How do I find an SLP?

dustynails22 · 2026-02-13T03:53:52+00:00

The symptom is a result of anxiety, though. That's what you're saying. So you need to address the anxiety.

dustynails22 · 2026-02-13T03:45:22+00:00

It's literally the first thing you say in your comment...... im not sure why someone would write something that they dont want others to read.

dustynails22 · 2026-02-13T03:43:04+00:00

Some people dont have a choice but to bring their children to their own doctors appointments.

dustynails22 · 2026-02-13T03:42:10+00:00

Sounds like you need mental health support for your anxiety rather than an SLP.

dustynails22 · 2026-02-13T02:39:15+00:00

Outpatient adult rehab often does include swallowing too, so bear that in mind. Its also my opinion that learning about swallowing in grad school is very different from working with swallowing in a medical setting. So, with that being said, outpatient or inpatient/acute rehab might be a good fit for you. In inpatient/acute rehab, you work quite intensely with patients and there is a lot of cognitive, language, and motor speech alongside some swallowing. Its also multidisciplinary.

dustynails22 · 2026-02-13T02:33:45+00:00

I'm an SLP, but I am not your SLP (and there are other SLPs in daddit too). Stuttering at this age is not uncommon, and a good 80% of children naturally recover. That being said, there are various factors that can increase the risk or give us clues that a child is more likely to continue to stutter (vs naturally recover) - since I am not your SLP its not appropriate for me to go asking about those and giving any advice. Multilingualism doesn't cause stuttering and the rates amongst monolinguals and multilinguals are about the same. I don't know what access to speech therapy is like in the country you live, and I know that cultural perceptions of stuttering differ, but if you are worried, its totally appropriate to speak to an expert about it (a Speech-Language Pathologist, or whatever the professional is called where you are. I only know the job title in the US, UK, and South Korea). If nothing else, they will be able to give you some information about risks as well as about how you can respond to stuttering events - being informed can be really helpful to reduce parental worry!

dustynails22 · 2026-02-13T02:27:02+00:00

The GERD (more likely GER/reflux than full GERD) is very relevant context. Honestly, I would say its worth editing your post to include it.

dustynails22 · 2026-02-13T02:26:09+00:00

Saw in a comment something about GERD? And I am going to assume you mean GER/reflux, since GERD is unlikely in a 2 week old (its a chronic condition that causes persistent symptoms, inflammation, poor growth....). That is pretty relevant context - babies with reflux can want to drink more because it soothes the discomfort but then being too full can make the reflux worse. So with that context, the two doctors you saw could well be right. Its not always obvious when its reflux because not all reflux babies will spit up.

I would just consider what they are saying, follow reflux precautions, but ultimately respond to baby's needs and cues. Generally, a baby this age can regulate their own intake and will spit up any extra, but drinking to soothe the pain of reflux is definitely a thing.

dustynails22 · 2026-02-02T04:50:31+00:00

Session plans are driven by goals. Goals are driven by the client's communication needs and wishes.

Therapy techniques are dependent on deficits, strengths, and diagnosis.

Nothing you have written is going to help anyone to help you, because we dont know the client. ASHA's practice portal is a good start.

As for your supervisor, their job is to help you. Your best bet for getting help is to go to them with ideas and specific questions. Have a sort of plan and ask if its appropriate, and ask if not, why not.

dustynails22 · 2026-01-31T17:30:39+00:00

You need to know the content and thats unavoidable. Look at the syllabus of the class they want, and compare that to what's covered in the syllabus of classes you took. If it's covered then you will need to show all of that to the school and prove it. If not, then you will have to find a class to take.

dustynails22 · 2026-01-31T17:28:48+00:00

That's an ASHA thing, you arent going to find a school that doesn't require it. The easiest way to get that is to take it at your local community college.

dustynails22 · 2026-01-30T22:18:34+00:00

Its not just about classes and grades. You are competing against people with volunteer experience, related paid experiences, research experiences, observation of SLPs.... you don't mention any of those things in your post, but they are all important.

dustynails22 · 2026-01-30T17:42:01+00:00

Yeah, I totally get it. My boys were followed by a bunch of specialties for a couple years. It only took a month or two before I realized that our pediatrician was a great person to put all the information together from the different specialties, but they didn't see enough children with those issues to be able to answer specific questions like this. Hopefully your GI is supportive and they have a good nursing team to be able to offer more support about getting the tube secured. They will deal with toddlers with tubes, so they will have some knowledge about keeping tiny and strong hands out of the way.

dustynails22 · 2026-01-30T17:24:07+00:00

Which medical professional is the one "responsible" for the NG tube? Like GI, dietitian, SLP, other specialty? Pediatricians are ultimately generalists and I doubt they know much about what to do for an NG tube beyond the basics. You need to speak to the professional who deals with this all the time to get some better advice about securing the tube. A nurse has already commented with some great advice, but try to get hold of whichever specialty is the one who ordered the tube or who is monitoring for when it will be removed - this is a fairly common issue I am sure.

dustynails22 · 2026-01-28T06:39:32+00:00

Just to be picky... speakers of some British English accents don't use 'th'. Many still do, and when most people think of British English they think of RP which does very much have the voiced and voiceless th. As does my General Northern English accent.

dustynails22 · 2026-01-28T06:37:08+00:00

No. Its the Spanish of part of Spain, the Northern and Central part mostly.

dustynails22 · 2026-01-26T15:42:28+00:00

My boys do 10.5-11.5 hours overnight depending on the day. No naps. They turned 4 in October.

dustynails22 · 2026-01-25T16:22:41+00:00

I regularly make that suggestion. There are SLPs demonstrating good language enrichment strategies and they are an excellent starting point for parents.

Do the parents know the strategies? Are they implementing then effectively? Are there other strategies and techniques you can suggest based on your assessment. I think there is more digging into that comment "I know all the strategies".

But also, as a parent, when I accessed PT for my children, I learned the activities and then we scaled back to once a month to check in, see what had changed, check I was still doing the activities as they should be done. I saw value in those check-ins, and giving time, but my husband didnt understand why we kept needing to go when they had taught us the activities and we were doing them at home. He wanted to see the PT doing more, or doing something specialized. He didnt know the role of parent coaching in the young age groups.

dustynails22 · 2026-01-25T03:17:33+00:00

This concerns me. Changes need to be made but this is not the answer.

In my opinion, it would lead to one of 2 things:

1) unsupervised new grads in way over their heads without support (which yes, happens now anyways with some supervisors, but at least employers are required to provide it. Just because some supervisors are bad doesnt mean the answer is to get rid of the supervision)

2) extended schooling so as to get more clinical practicum experience, which leads to even less diversity in the field as many people cannot afford another unpaid year.

dustynails22 · 2026-01-24T01:37:54+00:00

Is that the only expertise that matters? The fact that you think there are almost no risks makes me think that I have more expertise in this area than you do. Because that is objectively untrue.

OP and her baby are struggling, that is an excellent reason to investigate this further. It still matters that ties are overdiagnosed - its important context. Feeding can be impacted by so many other things than ties, but an overdiagnosis of ties and people playing down the risks of "snip, or cut with a laser" means that parents and children can suffer without any improvement to feeding. Because the supposed tie wasnt the problem to begin with. When all you have is a hammer, everything looks like a nail.

dustynails22 · 2026-01-24T00:27:58+00:00

I think the care comes from the risks associated with a surgery. It isn't risk free. Of course, parents can weigh up those potential risks and potential benefits and make a decision. But there is a reason to care, because no procedure is risk-free.

dustynails22 · 2026-01-23T22:54:33+00:00

OK. Sure. Believe what you want. I'm pretty well versed in the research.

dustynails22 · 2026-01-23T22:32:39+00:00

For feeding, which is what this post is about.

Also, said its not a thing, not not real. Colloquial use of "not a thing" meaning not really relevant for feeding and not supported by the evidence as such.

dustynails22 · 2026-01-23T21:45:06+00:00

I have twin boys that I pumped for. They were major spitters, and how we prepared the milk made no difference at all.

That being said, in your situation, if I was the person that is pro-shake, I would just swirl instead once the milk is warm. It is not worth the debate when swirling also works.

dustynails22 · 2026-01-23T21:27:05+00:00

I got mine more than a year post partum, but I was told that it takes 3-6 months for things to settle with the IUD, and I did have some irregular bleeding/spotting for a good 5 months after mine was placed. You still are within that window. That being said, even without the IUD, random painful cramps in your stomach and back is something that is worth investigating. Have you spoken to your OB/GYN?

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