commentr/StutterSeptember 20, 2015

Content

Hey CassCat, I'm an SLP in my first year of working post grad school (my CF year). In grad school, I worked with 6 PWS - 3 school-age kids and 3 teens - and only one was in my clinical rotations at the university, the others were in internships in the schools. In my fluency class (which was shoved together with voice and resonance for 1 semester, ugh), we heard from 0 PWS and were shown videos on fluency enhancing strategies... and that was about it. It was a shit class that, for me, sucked the joy out of working with PWS. I had a fluency class in undergrad and my professor (a PWS who is an SLP and a fluency expert and who maintained a stuttering private practice while teaching) brought in 6 PWS over the course of a semester and focused almost exclusively on addressing positive self-talk and the emotional side of stuttering. In short, I think you're doing the right thing by coming to /r/stutter to look for real voices of PWS and pushing your textbook aside. I work in a high school now and have 3 teens who stutter on my caseload. I love them to pieces - PWS are by far my favorite group of people to work with - but grad school taught me almost nothing but a few strategies (e.g. easy onset, pull-outs, etc.). My real knowledge came in my internships and now as I learn so much from my teenagers about what they need and how I can best support them. I take my kids to NSA meetings and show them NSA publications. We talk about how they're doing on any given day and 1 of them will come in at lunch sometimes to vent about not being heard in her group of friends. I go to their class presentations and help them to tell their peers straight up that they will stutter, but that that's OK. You will learn more about working with PWS as you start working, but it's awesome you're seeking out that knowledge now. I think it's normal for grad students to feel lost when all we get is textbooks, but it will get better (I felt this way for all disorders... I felt like I learned nothing in my aphasia class, but working with a woman with aphasia in clinic taught me everything I now know). I hope some PWS here on /r/stutter will share some details of their lives with you, but I wanted to let you know that you will learn more and figure it out as you develop a caseload that has PWS on it :) Grad school is stressful and I'm sure it seems like you will never learn everything you need to... and you won't! You will probably graduate feeling inadequate and unprepared to treat PWS... but you'll figure it out. Every PWS is different and therefore it's impossible to feel like you are prepared from grad school alone. It will take meeting your future clients and assessing their needs before you will even feel a modicum of preparation :P And on a side note, while Guitar was a cool dude and advanced stuttering research, his work is kinda of old now in my opinion. Here are my favorite current tools for fluency therapy: If you're interested in working with kids/teens, I LOVE Nina Reeves professional developments (idk if she goes to Canada though) and she has an AMAZING book with tons of therapy ideas to address the emotional aspect of stuttering in combination with teaching some strategies for particularly difficult stuttered moments: http://secure.stutteringhelp.org/Merchant5/merchant.mvc?Screen=PROD&Store_Code=SFA&Product_Code=0005&Category_Code=U She has some other books and a super cool website with free resources: https://www.stutteringtherapyresources.com/resources.html I also love the OASES (authored by Yaruss) suitable for elementary age, teens, and adults, (http://www.pearsonclinical.com/language/products/100000640/overall-assessment-of-the-speakers-experience-of-stuttering-oases.html) when it comes to assessing the life impact that stuttering has on an individual. The SSI-4 is valuable for determining severity of a stutter purely off of # and duration of stuttered moments, but it does nothing to tell you about how severely a stutter is impacting someone's life. A PWS can be severe on the SSI-4 and not really bothered, but the reverse is true and can be missed by the SSI-4 alone - a PWS can present as mild on the SSI-4 but be extremely impacted and limited by their stutter as measured by the OASES. Basically I currently don't pay much attention to anyone besides the National Stuttering Foundation, the National Stuttering Association, Yaruss, Nina Reeves, and my former professor Dr. Susca when it comes to professional development on stuttering xD Anyway, fluency disorders are one of my areas of interest and I hope to be Board Certified in Fluency in ~6 years (5 years post CFY minimum are required), hopefully you get lots of PWS to tell you about their personal experiences! If you ever have ?s from the SLP side, feel free to pm me as well.

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Therapy & Professional

Subthemes

Seeking TherapyTherapy ExperiencesPositive Therapy TechniquesPositive Therapy Fit