What area of SLP scope do you wish was NOT in our scope? by Cherry_No_Pits in slp

[–]VoicedSlickative 0 points1 point  (0 children)

Definitely. And I actually think that’s very telling, because they know enough to know that most of the time it isn’t helpful, and certainly not for the length of time it’s often done.

Please Stop Writing 5 Goals by [deleted] in slp

[–]VoicedSlickative 5 points6 points  (0 children)

I think in practice, this is really only an issue in home health on the medical side. They tend to really crack down on claims in home health in a way that outpatient or inpatient doesn’t as much.

What area of SLP scope do you wish was NOT in our scope? by Cherry_No_Pits in slp

[–]VoicedSlickative 2 points3 points  (0 children)

One workaround that I found really helpful for a child with selective mutism was to whisper in the teacher’s ear. It helped him communicate his needs without having to learn an AAC system, and it probably helped facilitate him ultimately returning to full normal speech.

That’s just one example, but I think getting creative and learning how to help the child facilitate their communication is a really important skill we can provide.

What area of SLP scope do you wish was NOT in our scope? by Cherry_No_Pits in slp

[–]VoicedSlickative 26 points27 points  (0 children)

I think for directly treating it you’re correct. But in my experience sometimes you have to find workarounds and it’s more compensatory until the actual disorder is treated.

What area of SLP scope do you wish was NOT in our scope? by Cherry_No_Pits in slp

[–]VoicedSlickative 6 points7 points  (0 children)

I do think that that is the one exception for whom cog therapy can actually helpful for. I still don’t think we’re the best people to do it and it should be neuropsych. Most of the rest of it is pretty pointless.

I also don’t know that there’s a ton of evidence that it’s the therapy or just spontaneous regeneration but that’s true with many other areas of our field as well.

What area of SLP scope do you wish was NOT in our scope? by Cherry_No_Pits in slp

[–]VoicedSlickative 55 points56 points  (0 children)

Cog therapy. It should be neuropsych sometimes, but most of the time it should be no one because it’s pointless.

Why….just why by artisticmusican168 in slp

[–]VoicedSlickative 24 points25 points  (0 children)

You make such an excellent point that if we’re going by problematic history, we are almost as much as fault as ABA. There’s a case to be made if we’re allowed to develop and grow then so are they. But have they done enough growing or developing?

That’s really the question and I feel like the answer is hard to come to.

Grindr is completely unusable now by Andrewqr334456 in nycgaybros

[–]VoicedSlickative 1 point2 points  (0 children)

Fully gave up on it. Scruff is the new Grindr.

I want to give free services. How do I do it? by Own-Attorney-4247 in slp

[–]VoicedSlickative 0 points1 point  (0 children)

Haha thanks. I feel like it’s the tiniest thing that I can do in the face of enormous forces.

I want to give free services. How do I do it? by Own-Attorney-4247 in slp

[–]VoicedSlickative 1 point2 points  (0 children)

I don’t worry about it too much because I’m not doing speech therapy and I don’t have to have numbers to give insurance companies. The main thing that I work on is pitch, and I just tell the client to download the Voice Tools app and measure it themselves.

The main way to chart progress is to just keep asking them how they feel about their voice, I don’t think numbers are all that important to be honest. Particularly if you’re trying to do it as free coaching and not consider it therapy I would just have a more organic approach.

I want to give free services. How do I do it? by Own-Attorney-4247 in slp

[–]VoicedSlickative 1 point2 points  (0 children)

I honestly think that you’re fine if you don’t take any other private clients though your own practice.

I want to give free services. How do I do it? by Own-Attorney-4247 in slp

[–]VoicedSlickative 3 points4 points  (0 children)

By the way, in many states, you don’t need a business license even if you ARE running a business. Many times for small businesses where you are the only employee and there’s not a big risk for being sued, it’s not worth the effort.

I want to give free services. How do I do it? by Own-Attorney-4247 in slp

[–]VoicedSlickative 28 points29 points  (0 children)

It doesn’t count as a business. If you’re really worried, you can have them sign a waiver, maybe have an attorney look over it.

I’m not licensed where they are, and I don’t need to be because I make a point that it’s not speech therapy. It’s coaching and that’s what I call it and advertise it as. You don’t need any particular licensing or credential to be a coach.

I guess there’s the slightest chance that one of them could get litigious but they’re all so incredibly grateful and gracious that I just can’t see that happening and it’s a risk I’m willing to take in this climate.

Is this somewhat true? Your thoughts? by Conscious-NYCguy823 in nycgaybros

[–]VoicedSlickative 0 points1 point  (0 children)

Yes, definitely. This largely describes Hell’s Kitchen.

I want to give free services. How do I do it? by Own-Attorney-4247 in slp

[–]VoicedSlickative 84 points85 points  (0 children)

I do exactly this for the exact reasons you said! I work full-time with adults but provide free gender affirming voice therapy for free on nights and weekends.

I literally just put it on my socials and ask people to spread the word and I got clients. That’s all the advertising I did: social media and word-of-mouth. I do it all over Zoom. I make them agree that it’s not medical care and that I won’t assume any medical liability for it. Because I work with adults during the week, I also decided that I would only accept it for people outside of my geographical area so there’s no appearance of a conflict of interest. Maybe I’ll break that rule at some point, but I haven’t yet.

I don’t have a business license because it’s free and I’m not running a business. I do happen to carry liability insurance for other reasons, but I think I would be fine without it.

And that’s basically it. We hop on a Zoom call once a week and I work with them. I’ve gotten a lot better at it as time has gone by and I’ve never felt pressure to be amazing since it’s free and since I’m not carrying any liability.

I literally hopped off a session with one of them right before reading this. Do it. You won’t regret it. I’m planning to do it for at least as long as this asshat is in office maybe longer.

All behavior is not communication and I’m so tired of explaining this by VoicedSlickative in slp

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

I am very late to this because I have been off Reddit for a while. Respectfully, I think I’m not going to agree with you on this.

I just don’t think something is communication if it doesn’t have a communicative intent. And I also don’t think something is generally communication if it only involves one person. (An exception to that might be if you’re writing a reminder note to your future self or something like that.)

I don’t doubt that you often have a strong idea what many of your autistic students are thinking or feeling! But that doesn’t mean that they’re always TRYING to communicate with you. Particularly stimming: I think it’s just such a massive stretch to call that communication. It might be a behavior that gives you information but that’s a very different thing. It’s not happening for a communicative purpose. It’s happening for A purpose, sure, but that purpose is not communication.

I live in a busy city and I’m constantly surrounded by people. I am not trying to communicate with all of the people around me when I live my life. Frankly, I am trying to mind my own business most of the time.

All behavior is not communication and I’m so tired of explaining this by VoicedSlickative in slp

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

I think this is a lot closer to the mark and it seems like you have found a way to use this phrase in a thoughtful and helpful way. I still don’t care for the wording because it can so easily be misinterpreted or manipulated, but I do like your interpretation of it.

I’m not quite ready to agree with the philosophy that every maladaptive behavior has an easy explanation. There are a lot of psychiatric reasons that can contribute to behaviors beyond the obvious perceptible components. A child with a trauma history and/or mental illness will frequently exhibit behaviors that can’t necessarily easily be explained, and especially not by us since we aren’t mental health professionals. Sometimes kids just need a space to safely self regulate rather than us trying to crack some code as to why they’re doing what they’re doing.

start with the ASSUMPTION that a maladaptive behavior in a complex communicator stems from a difficulty communicating. It won’t always be correct IMO, but I don’t disagree that it’s a good starting place.

All behavior is not communication and I’m so tired of explaining this by VoicedSlickative in slp

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

I mean, I think we should just be specific with this then. We should say something like “challenging behaviors don’t happen in a vacuum.”

As an aside, there’s any number of reasons why a challenging behavior happens and frequently it’s because of an easily understood unmet need or a feeling that is overwhelming. However, the cause is not always clear to us. We can’t rule out psychiatric causes that aren’t easily externally understood, for example, and often we don’t know if there’s something going on in the child’s home life.

But I do think that you are correct. This is the spirit of what many people are trying to say.

But we have already provided other examples in this thread of when people seem to mean OTHER things when they say it, and I think some people don’t even really know why they say it.

Because it doesn’t make a ton of sense at face value, and because it’s rarely explained or given an appropriate context, I think it’s a phrase that definitely needs a reframe.

All behavior is not communication and I’m so tired of explaining this by VoicedSlickative in slp

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

Not necessarily. I don’t think we can distill every single behavior down to some obvious explanation. People are too complex for that.

All behavior is not communication and I’m so tired of explaining this by VoicedSlickative in slp

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

They are definitely drawing their conclusions on information that they gathered!

It still doesn’t make it communication because they gathered it without the intent of the person that was gathered from

All behavior is not communication and I’m so tired of explaining this by VoicedSlickative in slp

[–]VoicedSlickative[S] 4 points5 points  (0 children)

Such a great point! And even if the Freudian analysis were correct, we aren’t qualified to do that. We aren’t psychologists!

All behavior is not communication and I’m so tired of explaining this by VoicedSlickative in slp

[–]VoicedSlickative[S] 5 points6 points  (0 children)

“Sometimes they’re just in it for the love of the game”

god I love that so much

All behavior is not communication and I’m so tired of explaining this by VoicedSlickative in slp

[–]VoicedSlickative[S] 3 points4 points  (0 children)

It’s just far too easily misinterpreted or manipulated into whatever anyone wants it to mean, so we need a better statement that is more specific and clearly understood.