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SLP is a _____ and it is what we do & why we do it. however there is also an ______ to our profession or how we do what we do that is counseling
science, art
____________ says that ______ is needed for counseling
Dave Luterman, EBP
what ASHA documents permit us to do counseling
scope of practice and preferred practice patterns
counseling is EBP in areas of ______, ______, & _______
aphasia, voice, fluency
true or false: it is easy to measure and standardize counseling
false, it's hard
_______ take care of everyone
caregivers
what is patient first language
start with the child with _____; not the ____ child
how do you integrate counseling
into what you are already doing (weave it through)
how do you identify a good counselor
you dont know that your being counseled, like a trusted friend
what is Anne Sullivan syndrome
- work becomes your life and
- you are a over worker
- this can be helped
what are those who lack interpersonal skills
- most common with newcomers in the field
- dont know how to work with others
- this can be helped
what are those with extremely limited capacity to care for & help others
- most extreme with newcomers in the field
- dont have any empathy
- keep on pounding the drum even when they are wrong
- dr reed says they cant be helped but dr luterman says they can be helped
what is your role as an SLP
clinical services
what are clinical services that an SLP does:
to provide individuals, families/caregivers, and other relevant persons with _______ and _____ about ________ and/or ________ disorders to develop _________ strategies that enhance the ______ process
info, support, communication, swallowing, problem-solving, rehabilitation
true or false
CCC vs licensure and credentials are the same thing for mental health professionals and SLPs
false, there is a difference
do SLPs have the qualifications necessary to diagnose and treat mental illnesses
no
what do SLPs do if an individual exhibits symptoms of mental illness
refer them to the appropriate professionals
do SLPs deal with any anxiety
yes anxiety and frustration related to speech
what is counseling in CSD
creating an interpersonal and helping relationship in which the goal is to support patients and their families who experience emotional distress related tot a communication disorder
true or false
SLPs/Audiologists are not trained, qualified psychotherapists, but often find themselves in situations where professionally appropriate counseling is an integral part of service delivery
true
what are a few qualities of an effective counselor
wisdom, objectivity, trustworthiness, emotional stability
the professional (SLP) brings the same as the ____________ does to the counseling relationship
student/parent
what are two aspects of congruence
consistency between ideal & actual selves
authenticity + genuineness = ___________
wholeness
congruence= feelers to become more _________ and thinkers need to become more __________
thinkers, feelers
it is only when the _______ addressees & understands his/her own thoughts, emotions & reactions, and is secure enough not to need to be expert, that he/she is fully present for the client - Luterman
counselor
congruence=
balance
empathy & sympathy are/are not the same
ARE NOT
what is the opposite of congruence
dissonance
_______ is the difference in how you think & how you act
dissonance
inconsistency between beliefs, feelings, & actions
dissonance
one form of dissonance is _________
role conflict
________ would be the overuse of positive affirmations
role conflict
the PT needs positive affirmations with _______
baby steps
a person with stutter (PWS) cant deal with the disorder until he _________________
IDs hisself as a PWS
what could cause increased feelings of shame, embarrassment, frustration, anger, etc, and even cause stutter to worsen
role conflict between normal fluent speaker & person with stutter
what are some things you should do if the PT is having role conflict (1)
- facilitate awareness of dissonance & why the PT has these uncomfortable feelings
what are some things you should do if the PT is having role conflict (2)
- give them opportunities to share self
what are some things you should do if the PT is having role conflict (3)
yield greater congruence for self & others
what are some things you should do if the PT is having role conflict (4)
help the PT observe themself from outside looking in
congruence ________ & _________ us
requires, challenges
congruence requires _________, explorations, etc review in our busy lives
reflections
what are some student challenges of congruence
professional expectations vs personal demands
what is something to try ease the challenge with social media
try an hour break
what can you do to help the "24 hr news cycle" challange
take a break from it before bed
change is ______ so dont underestimate it for your PT
hard
what are some ideas to be congruent
- taking a TRUE vacation
- learning to say no (professional & personal boundaries)
saying no is important for _________ and ___________
internally and externally
internally is maintaining ________
freedom
external is for your _________
health
living in the now helps you _______ _______
live longer
sleep deprived lowers _____
IQ
working with people with ________ are harder and more stressful
disabilities
what is the "mistake" made that leads to professional burnout
when you start living to work and not working to live; life becomes your work
- perfectionism
- never ending tasks
- work overload
- impossible tasks
- multiple roles
- self sacrifice
- unspoken feelings
all of these can be ___________
causes of professional burnout
- negative emotions
- interpersonal problems
- health problems
- poor performance
- substance abuse
- "workaholism"
- depression
- loss of self esteem
all of these can be ________
symptoms of professional burnout
what are some ways to prevent and deal with professional burnout
- learn to _____ your own _____
- learn to navigate the ___________
- take care of & _______ thy self
- work _______, not ________
- practice stress reducing strategies & monitor _______ _____
- develop a strong ______ system
- and if all else fails, _____________
- fill your own tank
- learn to navigate the landmines
- know thy self
- smarter, harder
- physical health
- support
- change job settings
what are the characteristics of SLPs that burnout the most
passive & compliant but also imaginative, creative & energetic
who is all of the research on
females
what year does the burnout usually hit
7-10 year mark
if you can get through the ____ year mark they usually _______ in the field
10, stay
Forget your perfect offering/There is a crack in everything/That's how _______ gets in
light
how do adults reaction to being mad differ from children
children usually have a break down and adults usually shut down
it is important to give our patients __________________
permission to be human
we don't need to let a patient's anger overwhelm us, but why......
because anger is a normal human emotion so we need to acknowledge it
anger probably comes from what other emotion?
fear
painful emotions are part of _____ _____
human condition
_________ and _______ with yourself and others usually makes them like themselves better
honesty and transparency
what is a pivotal milestone for reaching our full potential
viewing ourselves and others as a whole despite negative emotions
we need to learn to lean into the _______
discomfort
why is leaning into the discomfort counterintuitive
because life is hard and we are always taught to smile
why should we not tell ourselves "dont be nervous"
because it will just make it worse..... you need to lean into the discomfort
what is The Pink Elephant Study
where they told a group not to think of pink elephants and it turns out thats all they could think of, which is why we need to lean into the discomfort
how do we achieve self acceptance & self love
accept the full range of emotions
accepting the full range of emotions:
all emotions ____ through the same _______
flow, pipeline
accepting the full range of emotions:
experiencing emotions have ______ properties, not defective when we have ______ emotions
healing, negative
accepting the full range of emotions:
cant change emotions with the shape of our fingers so..... ______ it, _________ it, try to ______ it
hear it, be with it, try to understand it
feelings is not __________ it is about acceptance
resignation
what are 3 ways ASHA says to reduce job burnout
sleep, gratitude journal, meditation
children might be stuck in their _________ if they exhibit some of these physical, behavioral, sensory and language signs
limbic systems
what is the focus of the climbing out of limbic article
the emotions underpin all learning
what did mr rodgers point out:
what do you do with the _______ ______ ______
mad you feel
mr rodgers taught us that helping children achieve and advance the "what do you do with the mad you feel" skill can help _____ _____ _____
manage their feelings
what are some ways others respond when you share negative experiences and bad emotions:
- ________ and ______ your feelings
- imply you are ________
- _________, you are not working hard enough
trivialize and avoid, overreacting, invalidation
traditional assumption _________ = expert
professional
who is the expert on the adult?
the adult
who is the expert on the child?
it can be the child, siblings, or caregivers
SLPs possess expertise with ________ ______ & to gather __________
technical knowledge, resources
we are all a ___________ & each individual is an expert on __________
work in progress, themselves
does expertise guarantee being the expert?
no
if you see yourself as a better version of yourself our patients can do the ________
same
true or false
you have to be a parent to be an expert on children
false
there are professional ________ as the expert, especially after becoming a parent (remember the story about her daughters arm)
limitations
- the family ________
- the source for _________ for SLPs
- effective counseling in ______ therapy
- counseling persons with ________ disorders
- the skilled _______
- working with families of young children with _____ _____
are all examples of "good reads"
crucible, counseling, stuttering, communication, helper, special needs
an ingrained emotion becomes an _______
attitude
luterman refers to the SLP as the disperser of fruit loops= _______ _______
behavioral therapy
what theory:
- carl rodgers
- empathetic listening, _______ ________, and acceptance helps patient become open to ______
- also known as _______ centered or _________ theory
- most helpful in instances of shock & grief, especially with a ______ ______ or trauma, or when therapeutic relationship is newly formed
- disadvantages: very _________
- dr reed said this theory is the ___________
person centered theory
unconditional regard, change
client, humanistic
new diagnosis
nondirective
warm fuzzies
what theory:
- b.f. skinner
- very structured with a focus on the observable & quantifiable; ___________________________
- looks at the ________ of patient; incorporates classical conditioning
- allows the SLP to target ________ abilities, using measurable goals; facilitates third party required behavioral documentation, helps us ____ _____
- disadvantages: limited in scope with a very ______ _________on the SLPs roles and responsibilites
- ________ is not teaching
behavioral therapy
what you can see and count
environment
communication, get paid
narrow perspective
counting
what is Dr Reeds favorite?
cognitive behavioral therapy
what theory?
how you think effects your behavior and is used most in voice and stutter
cognitive behavioral therapy