SLP Full Disclosure

In episode 136, Michelle welcomes back Laura Smith, a speech-language pathologist who specializes in childhood apraxia of speech (CAS). Also known as the "SLP Mommy of Apraxia," Laura brings both clinical expertise and personal experience as a mother of a child with CAS. She breaks down exactly what apraxia is—a disconnect between the brain's planning and the mouth's movement—and why the diagnosis can often feel overwhelming for families. The conversation explores how to differentiate apraxia from other speech sound disorders using dynamic motor speech exams. Laura debunks common myths, such as the idea that a child cannot be diagnosed before age three, and shares critical red flags to look for during a parent intake case history. Listeners will also learn about evidence-based treatment strategies like DTTC, the importance of the principles of motor learning, and why ongoing continuing education is vital for speech-language pathologists.

In the second part of this series, Michelle continues the discussion on the foundational skills toddlers need before they begin to talk. This episode builds on the previous one by exploring how play, imitation, and environment shape a child's path to verbal communication. Michelle offers practical strategies for parents and SLPs to encourage these skills, emphasizing that language development is a step-by-step process. Michelle explains the importance of functional toy play, motor imitation, and following simple directions. She provides actionable tips, such as limiting toys to reduce overwhelm and using the "Tell, Show, Help" method. The discussion also covers how to foster vocalizations, use gestures, and set up the environment to create communication opportunities—turning everyday moments into powerful language-learning experiences.

Episode Summary In this episode, Michelle sits down with Tim McKenzie, a board-certified specialist in fluency disorders with over 33 years of experience. Tim brings a unique perspective to the conversation, as he is both a seasoned clinician and a person who stutters. Together, they explore the complexities of fluency disorders, moving beyond the mechanics of speech to address the deep emotional and psychological components of stuttering. Tim shares his personal journey, from negative experiences with speech therapy in childhood to finding his own path to confidence. He discusses his fascinating work as an expert witness for cases involving sudden onset stuttering following brain injury and details how he integrates Cognitive Behavioral Therapy (CBT) into his practice to help clients manage social anxiety. Chapters 00:00 – Introduction to Tim McKenzie and Fluency Disorders 01:59 – The Role of an Expert Witness in Sudden Onset Stuttering Cases 03:30 – Tim’s Personal Journey: From "Stutterer" to Person Who Stutters 09:57 – The Anxiety of Stuttering in Professional Settings 11:42 – A Shift in Perspective: The Impact of Dean Williams 17:16 – Stuttering in High-Stakes Professions: Police, Pilots, and Medical Students 22:07 – Therapy Approaches: Direct Models for Preschoolers vs. CBT for Adults 26:22 – The Developmental Impact of Stuttering at Age Seven 30:15 – Timeline Therapy: Addressing Past Trauma and Reframing Memories 33:26 – Practical Techniques: Using Mind Lines and Conversational Reframing 37:00 – Essential Resources for SLPs: Where to Start with Fluency Quick Notes Guest: Tim McKenzie, Speech-Language Pathologist and Board-Certified Specialist in Fluency Disorders. Resources Mentioned: • Stuttering Foundation of America: Tim recommends their "Pioneer" videos as a foundational resource for SLPs. • The Michael Palin Centre for Stammering (London): A great source for solution-focused therapy and counseling videos. • Book: Mind Lines (for conversational reframing). • Website: stutteringadvice.com (Tim's educational modules). Connect with Us: We love hearing from our listeners! If you have questions about fluency or want to share your own experiences with CBT in therapy, connect with us on Instagram @AMN_allied.

In this episode of SLP Full Disclosure, Michelle shares an exciting recap of the ASHA 2025 Convention in Washington, D.C. Celebrating ASHA's centennial anniversary, this year's convention was a massive gathering of nearly 15,000 speech-language pathologists, graduate students, and exhibitors from around the world. Listen in as Michelle discusses the incredible energy at the AMN Healthcare booth, the surprising prevalence of AI in therapy discussions, and the valuable connections made with fellow professionals. She also shares personal highlights, including finally meeting her recruiter of five years and attending an inspiring session with Abby from "Love on the Spectrum." Whether you attended the convention or are curious about the latest in the SLP world, this episode covers the key takeaways, professional opportunities, and what to look forward to at ASHA 2026.

In this episode of SLP Full Disclosure, Michelle is joined by AMN Healthcare teletherapist and bilingual SLP, Natalie Jaramillo. Natalie shares her expertise on supporting Spanish-speaking students in a school setting, from the importance of a thorough family interview to understand a child's language exposure and cultural background to how dynamic assessments can reveal a child's learning potential beyond standardized testing. They also discuss common articulation differences between Spanish and English, strategies for improving intelligibility without diminishing a child's cultural identity, and the nuances of assessing language skills in both languages.

In this episode of SLP Full Disclosure, Michelle sits down with Stefanie LaManna, an experienced SLP and Associate Director of Healthcare Services in Speech-Language Pathology at ASHA, to discuss the critical topic of Social Determinants of Health (SDOH). Together, they explore how SDOH impacts healthcare access, patient outcomes, and the role of SLPs in addressing these factors across various settings, including schools, hospitals, home health, and more. Stefanie shares her journey as an SLP, her passion for neonatal airway disorders and family-centered care, and her transition to her current role at ASHA. The conversation dives deep into the five key areas of SDOH, practical interventions for SLPs, and the importance of building rapport with families to provide equitable and effective care.

What if financial freedom was within reach for every young professional? In this episode, Michelle chats with Joseph Reinke, the visionary founder and CEO of FitBux, a groundbreaking financial planning service tailored for young professionals. Joseph takes us on his journey through the world of finance, sharing how FitBux is transforming the industry by using cutting-edge technology and AI to deliver affordable, personalized financial guidance. From debunking common myths about financial products to breaking down the importance of understanding student loans, Joseph offers actionable insights that can change the trajectory of your financial future. He also reveals the curriculum he teaches at universities, designed to empower students with the tools they need to make smarter financial decisions. Whether you're just starting your career or looking to level up your financial game, this episode is packed with wisdom you can’t afford to miss!

In this episode of SLP Full Disclosure, host Michelle interviews Paige Harles, a senior recruiter at AMN Healthcare, to discuss the unique opportunities available for traveling speech-language pathologists (SLPs). They cover key topics such as navigating travel contracts, understanding employee benefits, and utilizing resources like the Passport app. The conversation also addresses support for clinical fellows, licensing and credentialing, and clears up common misconceptions about working as a traveling SLP. Paige emphasizes the importance of transparency and communication throughout the recruitment process.

In this episode of SLP Full Disclosure, host Michelle welcomes Dr. Dee Lance, a professor and chair in the Department of Communication Sciences and Disorders at the University of Mississippi. With over three decades of experience in speech-language pathology, Dr. Lance shares her expertise on the intricate relationship between language and literacy. Together, they explore how these two concepts are both distinct and deeply intertwined, and why they are critical for academic success. Dr. Lance discusses her research on reading difficulties in children with language disorders, the importance of early language development, and the role of speech-language pathologists in supporting children with language and literacy challenges. From phonics-based reading approaches to working with multilingual students, this episode is packed with valuable insights for SLPs, educators, and caregivers alike.

In this episode of SLP Full Disclosure, Michelle hosts a Q&A session addressing key questions from clinical fellows in the field of speech-language pathology (SLP). Topics include effective supervision, resources for new SLPs, navigating job changes during clinical fellowship, early intervention best practices, and challenges faced by international applicants seeking positions in the U.S. The discussion highlights the importance of communication, mentorship, and understanding the dynamics of working in school systems and with families. The episode also explores the complexities of licensure and job opportunities in SLP, emphasizing state-specific requirements, the benefits of mentorship, and strategies for new graduates to enhance their resumes and secure job placements. Additional insights include navigating California's licensing process and engaging young clients in therapy. Overall, the conversation underscores the value of support and community within the SLP profession.

In this episode, Michelle sits down with Denise Cesare, a speech-language pathologist, author, and mindfulness advocate, to discuss her incredible journey of resilience and healing. After losing her voice due to a tragic accident, Denise shares how mindfulness became a cornerstone of her recovery and professional life. The conversation delves into the mental health challenges faced by professionals, the impact of the pandemic on children, and the creation of Denise's book, Moments in Motion with Love. This heartfelt book provides tools to help children and adults navigate stress and embrace mindfulness. Denise also highlights the emotional process of writing, the healing power of music, and the integration of yoga and mindfulness into daily routines. The episode wraps up with practical advice for new speech pathologists on avoiding burnout and prioritizing self-care.

In this heartfelt episode, Michelle dives into the inspiring journey behind her decision to become a speech-language pathologist. Guided by her Christian faith and a deep desire to serve others, she shares touching personal stories that reveal the joy of transforming lives through communication. From building lasting connections with families to witnessing the power of human connection in therapy, Michelle explains how her career didn’t just happen—it chose her. This episode is a celebration of purpose, faith, and the incredible fulfillment that comes from helping others thrive.