Not In The Visit Note

When COVID-19 changed the world overnight, speech therapy changed right along with it. In this episode of Not in the Visit Note, we take a trip back to those early pandemic days and share what it was really like to transition from therapy rooms filled with toys and face-to-face interaction to virtual sessions through a computer screen. We discuss the challenges of learning teletherapy on the fly,...

Being a therapist can be exhausting, chaotic, and sometimes downright overwhelming—but in this episode of Not in the Note, we’re focusing on the good stuff. We’re talking about the moments that remind us why we love what we do: the patient wins (big and small), the funny and unexpected moments, the relationships we build, and the deep sense of purpose that comes with helping others. From celebrati...

In this episode of Not in the Visit Note, we’re sharing the hilarious, chaotic, and way-too-relatable moments that happen during speech teletherapy sessions with kids. From surprise sibling appearances and pets stealing the spotlight to kids logging on in full superhero costumes or disappearing mid-session for snacks — teletherapy keeps us on our toes. We’re talking about the things that never mak...

This week on Not in the Visit Note, we’re talking about the parents who swear they “already looked it up,” have a full treatment plan ready before the evaluation starts, and somehow know exactly how speech therapy should be done.  From correcting techniques mid-session to insisting their child “doesn’t do that at home,” we’re sharing the funny, frustrating, and all-too-relatable moments that happe...

Not every discharge feels like a success. In this episode of Not In The Visit Note, we’re talking about the hard reasons behind discharging a client—especially when it comes down to lack of progress. What happens when you’ve tried everything you know to try… and it’s still not enough?  When the family is consistent, the effort is there, and the outcomes just aren’t? We’re diving into the part of t...

In this episode of Not in the Visit Note, we get real about self-care—the version we talk about, the version we want to have, and the version we actually manage to squeeze into our lives. We share what fills our cups (when we remember to refill them) and the small things that help us stay grounded in the middle of chaotic schedules and constant demands. But let’s be honest—prioritizing ourselves i...

In this episode of Not in the Visit Note, we’re swapping therapy rooms for interview rooms—and let’s just say… things didn’t go as planned. From wildly inappropriate questions to awkward oversharing and moments that had us questioning reality, we’re breaking down the job interviews that went completely left. We share our own experiences navigating uncomfortable, confusing, and downright bizarre hi...

From pacifiers and sippy cups to that one random rug they refuse to live without—kids form attachments to the most unexpected things. In this episode of Not In the Visit Note, we’re diving into the hilarious, confusing, and sometimes downright baffling objects kids can’t let go of. As speech therapists, we’ve seen it all—but these are the stories that definitely don’t make it into the official not...

What happens when speech therapists step outside the therapy room and into completely unexpected situations? In this episode of Not in the Visit Note, we’re sharing our real-life encounters with law enforcement—stories that are equal parts hilarious, awkward, and “you can’t make this up.” From being mistaken for something we’re definitely not, to trying to explain our jobs in the most random circu...

Ever heard a parent say, “But my doctor said he’ll grow out of it” or “We’re just going to wait because the pediatrician isn’t worried”? In this episode of Not in the Visit Note, we dive into what happens when parents rely solely on one professional opinion—and how that can sometimes delay support kids truly need. As speech-language professionals, we unpack the gap between medical reassurance and...

Speech therapy on social media looks magical: perfectly curated therapy rooms, kids happily participating, and every strategy working the first time. Meanwhile in real life… there are meltdowns, toys being thrown, sessions that go completely off script, and progress that takes time. In this episode of Not in the Visit Note, we talk about the difference between social media speech therapy and what...

In this episode of Not In the Visit, we’re talking about the classic “WH questions” parents ask that leave therapists quietly shaking their heads. From  “Why can’t my child talk yet?”  to “ When will they be normal? ” and the ever-popular  “Why can’t you just make them say it?”  — we’re breaking down the questions we hear all the time in therapy sessions. We discuss where these questions come from...

In this episode, we’re diving into the family history details that somehow never make it into the evaluation paperwork… but absolutely come out three sessions later. From “Oh yeah, his parents are first cousins” to “We’re all very close… like VERY close” — we’re talking about the wild, unexpected family dynamics that surface mid-therapy and leave us mentally rewriting the entire case history. We d...

Welcome back to the podcast—where kids treat their mouths like a junk drawer. Rocks? In. Stickers? In. Something wet that should not be wet? Definitely in. Today we’re talking about the unhinged, unsupervised tasting menu children present us with daily… and why nothing in this job will ever feel safe again. No names. No facilities. Just validation, dark humor, and the stuff that never makes it int...

In this episode, we dive into the world of AAC devices and the all-too-common struggle of getting consistent use at home and in therapy. It’s good versus evil. Which side are you on? Do you accept non-compliance and find a work around or are you cut throat. We explore why kids (and sometimes adults!) resist using communication devices, and share real-life stories from the trenches.  The disagreeme...

They say don’t accept tips… but no one warned us about the food. In this episode, we break down the unsolicited snacks of therapy life—from sweet, well-intentioned treats to mystery leftovers that absolutely should’ve stayed in the fridge. Is it rude to say no? Is it safe to say yes? And why are we always offered food right after a questionable hygiene moment? Grab a snack you trust and tune in—be...

Welcome to Not in the Visit Note-the podcast where clinicians say the quiet parts out loud. You request a calm therapy environment. You get barking dogs, free-roaming cats, and at least one animal that was not disclosed on the intake form. In this episode, we unpack the chaos of animal-filled sessions, the pets that become accidental co-therapists, and why “pet-friendly” was never part of the trea...

Welcome to Not in the Visit Note-the podcast where clinicians say the quiet parts out loud. In this episode of Not in the Visit Note, we’re talking about the uncharted territory of patient fashion—or the complete lack of it. From pajama pants and nightgowns to waist trainers and lingerie, these are the wardrobe moments that never make it into the chart but live rent-free in every clinician’s memor...

Welcome to Not in the Visit Note-the podcast where clinicians say the quiet parts out loud. In this episode of Not in the Visit Note, we’re diving into the world of patient cancellations, no-shows, and last-minute reschedules—the silent disruptors of every therapist schedule. From same-day cancellations and unexplained absences to the creative excuses that never make it into the chart, we talk abo...

Welcome to Not in the Visit Note-the podcast where clinicians say the quiet parts out loud. Think of this episode as a baseline- who we are, how we got here, and the kinds of stories we'll be unpacking in future episodes.  If you've ever thought, "I love my patients, but wow" you're in the right place. No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the...