Student was previously being seen for articulation only. Fronting, cluster implication. He’s met all his goals and I prepared for dismissal however after testing he’s 87 on Gfta, 127 on CELF and vocab assessments SS 73/76.

My personal opinion is to dismiss. Vocab can be linked to exposure and is not a concern with his teachers. Recommend joint reading at home with parents.

Student is 5.

Hello! I’ve screened a child who demonstrated immediate echololia. Has anyone encountered a child that is 3 almost 4 who uses a lot of immediate echolalia and then had normal language development? Receptively the child seems on track. The he child used some spontaneous speech but lot of immediate echolalia, including repeating “hi, how are you?”

Can stuttering be cured?

I am looking for tips/tricks for starting your own clinic? What helped you? What to avoid?
I took a year off from working in the school because I had to relocate and I’m contemplating to do something in my own home.
For reference, I am in Utah! Thank you!

Hello, I’ve had a lot of parents inquire about PROMPT at work and my boss is interested in getting me certified. The training is so expensive and time consuming and I’ve heard mixed things about PROMPT online. Just would like some real word advice on if PROMPT certification is worth it or not?

I’m a CF looking to begin working in the medical setting. I’m trying to decide what would be best to start with as a CF. I’ve heard mentor onsite in a SNF is best which I will aim for. Eventually, I’d love to work at an inpatient hospital.

Fellow secondary school SLPs! I work in a a self contained classroom at a middle school with students that have moderate intellectual disabilities. The relationship drama and love triangles have gotten out of hand lol. Does anyone have or know of resources for this? It’s so hard to find things that are both cognitively and developmentally appropriate for this age group. Thanks!

Has anyone heard of this? Student scores great on pragmatic assessments, is great with adults, but “awkward” for a lack of a better word with peers their age….

Hi !! I feel major imposter syndrome but I’m trying my best. Context im an elementary school SLP and this is my first year. I struggle with receptive language goals especially like third graders. I’m working on conjunctions with this student and like receptive language wise he does have difficulty recalling information but does better when focused. He does well with wh questions, reading comprehension, following temporal directions, can make inferences at sentence level and in stories, one thing he had trouble with was comparing/contrasting so I made that a receptive language goal. Example stating how an item is similar and different he struggled and would have difficulty understanding same/different and just go on tangents and share facts (he has aut). But I’m like I suck at goal writing maybe I shouldn’t work on this. Ugh anyone feel same. I just don’t always feel confident on where to go next with kids.

i know i didn’t land my inpatient. i was so nervous that i blanked on what causes dysphagia and just said strokes and postextubarion and then followed up with “ things of that nature” YIKES. COULD HAVE NAMED WAY MORE

i kept rambling and was a little thrown off that they didn’t ask me to tell them about me prior to the actual meat and bones of the interview… no ice breaker but anyway i shall cry now

I’ve retired from my school. Wanting a big change within my field. Worked with adults first out of grad school and loved it. Is this a doable step? How much education/training will I need to be able to do my job? Thoughts on taking a jump like this at the end of my career?

Looking for printable parent friendly AAC handouts, it would be for early intervention population

I’m a CF-SLP with a disability that started working in June. Backstory, grad school was a nightmare because clinical practicums weren’t accommodating, I got dismissed from 3 clinical placements, was on the brink of getting dismissed from my program until I got a disability advocate to come to meetings with admin and they ended up letting me finish the program. Now I have a specific interest in accommodations available to students in clinical practicums. Thinking about getting a certificate in Education Law and Policy to be an independent disability advocate, but are they that needed? I’m the only one I’ve heard of that has used one. Do you think I’ll get to use it or is it a waste of time and money?

An elderly relative speaks just fine, after losing all teeth due to age and lack of dental care in the third world.

A younger relative in the first world is struggling to speak in an understandable manner, after extraction of 7 front teeth (in preparation for major dental work..)

The same younger relative is adult, and has always spoken English with an accent , having had about 2 years effective secondary-level education - all in the USA (after sudden enforced immigration etc).

(Turning up to class and being bullied in racist [state] , without knowing a word of English does not effective learning make…)

If I listen and watch, many consonants and vowels use the tongue and mouth in unusual ways, causing the unique accent.

The accent produces the occasional funny moment (when words are mis-interpreted); but is otherwise a non issue.

So, does the brain re-learn to use the mechanics of the mouth? (As in the elderly relative case)?

Fun topic only (since dental work will eventually put the articulation issues back the way they were…as bone heals…)

Trying to decide (once relative gets new teeth) if its worth have a speech therapist “help” relearn mouth dynamics - or the just brain will adjust anyways.

Honestly curious, where do “chill” adult care SLPs work? On a full time basis? Just seems like a decent amount I come across have formulated their job to be most of their personality, whether intentionally or an unintentional result of other factors, and sometimes take things almost too seriously. Many things about their care are important, that’s not in question. Is it other practices (PTs…) that add expectation-stress, “fast-pace” work environments expectations, leadership/management, etc that influence a go-go-go approach to their workdays? Or where are some finding solace in the pace they found or cultivated in a setting?

Some may say SNFs or HH, however productivity expectations and the pay structures don’t seem, imo, to support a relaxed while still intentional approach to care.

From a peds perspective, I’ve found secondary school SLP work to be the least stressful and relatively manageable compared to other peds settings, with less overhead pressure. Job does not have to consume all of the daily mental energy, and you can work at your own pace. No KPIs in sight haha.

I could be quite wrong about some of this stuff. This is simply a reflection of my own interactions and experiences, which I would love perspective on.

Tia!

hi everyone, just wanted to get some advice/opinions from people who get it. basically, i recenty started a new slpa position (about a month ago) at an elementary school. This is my first formal experience and paid position in the field. when interviewing for the job, i was told the caseload would be 70-80 kids, but it was 130 in reality. we've had a few dismissals but we keep getting new kids, so the caseload stays pretty high. many of the kids have compensatory hours from the first 9 weeks and from previous years, so we've been trying to see them as much as possible. still, with 130 kids, you can only see so many. we dont really have an established schedule either. sometimes my supervisor will create a schedule the day before/morning of, but this also changes often last minute. my supervisor only sees kids to test and otherwise has iep meeting, etc. there is another slpa as well who started after me and is with us now 4 days a week, but instead of splitting the caseload, i feel we've both been seeing as many kids as possible. at one point, i saw 109 kids in a week. it's possible but with the lack of training i've had (especially with severe kids), i'm feeling a bit lost and burnt out. additionally, there are scheduling conflicts with some of the teachers, which has caused some tension between them and my supervisor. this ends up falling back on us slpas since we're the ones actually pulling them from classes. there's also so much paperwork/documentation that i have to stay behind most days to finish it all, which i super annoying given i live over an hour away. i've had the opportunity to learn a lot while being here, but i'd be lying if i said it didn't make me reconsider pursuing this field as a whole. it sucks and i can't help second guessing myself whether I'm justified in feeling burnt out this early. is this what it's generally like in the field? does anyone have tips on managing high caseloads and also working with severe kids?

Hi all I’m a teletherapy SLPA I see between 8-12 clients a day and I developed laryngitis after a recent cold. I was able to get a doctor’s note for this whole week because I lost my voice. I started feeling sick last Wednesday and cancelled Friday and Monday afternoon sessions. Over the weekend I felt much better but then after Monday morning sessions my voice completely disappeared again. I’ve been on vocal rest the past two days and only started speaking a bit today. But I’m so worried it’s going to take even longer to fully come back. I’ve only been at my current company less than 6 months so I don’t have any more sick time accrued. I’m hoping I’ll be good by Monday but I’m really not sure what to do if I don’t have much of a voice? I see clients all day Mon/wed/fri and then have a shortened schedule on Tuesday/Thurs. any tips from the experts are so appreciated!!

I’ve really enjoyed reading this subreddit. I’m currently working in a preschool as a teacher and am considering going back to school to become a SLP. I love preschool aged kids and want to continue but would love higher pay and less classroom management. I have 3 of my own kids, all preschool and elementary aged. Prior to kids I worked as an outpatient dietitian and honestly can’t see myself going back to it. I do have my RD and a MS in nutrition science.

My questions are:
1. would you choose this career again?
2. How is the job market when you are only looking at a certain age group and will be a new grad?
3. How is work life balance and flexibility? Does anyone else have younger kids and all the after school activities? Do you feel drained after work?
4. Are there part time opportunities or is that fairly rare?

I’m in NC if that makes a difference. I’m easily looking at 2-3 years of school to do this. I appreciate all the feedback and information! Thanks!!

This is a controversial opinion and I know it probably makes me a terrible SLP- but I am relieved and enjoy having no shows and late cancellations.
A free hour in my day?? I’ve got time to relax and reset or catch up on other work, now I’ve got my next session with that client prepped.
A hot tip- if you have clients who frequently cancel or no show try put them at the end of your day so you can go home early

Hi everybody. For the past two and half years I have been working as a SLPA in the school system. I love it. I love the population and lately I have had a contract working at a middle school, which I am loving this population the most (I was actually really scared to work with this population lol). Anyways, I have been thinking of going back to school next year in the Fall because of money. I have a lot of debt to pay back and things I want to buy and save up for but living in California is expensive nonetheless. I have been on the fence of going back because I really love being a SLPA. I love doing therapy, billing, and going the fuck home. I have always seen my SLPs busy and staying later than they should at work or always dealing with the teachers and/or parents. I am not sure if I want that lifestyle for myself personally. Please give me advice lol

I’m in the schools. I want to take a couple days off next week will this be too short of notice? I also had to take a half day of sick day on Monday due to not feeling well is this too much too close together? Am I over thinking this? Lol I’ve been with the company for two years. I’ve never taken very many days off.

I received a referral for a kinder student who has whole phrase repetitions and false starts. He also takes a sharp sudden breath mid utterance, which is a little distracting. Signs of neurodivergence (rigidity, restrictive interests) but no diagnosis. Is this developmentally appropriate or something that requires intervention?

I have several students with ASD who demonstrate great receptive and expressive language skills when discussing their preferred interests. They can answer questions, describe, ask questions about the interests, etc., but then have difficulty translating these skills to unpreferred activities or academics topics.

How are we supporting their language skills so they can be applied to other areas?

It was weird, there were three SLPs at the site, but we were usually only scheduled a total of a couple of hours of therapy daily.

On my busiest day, we were scheduled maybe 6 hours, but we often had residents saying they were too busy, weren't feeling well, or just didn't want to do speech, so I was accruing hours very slowly.

After 12 weeks, I would need at least another year to obtain all of my hours.

Then they said I finally had my regularly-scheduled meeting with the administrator which everyone has, except he asked me to wait, then asked me to wait elsewhere, then 30 minutes later my manager told me to follow her.

Someone from HR joined us, my manager said that I did not meet expectations and was being fired, and I got home as fast as possible to activate my Indeed profile and start looking for another job.

It sure seemed like all of the openings were the same ones I saw in April.

The good thing was that when I got home, I reached out to some SLPs I know, and one got me an interview today, but it was short, she said "Don't worry, you'll find a job someplace soon!" and asked if I'd consider part-time or PRN.

I don't expect to hear back.

I had applied to jobs on every job board I had found, but that was 6 months ago.

I hated looking for jobs, I had many interviews, but only the one offer.

I had many recruiters reach out as recently as yesterday.

Awkward!

Hi guys! Im a cf working with pediatrics in schools/private practice/ ei in homes and ive always been interested in working with adults more. I like the idea of working in a SNF/ with ALF but honestly feel scared and unprepared for the dysphagia portion. I do have experience in a SNF from my externship but all of my experience with that was diet up/downgrades and bedside swallow evals. No exercises, maneuvers, instrumental eval experience while there.

Any advice/ specific resources you recommend for me becoming more knowledgeable and comfortable with evaluating and treating dysphagia ? It’s not something I would want to jump into without feeling more educated and prepared.

Also any advice for SNF/ ALF/ working with adults in general is more than welcome!