FAQs

Why was I referred to speech therapy? My speech sounds fine!

The term "speech therapy" can be very confusing if you are seeking services provided by a speech-language pathologist other than working on speech itself. Speech-language pathologists have a wide scope of practice, including providing services for the following conditions:

-Cognitive disorders (thinking, memory, attention, and executive brain skills; for example as disrupted by brain injury or disease)

-Swallowing disorders (specifically associated with the mouth or throat)

-Language disorders (effectively using spoken or written communication to exchange ideas with others)

-Speech sound disorders (childhood or adult problems with producing sounds of speech)

-Fluency disorders(e.g., Stuttering)

-Voice disorders (laryngeal function)

-Augmentative/Alternative Communication (providing supplemental or other means of communication to those who have significant limitations with traditional means of communication; these may include the use of technology as well as "low tech" and "no tech" options)

-Aural Rehabilitation (Optimizing a person's ability to participate in activities that have been impacted by hearing loss)

-Accent Modification 

-Surgical and prosthetic collaborative consultations (e.g., cleft lip/palate, other craniofacial teams, intraoperative language assessment during brain surgery, palatial lifts; pre-surgical consultation (head and neck cancer, deep brain stimulation, etc))


Across this wide range of practice areas, speech-language pathologists may specialize in a cluster of these areas according to body system or stage of human development such as:

-Neurological speech, language, cognitive, voice, and swallowing disorders

-Oncologic (cancer-related) speech, language, cognitive, voice, resonance, and swallowing disorders

-Early intervention (ages 0-3) and preschool aged communication disorders

-Gerontology (care of older adults), often with emphasis in cognitive and/or swallowing disorders

-Ear/Nose/Throat (voice and swallow)

-Speech, language, fluency, and cognitive functioning for academics (e.g., elementary school, middle school, high school)

-Throat and lung conditions affecting communication, swallowing, or sometimes exercise (paradoxical vocal fold motion, tracheostomy/ventilator users, COPD, and others)

-Gastroenterology (swallowing disorders and reflux)

What are unique skills a speech-language pathologist brings to ADHD Coaching? 

Speech pathologists, particularly those in the neurological specialty, have extensive experience with evaluating and rehabilitating executive functioning, attention, memory, and visuospatial disorders that may occur in isolation or alongside speech, language, and swallowing disorders arising from brain damage. SLPs also have a great depth of experience in setting personalized, meaningful goals and breaking complex goals into manageable chunks to help individuals reach them. These skills have significant crossover to ADHD/Executive Functioning coaching where individuals with the developmental condition of ADHD may be struggling with similar aspects of organization, time management, or task initiation as someone who has suddenly lost these skills from stroke or brain injury. An area in which SLPs are very suited for ADHD coaching is our training to identify not just someone's challenges but to emphasize and capitalize upon the strengths, of which there are so many in the neurodiverse condition of ADHD - creativity, flexibility, and generativity to name a few common areas. 

Did you know that our language and communication skills are heavily influenced by executive functioning? It is not uncommon for people with ADHD to struggle with reading, not necessarily due to dyslexia or problems visualizing the letters and words, but due to the tremendous amount of attention and working memory skills required to process, consolidate, and retain what is read. Writing, especially academic writing, can also be a common area of challenge in ADHD due to heavy executive functioning demands upon organizing ideas, attention to numerous details, and topic management. Speech pathologists are uniquely suited to address the aspects of executive functioning to improve functioning in these critical skills that have undeniable impact and access to school, work, and life functioning. 

Do you address swallowing impairments (dysphagia)?

The short answer is no. I am very familiar with oropharyngeal swallowing disorders from years working in the hospital setting where my experience included both clinical assessment and treatment of disordered swallowing as well as completing instrumental examinations (videofluoroscopy). However, I do not currently keep up with continuing education in this area and there are SLPs in the area who dedicate a majority of their clincial practice to swallowing. Moreover, I currently do not have access to medical instruments for objective evaluation of swallowing. Swallowing impairments can frequently co-occur with communication or cognitive problems occurring from neurodegenerative disease. I can offer screenings of swallow function  to clients and referral recommendations to a dysphagia specialist.