/r/slp

Photograph via snooOG

A community of Speech-Language Pathologists (SLPs), Speech Therapists (STs), Speech-Language Therapists (SLTs), Clinical Fellowship Clinicians (SLP-CFs), Speech-Language Pathology Assistants (SLPAs), graduate clinicians and students. We discuss ideas, stories, information, and give general advice through our personal experience and research.

Please join /r/SLPGradSchool for pre-graduate school and graduate school related discussion.

Graduate school questions? Subscribe to /r/slpGradSchool!


---> DISCORD <---


ABSOLUTELY NO JOB POSTS AND NO ADVERTISING OF PRODUCTS. Useful apps = ok


Please add flairs to your posts! See example here.


A community of Speech-Language Pathologists (SLPs), Speech Therapists (STs), Speech-Language Therapists (SLTs), Clinical Fellowship Clinicians (SLP-CFs), Speech-Language Pathology Assistants (SLPAs), graduate students, graduate clinicians, and undergraduate students. We discuss therapy ideas, share stories, share informative links, and give general advice through our personal experience and research.


Speech-Language Pathologists, sometimes called speech therapists, assess, diagnose, treat, and help to prevent communication and swallowing disorders in patients. Speech, language, and swallowing disorders result from a variety of causes such as a stroke, brain injury, hearing loss, developmental delay, a cleft palate, cerebral palsy, or emotional problems.

Speech-language pathologists work with patients who have problems with speech, such as being unable to speak at all or speaking with difficulty, or with rhythm and fluency, such as stuttering. They may work with those who are unable to understand language or with people who have voice disorders, such as inappropriate pitch or a harsh voice. Find out more about SLPs here and here.


If you have a speech or language concern, please contact your local speech therapist. You can find a therapist in your area using ASHA's Professional Finder. Speech pathologists can talk about language, development, and the field in general, but they cannot diagnose or treat in this subreddit.


Feeling burn out or job stress? Consider talking to a mental health professional or researching strategies for anxiety, stress, and depression. Just as we cannot diagnose/treat speech and language disorders in this subereddit, we can only offer support, not true mental health counseling. * NIMH: National Institute of Mental Health * NAMI: National Alliance on Mental Illness


Official r/slp FAQ

caramelcashew is a Speech-Language Pathologist who has worked in 8 schools in 3 states over the last 3 years. Ask Her Anything.

Let's talk salary - SLP redditors discuss salary

Why did we choose SLP?


THIS SUBREDDIT IS IN NO WAY AFFILIATED WITH ASHA, SAC, OR ANY OF THE WEBSITES LISTED BELOW.



Related subreddits:

/r/slpGradSchool

/r/SpeechAssistant

/r/CFY

r/autism

r/stutter

r/audiology

r/specialed

r/linguistics

r/occupationaltherapy

r/rehabtherapy

r/neuro

r/cogsci

r/education

r/dementia

r/healthcare

r/disabilitysupport


Credit goes to /u/taximes for our logo.

Credit goes to /u/stophauntingme for our subreddit design.

/r/slp

44,622 Subscribers

1

Receptive vs expressive

Any good resource or credible article explaining receptive vs expressive? My understanding is that receptive is understanding of spoken and written language. But I find it hard to determine whether encompasses other stuff such as sequencing? Inferring? And other concepts

0 Comments
2024/02/14
20:43 UTC

2

Caregiver called me "incompetent"

*Backstory - I work for an agency that contracts out to daycares and preschools, so I work in many different sites. The bulk of my caseload is concentrated in this one school where said child attends.

The caregiver of a 3 year old child that I see in his preschool told the director of the school that she no longer wants me to see her child because "he has made no progress" and that I am "incompetent".

This all occurred at an annual meeting where the team discussed a more restrictive setting for this child (same school but special class instead) due to his inability to learn in his current placement (gen-ed) and he also exhibits a lot of unsafe behaviors such as eloping, running away, climbing on high surfaces, dropping to the floor.

My supervisor seems to think that the caregiver was not thinking clearly and just needed someone to blame. The sped director of the school purposefully did not invite me to the meeting. I only found this out because I had asked the classroom teacher for the meeting link and the teacher said "(sped director) said there is too many people already going to the meeting". I only found out that the caregiver wanted to change therapists because I overheard her asking another therapist at the school if she has room on her caseload.

There is no other therapist available to see this child except for me. I've offered so many carryover tips to this caregiver too and she has never once reached out to me. All of our interactions have been one-dimensional, with me needing to be the one initiating it. I plan on asking my supervisor for advice but am I in the wrong to feel disrespected? I'm trying not to take things personal this year but I really feel like why should I even bother servicing a child whose caregiver basically thinks I don't know what I am doing? 

1 Comment
2024/02/14
20:28 UTC

1

Any advice please? Voiced /th/ but not voicing properly

I am a student and am currently in my externship. I see a teenage girl with high functioning asd. When she speaks in conversation her voice is usually high and she is soft spoken. We are working on getting her to properly voice /th/. She can do the place and manner, but when it comes to voicing she voices very high and it almost sounds strained. I have tried to get her to lower her voice by providing models and even tried to make it fun by impersonating deep-voiced fictional characters but she still voices very high. I’ve searched the internet and haven’t found any teen/asd friendly interventions for this. Any tips on what to do/show her in order get her to lower her voice for this sound, or just lower her voice in general. Any help would be greatly appreciated! Thank you!!

0 Comments
2024/02/14
20:28 UTC

1

very first job as a school slp, any resources or tips that helped you?

i am starting as a cf for a school district. i have worked at a private practice and rehab setting during my internship when I was in grad school. any tips or suggestions that helped you make the school slp job less overwhelming?

1 Comment
2024/02/14
20:12 UTC

1

Would you qualify?

I am evaluating a 7:9 year old student that substitutes f/th for unvoiced /th/ mostly in initial position, and sometimes in medial th subbing b/th ie., “somebing” for something.. he also has some inconsistent initial consonant deletion, but I think more so contributed to certain words “uhtar” for guitar. I didn’t hear any any ICD in his speech/language sample.

He scored a 94 on GFTA sounds in words. So I know this is average but I feel like parents/teachers are going to fight it. I guess I just need reassurance. Area of weakness vs. speech disorder. Correct?

He’s also scoring average on CELF and CASL. But he did have some grammatical errors such as pronoun errors and verb tense errors in his language sample. Mom was really concerned with language but he’s scoring high average on pretty much everything. Just made some notes of the errors in his sample— would you qualify based on these errors or no?

8 Comments
2024/02/14
19:59 UTC

2

Dysphonia Goals

Hello!

I’m currently a grad student and I have an adult client with dysphonia. She has not had a scope or recent visit to the ENT. I also have not yet taken a voice class and I’m a little lost.

I was wondering if anybody could offer advice on what goals/exercises I could use for improving vocal resonance. Her current voice is slightly breathy but still very intelligible. I’m currently working on breathing exercises with her since she had done that with her previous clinicians. I could use any advice or guidance thank you!

2 Comments
2024/02/14
19:24 UTC

1

Any school SLPs switch to RN? Or, better to just do medical SLP?

Hi all! Curious if there are any SLPs out there that have switched to RN. I’m looking into an accelerated BSN program. Seems more versatile than SLP.

I’m 13 years into a school SLP career, lived in four states with lots of experience, but I’m just kind of bored. I have done schools for the amazing schedule, but my kids are getting older now. I love the dynamics/change in chaotic schools and thrive in a transient title I school environment. I thought that maybe my interest in chaotic work environments and quick turnover of clients might fit a nursing career.

Or, should I just work an SLP job in a hospital? Pay seems bad per hour relative to schools where I live (New England). I am at the top of the scale in schools now. 107k for 185 days of work. But, is it more fun in a medical SLP setting with constant change of patients? Looking for a change. Can’t handle a massive pay cut due to raising kids. I would love any input.

2 Comments
2024/02/14
19:15 UTC

5

Can someone explain in basic terms what’s going on with ASHA and CCCs? I’m an undergraduate and I’m a little confused. ☹️

6 Comments
2024/02/14
19:14 UTC

1

Thoughts about Unionization

Would anyone be interested in forming a nationwide Union of speech-language pathologists?

My thought is that it could be a way for SLPs to represent ourselves, rather than have ASHA “advocate” on our behalf:

-It could be a way to negotiate salaries and working conditions in many settings.

-It could be a way to negotiate the cost of the CCCs —> seeing that they are an optional product offered by ASHA —> that generates around $45,000,000/year (around $32,000,000 was spent on ASHA salaries in 2021)

-It could be a way to eradicate the CCC system entirely

-It could be a way to adopt our own mentorship program and accreditation for post grad

-It could give us a voice (ironically)

Let’s open a dialogue!

Feel free to share feedback below and fill out the poll if you like.

View Poll

0 Comments
2024/02/14
19:09 UTC

1

Career Switch?

Anyone heard of or switched to an Anesthesiologist assistant? I understand there is more schooling but they make a WAYYY better salary than I do as an SLP!!!! Also seems like less stress.

0 Comments
2024/02/14
18:50 UTC

1

Billing outpatient speech therapy at AFLs?

When I worked as a home health SLP, many of the Assisted Living Facilities where I saw patients employed their own in-house PTs. Sometimes these PTs saw the patients as a home health service, and sometimes they saw them as outpatients. It was the same PT, same patient and same building, but there were technicalities or specifics that enabled the PTs to dc the home health case, then resume care as an outpatient case.

Does anyone know how this is accomplished and if there are circumstances in which it is both appropriate and reimbursable to see a patient for speech therapy in the ALF where they reside and bill it as outpatient? I’m not trying to do anything sketchy, just trying to understand it better.

6 Comments
2024/02/14
18:36 UTC

1

SLPA

Hi I’m totally new to Reddit so please tell me if this is allowed the post.

I would like some advice and hopefully some guidance to the right direction.

I have my bachelors degree in liberal studies. I originally wanted to be a teacher but then over the pandemic I decided to try SLP.

I did all the prerequisite classes for SLP.

I completed that in 2021 and have been in a lull ever since. I applied to one masters program and didn’t get in.

My ultimate question is, should I do SLPA while waiting for a masters program for SLP? I do understand that masters programs are extremely hard to get into which is another reason why I’ve been discouraged to try again.

And if I do SLPA, how do I begin that process?

0 Comments
2024/02/14
18:08 UTC

1

Rutland NH Brooklyn NY

Anyone with experience or familiar with working at the Rutland NH pediatric department in Brooklyn, NY?

0 Comments
2024/02/14
16:39 UTC

9

Anyone mind sharing how much they had in student loans after graduating?

I'm trying to figure out if my loans will ruin me financially and how to best approach them (e.g., pslf or something else). How much were your loans and how is paying them off/how did it go? By the time I'm done I will be right under 200k so im terrified. Thanks!

75 Comments
2024/02/14
15:27 UTC

1

Cog referrals for non-English speakers

I’m in adult HH and have had an influx of cog referrals for non English speakers. A lot of the time, these patients live with family who help with ADLs but report a change in cognition. They’re almost always being seen by PT too, but I feel like with PT you can model/pantomime in a way that just doesn’t work for speech. It’s a wide variety of languages - I can get by with Spanish but definitely can’t do an eval in Korean, Vietnamese, or Hindi. I know it’s legally required to have a translator available, and there are remote services offered through my company, but… to what end? Has anyone ever successfully done cog tx with a patient who doesn’t speak the same language as you?

1 Comment
2024/02/14
14:39 UTC

8

Teaching an SLP to evaluate in English?

I work in peds home health for a very new company. The other day I get an email asking if I would speak to a newly hired SLP (not a CFY). The case manager told me she had some questions about evaluations and may want to shadow me. I agreed, even though shadowing in home health is a pain.

I texted the new therapist and as it turns out, she is Colombian and does not feel comfortable evaluating in English. She is texting me in very grammatically and syntactically errored English that she's not comfortable doing evaluations at all in English and she only wants to do treatment, and she wants to shadow me doing therapy. She didn't have questions about evaluations, she just doesn't plan on doing any.

From what I gathered, she was not allowed to do evaluations at her last job in EI "because her supervisor was strict" and "they were too hard". So as it turns out, the case manager wants me to teach her to evaluate and treat in English by observing me for a couple of sessions. She also mentioned that she's never worked with kids over age 3. I know pretty much for a fact that most of the patients they want to send her to will be school age and not Spanish speaking.

The last thing I want to be is judgmental. I understand how difficult it must be to move to a new country and be less than confident with the primary language spoken. However, in my particular position, we work unsupervised and unmentored. No one in charge knows the first thing about therapy. This SLP clearly needs to be in a center or someplace with access to a mentor and supervision and this job would be the opposite of that. Trying to coax her into evaluating pts in English when she has clearly stated she's not comfortable feels slimy. Unfortunately the company I work for does not care and for the particular area they want to send her, they will hire anyone with a license and a pulse. I work in the city in small apartments where in some instances, there wouldn't even be anywhere for her to sit to observe. Realistically I wouldn't be able to have her observe more than a couple of sessions. Also, my caseload is set right now. I don't have any evals planned. Any thoughts on this, it just doesn't feel right to me.

12 Comments
2024/02/14
14:13 UTC

3

Bite-R

Is anyone familiar with the Bite-R?? If so, does it work? Is it worth the investment? Looks like it’s evidence based and has good data… but I don’t know why it’s not more well known in our field if it really is that good?

2 Comments
2024/02/14
13:41 UTC

5

DHH students and ACCESS testing

I don't know if you all know this, but when administering the ACCESS test to Deaf and hard-of-hearing students, we're not allowed to use sign language to present any information. Only the directions, which is the equivalent of "You are going to take a writing test in English. Some questions may be easy for you, others may be hard. It's important you do the best you can." Then we have to just speak to them through the rest of every subtest, sometimes paragraphs at a time. It's the dumbest, most pointless thing I've ever had to do in my career.

Has anyone been successful in getting their DHH students unenrolled from ACCESS testing? I need to know the magic!

0 Comments
2024/02/14
04:54 UTC

2

NYC DOE Application

I know it is different for everyone, but I am curious to know how long is the wait.

How long did you apply to the DOE until you were offered a job? Also, what did you do aside from applying online to get noticed? Did you email supervisors and principals as well?

I recently submitted an application online and emailed 2 supervisors. However, only 1 emailed me back and said she would keep me in mind. I would love to work in Queens, but it is so hard not knowing if there's really an opening.

3 Comments
2024/02/14
04:48 UTC

2

SLP finance question

Hi all, I’m going to be a grad student this fall and I’m also an SLPA who has thought of working part time as one during school. I’ve been seeing a lot on here about insurance billing (and then that affecting how much you make) and all sorts of other lingo I don’t understand. There seems to be money that gets pulled from your salary because of X, Y and Z. I was hoping someone might break down the financial lingo I should take into consideration when it comes to looking for jobs. Obviously, they don’t teach this in school. I want to make sure I’m getting paid what I’m worth. Both as an SLP and as an SLPA.

0 Comments
2024/02/14
04:36 UTC

9

I said something to an advocate today that was misinterpreted.

Please share your experiences where you’ve made mistakes with advocates. I want to feel less alone.

19 Comments
2024/02/14
04:01 UTC

5

I'm leading a GLP training

Hello!

Next month I am leading a gestalt languge processing training for teachers and paras at my school. The presentntation cannot be very long. I planning on briefly talking about the stages, showing videos of examples, providing tips on what to do and what not to do when communicating with GLP studnts. Is there anything in particaluar you think I should include??

Thank you!!

5 Comments
2024/02/14
02:28 UTC

1

LOI and Resume feedback for CFY (med-oriented)

Gonna start with thanking this community for being a resource. It’s GREATLY appreciated.

Would any med-SLPs take a look at my resume and LOI and give me feedback? Im scared my experience is not enough.

I will PM you.

With love and appreciation,

CFY applicant

1 Comment
2024/02/14
00:58 UTC

69

Just found out my SLPA makes more than me as an SLP. What do I do?

Hi all. I’m a school SLP in a union and make $39/hour. I have begged my district union to pay SLPs more, and they won’t listen. Today I found out my SLPA, who is hired through a contractor, makes $45/hour with a bachelors and no union. I have a fucking masters degree and two years experience.

Am I crazy to be incredibly pissed off? What the fuck is the point of the union if they’re literally keeping me from my money? Should I ask my district to rehire me as a contractor? Should I threaten to leave the union?

I’m bewildered right now. Furious. Wondering why the fuck I even went to graduate school. Lowkey wanna die of embarrassment, but glad my SLPA was upfront and discussed it honestly with me.

25 Comments
2024/02/14
00:28 UTC

1

Indy Schools

Looking to relocate to Indianapolis, IN. Any idea what schools might have the best options for SLPs? I’m bilingual so I hope to work with some Spanish-speaking kids

0 Comments
2024/02/13
23:13 UTC

5

Any SLPs in Medical Settings here?

I'm writing this post out of curiosity. I'm currently working as a Teacher's Assistant with Special Needs kids at a school and while I love kids, I realized I don't want to work as a future speech therapist in schools. I'm currently working on my Bachelor's degree in Communication Disorders. Can anyone share their experiences here please?

6 Comments
2024/02/13
22:32 UTC

2

CAS vs Fluency: differential diagnosis

Hi all.

Let me preface this with, I'm a CF, and stating the obvious is appreciated ♥ (terminology, s/s, etc)

I've been working with a 4;2 boy from a trilingual speaking background (English, Russian, Persian). He was diagnosed with CAS on 2/2023, and I've been working with him since 9/2023. He has made significant progress during this time. However, I've begun to notice him "groping" or just getting "stuck" at the beginning of a word, and I would just attribute it to his CAS dx. However, as he's continued to improve (intelligibility and language-wise), I can't help but notice how "dysfluent" he sounds at times. I would characterize it as prolongations and part-word repetitions (always at the beginning of a word/sentence).

Parents report they notice this too, mostly when he's excited or attempting to speak fast (father speaks very little English, so I believe this is happening in the other 2 languages).

A quick search shows me that CAS can at times have s/s resembling cluttering. I would like to perform a differential dx but I don't know what I should be looking at. If I put my CAS glasses on, then it's groping, if I look at it as dysfluency it's cluttering?? So how do I know if it's one or the other?

Quick disclaimer: I have never diagnosed either of these! So I'm at a bit of a loss. thx

0 Comments
2024/02/13
22:29 UTC

3

SLP with UVFP

Hi there! I'm a school based SLP with no voice experience other than grad school which was 18 years ago. I developed unilateral vocal fold (left) paralysis in the fall of 2020. Idiopathic. It has been quite the humbling experience. I have had declining health in general. I have fibromyalgia, I might have a connective tissue disease and I have LPR reflux. I have received injection laryngoplasty 2x. The first time was very beneficial. The second time not as much bc I passed out and the ENT wasn't able to inject enough Juvederm. I have a medical phobia too. 🤷‍♀️ I have tried speech therapy and it has been very challenging for me to maintain following through with all the daily exercises. I haven't seen the best results but that may be due to my follow through.That being said, I have not gone to a voice specialist. I have tried everything to improve my reflux but it continues to be an issue. Oddly enough, my voice is the strongest in the morning even though I wake up to a throat full of acid and then usual by 11am, my voice is hoarse and breathy and it's hard for me to control my breath. It definitely seems like when I eat anything other than oatmeal, my voice is negatively impacted. I just push through every day at work bc I don't know what else to do. I asked the ENT about secondary muscle tension dysphonia and he said that was a possibility due to strain but couldn't confirm it. The ENT says we could try another injection or we could try for a more permanent surgical solution but he doesn't have high hopes of that working for me. I am deeply impacted by my voice. It's impacting my work, my parenting, my relationships, my mental health. I know that the stress is only making my voice more strained. Am I missing any other lines of treatment? Do you think I should seek out a voice specialist SLP? (This would most likely be out of pocket bc I wasn't able to find anyone in network with this specialization). Any other research or literature I could read? I have learned so much from this experience and I'm grateful for that. I also know that I will not be able to continue to work for 25-30 more years like this. It is utterly exhausting. I also carry deep shame that I'm not able to help myself more as an SLP. Thanks for any ideas in advance ❤️.

2 Comments
2024/02/13
21:30 UTC

3

Assessments

I have always used the PLS-5 for young clients at the initial eval, but recently have heard good things about the REEL and Rosetti.

What assessments do you use for 1-3 year olds that are non speaking and come in for a comprehensive language eval?

2 Comments
2024/02/13
21:29 UTC

13

Making recommendations you personally wouldn’t follow

Just need to vent and I hate doing the above. I work in acute care and see many elderly MBS studies who ‘need’ thickened liquids but I hate making the ‘recommendations’ for such. I always encourage risk/benefit discussions with MD, and the vast majority of pt and families will opt for the unmodified PO diet. But honestly I feel silly for even making these recommendations some(most)times to pts and MDs bc I know they don’t want it and I personally wouldn’t adhere too.

4 Comments
2024/02/13
21:13 UTC

Back To Top