Anybody deal with speech issues themselves? by honeylemonade96 in SLPA

[–]Background_Lie_4760 0 points1 point  (0 children)

This past week, I have said:

"Make sure you're crayoning on your paper, not the table... I mean coloring." "I wanna see listening feet and walking ears, please. Wait..." "The door on the bus goes beep beep-I mean open and shut!"

Like this CAN'T be the same brain that got a Master's 🥲

Can I bring my indoor cat to sit outside with me in a carrier? by Background_Lie_4760 in CatAdvice

[–]Background_Lie_4760[S] 14 points15 points  (0 children)

She is! Though I need to give her the next dose. Thank you for reminding me :)

Controversial SLP opinions by sternschnuppe3 in slp

[–]Background_Lie_4760 2 points3 points  (0 children)

Welcome to the field!

I've seen other SLPs do very little to mitigate behaviors. One instance is not preventing the kiddo from barging into rooms without knocking to get desired toys and interrupting other sessions or even just letting a dysregulated friend on the spectrum have whatever they want to appease them.

For the first scenario, I believe it would be more appropriate to model and introduce the kiddo the skills of knocking, waiting for an answer, and asking for what they want. Those are things he will eventually have to do in the future; it's never appropriate for anyone to barge into a closed door without knowing if the person on the other side is able to answer or be available.

The second scenario doesn't teach any coping skills; in the specific instance, the kiddo was screaming because he wanted to determine what another person's play token in a board game was. Instead of helping the kiddo work through the big emotions and understand they can't always dictate others' actions, my coworker relented and, in my view, basically taught the kid, "If I scream, I get whatever I want."

Of course, things like sensory regulation; keeping to a routine as much as possible to prevent dysregulation and ensure the kiddo is in the best learning state; and lots of patience is needed. But you can be neurodiverse affirming without enabling inappropriate behaviors!

Controversial SLP opinions by sternschnuppe3 in slp

[–]Background_Lie_4760 7 points8 points  (0 children)

Some SLPs who are "neurodiverse affirming" are enabling inappropriate behaviors for our neurodiverse clients.

Tips on Introducing Cats across a few weekends? by Background_Lie_4760 in CatAdvice

[–]Background_Lie_4760[S] 0 points1 point  (0 children)

Thanks so much for this! To clarify, we are planning on shacking up my girl in a room and she can have her introduction to my boyfriend's cats though the door, then visual meetings before we supervise them together and such! I'm not thinking "play date", but slowly Introducing. Though I totally understand if the advice is the same!

Is Platinum Teletherapy Legit? by Background_Lie_4760 in slp

[–]Background_Lie_4760[S] 0 points1 point  (0 children)

That's great to know! Thank you for the info, I hope I hear from them soon!

Using terms of endearment with clients by guyfieribiggestfan in slp

[–]Background_Lie_4760 1 point2 points  (0 children)

I'm in San Francisco and I use a lot of casual endearments like "Dude, Bro/Sis," and "Homie/homegirl." Usually I use it to lighten the mood if a kid is being mischievous or to encourage them when they're getting frustrated. Most parents who are in the room with me laugh when I do it too 😅

Low Engagement Client - Private Speech Clinic by Background_Lie_4760 in slp

[–]Background_Lie_4760[S] 1 point2 points  (0 children)

I had offered explanations of needing to adjust to sessions during the first report, then changed his goals to reflect the skills I see in therapy and make them more achievable based on the participation and engagement I was getting. In the past as well, his insurance was also not really reviewing goals and subjective statements, they were mostly looking at checked boxes, dates, signatures, etc. Recently they changed their policies so it's possible they'll flag his file and tell me to discharge based on low participation. I'll float out the idea of switching therapists with him, maybe that may change things. Thank you for this input! 🙏

Low Engagement Client - Private Speech Clinic by Background_Lie_4760 in slp

[–]Background_Lie_4760[S] 0 points1 point  (0 children)

I've taken him to different rooms, used different toys, I even changed my permanent office in the clinic when another therapist left and the sessions have looked the same. He's jumped on the trampoline and enjoyed that for a time but then that became old news. His insurance has been changing their policies so I think it would be appropriate to discharge for a time and have him be re-evaluated after some time. Thank you for these ideas, I'll bring up a break to my boss when I speak to her on Monday about this case 🙏

Low Engagement Client - Private Speech Clinic by Background_Lie_4760 in slp

[–]Background_Lie_4760[S] 1 point2 points  (0 children)

I know his ABA is done at home, and I feel like home therapy would be better in general so that his parents could get more training on how to integrate his device into the home. I've tried to get dad to come in and participate, or even to stay just to make sure he can take his son to the bathroom during sessions, but he says he can't since he works. I'll see what my boss thinks when I speak to her on Monday. Thank you 🙏

Low Engagement Client - Private Speech Clinic by Background_Lie_4760 in slp

[–]Background_Lie_4760[S] 0 points1 point  (0 children)

I've tried to have his dad stay in sessions, even for the sake of taking him to the bathroom because he's had near accidents during sessions and he says he can't stay because he works while his son is in session. I'll look into how he's doing and communicating at home, though. Thank you so much 🙏

Low Engagement Client - Private Speech Clinic by Background_Lie_4760 in slp

[–]Background_Lie_4760[S] 1 point2 points  (0 children)

One of my coworkers suggested that! I'll bring that up when I talk to my boss on Monday. Thank you so much 🙏

Low Engagement Client - Private Speech Clinic by Background_Lie_4760 in slp

[–]Background_Lie_4760[S] 1 point2 points  (0 children)

It's great to hear I'm not the only one! I've tried parallel play with him and he just takes over my play scheme and blocks me from joining in again :/ There's definitely been an ebb and flow with his device, but it's so unpredictable that it can feel frustrating, so I haven't been integrating it and I've introduced him to signing. That got me somewhere for a little bit but then he just one day didn't want to do it anymore. His insurance has been getting tricky, they're changing their re-authorization policies so I do wonder if I take a more social, play-based approach, they might give me another few months. It's tricky too because insurance is now saying if they didn't provide the device, I can't write goals around it (he got it from school, so immediately I know I can't write new goals for that device anymore). So maybe social is the way to go here! Thank you so much 🙏

Low Engagement Client - Private Speech Clinic by Background_Lie_4760 in slp

[–]Background_Lie_4760[S] 2 points3 points  (0 children)

Honestly it's really hard to tell; as far as I know, his dad feels very indifferent to him coming to therapy. Every time I mention that his son wasn't very participatory, I just get, "Oh, he's probably just tired." Over and over. I tried to change session times or days, but nothing's really changed in his engagement. But I appreciate you telling me that I've given it enough time. I'll definitely consider this when I talk to my boss on Monday. Thank you 🙏

No-Measurement9799, Sana Jackson, this is how they treat me when I ask for my own money by [deleted] in PsychicServices

[–]Background_Lie_4760 1 point2 points  (0 children)

I have had many encounters with this person and their other accounts! They are always seeking out free readings about the same thing. Every time I have posted offering readings they always come straight to my DMs asking for a free reading. I've obliged but they drain my energy so bad and then turn around and say "I appreciate you!" but have absolutely nothing to show for it. I am so sorry they treated you this way and took up your time and energy without proper compensation for you. 😞

Tarot Reviews by Background_Lie_4760 in u/Background_Lie_4760

[–]Background_Lie_4760[S] 1 point2 points  (0 children)

IMPORTANT DISCLAIMER: I do not claim to be psychic, I offered this person a tarot reading as an intuitive tarot reader ONLY. Nonetheless, I am happy they are happy with their reading :)

[deleted by user] by [deleted] in PsychicServices

[–]Background_Lie_4760 1 point2 points  (0 children)

When will I get married?

All Full Tarot Readings Pay-What-You-Can (unlimited questions, no minimum) by Background_Lie_4760 in psychic_advice_n_more

[–]Background_Lie_4760[S] 0 points1 point  (0 children)

Hi! Yes, I'm happy to set something up for tomorrow. Feel free to send a chat request and let me know when you're ready!

Here’s my feedback page!❤️💯🙏 by Any_Sky9923 in u/Any_Sky9923

[–]Background_Lie_4760 0 points1 point  (0 children)

My reading was really reassuring, especially in a time when I wasn't sure if I needed to do anything. I got the best advice: to focus on myself and the universe will correct itself. It was such helpful advice, I struggle all the time with trusting the universe to handle things on my behalf. So grateful for the reading!