I’ve worked with speech therapy clients in all sorts of unique situations over the years. It’s always sad to see them go, but very rewarding to see the change in them once they have achieved their goals. Each client takes a different path through the different areas we cover in speech therapy: naming their goals, learning about the speech apparatus and communication techniques they’ll be using, practicing exercises and working on other activities, etc. But a few clients will always stand out in my mind, such as this one from my first year of practice. Mr. James (name changed) was staying at a skilled nursing facility. The first time I visited him was quite awkward.

“Katie, can you screen Mr. James in room 103 for speech? He’s kind of hard to understand.”

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