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Guest: Farwa Husain, MS CCC-SLPEarn 0.1 ASHA CEU for this episode: https://www.speechtherapypd.com/courses/glp-for-the-pediatric-slpOriginally Aired: March 2024In this episode, Michelle is joined by Farwa Husain, MS CCC-SLP, bilingual speech-language pathologist and private practice owner of One-on-One Speech Therapy in New Jersey. Farwa, recognized as an ASHA Innovator in 2023, spends this hour sharing her passion for growing culturally and linguistically appropriate therapy for gestalt language processors (GLP) and their caregivers! So, if you want to learn more about GLP, how it compares to analytic language processors (ALP), and how to support GLP in their natural environments, then tune in and let Farwa share her brilliance and compassion!About the guest: Farwa Husain is an experienced bilingual speech-language pathologist and private practice owner of One-on-One Speech Therapy in New Jersey. Farwa has presented at ASHA, New Jersey Speech and Hearing Association, and Morris County Speech and Hearing Association on gestalt language processing. Farwa was recognized at the 2023 ASHA convention as an “Innovator” in speech-language pathology. She is nominated for the Clinician of the Year-SLP award at the upcoming National Black Association for Speech-Language and Hearing 2024 National Convention. Families have also recognized her in the NJ Family magazine “Top Docs” edition. Farwa is currently serving as President of Morris County Speech and Hearing Association, a non-profit organization that provides exceptional continuing education to SLPs and audiologists in New Jersey. She is devoted to culturally and linguistically appropriate therapy that celebrates a family's unique lifestyle and mentors SLPs in supporting gestalt language processors around the world.Mentioned in this episode:July 21 Course - Echolalia Explained: Practical Tools for Meaningful Language GrowthPresented by: Farwa Husain MS, CCC-SLP Enroll Here: https://www.speechtherapypd.com/courses/echolalia-explained
In this episode, we're joined by literacy expert Dr. Molly Ness, author of Making Words Stick, to unpack the science behind orthographic mapping and what truly effective spelling instruction looks like. If you've ever found yourself wondering whether “irregular” words really exist—or how to teach spelling in a way that actually transfers to reading and writing—this episode is for you.Dr. Molly Ness is a former classroom teacher, a reading researcher, and a teacher educator. She earned a doctorate in reading education at the University of Virginia, and spent 16 years as an associate professor at Fordham University in New York City. The author of five books, Molly served on the Board of Directors for the International Literacy Association and is a New York state chapter founder of the Reading League. Dr. Ness has extensive experience in reading clinics, consulting with school districts, leading professional development, and advising school systems on research-based reading instruction. She is also the host of the End Book Deserts podcast. In 2024, she founded Dirigo Literacy, a literacy consulting firm supporting schools, districts, and states align with and implement the science of reading.
Decision fatigue is real—especially for SLPs juggling full caseloads, families, and life. If you ever get stuck in analysis-paralysis (hello, overthinking tiny choices and the big ones), this episode is for you.In today's FB Live-turned-podcast-episode, I'm sharing a pretty major life decision I made and the five strategies I used to help me go from analysis-paralysis to bold, confident action.Decision-making is one of the biggest things that comes up in coaching sessions. Whether it's big, life-changing stuff or tiny daily choices that drain your brain, indecision kills your time and energy. So let's make it simpler.Here's what you'll learn:✅ Why decision-making burns you out—and how to save your energy for what really matters✅ My 5 go-to strategies✅ How to stop overthinking the small stuff so you have brain space for the big stuff✅ What to do after you make a decision so you don't spiral in regretIf you're ready to make choices with more clarity (and less time-wasting angst), you're in the right place. 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.
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 ★
If you work with or have a child with communication impairments, today's episode, dedicated to improving behavior, is a 'must-listen'. I'm pulling back the curtain and giving you access to two powerful tools straight from my SIS Membership that are helping SLPs across the country transform their therapy sessions—without burning out. Heat up your laminator and get ready for success. Tool #1 will help your kiddos develop prosocial communication behaviors. Tool #2 will support celebrating and generalizing prosocial communication behaviors. These tools are designed to be effective, easy to implement, and evidence-based for kiddos with communication challenges. Download both free tools by going to www.kellyvess.com/behavior Get ready-to-go, empirically-based, engaging activities (with parent home practice) in your inbox every week by joining the SIS Membership today at www.kellyvess.com/sis Join SIS and be present.
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:
Join Dr. Jeanette Benigas, Preston Lewis, MA/SLP, and Alexa Chapman, MA/SLP, as they break down Michigan's House Bill 4484, a major step in ensuring state licensure remains the sole credential for SLPs—no CCC required. Hear how grassroots advocacy drove this bill forward, what it means for SLPs across Michigan, and why it's a model for other states. Plus, get a behind-the-scenes look at testifying in Lansing and what's next for Fix SLP's nationwide movement.Stay up to date with the Fix SLP Michigan BlogWant to earn some PDHs or CEUs with a discount? Find our most up-to-date promo codes and discounts here.Want to lead or join your state team? Email your name and state to states@fixslp.com.Become a sustaining partner to support our work.Follow us on Instagram, Facebook, and TikTokFind 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 ★
Planning for a birth that makes breastfeeding easier? Check out my FREE guide on setting yourself up for breastfeeding success:https://bit.ly/los-birthpractice-workbook---------------------------------In this enlightening episode of Lo's Lactation Lab, continuation of conversation with Lo Nigrosh, Rachel Best returns to share her groundbreaking approach to coordinated care for infants with feeding challenges. Together, they explore how multidisciplinary collaboration between SLPs, OTs, dietitians, and lactation consultants leads to transformative results for babies and parents navigating complex feeding journeys. Rachel emphasizes the importance of whole-body evaluation, interprofessional communication, and empowering families in their care journey.Rachel Best is a Speech-Language Pathologist(SLP), Certified Orofacial Myologist (COM), and International Board Certified Lactation Consultant. She is the founder of Small Steps Therapy, a multi-location practice in Rhode Island and Massachusetts dedicated to collaborative, evidence-based pediatric care.Expect to LearnWhy a collaborative care model is key to effective infant feeding supportThe connection between tongue ties, torticollis, and full-body tension in babiesHow coordinated sessions with multiple specialists can change outcomesStrategies for families to find collaborative providers when multidisciplinary clinics aren't availableInsight into the cultural and historical shifts affecting infant feeding practicesEpisode Breakdown with Timestamps [00:00] - Introduction and Rachel's Practice Expansion[02:48] - Small Steps Therapy[05:36] - Building a Transdisciplinary Infant Team[11:22] - In-Room Collaboration with SLP, OT, and Dietitian[13:49] - Tongue Tie Isn't a Fad: Cultural and Historical Context[19:00] - Symptom-Based Tongue Tie Evaluation[21:08] - Advice for Families Without Access to Coordinated Clinics[25:49] - Insurance Tips and Closing ThoughtsFollow Rachel Best:LinkedIn:https://www.linkedin.com/in/rachel-best-4a0a9692Company:https://smallstepstherapy.com/Follow Lo Nigrosh:LinkedIn: https://www.linkedin.com/in/lo-nigrosh-16371495/Website: https://www.quabbinbirthservices.com/Facebook: https://www.facebook.com/quabbinbirthservices/Listening Links:Apple Podcasts: https://podcasts.apple.com/us/podcast/los-lactation-lab/id1614255223Spotify: https://open.spotify.com/show/2F54fe1szmemB9n7YUJgWv?si=2eea7f1cfba64867YouTube: https://www.youtube.com/@loslactationlab3967Rachel Best - Part 1: https://youtu.be/FtZN8_5ezdgDon't forget to subscribe for more episodes on maternal health, infant feeding, and interdisciplinary care!#BreastfeedingHelp #ParentSupport #PediatricCare #FeedingJourney #TeamBasedCare #LactationSupport #InfantFeeding #MaternalHealth #FunctionalFeeding #BottleVsBreast #SmallStepsBigWins #InfantHealth #FunctionalFeedingBecome a supporter of this podcast: https://www.spreaker.com/podcast/lo-s-lactation-lab--5834691/support.
Show Notes: slpnow.com/222Referrals shouldn't feel this overwhelming, but--for most school-based SLPs--they do. In this episode, I'm diving into the real data behind referral stress, straight from 434 SLPs who shared their biggest challenges. From missing background info to that infamous springtime referral flood, we're unpacking why this process is so hard. If you've ever felt stuck, rushed, or just plain exhausted by referrals, this one's for you. You're not alone, and there is a better way.
Hi there, and welcome back to the Autism Little Learners podcast! I'm Tara Phillips, and today I'm joined by speech-language pathologist Alexandria Zachos for an amazing conversation all about Gestalt Language Processing. We talk about how our understanding of language development has evolved, the real struggles around prompt dependence, and why a child-led approach is so important—especially for Gestalt language processors. Alexandria shares so many helpful insights, including how we can better support these communicators by building authentic connections and honoring all the ways they express themselves. Whether you're a therapist, teacher, or parent, this episode is packed with practical strategies to encourage spontaneous language and support meaningful communication. I'm so excited for you to hear this one! Takeaways Gestalt Language Processing is a natural way of developing language. Many SLPs are unaware of Gestalt Language Development despite its long history. Prompt dependence often stems from traditional teaching strategies. Child-led therapy is essential for fostering spontaneous communication. Silence can be a powerful tool in therapy sessions. Acknowledging all forms of communication builds trust with children. Using a child's Gestalt can enhance engagement and communication. Therapists should focus on the child's interests to promote language use. It's never too late to shift from prompt dependence to child-led approaches. Building authentic relationships is key to effective communication. Bio Alexandria Zachos is the founder, clinical director, owner, and senior speech-language pathologist with Social Butterfly Inc. and Meaningful Speech® She has been a practicing SLP for 21 years and has worked extensively with gestalt language processors since 2016, utilizing Blanc's Natural Language Acquisition protocol. She educates SLPs, parents, and related professionals through her social media platforms, podcasts, blogs, and her internationally acclaimed courses on http://Meaningfulspeech.com/. When she's not wearing her SLP hat she enjoys reading fiction, walking in the woods and spending time with her husband and daughters around Chicagoland. Links Meaningfulspeech.com for everything! https://www.meaningfulspeech.com/free-resources for our free masterclass, free AAC+GLP beginner's guide, our blog, research & resources, podcasts, interviews, and webinars http://meaningfulspeech.com/course for our internationally acclaimed original GLP + child-led course (now over 30+ PDH and all USA SLPs need for their 3-year ASHA cycle!) http://meaningfulspeechregistry.com/ to find a local SLP who has GLP knowledge and can see your child locally. SLPs are invited to join after taking our course and passing the multiple choice and written exam with 80% or higher (feedback provided!). Must be able to take private clients. Not a list of those who have taken the course! http://meaningfulspeech.com/AAC-course for a direct link to our AAC+GLP course. Our instructor, Laura Hayes, is an AAC specialist and will teach you how to modify any AAC system for the GLP. We also have bonus modules showing specific recommendations for most AAC apps/devices currently being sold or offered for free. 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
This Fix SLP Podcast Summer School episode breaks down why CCC requirements still show up in SLP job postings—and how you can push back. Dr. Jeanette Benigas and Preston Lewis, MS/SLP, tackle lazy copy-paste listings, leadership mindsets stuck in the past, and how real SLPs have gotten major employers to drop the CCC. Hear wins from Michigan, plus learn how to start the conversation with HR. Ready to bust myths and change your workplace? Subscribe and keep schooling the system.Want to earn some PDHs or CEUs with a discount? Find our most up-to-date promo codes and discounts here.Want to lead or join your state team? Email your name and state to states@fixslp.com.Become a sustaining partner to support our work.Follow us on Instagram, Facebook, and TikTokFind 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 ★
Ever feel like you're doing everything right as an SLP, but something in your gut is screaming this isn't it?Today's episode wraps up a 5-part Burnout Series with a topic that hits close to home: what to do when your job and your values are at war.If you're staying in a position out of obligation, guilt, or fear of rocking the boat—even when every fiber of your being is saying “nope”—this one's for you.I'm covering:What “misalignment” actually looks and feels likeThe sneaky ways it drains you (and how you might not even notice)Why you're not dramatic, ungrateful, or irresponsible for wanting something differentHow to spot the small ways you're betraying your own values and needs every single day3 simple, real first steps to get unstuck—without burning it all downThis isn't about quitting tomorrow (unless you want to). It's about seeing the truth, so you can decide what you want next on purpose.Because here's the thing: you can't do your best work—or be your best self at home—when your job demands you leave your values at the door.You don't have to stay stuck.
Send us a textThis isn't just a podcast. It's a five-year deep-dive into the voices, lives and lessons of singers, teachers and coaches around the world.In this special fifth anniversary episode of This Is A Voice, Jeremy and Dr. Gillyanne revisit the most powerful, personal, and punch-in-the-gut moments from over 100 episodes. From life-changing reflux wake-ups, to the moment a singer's voice disappeared on stage, to a viral blog on “Success Amnesia”... this is Dealer's Choice.Whether you're a singer, coach, SLP, SLT or voice-curious creative, this episode is a masterclass in resilience, taste, recovery, self-worth and biscuit tins.Featuring: Vocal injuries (and how to recover) The truth about reflux for voice users Why your "classical voice" isn't a prison When technique isn't the answer (but safe space is) What to do when you forget your own success00:00 Vocal For 5 Years - Here's What We've Learned01:00 Our First Episode & Gillyanne's Dad's Biscuit Tin02:00 Sing the Whole Song or Work on Fragments?04:56 This Popular Episode on Reflux Might Change Your Teaching10:38 Singers: Doing What You Love Or Just Coping?14:53 Her Voice Cut Out On Stage. What Happened Next?23:29 "Why Don't I Feel Successful?" This Might Be The Reason30:28 The Artist's Curse: Always Onto The Next Thing32:54 Are You Vocally Biased? The Need-To-Know About Taste37:05 Teachers Can Be Cruel To 10-Year-Olds39:50 80% of Voice Coaching Is This (It's Not Technique)45:58 MT Singers: This Mindset Shift Will Change Your Singing47:14 Share Your Favourite EpisodePerfect for: musical theatre singers, contemporary artists, classical performers, vocal coaches, SLPs, and anyone who's ever lost their voice — literally or metaphorically.#voicelossonstage #refluxandsinging #musicaltheatre Remember to like, subscribe, and hit the bell icon for more insightful episodes. Leave a comment below on what inspired you the most!
THE TIM JONES AND CHRIS ARPS SHOW 0:00 SEG 1 Big Beautiful Bill passes the Senate 14:41 SEG 2 Susan Pendergrass, Director of Research at The Show-Me Institute | TOPIC: SLPS School Relocations After Tornado – St. Louis Public Schools announced that students from six damaged schools will be moved to other SLPS buildings to start the new school year. | Missouri’s Outdated School Funding Formula – A state task force is looking at how Missouri funds public schools. Right now, the formula uses property tax numbers from 2005, even though property values and tax rates have changed a lot since then. This creates big funding gaps between districts. showmeinstitute.org/ 32:35 SEG 3 Chris’ Corner is about Alligator Alcatraz https://newstalkstl.com/ FOLLOW TIM - https://twitter.com/SpeakerTimJones FOLLOW CHRIS - https://twitter.com/chris_arps 24/7 LIVESTREAM - http://bit.ly/NEWSTALKSTLSTREAMS RUMBLE - https://rumble.com/NewsTalkSTL See omnystudio.com/listener for privacy information.
Description:What happens when a speech-language pathologist also stutters? Some Stutter, luh! Welcomes Robert Kurliand, a trilingual SLP, neuroscience enthusiast and a person who stutters, who brings a mix of clinical expertise and personal insight on STUTTERING! Join us to know more about Robert's refreshing perspective on stuttering treatment, emphasizing authentic communication, personalized therapy, and stuttering appreciation rather than just acceptance!Notes:In this thoughtful conversation, Robert talks about therapy that should focus on helping people who stutter become effective communicators, not necessarily fluent speakers. He values authentic communication and stuttering appreciation, suggesting PWS should celebrate the personal growth that comes from the journey. He also offers deep insight into the real-life emotional and psychological challenges faced by people who stutter. Robert emphasizes that PWS shouldn't let their stutter define or limit their career choices. Robert believes the field of speech therapy is broad, so deep specialization in stuttering is rare but needed. He also highlights the emotional aspect of stuttering—fear, shame, avoidance—that is often more impactful than the physical symptoms and SLPs need better tools, frameworks, and support to address these emotional layers effectively.As the conversation follows, we see a deeper reflection on acceptance vs. appreciation, and how changing the language we use to describe our stuttering journey can lead to greater authenticity and peace. While "acceptance" is often framed as the ultimate goal in therapy, the word "appreciation," is more empowering and less pressure-filled.Many people who stutter develop ingrained habits of avoiding difficult words, situations, or speaking altogether. He points to the concept of "avoiding avoidance" that encourage confronting these strategies only when they interfere with saying something important or meaningful. Because when core identity or values are at stake, avoidance can cost more than the stutter itself. He also has powerful reflections on self-disclosure, authenticity, and why owning our stutter can bring us closer to others.Mary Wood Episode: https://www.youtube.com/watch?v=3sgj6jrZaMA#Stuttering #SpeechTherapy #Neurodiversity #SomeStutterLuh #SLP #MentalHealth #Communication #fluency #acceptance #stutteringacceptance #stutteringawareness #stutteringappreciation #authenticity
9:05 – 9:22 (15mins) Weekly: Susan Pendergrass, director of research at the Show-Me Institute, to discuss: SLPS School Relocations After Tornado– Louis Public Schools announced that students from six damaged schools will be moved to other SLPS buildings to start the new school year. While this is being described as a temporary solution, it raises a bigger issue: Why do students only get access to different schools after a crisis? Families should have the freedom to choose different schools before disaster strikes. Missouri’s Outdated School Funding Formula– A state task force is looking at how Missouri funds public schools. Right now, the formula uses property tax numbers from 2005, even though property values and tax rates have changed a lot since then. This creates big funding gaps between districts. Susan has been writing for years about how the formula needs to be updated to reflect today’s reality, especially when it comes to how schools are funded through local property taxes. 9:25 – 9:37 (12mins) Larry Conners Weekly: "Mr. Conner's Neighborhood @LarryConnersUSA 9:41 – 9:56 (15mins) Jay Ashcroft, former: Missouri Secretary of State, @JayAshcroftMOHusband. Father. Missouri's 40th Secretary of StateSee omnystudio.com/listener for privacy information.
Guest: Colleen Ashford MS, CCC-SLPEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/advocacy-and-iepsIn this episode, Erin and Colleen discuss the depth of advocacy surrounding IEPs, EI, and the impact of recent policy changes. This vulnerable discussion touches on what it means to advocate for our families in the school setting and beyond. Colleen discusses the effects of variety in policy and laws state by state, and the importance of seeking resources and support to help you support your families. They also discuss how SLPs can tailor their services in private practice and resources to support you in this process. If you are ready to explore and expand your value and advocacy as an SLP, this episode is for you.Here is the link of an organization Coleen would recommend donating to: https://www.ilrc.org/donate-nowThey are the same one that created these Family Preparedness Plan Packets that can be given to families:https://www.ilrc.org/resources/step-step-family-preparedness-planColeen's CoursesThe Collaborative IEP with Ashley Barlow (two complimentary courses):https://thecollaborativeiep.spiffy.co/a/0KLCN2r0pE/4345https://thecollaborativeiep.spiffy.co/a/lkgsG1az5P/4345YourSLPDaj's SIDE BIZ SLP Course-https://ashford--cotreatcorner.thrivecart.com/sidebizslp/If people want to hear The Unfiltered IEPs Podcast they can subscribe here to find out when new episodes are released!https://theadvocateslp.myflodesk.com/dqt0sp358uWatch First Bite on YouTube: https://youtu.be/7MAivUFBhc4?si=F6rhc3118SrSsOwN
Hallie chats with Alice Williams about SLPAsIn this uplifting and insightful episode of SLP Coffee Talk, Hallie sits down with the inspiring Alice Williams—an SLPA, entrepreneur, and trailblazer for support personnel in the field of speech therapy. From discovering the profession while working retail to founding The SLPA Network, Alice shares her incredible journey of resilience, growth, and leadership. She opens up about working across multiple settings, mentoring fellow SLPAs, and the power of interdisciplinary collaboration. Alice dives into the challenges she's overcome and the community she's building to empower others to thrive—whether they stay SLPAs or not. If you've ever felt isolated or unsure as a support professional, this episode will remind you that you're not alone—and that your voice matters.Bullet Points to Discuss: How Alice stumbled into the world of speech and found her calling as an SLPAWhat it really looks like to work as an SLPA across different settingsThe major differences between SLPs and SLPAs—and why both are essentialWhy Alice started the SLPA Network to give others the support she didn't haveHow mentorship, collaboration, and community make all the differenceThe story behind launching the very first SLPA SummitEncouraging SLPAs to dream big, think outside the box, and own their expertiseHere's what we learned: SLPAs provide vital, hands-on therapy under SLP supervision—and bring unique value to care teams.There's a major lack of support and mentorship for SLPAs, which inspired Alice to build the SLPA Network.Building a business or pursuing entrepreneurship as an SLPA is possible—and needed in the field.Many SLPAs feel isolated; having a community where they can be seen, supported, and uplifted is transformative.The upcoming SLPA Summit is the first of its kind—centered on dreaming big and giving support personnel space to grow.Learn more about Alice Williams: Email: speechwithmsalice@gmail.com LinkedIn: https://www.linkedin.com/in/speechwithmsaliceWebsite: www.speechwithmsalice.com Instagram: https://www.instagram.com/speechwith_msaliceInstagram: https://www.instagram.com/the.slpa.network The SLPA Network: www.theslpanetwork.net 5 Confidence Shifts Every Professional NeedsLearn more about Hallie Sherman and SLP Elevate:
Do you want to start your private practice, but feel intimidated by the financial aspect of starting a business? This episode is for you!Today I'm joined by Becky Spence, an SLP who made an incredible pivot from owning a thriving private practice to becoming a certified tax advisor specifically for healthcare professionals and small business owners. Becky started her private practice, Achieve Therapy, back in 2014. After business boomed during the pandemic, thanks to her teletherapy, she experienced a bit of sticker shock despite paying estimated taxes throughout the year. She decided to head in a new direction to help SLPs, OTs, and other small business owners understand their finances, maximize tax deductions, and more!In this episode, Becky shares financial tips for setting up your business to thrive financially, including what our community needs to know about tax savings! As a speech-language pathologist turned tax advisor, Becky has a unique perspective on problem-solving and empowering others to succeed. Her journey into tax advising began when she faced the challenges of understanding tax systems and deduction strategies for her own private practice. It became clear that many start-ups and small business owners needed tailored, accessible support in this area. Motivated by this, she earned her tax advising certification to help fill this gap. Now, Becky combines her passion for helping others with an expertise in tax advising to support small business owners. Her goal is to simplify financial complexities, assist in maximizing deductions, and help create effective business plans and growth strategies. By offering personalized guidance and practical implementation, she helps business owners gain the confidence and clarity they need to focus on what matters most: growing and thriving in their ventures.In Today's Episode, We Discuss:Bridging the gap between clinician and CEOExperiencing major growth during the pandemicWho Becky works with and what exactly she helps withTwo tax deductions SLPs may not know aboutCreating your own retirement plan so you can comfortably leave your job If Becky's story resonated with you and you're feeling curious (or maybe even a little panicked) about your finances, I highly recommend booking a free 15-minute discovery call with her at SpenceTaxAdvising.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: Connect with Becky: http://SpenceTaxAdvising.comFind Becky on Facebook: https://www.facebook.com/spencetaxadvisingFollow Becky on Instagram: https://www.instagram.com/spencetaxadvisingWhere 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:
What do you get when you mix a surgeon, a scientist, and a self-proclaimed “tinkerer” who also happens to struggle with reflux? You get Dr. James Daniero—and you get this conversation about RefluxRaft. In this episode, Theresa Richard chats with Dr. Daniero, an ENT who's not just treating voice, airway, and swallowing disorders—he's innovating them. From basement experiments to biomaterials backed by NIH grants, Dr. Daniero walks us through how his personal journey with reflux turned into RefluxRaft, a barrier-based solution designed to help patients (and clinicians) think beyond PPIs. We dive into the science behind alginates, the "physics problem" behind reflux, and the collaborative power between ENTs, SLPs, and GIs. This one's for the med SLPs who want to understand the why behind the symptoms—and the potential tools to help. https://RefluxRaft.com Download show notes and references here: https://syppodcast.com/372 The post 372 – What If Reflux Isn't Just an Acid Problem? A New Way to Think About It with RefluxRaft appeared first on Swallow Your Pride Podcast.
SLPs Meg Lico and Kaitlin Hanley from NYU Langone Health share their story of working with Aaron James, the recipient of what's being called as the first ever full-eye and partial-face transplant. They describe how they worked with James to reach his goals, such as eating solid foods with his family.Central to the story is their collaboration and the interdepartmental communication that made success possible. The SLPs provide details about approaching this unique case, as well as their victories, memorable moments, and the emotions they had along the way.At the end of the conversation, hear from James and his wife Meagan.(This conversation was originally published in February 2024.)Learn More:Swallowing Function After Pioneering Partial Face and Whole Eye Transplant: Clinical InsightsFacing the Unknown: An SLP treated a patient before and after his facial transplant surgery.Changes in Articulatory Control Pre– and Post–Facial Transplant: A Case ReportThe Effects of Lip-Closure Exercise on Lip Strength and Function Following Full Facial Transplantation: A Case ReportTranscript
Send us a text"One of the greatest repositories of knowledge for singing and for performance in existence"What if you had 700 expert voice teaching tools at your fingertips—any time, any day?In this episode of This Is A Voice, Jeremy and Gillyanne get personal about the Vocal Process Learning Lounge — a powerhouse online resource designed for singing teachers, vocal coaches, choir leaders, and voice users.You'll hear how the Learning Lounge came to life, who it's for, and why it's become a go-to CPD (continuing professional development) hub with over 38 accredited hours and growing. #CPDforSingersWhether you want help with vowel tuning, stylistic coaching, teen voice changes, or even straw-based SOVT exercises — the Learning Lounge has it.Plus, discover how our live Q&As build real community, create a sounding board, and help teachers implement learning that very same day.Want to try it or ask a question? Visit https://vocalprocess.co.uk or drop us a message.Topics in this episode include:Bite-sized adult learning for busy singing teachersUsing reflection points instead of multiple choiceCPD certificates and lesson-ready contentLive community Q&As (with real teaching results)Bonus trainings from SLPs and guest expertsNew courses like “Creating a Safe Space” (polyvagal theory)
Hallie chats about one of the BIG mistakes she made during her CF Year that cost her money and sanity.In this episode of SLP Coffee Talk, Hallie's getting real about a common mistake she made during her CF year—one that cost her time, money, and way too much trunk space! If you're heading into your CF, just landed your first job, or even changing settings, this one's for you. Hallie shares what she wishes she did instead of stress-shopping every toy and game in sight—and how you can better prepare (hint: it's not about buying more stuff). From planning smarter to finding support, she's breaking down how to walk into your CF with clarity, confidence, and a whole lot less clutter!Bullet Points to Discuss: Hallie's CF year mistake: over-buying materials she never usedWhy being “ready” doesn't mean having all the thingsWhat truly helped her succeed that year (spoiler: it wasn't toys)Smarter ways to prepare for your CF year or first jobHere's what we learned: Invest in support and strategy, not shelves full of stuffYou don't need new materials for every session—reuse creativelyFocus on learning planning, goal-writing, and flexibilityBuilding community and mentorship matters more than your therapy cartLearn more about Hallie Sherman and SLP Elevate:
Let's talk gentle parenting… but make it speech therapy! In this episode, the SLPs dive into how positive behavioral supports and redirection strategies can make your sessions smoother, calmer, and way more fun—for everyone involved. The SLPs are sharing go-to tips that help you set boundaries with kindness, support kids through big feelings, and keep things running without sticker charts or time-outs. If you've ever wondered how to handle tricky moments while still keeping connection front and center, this one's for you!........................................⭐️ Help us grow by subscribing and rating our podcast on any platform (don't forget to leave a 5 ⭐️ review)❤️ Support our podcast
In this eye-opening episode of 'Some Stutter Luh!', hosts Paul, Laura and Greg welcome Molly Clarke, a speech language pathologist, to discuss the critical shortage of publicly funded speech language pathology (SLP) services in Newfoundland and Labrador. Molly shares her journey from starting her own clinic to becoming an advocate for more SLP positions in the public sector. She highlights the challenges faced by families and clinicians alike, such as long wait times, lack of resources, and the financial constraints on new graduates. Molly's advocacy work, sparked by hearing parents struggle with wait times on CBC radio, has rapidly gained media attention. The discussion also emphasizes the importance of public awareness, parental advocacy, and the need for systemic change to ensure children receive necessary support. The episode calls for action, inviting listeners to join in advocacy efforts, possibly through writing to MHAs (Members of the House of Assembly) or public protests, to bring lasting change to the SLP services in the province.00:00 Introduction and Host Introductions00:20 Meet Molly Clarke: Speech Language Pathologist00:56 Advocating for Publicly Funded SLP Positions01:52 Challenges in the Public System05:31 The Reality of Casual Employment07:50 Starting a Private Practice15:13 Ethical Dilemmas in Private Practice23:05 The Need for More Public SLP Positions30:14 Survey Results on SLP Services30:53 Challenges Faced by SLPs and Caregivers31:29 Restrictions on Public Criticism33:44 Union and Political Advocacy38:29 Parental Advocacy and Government Response41:54 Communication Disorders and Their Impact48:52 Call to Action for Change54:57 Upcoming Events and Final Thoughts#speechlanguagepathology #therapy #newfoundland #labrador #crisis #healthcare #stuttering #stammering #language #disabilitypride #disabilityawareness #advocacy #government #publicgoods #funding #currentaffairs #politics Original news storyN.L. speech therapist says she can't get a job, despite 2-year waitlists for kids needing helphttps://www.cbc.ca/news/canada/newfoundland-labrador/speech-language-pathology-nl-1.7551750CBC interviewhttps://www.cbc.ca/listen/live-radio/1-47-on-the-go/clip/16150836-speech-therapists-working-remotely-due-local-hiringReddit DiscussionN.L. speech therapist says she can't get a job, despite 2-year waitlists for kids needing helphttps://www.reddit.com/r/newfoundland/comments/1l53bwt/nl_speech_therapist_says_she_canx27t_get_a_job/
Hallie chats with Ellie Richter about teletherapy and how to make it work for youWhat do you get when you mix a surprise preemie, a fearless career pivot, and a whole lot of neon stickers? You get Ellie Richter, the powerhouse SLP behind The Essential Teletherapist—and she's here to spill all the virtual tea.In this feel-good (and laugh-out-loud honest) convo, Hallie Sherman chats with Ellie about ditching the traditional grind, setting boundaries like a pro, and building a thriving teletherapy practice that serves both kids and clinicians. If you've ever questioned if teletherapy can be fun, effective, and sustainable—this episode's your permission slip to go all in.Bullet points to discuss:How a health scare led Ellie to launch her virtual practiceWhy teletherapy is essential for underserved schoolsGroup therapy tips: two's a win, five's a disasterEllie's must-have tools for articulation and engagementFun ways to boost student buy-in (hint: stickers + choice!)Setting boundaries with schools like a bossWhy teletherapy isn't plan B—it's the future of SLP workIn this episode, you'll hear:How a personal health scare pushed Ellie to build a flexible, virtual private practiceWhy underserved districts need teletherapy—and how SLPs can make a real impactThe secrets to successful group teletherapy (spoiler: two's company, five's a hot messWhat tools Ellie swears by for articulation therapy and student engagementCreative ways to build connection, confidence, and buy-in from students How Ellie empowers students by letting them choose their themes—and why it mattersTips for advocating with school contracts and setting non-negotiable boundariesWhy teletherapy isn't a backup plan—it's a bold career moveLearn more about Ellie Richter:Website: www.theessentialteletherapist.comInstagram: https://www.instagram.com/theessentialteletherapist/Facebook: https://www.facebook.com/profile.php?id=61566987832697Spotify: https://open.spotify.com/show/1Ps9xDECWXs6nlekB73hys?si=803a140cc3194911 Other LinksTeletherapy Activity Resource List for All Ages:https://www.canva.com/design/DAGS0H4daok/9jBynHljFFarIKpj6qQmcw/edit?utm_content=DAGS0H4daok&utm_campaign=designshare&utm_medium=link2&utm_source=sharebuttonLearn more about Hallie Sherman and SLP Elevate:
***Trauma-Informed Moment: This episode could trigger NICU warriors and survivors emotionally. As always, we choose joy and healing; however, we wanted to inform you in advance.***Full conversation with Casey Lewis, MS, CCC-SLP, BCS-S, CNT, CLC, NTMTC for "Sacred Space: Supporting Caregivers and SLPs in the NICU" an episode of the First Bite podcast.Hosted by: Michelle Dawson MS, CCC-SLP, CLC, BCS-SEarn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/sacred-spaceIn this episode, Michelle is joined by Casey Lewis, MS, CCC-SLP, BCS-S, CNT, CLC, NTMTC, a fiercely compassionate advocate for both caregivers in the NICU and NICU SLPs, as her life journey has had her walk in both footsteps. During this hour, Casey shares raw memories of both life experiences to help grow our colleagues' understanding of barriers that caregivers and clinicians encounter in this setting, all to see our smallest patients thrive. If you have ever wanted to work in the NICU or learn how to support a colleague or family member better while they brave their personal NICU journey, this is the hour for you.About the Guest(s): Casey Lewis, MS, CCC-SLP, BCS-S, CNT, CLC, NTMTC, is a Speech-Language Pathologist based in Dallas, Texas. She owns and operates TexScope, a mobile endoscopy company serving numerous Texas healthcare organizations. Casey's specialties include dysphagia across the lifespan as well as neonatal care. Casey is currently serving as an expert witness in a legal case, representing expertise in neonatal dysphagia. Most recently, Casey became a NICU Mom herself in 2023 after experiencing a placental abruption. Casey's experience of transitioning from clinician to caregiver in a space where she has built her career has strengthened her heart for advocacy, specifically in the fragile environment of the NICU.Watch on YouTube: https://www.youtube.com/watch?v=Vqs46JCmFPg
What does it look like to practice self-care as an SLP, and what does self-kindness have to do with it?As school-based SLPs, there are a LOT of activities that we're pouring our energy into. It's super important that we take care of ourselves in between all that giving, otherwise we'll find ourselves on the fast track to burnout.That's why this conversation about self-care for SLPs matters so much. The only way you can show up for others is by showing up for yourself; you have to fill that bucket of energy before it's empty, and that's what we're talking about in this episode!In this episode, Marisha and Laura discuss:Why self-kindness and self-care are individual journeysHow you can pour into your self-care bucket throughout the dayWays that Marisha and Laura practice self-careWhy getting curious is an important part of the self-care processGetting off the hamster wheel of ineffective self-care (that actually make you feel worse!)Resources Mentioned:Fill a Bucket: A Guide to Daily Happiness for Young ChildrenFull show notes at slpnow.com/221
Mentorship is supposed to shape confident, competent SLPs, but too often, it leaves them overwhelmed, underprepared, and unsupported. In this episode, Dr. Jeanette Benigas talks with Lynsie Erickson-Facca, MS/SLP, of The Speech Pack, to unpack the mentorship crisis in our field, from outdated supervisors to broken systems, and what ethical, empowered mentorship should look like.Find Fix SLPs resources for students and new grads here.If you missed last week's episode about mentorship, you can catch it here: Mentorship is Broken, and New SLPs are Paying the Price.Want to earn some PDHs or CEUs with a discount?Get 10% off all mentorship packages from The Speech Pack with code FIXSLP, because you deserve support that actually supports you.Use code FIXSLP to get 15% off The Speech Pack Merch (for a limited time).Find our most up-to-date promo codes and discounts here.Want to lead or join your state team? Email your name and state to states@fixslp.com.Become a sustaining partner to support our work.Follow us on Instagram.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 ★
Hallie and Dr. Jessica Walker discuss executive functionIn this insightful and empowering episode of SLP Coffee Talk, Hallie sits down with the brilliant Dr. Jessica Walker—an SLP with a PhD, a brain injury researcher turned school-based clinician, and a fierce advocate for adolescent support. From her unique path through higher education to the hallways of middle and high schools, Dr. Walker brings a fresh and essential perspective on executive functioning, emotional regulation, and the critical role SLPs play in supporting teens. She shares how she built her role from scratch, became a trusted member of school-based teams, and uses creative, collaborative strategies (hello, DBT and study hall social groups!) to support neurodivergent and neurotypical students alike. If you've ever wondered how to make your therapy more impactful, relevant, and emotionally supportive for older students, this episode is packed with gems you won't want to miss!Bullet Points to Discuss: How executive skills show up in everyday social interactionsThe role of emotional regulation in navigating relationshipsWhy struggling in one area often means challenges in anotherPractical tools and approaches to support all three skill domains togetherStories from the field: what integrated coaching can look like in real lifeThe overlap between communication, cognition, and social-emotional developmentHow SLPs are uniquely equipped to coach skills that support long-term successWhat makes coaching different from therapy—and when it's the right fitHow SLPs can think beyond the IEP to support teens in everyday lifeHere's what we learned: SLPs are key players in executive function and SEL.Start with self-awareness—everything builds from there.Real-life moments > worksheets every time.Resistance is normal; trust takes time.Collaboration fuels carryover and confidence.Keep showing up—your impact grows.Learn more about Dr. Jessica Walker: Email: cognitive.connections.coaching@gmail.comInstagram: https://www.instagram.com/cognitive_connections_coaching/ JWalker Communication: https://www.jwalkercommunication.com/ Cognitive Connections Coaching: https://www.cognitive-connections-coaching.com/ Free Digital Downloads – Cognitive Connections CoachingLearn more about Hallie Sherman and SLP Elevate:
What are the benefits of themed therapy? What are our favorite themes? Does Kyla deserve a Grammy for her performance in this episode?The SLPs dive into the importance of building semantic connections and background knowledge to facilitate learning. They also provide practical examples of how they use themed therapy in their own therapy sessions. It's a great time.........................................⭐️ Help us grow by subscribing and rating our podcast on any platform (don't forget to leave a 5 ⭐️ review)❤️ Support our podcast
Show Notes: slpnow.com/220Jessi Andricks, M.S., CCC-SLP shares her story of SLP burnout, leaving the field, and eventually finding her way back. With a focus on practical tips and resources, speech-language pathologists will walk away from this episode with strategies to better manage their stress.Mentioned in this episode:5 FREE Therapy MaterialsGo to
New SLPs are burning out—and it's not their fault. In this episode, Dr. Jeanette Benigas, SLP talks with Nikki Rosner, MA/SLP and Hylan Noble, MS/SLP from The Mentorship Collective about the growing mentorship crisis in speech-language pathology. Together, they unpack why so many new grads feel overwhelmed, unsupported, and unprepared in their first year—and what can be done to fix it.We talk about the problems with traditional new graduate supervision models, the role of mentorship in preventing SLP burnout, and the urgent need to move away from ASHA-branded language (such as certified fellow and CF) in state licensure and job requirements. Whether you're a seasoned SLP supervising a student or a new grad wondering if you picked the wrong field, this episode is packed with perspective, real-world strategies, and hard truths.Don't forget to download and listen to You Don't Say! SLP Real Talk, Advice and Strategies, and show Nikki and Hylan some love with a ⭐️⭐️⭐️⭐️⭐️ and review so even more SLPs can find their information.Find Fix SLPs resources for students and new grads here.If you missed our episode with Meredith Herold from Informed Jobs, catch it here: You're Not Making $60/hour: The Lies Buried in SLP Job Posts.Want to earn some PDHs or CEUs with a discount?New grads, this one's for you: The Mentorship Collective is offering 10% off with code FixSLP to help you thrive, not just survive.Find our most up-to-date promo codes and discounts here.Want to lead or join your state team? Email your name and state to states@fixslp.com.Become a sustaining partner to support our work.Follow us on Instagram.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 ★
If you've ever wondered, “Wait… are we as SLPs really allowed to be in the esophagus?” — this episode is for you. Theresa brings on two MedSLP Collective favorites, Christoph Schmitz, CEO of PatCom Medical, Inc, and Laura McWilliams, med SLP + board-certified swallowing specialist + all-around powerhouse. Together, they unpack what might just be […] The post 370 – Improving NG Tube Placement: What Every Med SLP Should Know About the PatCom Introducer appeared first on Swallow Your Pride Podcast.
Do you want to start a private practice but feel overwhelmed by the logistics or your lack of business knowledge? If so, this episode is for you! Joining me in this episode is Francesca Hernandez, a speech-language pathologist and the proud owner of Chihuahuan Desert Speech Therapy in El Paso, Texas. After filling her schedule with four PRN jobs right out of graduate school, Francesca realized that starting her own practice would give her greater control over her career.Francesca joined the Start Your Private Practice Program in 2022, but waited over a year before actually diving into it. She had the same frustrations with her job that so many SLPs experience, and has not looked back since going through the Start Program!In this episode, Francesca shares how her clinical skills and experience gave her the confidence to slowly build her own business and go into private practice full-time.Francesca was born and raised in El Paso, TX. She attended the University of Texas at El Paso to pursue her undergraduate studies with the financial support of a full-ride scholarship from the Terry Foundation. Her personal life experiences led her to develop a strong passion for treating individuals with neurological disorders. She has always valued giving back to the El Paso community, which ultimately motivated her to start her private practice.In Today's Episode, We Discuss:Francesca's introduction to speech-language pathology after her father's TBIWhat it was like working four PRN jobs to get experience after grad schoolThe thought pattern that so many SLPs face when dealing with job dissatisfactionWhy getting word-of-mouth referrals is easier than you think it isFrancesca's day-to-day schedule working with an adult populationFrancesca is like so many SLPs who want to leave their jobs, but don't know if they have what it takes to go into private practice. I hope her story helps you realize you already have what it takes, and the flexibility and job autonomy you want are just a leap of faith away!If you would like to know more about our programs and how we help support YOU in starting or growing your practice, just like we supported Francesca, please visit www.IndependentClinician.com/resources.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: Follow Francesca on Instagram: www.instagram.com/chihuadesertspeech/Francesca's website: https://www.chihuadesertspeech.comGet support in starting or growing your practice: http://www.IndependentClinician.com/resourcesWhere 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:
05/25/25The Healthy Matters PodcastS04_E16 - We're Talkin' Speech-Language PathologyWith Special Guest: Adam Terrell, MSWhen it comes to the field of Speech Pathology, we might tend to think it's all about helping people with the challenges of a stutter or helping kids get out a proper "R" sound - but it turns out there's a lot more to it! Communication is a 2-way street, and there can be a lot to manage when it comes to speaking, listening and retaining information. From a child struggling to say their first words, to stroke survivors, a Speech-Language Pathologist (SLP) can be essential to opening up the doors of language and communication.But it turns out there's even more to it - and joining us on Episode 16 of our show is Adam Terrel (MS). He's a SLP at Hennepin Healthcare and he'll walk us though what the job is really like in a hospital setting and the variety of patients helped by the work of SLPs. We'll cover everything, from diagnosing swallowing issues to therapies and outcomes for those looking to regain their voice. Communication is an essential part of our lives and whether you're a parent, a patient or just curious about the world of Speech-Language Pathology, you've come to the right place. Let's get talking!American Speech-Language-Hearing Association I ASHA.orgWe're open to your comments or ideas for future shows!Email - healthymatters@hcmed.orgCall - 612-873-TALK (8255)Get a preview of upcoming shows on social media and find out more about our show at www.healthymatters.org.
As we approach graduation season, we're turning our attention to speech-language pathologists' role in helping students move from high school to the next phase of their lives.Twyla Perryman-Brownlow (University of West Georgia) shares ways SLPs can equip students with the skills and knowledge they need to navigate a meaningful transition to whatever comes next—such as employment, trade school, or college.Learn More:Postsecondary Transition PlanningCharting Paths: Supporting the Journey Beyond High SchoolASHA Voices: Embracing Your Students' Strengths—and Your OwnSchool-based SLPs: Here's a Virtual “Backpack” of School ResourcesThe Road Ahead: Postsecondary Transition Planning for Adolescents - ASHA StreamTranscript
Show Notes: slpnow.com/219Angie Merced leads a thoughtful discussion of SLP burnout. She discusses the symptoms and causes of burnout and shares practical strategies that SLPs can use when overcoming their own burnout.
Are staffing agencies and investor-backed companies pocketing the profits while you do the work? In this episode, Dr. Jeanette Benigas, SLP, and Preston Lewis, MS/SLP sit down with Elise Mitchell, MS/SLP, founder of The Therapist Support Network, to expose how contracting puts the power—and the paycheck—back in your hands. Whether you're in schools, hospitals, or private practice, learn how SLPs are building income, autonomy, and stability by cutting out the middleman. We cover how to pitch contracts, what to charge, and why provider-run businesses are the future of speech-language pathology.Don't forget to download and listen to The Guide to Setting Your Rate for School Contracts and show Elise some love with a ⭐️⭐️⭐️⭐️⭐️ and review so even more SLPs can find her information.Want to earn some PDHs or CEUs with a discount?The Therapist Support Network is cheering on Fix SLP! Save 10% on every course with code FixSLP—because support should be smart and affordable.Find our most up-to-date promo codes and discounts here.Want to lead or join your state team? Email your name and state to states@fixslp.com.Become a sustaining partner to support our work.Follow us on Instagram.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 ★
If you're tired of feeling underappreciated and held back by the school system, this episode is for you!Joining me today is Kim Willard, SLP and founder of Empower YOU Speech and Language Therapy in Spring Hill, Tennessee. After a new school position did not live up to her expectations following a move, Kim realized something had to change.Kim decided to open her private practice after joining the Start Your Private Practice Program back in 2023, and it's been amazing to watch her create success on her own terms. In this episode, Kim shares what it's like to run a mobile private practice that reflects her priorities and gives her the job satisfaction she's always wanted.As a speech therapist with over 18 years of experience and a graduate of stuttering therapy, Kim Willard believes that everyone can become a confident communicator, regardless of their differences. Her practice, Empower YOU, is centered around making speech and language therapy a meaningful and joyful experience for all types of learners. She takes a child-centered approach to therapy sessions, supporting connection over compliance. Her greatest pleasure is to see a child fall in love with learning, share their unique thoughts with the world, and feel as special as they are. In Today's Episode, We Discuss:Dealing with career disappointment following an exciting move Navigating private practice while working full-time, and when she realized she could quit her jobWhat Kim's day-to-day looks like running her own practiceLearning to believe in your skillset and charge what you're worthDeveloping working relationships that lead to referrals (and not competition!)I hope Kim's inspiring story reminds you it's never too late to pivot and start calling the shots yourself. You have so much to offer, and you deserve to charge your worth!If you would like to know more about our Programs and how we help support SLPs and OTs (like Kim) who want our help to start and grow their practices, please visit www.IndependentClinician.com/resources.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: Check out Kim's website: www.empoweryouspeech.comFollow Kim on Instagram: www.instagram.com/empoweryouspeechLearn more about our programs: www.IndependentClinician.com/resourcesWhere 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:Enrollment for the Start Your Private Practice Program is OPEN! Join Now to snag the extra bonuses: www.PrivatePracticeCourse.com
In this episode of the We Talk Health Podcast, we sit down with Adrienne Wagster, M.S. CCC-SLP, a Speech Language Pathologist (SLP) with West Tennessee Healthcare, to shine a light on the vital work done by SLPs.May is Better Hearing and Speech Month, a perfect time to learn how speech therapy can be just as life-changing as physical or occupational therapy. Adrienne explains what speech-language pathology really involves — from helping children with developmental delays to working with adults recovering from strokes, brain injuries, or other neurological conditions.Whether you're curious about how speech therapy works, wondering if it could benefit a loved one, or just want to understand more about this fascinating and essential healthcare profession, this episode has something for you.Guest:Adrienne Wagster, M.S. CCC-SLPSpeech Language PathologistHost:Kara MobleySocial Media CoordinatorResources:West Tennessee Healthcare Speech Therapy ServicesPediatric Speech Therapy - Dyersburg
Have you ever considered adding ABA services to your speech therapy practice? Today I had a chat with Quintina Briscoe, founder of Pediatric Speech Lab, who shares her inspiring journey to opening her own clinic. Quintina discusses how she recognized a gap in services for children with autism and the importance of integrating ABA into speech therapy to better support her clients.She reflects on the behavioral challenges many SLPs face and how inclusive, multidisciplinary therapy can make a lasting difference. Quintina also highlights the range of services her clinic offers—from in-clinic and teletherapy sessions to placing facilitators in Baltimore City schools.We also dive into her empowering company culture, rooted in inclusivity, autonomy, transparency, and respect—and how she weaves these values into every layer of her business and team meetings.#autism #speechtherapy What's Inside:Integrating ABA services into speech therapyHow SLPs react to adding ABAThe value of inclusive care Scaling a thriving clinic with integrated ABAMentioned In This Episode:Quintina Briscoe M.S. CCC-SLP (@quintinabriscoeslp) on InstagramMembership - ABA Speech ABA Speech: Home
If you're doom-scrolling on a Sunday with that tight feeling in your chest and a laundry list of “should haves” racing through your mind... you're not alone. That creeping dread you feel? That's the Sunday Scaries. In this episode, I'm putting them on blast—what they are, why they happen, and (most importantly) how to shut them down without spiraling.I'm sharing my go-to strategy: the Sunday Soft Start. This is not a three-hour planning marathon—it's a 30-minute ritual that's all about grounding, not grinding. I'll walk you through step by step how I map out my week in a way that brings calm, not chaos. And yes, it actually works. If you've been living in the overwhelm cycle, this one's for you.Oh, and did I mention? Next week is Episode 100! I've got some big surprises planned—you won't want to miss it.
Episode 319: Elevate Your Practice with the Pediatric Feeding Hub, Hallie Bulkin, MA CCC-SLP, CMT®, CPFT™ This week On Untethered Podcast, host Hallie Bulkin announces the launch of the Pediatric Feeding Hub, a new mentorship and community platform for pediatric speech-language pathologists (SLPs), occupational therapists (OTs), physical therapists (PTs), and feeding therapists. The hub aims to provide affordable, flexible, and real-time support through weekly Zoom office hours, a private Facebook group, and live mentorship from experienced clinicians. The initial phase offers a limited-time beta pricing opportunity. This new initiative is designed to alleviate the feelings of isolation and uncertainty that many therapists face while treating complex pediatric feeding and swallowing cases.If this episode has resonated with you in some way, take a screenshot of you listening, post it to your Instagram Stories, and tag Hallie @halliebulkinIn this episode, you'll hear:Exciting Announcement: The Pediatric Feeding HubWhat is the Pediatric Feeding Hub?Meet the Expert TeamMembership Details and BenefitsHow to JoinBeta Pricing for 5 Days OnlyQ&A: Common Questions AnsweredFinal Thoughts and MissionLINKSJump into The Pediatric Feeding Hub by joining our email list here or by emailing support@feedthepeds.com Connect with Hallie on Instagram, Facebook & LinkedINHaven't left a review yet? Click here and thank you, as always, for being a listener! Want to watch more of the episode? Click here Hosted on Acast. See acast.com/privacy for more information.
This episode focuses on top sleep tips for SLPs. The topic of sleep has a strong connection to the work that SLPs do, because being well-rested can support us in navigating complex clinical issues and managing stressful situations. The episode includes research-based tips from sleep scientists and experts, but it is not medical advice. The first part of the episode explores the importance of having a consistent sleep schedule and going to bed and getting up at the same time each day. Next, the episode covers sleep tips that are applicable for both children and adults, with a focus on developing a nightly wind-down routine. The episode then moves into a discussion about maximizing light exposure in the morning, and minimizing light exposure in the evening. Next, the episode talks about the importance of getting out of bed if you're struggling to sleep. This tip comes from Cognitive Behavioral Therapy for Insomnia, which is an effective insomnia treatment. The final section of the episode addresses the connection between anxiety and insomnia. One strategy in this area is to spend some time before bed writing down sources of stress and anxiety.