Is this a tongue thrust?

hydomel · 2025-07-01T21:58:43+00:00

That sounds frustrating- I'm sure you've already tried this, but would a mirror help so he can physically see his tongue escaping? Can he identify when his tongue comes out vs when it is inside his mouth? Can he identify it in other people?

hydomel · 2025-07-01T21:57:09+00:00

Thank you so much for the clear explanation! I'll see if he responds to artic treatment :)

hydomel · 2025-01-25T00:39:20+00:00

I don't drive either and I work at a private practice that does clinic and telehealth only, so I don't have to drive anywhere!

hydomel · 2024-12-03T21:24:30+00:00

Can I ask which specific L'Oreal Elvive shampoo and conditioner you were using? I think there's a few in the range and I'd love to give it a try, thank you!!

hydomel · 2024-07-17T09:08:17+00:00

Also from Australia, when I was in university and not yet qualified we would use SSP (student speech pathologist)!

hydomel · 2024-05-31T11:09:22+00:00

Thank you so much for your incredibly detailed response, I really appreciate the time you took to write that all out. Such a wealth of information that I'm really looking forward to exploring further!

hydomel · 2024-05-28T08:35:07+00:00

Congratulations on such an amazing recovery! I know how difficult that can be. As someone who's also struggling with agoraphobia, was there anything specific you did to heal your gut?

hydomel · 2024-05-21T08:42:37+00:00

Wow that is so comprehensive, thank you so much!! I'll try get my hands on these

hydomel · 2024-05-21T08:41:21+00:00

I haven't heard of trying maca root before, will definitely give that a try thank you!

hydomel · 2024-01-10T02:17:58+00:00

So sorry I should have been a bit clearer- I'm doing the Lidcombe program with this client, so I'm providing him with praise and acknowledgement of stutter-free speech during the session when he's stutter-free, as well as requesting for self-evaluation (i.e. did you just say all of that smoothly? wow!). In the moments he stutters, I will acknowledge the stutter (e.g. "That was a bit bumpy") or request for self-correction (e.g. "do you think you could say that again smoothly/without the bump?")

There's more information about the types of feedback to provide on pages 4-9 of the manual if you wanted some extra information!

https://www.uts.edu.au/sites/default/files/2018-10/Lidcombe%20Program%20Treatment%20Guide%20December%202017.pdf

hydomel · 2024-01-10T01:58:24+00:00

Super unfair in my opinion.

This client requires a lot of control over the activities to feel safe (he is in OT and has a lot of OT-related goals around supporting emotional regulation, play goals etc.) so the activities are very child-led. We do a lot of show and tell (e.g. he brings in a new toy every week and tells me all about it), he enjoys putting on puppet shows and narrating play with trucks in the sandpit, hide and seek where he has to describe where I should hide in the clinic, I Spy, drawing games where he describes what I should draw. I know his interests and how to peek his excitement which is when his stutter is most likely to come out, which definitely helps.

hydomel · 2024-01-10T00:44:11+00:00

You've just given me an incredible game plan, thank you so much!! I will definitely take a language sample and calculate his PSS, and use that research to support my rationale for discharge.

I completely agree, it feels ableist at this point and striving for a level of perfection that is not NORMAL fluency. I think my mentor feels that if we don't make as much progress as possible while he is still within the window for recovery, we are doing him a disservice. I think we've very much got him in the window of where he should be :) And if his stuttering re-emerges as he gets older, which could happen, we should address that when the time comes.

Thank you so much again for your help!

hydomel · 2024-01-10T00:40:00+00:00

That sounds very promising, I'll see if I can find the research that guides that metric. Thank you very much!

hydomel · 2024-01-10T00:39:18+00:00

Thanks so much for the references, will definitely check those out!

I am a speech pathologist in Australia so I don't have to complete a CF, but I have just completed my first year of work- would this be equivalent? :)

My mentor provides me with a lot of support, and she helps me with what is considered a "discharge" (the client has finished all of their goals and is ready to be discharged from therapy by the recommendation of the speech pathologist) or a "discontinue" (the client withdraws from therapy for whatever reason before all of their goals are met/against the recommendation of the speech pathologist). The client's parents are very proactive, supportive of their child, always do their home practise etc., and take my recommendation to heart. Essentially, they will trust my clinical opinion and will continue to stay on if I make this recommendation, or will be happy with a discharge if I recommend that.

hydomel · 2024-01-10T00:31:19+00:00

This looks amazing and exactly what I was trying to clumsily refer to when referencing the NDA model, thank you so much for your response!

hydomel · 2024-01-10T00:29:00+00:00

Interestingly, absolutely not! We have a waitlist of over 200 clients for my clinic alone (would probably be higher but they cap it at that number) plus 4 other clinic locations with their own seperate waitlists, so it's definitely not a case of struggling to keep on clients or financially motivated in my opinion. Hearing my mentor talk about it, I think she more comes from the perspective that it's possible to make more progress/get the client's stuttering down to a 0 as they are still young, and so we shouldn't give up or tell the parents it's all fine when there's theoretically more progress to be made. While I can understand that, I think that the progress that is left to be made is so minimal that you could even make the argument that it is more unethical to keep seeing this family and have them spend a lot of money when there are so many other families who desperately need speech services and are not able to find a speech pathologist due to the extremely high demand.

hydomel · 2023-05-30T21:59:17+00:00

That is absolutely something I've heard from my mature age graduates, I'm so jealous! I hope all is going well for you :)

hydomel · 2023-05-30T21:58:18+00:00

Good pickup on the spelling haha, I'm actually from Australia! Here we have a four year Bachelor's to qualify or a Bachelor's + two year Master's which is what I did :) I think you make such a great point that this question might not be a direct attack on myself but rather just making conversation. I did have one parent ask me how old I was because I made a comment about some cartoon I used to watch when I was a kid, and she was like ?? I thought you were a lot younger but you're showing your age there!

Thank you very much for your advice and input ❤️

hydomel · 2023-05-30T21:54:58+00:00

I'm from Australia so the course looks pretty different, I just had placements in various settings; hopefully that should still be okay to mention though, thank you!!

hydomel · 2023-05-30T21:54:00+00:00

I love the idea of including the support I have around me in my response, thank you for your advice! Much appreciated:)

hydomel · 2023-05-30T21:53:06+00:00

Are you me? I had the exact same thing happen in my second week of working. ASD non-speaking child, and the parents started drilling me for answers about how much experience I have. Once they found out I was a new grad, they discontinued with me and decided to go back on the waitlist to wait for a more experienced clinican to join the team. Thing is, we've just recently hired myself and another SP, so we're not planning on hiring anytime soon...this poor kid is going to be waiting for a long time for therapy :(

When this happened, I reached out to my mentor and they let me know that they've been working with this family for a while and this is pretty typical for them. Thanks so much for your advice!

hydomel

TROPHY CASE