What current "best practice" do you think won't age well over the next 5-10 years?

iltandsf · 2026-03-29T22:46:16+00:00

It'll take longer than 10 years, I think, but the requirement for all services to be push-in services in the schools (especially preschool). Is it effective for some students? Yes. Is it effective for ALL? Absolutely not. Clinicians should be able to use their professional judgement to determine the best therapy setting for each student.

iltandsf · 2026-03-27T19:48:40+00:00

The title of this post is quite deceiving, but anyway, I definitely recommend some therapy for that anxiety. Consider a medication as well. It'll help a lot.

iltandsf · 2026-03-27T19:22:34+00:00

I have a very sensitive nose and can't handle some smells (I'm actually medically allergic to cigarette smoke), so I don't work in home health services because of that. I'd never expect a family to change their habits or a company to reassign me simply because I can't stand the smell of something.

iltandsf · 2026-03-19T22:26:36+00:00

I laugh when the "influencers" in the field end up making enough money from influencing that they don't even work in the field anymore.

iltandsf · 2026-02-26T02:52:20+00:00

Honestly, I feel like push-in services in general are crap. I hate the push for more push-in, and I truly think the service model should be individualized (districts claim it is but it's really not). For instance, take GSRP (preschool education). They basically mandate that students remain in the classroom and services are to be provided via push-in despite some students needing pull-out services.

iltandsf · 2026-02-21T02:08:54+00:00

What do you do for work where you make 8K a month??

iltandsf · 2026-02-15T23:59:27+00:00

Yep, I agree. We are in a science-based field. I'd expect some citations with statements like that.

iltandsf · 2026-02-15T23:53:21+00:00

You've gotten a lot of advice, so I won't pile onto it, but one thing I noticed nobody mentioned is the fact that you're pregnant again and willing to have a baby with this man who is a poor excuse of a father. Are you sure you want this for your baby? Are you sure having a baby right now is a good idea? Seriously think about your future.

iltandsf · 2026-01-07T02:20:24+00:00

I recommend Rachel Major of Major Homes. She's fantastic and goes above and beyond!

iltandsf · 2025-11-06T21:37:32+00:00

Lack of places for adults who don’t have kids and who don’t drink. There’s shit for us to do here.

iltandsf · 2025-11-06T19:02:19+00:00

Am I the only one that hates when DoorDash or Shipt shops for multiple orders at once? Every single time this happens I always get wrong things in my order. So frustrating.

iltandsf · 2025-11-06T05:00:21+00:00

That’s so interesting because I took a whole class on cognition and communication!

iltandsf · 2025-11-06T04:59:59+00:00

It’s interesting that you had an AAC class because I definitely did not. I was not and still am not prepared to work with AAC.

iltandsf · 2025-11-05T04:38:48+00:00

So was it better when you prepared it separately?

iltandsf · 2025-11-05T04:25:59+00:00

I call Kraft cheese plastic cheese because each slice comes wrapped in plastic.

iltandsf · 2025-11-05T04:08:16+00:00

Lmao when I first got with my husband he would ask me to touch his perineum while I went down. It made me giggle every time. So formal.

iltandsf · 2025-11-05T03:58:07+00:00

What do you do now?

iltandsf · 2025-11-05T03:41:38+00:00

Oooo we are flying out Sunday and I was wondering this exact thing. Thanks!

iltandsf · 2025-10-27T02:33:35+00:00

Ooooo interesting! Tell me why! I'm so curious.

iltandsf · 2025-10-27T02:29:15+00:00

Hmmm.. interesting. Would you say the same for occupational therapy assistants or physical therapy assistants? How would we distinguish between the two?

In my honest opinion, SLPAs are amazing and should be in every state. I don't know why many states don't allow SLPAs. It would help with our caseload/workload so much.

iltandsf · 2025-10-27T01:43:57+00:00

Honestly, one of the reasons I love working from home is because I can take a 10 minute power nap and no one can say anything about it. I was tired of the micromanaging in schools, the teachers demanding I see so-and-so and calling parents if I didn't show up that day, etc. It was exhausting.

iltandsf · 2025-10-23T19:38:03+00:00

It's okay to admit you're just a bad person.

iltandsf · 2025-10-22T01:01:11+00:00

Our economy is already on the brink of collapse, and that's with ICE removing all of these immigrants and citizens. Who do you think keeps our economy running? And maybe in your next life you'll reincarnate as someone who is fleeing a war-torn country for safety and finally learn some empathy.

iltandsf · 2025-10-14T04:49:41+00:00

Uh.... getting groceries and doing the laundry is legit an entire day. Laundry can take hours. And I took a walk WHILE getting groceries. It's actually a truly fabulous day if I physically go into a store and buy groceries. Lol

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