLPs are removing CCCs from their signatures, dropping membership, and urging peers to vote NO to demand change. Tune in for candid insights, practical action, and our trademark Fix SLP sass.·Want to earn some PDHs or CEUs with a discount? Find our most up-to-date promo codes and discounts here.·We want to collaborate with YOU. If you would like to lead or join your state team, please email your name and state to states@fixslp.com.·Become a sustaining partner to support our work.·Follow us on Instagram, Facebook, and TikTok·Find all our information at fixslp.com, and sign up for our email list to be alerted to new episodes and content.·Email us at team@fixslp.com.·Leave a message on our Minivan Meltdown line! ★ Support this podcast ★

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Welcome to Part 3 of my mini-series answering your burning questions! Today, we're diving into the topic of verbal imitation.When it comes to verbal imitation and echoic goals, context is everything. These goals must be functional and meaningful to the individual child in order to support communication development.As an SLP collaborating with a BCBA, and vice versa, rely on assessment tools and an SLP's robust training in speech to identify and shape functional goals. It's crucial that we plan and program with intention—otherwise, we risk discouraging a child from verbalizingThe key? Collaborate early and often. Assess together. Plan together. Use resources like the Autism IEP Goal Bank (don't miss the freebie!). Then, have the SLP on the team focus on those targeted words and move into collaboratively supporting generalization into the natural environment for a robust bank of words.Looking ahead to 2026, we're excited to explore communication disorders more deeply over at ABA Speech Connection. Stay tuned—because sometimes, you don't know what you don't know. #autism #speechtherapy What's Inside:Summer mini-seriesStrategy to work collaboratively as BCBA and SLPsVerbal imitation goals Communication developmentMentioned In This Episode:Verbal Imitation Guide (Hack #19) Join our ethics course Speech Membership - ABA Speech  ABA Speech: Home

In this episode, I'm sharing something really exciting with you—a sneak peek into the upcoming Preschool Autism Summit, happening July 14–16, 2025! You'll get to hear short clips from some of our amazing presenters, and I'll pop in between each one to give you a little intro and context. These speakers are bringing so much heart, wisdom, and practical support to the table. Whether you're a special educator, SLP, OT, or a parent, you're going to walk away from the summit feeling more confident, more supported, and ready to take action.

Welcome to episode 3 of the Fix SLP Summer School Series! Dr. Jeanette Benigas and Elizabeth Nielsen, MA/SLP, break down why the CCC is NOT a license, how to correctly sign your name as an SLP, and how putting CCC everywhere just turns you into a free ASHA billboard. We're tackling the sneaky ways this misinformation keeps spreading so you can protect your title—and your wallet. Whether you're a new grad or a seasoned pro, this is your reminder to stop advertising for ASHA and start standing up for yourself. Share it, rate it, and keep fixing the mess in our field! ★ Support this podcast ★

Ever feel like you're sprinting through your entire day—only to collapse when you get home because you've got nothing left to give? In this episode, we're talking Buffer Time: the unsexy but essential productivity strategy you're probably skipping. Especially if you're an SLP with back-to-back sessions or a parent trying to herd small humans into the car without losing your mind.We'll get into:What buffer time actually is (spoiler: it's not “wasted” time)Why it's especially important if you have ADHD or chronically underestimate how long things takeThe mindset traps that sabotage your schedule (like “I don't have time for buffer time”)Real-life ways to build margin into your day—even if you don't control your whole scheduleBuffer time isn't about being lazy. It's about being realistic. It's the simplest way to stop running late to your own life—and it's one of the best gifts you can give your future self (and your stress levels). To find out how I can help you improve your work-life balance, click here. Come join the SLP Support Group on Facebook for more tips and tricks!Follow me on Instagram! @theresamharpLearn more about Theresa Harp Coaching here.

 Hallie and guest Nathalie Lebrun chat about preparing students for life after high school.In this honest and energizing episode of SLP Coffee Talk, Hallie chats with Nathalie Lebrun—SLP, speaker, co-host of LeadSpeak Podcast and the voice behind LifeSpeak—about working with transition-age students. Nathalie shares how she went from post-acute rehab dreams to leading a massive school-based SLP team, and how she discovered the often-overlooked role SLPs can play in helping students ages 18–22 build real-world communication skills. From Uber training to poker lessons to letting go of perfect data, Nathalie keeps it real about what it means to be a communication coach, not just a therapist. If you've ever felt stuck with your older caseload or unsure how to prep students for life beyond school, this conversation will leave you inspired—and ready to rethink your approach.Bullet Points to Discuss: Nathalie's unexpected path to becoming an SLP and transition expertWhat “transition services” really look like in public school settingsThe SLP's evolving role as a communication coach beyond the therapy roomFunctional therapy ideas that connect directly to real-life independenceWhy transition planning should start way earlier than we thinkHere's what we learned: SLPs are essential in supporting students beyond academicsReal-world communication skills should be a therapy focus, especially for older studentsFunctional progress > perfect data collection—especially in transition workCollaboration and creativity are key to meaningful outcomesStart thinking transition early—even in elementary schoolLearn more about Nathalie Lebrun: Email: nathalie.lebrun@lifespeakllc.org Website: www.lifespeakllc.org LinkedIn: https://www.linkedin.com/in/nathalielebrun/Podcast: https://www.lifespeakllc.org/leadspeak-podcastLearn more about Hallie Sherman and SLP Elevate:  

Trying private practice may feel scary and uncomfortable, but it's worth the risk when you consider the alternative: staying stuck in a less-than-ideal (maybe even toxic!) work environment!Joining me today is Kylie Danfelt, SLP and owner of Berry Sweet Speech and Language. Within a year of joining the Start Program, Kylie went from stressful and tear-filled work days, to a full caseload and flexibility to be with her family.In this episode, Kylie shares how she got into private practice, what helped her grow her caseload in a short amount of time, and how she makes a bigger difference in her community without spending more time at work.Kylie Danfelt is nationally certified by the American Speech-Language-Hearing Association (ASHA) and state-certified in Pennsylvania, Maryland, and California. She earned her bachelor's degree from Bloomsburg University (2017) and her master's degree from Towson University (2019). She has worked in public schools in both states for the majority of her career. She also briefly worked at a private practice in Maryland before COVID. She has worked with children aged 18 months to 18 years old. Her clinical interests and specialties include articulation disorders, phonological disorders, and childhood language disorders. She also has experience treating fluency disorders and social communication disorders. Aside from being a speech-language pathologist, Kyle is the wife of a blueberry farmer and a mother of two boys. She enjoys spontaneous adventures and traveling, especially to warm places, exercising, and being with my family and friends.In Today's Episode, We Discuss:Why staying put in a toxic environment is a bad move for everyoneThe marketing “avalanche effect” that led her to a full caseloadGrowing her team to support the huge demand in the communityWhat it's like being in a family of entrepreneursInstead of going to a stressful job each day, Kylie can drop her son off at school and participate in so many of her kids' activities thanks to the flexibility of her private practice. You deserve to enjoy your work AND life, don't sell yourself short!Want our help to get out of a toxic job? Visit www.IndependentClinician.com/Resources to learn more about how we can support you, just like we promised Kylie.Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more.Resources Mentioned: Get support starting your next chapter: http://www.IndependentClinician.com/ResourcesCheck out Kylie's practice: https://www.berrysweetspeech.comWhere We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/private-practice-success-stories/id1374716199Follow Me on Instagram: https://www.instagram.com/independentclinician/Connect on Facebook: https://www.facebook.com/groups/slp.private.practice.beginners/Mentioned in this episode:You're just one client away from earning more - on your own...

In this installment of minisodes, we tackle a common AAC challenge: what happens when professionals don't agree? The BCBA recommends PECS, the SLP suggests a dynamic device… Now what? Welcome to the standard trial of non-collaborative chaos.There are plenty of barriers to AAC collaboration, but also practical steps that can lead to smoother teamwork. The first is building familiarity. AAC can feel overwhelming, but taking time to learn the basics makes collaboration more effective.One key reminder: the device belongs to the student. Everyone on the team should be working toward the same goal—supporting the individual's communication needs across their lifespan.Joint assessment can help, and tools like the free ALP AAC assessment offer a shared starting point. Another useful strategy is to assign a single person to program the device. This reduces confusion and ensures consistency.Most importantly, collaboration keeps families from being caught in the middle. When professionals work together, outcomes improve—for everyone involved.#autism #speechtherapy What's Inside:10-minute summer series.Free Assessment.Collaborating every step from assessment through intervention.Mentioned In This Episode:ALP AAC Assessment AAC course bundle Speech Membership - ABA Speech  ABA Speech: Home