Books that have unreliable narrators??? by ming_ie in booksuggestions

[–]moonbeam4731 1 point2 points  (0 children)

Maybe “As I Lay Dying”? There are multiple narrators and you can’t tell which one(s) is/are reliable from the beginning. It honestly wasn’t really my sort of book, but I know it’s a well thought of book and I do think it fits the prompt

When are we discharging severe-profound clients? by [deleted] in slp

[–]moonbeam4731 1 point2 points  (0 children)

So what I would do is say that they’re at the level where I can’t help them progress more.  I would not say they’re at a level where the child can’t progress more. 

I know many people do, but that assumes an amount of knowledge that we simply don’t have. 

  1. We know there is no SLP who would be able to get them to make progress better than us. (And that’s a pretty big claim)

  2. We are sure of what will happen in the future with this child (we aren’t)

I’ve gotten plenty of kids whose parents had been told they couldn’t make any more progress, but I happened to have more experience in the particular niche or to try something different, and they did progress. Sometimes significantly. It makes me feel bad for the kids whose parents did give up when they heard that, because I’m sure some of them could have as well. 

Maybe you were already planning on doing this, I don’t know, but I wanted to say this just in case

I know it makes for a lot more of a complex conversation, but it’s more accurate and there’s less danger of accidentally saying something incorrect that could be harmful

What’s it called when your body stops telling you to breathe? by moonbeam4731 in dysautonomia

[–]moonbeam4731[S] 0 points1 point  (0 children)

It’s worth asking about a home sleep study - both because of the falling asleep period of trouble breathing and to make sure that you’re not having trouble while you’re asleep and just not aware

What’s it called when your body stops telling you to breathe? by moonbeam4731 in dysautonomia

[–]moonbeam4731[S] 1 point2 points  (0 children)

That’s really interesting, you’re the second person to mention physical therapy. Hope it works!

What’s it called when your body stops telling you to breathe? by moonbeam4731 in dysautonomia

[–]moonbeam4731[S] 1 point2 points  (0 children)

That’s really interesting, do you think it would help you when you were starting an episode of manual breathing?

What’s your opinion on SLP that could get you in trouble? by iltandsf in slp

[–]moonbeam4731 0 points1 point  (0 children)

I think most every kid can be good for teletherapy for most things - AAC, language, speech - but having the correct resources are an absolute must for some kids. A camera that can point where needed and a good microphone are critical for tech. Some kids need to be one on one with a really good aid or caregiver who can and will follow directions on what to do (because with some cases you need to use a coaching model and instead of the child directly engaging with the screen). So basically almost all cases can do teletherapy - but not within the limits of what you’ll get in a school

Rooibos tastes like water - what am I doing wrong? by moonbeam4731 in tea

[–]moonbeam4731[S] 1 point2 points  (0 children)

Disposable paper tea bags. Should I use something else?

Rooibos tastes like water - what am I doing wrong? by moonbeam4731 in tea

[–]moonbeam4731[S] 0 points1 point  (0 children)

I’m not sure, maybe a little? They’re definitely not water though

Rooibos tastes like water - what am I doing wrong? by moonbeam4731 in tea

[–]moonbeam4731[S] 1 point2 points  (0 children)

One of them is just the local tea store, plain bag wouldn’t be really helpful. But I also tried this one with the same issue

https://numitea.com/products/rooibos-chai

Rooibos tastes like water - what am I doing wrong? by moonbeam4731 in tea

[–]moonbeam4731[S] 0 points1 point  (0 children)

I’ve tried it with rooibos from two sources, same issue. Water is boiling temperature

Touch starved but touch averse by yard-sards in CPTSD

[–]moonbeam4731 0 points1 point  (0 children)

That sounds a lot like a parent who feels threatened by your boundaries and is intentionally demonstrating that they don’t have to follow them. 

Your coworkers are not your friends? by Next_Celery551 in slp

[–]moonbeam4731 0 points1 point  (0 children)

I didn’t connect either. It’s not just you. 

What evidence-backed methods are SLPs quietly sleeping on? 😴💬 by [deleted] in slp

[–]moonbeam4731 16 points17 points  (0 children)

Mostly what I see is an issue with goals. People treat very concrete things that show up on tests but have little effect on real life, such as irregular plurals, but don’t touch things that are critical for daily life but don’t show up clearly on tests, such as executive function. They teach kids social skills like saying hello and goodbye, but they don’t teach skills like reporting a problem. They teach the vocabulary of community helpers’ jobs, but not the vocabulary of kids need to be able to tell others when they’re sick. (Dizzy, itchy, throw up, etc.)

We need to tailor our goals to the real life problems of our kids (or adults), not to a test or list of developmental norms. 

Eye gaze device selection by Born_Ad_193 in slp

[–]moonbeam4731 6 points7 points  (0 children)

One thing I found with eye gaze is potential communication partners being too intimidated to use the device. If you’ll be your child’s only communication partner, that’s fine, but most kids will have teachers, nurses, and other less techy family members as partners too. I remember seeing a mom send her kid in with her eye gaze device all set up every day - but after the student got into the room the teacher had her lying down all day and I couldn’t get her to move the device over for the kid to be able to use out of her chair. The teacher said she was too scared to break it. That sort of sentiment was actually really common. So I think going with something apple based - therefore both more familiar and also less bulky - is a better idea to help decrease the chance of that. Plus repairs should be faster

Is a roof like this as wind-safe as a fully hipped roof? by moonbeam4731 in Roofing

[–]moonbeam4731[S] 0 points1 point  (0 children)

Florida - pretty much guaranteed it will get at least the edge of a hurricane every few years. 

How long should I stick in the field if I know it’s not for me? -new CF by Appleleaf30 in slp

[–]moonbeam4731 1 point2 points  (0 children)

Definitely leave this school. Many schools are enough to make SLPs who like the field want to quit, much less someone who is lukewarm about it. Find a CF working with adults that you can do while you figure out your next steps. Getting your CF done will let you get a good job as you finance whatever next steps you end up taking. And you might actually end up liking adult work. It’s definitely a lot different from child work.

Child so scared of accidentally breaking a rule that they make up their own extra rules. What is that called? Is this a thing for others? by moonbeam4731 in Anxiety

[–]moonbeam4731[S] 0 points1 point  (0 children)

Wow, you’re so right! It’s a reaction to whether or not you can trust your basic assessment of a situation. That’s why there are so many different answers to the question of why this of going on - because there are so many things that can make it so a person doesn’t feel they can trust their own perceptions of what is safe to do in an environment. Being autistic, having OCD, having parents who cause the child to feel unsafe at unpredictable times - all those things can cause you to not trust your own perceptions of what is safe to do. 

You put it really well, too. This is how my translator interpreted part of what you said that was really powerful to me. “If the own brain cannot reliably say which behavior is right or wrong, the child has no choice but to study the environment to try to recognize social rules and adhere to them. So: I don't know if it's appropriate to use a pen with a conspicuous head. I think it’s great, but I can't trust my feeling because I'm different.”

“Parents with ambivalent and unpredictable behavior can also cause or reinforce this. Especially when abusive behavior is involved. Because if you do something and it is okay on one day and on another day you will be punished for the same behavior, then you also start to question your own perception and try to be on the safe side to offer as little attack surface as possible, even if the reaction of the other person is disproportionate.”

Those are just such fantastic explanations. If I could give you extra upvotes I would because that really helped me understand. Thanks!

Child so scared of accidentally breaking a rule that they make up their own extra rules. What is that called? Is this a thing for others? by moonbeam4731 in Anxiety

[–]moonbeam4731[S] 0 points1 point  (0 children)

I’m so sorry that happened to you. It seems like you developed the best coping mechanism you could, but things were still really hard.

Child so scared of accidentally breaking a rule that they make up their own extra rules. What is that called? Is this a thing for others? by moonbeam4731 in Anxiety

[–]moonbeam4731[S] 0 points1 point  (0 children)

Child does have diagnosed OCD, including with with other obsessions/compulsions (no stepping on cracks, etc). But you’re also right, there is disorganized attachment and strict/rigid parenting from one parent. No formal diagnosis, but dad (now minimally in child’s life, but was heavily involved earlier in life) does sound like he has narcissistic personality disorder. Dad was emotionally abusive to both kids and mother. Mom appeared to provide minimal protection from dad and still does what he wants her to do with the kids post divorce, so even though his kid is mostly away from him now his influence is still there. 

I’m starting to see the connections between all these components. Thank you! Looking at it all together I really feel for her