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October 25, 2021

Deception in Speech Therapy: How To Shop For Snake Oil

So, how has speech stuff been this week?”

I was working with a client who stutters, a college student. It was the beginning of the school year, a season of transition and change that can often be accompanied by speech challenges.

“Pretty good, actually! I met someone else who stutters in one of my classes, and he recommended this book. It’s called The Stuttering Cure.* He said it helped him a lot. So I started reading it this week and doing some of the things. It’s definitely helping.” He paused. “Have you heard about this book?”

My licensed, certified, certificate-of-clinical-competence in speech-language pathology wheels were already turning. Have I heard of this book? Oh yes. More specifically, I’ve heard of the author. He is one of many self-styled “stuttering coaches” that live on the Internet. A person who stutters figured out a solution for himself, and he established a mini-empire helping others find the light. 

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October 25, 2021

Answering FAQs about Communication Anxiety Therapy

As some of the stigma around therapy of all kinds is removed, we’re beginning to discover new attitudes, stressors, or behaviors in ourselves that we may want to address in some therapeutic setting. In identifying some of these for yourself, you may have come to learn about “communication anxiety” and “communication anxiety therapy” — but what does that mean?

Here, our clinician Michelle answers some of the most popular questions surrounding communication anxiety therapy, and how you can determine if this course is right for you.

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August 16, 2021

A Different Kind of Speech Therapy: Listening

All of the important things I’ve come to know about speech therapy I learned through my clients.

Today’s story is about the therapeutic power of listening

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One of my most impactful client-teachers was a man with a TBI (traumatic brain injury). He was a very successful professional, decorated with awards of recognition in his industry. He had sustained an workplace injury and was diagnosed with a "mild" TBI. One year out, he was still experiencing difficulty with memory, sensory processing, neurogenic stuttering, and attention fatigue. Formerly a confident and accomplished public speaker, he had now developed significant anxiety and shame around even the simplest of communication interactions, like ordering coffee or conversing with friends. Since the accident, he was receiving increasingly negative responses to his communication, even from family and colleagues. 

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February 23, 2021

How to Avoid Writing Ableist Goals in Speech Therapy

SLPs are masters of goal writing. We spend literal years learning how to write specific-measurable-actionable-relevant-time-bound goals. We craft robust, descriptive targets in the restrictive ecosystem of IEP, insurance, and Medicare requirements. 

Most SLPs I meet are never satisfied with their goal writing. This is a good thing! It’s a sign of how seriously we take goals and therapy plans, that we are always seeking ways to improve. 

In the spirit of improvement, there’s something I want to call attention to in our standard practice goal writing: ableism.

We’re taught to write goals a certain way (SMART, IEP-compliant, etc.). Unfortunately, that “certain way” (that we’re shamed for not following, when in graduate school) is rooted in ableism. As our field grapples with how social justice issues apply in a speech therapy context, we need to examine why we write goals and how we write goals.

So, let’s start.

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November 19, 2020

The Art of Political Small Talk

The general rule for small talk is you can’t talk about politics. However, COVID-19 and the 2020 election have flipped this upside down.

Small talk often begins by talking about the shared environment—commenting on the weather, discussing upcoming holidays, etc. When we are talking through masks or over Zoom and experiencing an election of historic proportions, it’s a little hard to avoid the elephant in the room. 

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June 24, 2020

Shy or Silent: Tips for Speaking up in Groups Post-Quarantine

by Rachel Muldoon, MSc, CCC-SLP

As long as it took many of us to get acclimated to working from home and practicing social distancing over the past few months, the tide is about to turn. After loneliness, zoom fatigue, and other effects of isolation, we may start to experience a kind of disorientation when we encounter larger groups of people and try to navigate conversations with more than one or two participants. Add in concerns about social distancing, and you may find yourself so distracted by reading social cues and keeping a safe distance that it becomes difficult to follow what’s being said at all, much less interject with your own thoughts and opinions.

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May 20, 2020

How to make the most of video chats and avoid Zoom fatigue

Video conferencing apps like Zoom have become a daily life staple, for work, play, and personal connection. As we adapt to a socially distanced lifestyle and routine, this medium of communication is getting harder for many, not easier. “Zoom fatigue” is real. Video-based communication requires more intense focus and attention than face-to-face communication. We have to filter out pauses, glitches, background noise and other distractions while processing what others are saying. Your brain does all this receptive processing first, and then you need to determine what to do with that information or how to respond. If you are feeling drained and slogging through your days at the computer, you are definitely not alone. More time to adjust won’t make you less exhausted.

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