Guest: Joleen Fernald, PhD, CCC-SLP, BCS-CL

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=DIR-and-Selective-Mutism

In this episode, host Erin welcomes Jolene Fernald, an expert in selective mutism and DIR floor time, to discuss the complexities of selective mutism, neurodiversity, and how to support children who struggle with communication in anxiety-provoking situations. Jolene shares personal experiences, diagnostic criteria, and effective strategies based on a holistic DIR approach. Viewers will learn about the role of sensory processing, how to build a supportive classroom environment, and the importance of understanding the 'why' behind behaviors. This episode also covers the overlap between selective mutism and autism, providing insights into the situational challenges faced by neurodivergent individuals. Jolene introduces useful resources, including a new card deck to guide therapists and educators. This enriching conversation aims to equip you with knowledge and tools to better support children with selective mutism.

Episode Timeline:

00:00 Introduction and Excitement for the Episode

00:30 Upcoming Events and Conferences

01:09 Guest Introduction: Jolene Fernald

03:29 Jolene's Journey and Expertise in Selective Mutism

09:49 Understanding Selective Mutism and DIR Approach

13:29 Diagnosing and Addressing Selective Mutism

20:55 Building Communication Capacities in Children

28:15 The Role of Sensory Activities and AAC

31:24 Understanding Communication Challenges in Children

32:28 Addressing Classroom Anxiety and AAC Systems

35:12 Supporting Teachers and Creating Safe Environments

38:23 Effective Classroom Strategies for Anxious Students

47:09 Selective Mutism and Autism: Overlapping Conditions

57:32 Resources and Tools for Supporting Children with SM

01:01:48 Conclusion and Final Thoughts

About the Guest: Joleen R. Fernald, PhD, CCC-SLP was awarded Board Specialty Recognition in Child Language from the American Speech-Language Hearing Association. Dr. Fernald follows Greenspan and Wieder’s model, DIRFloortime® , when working with children and families.She has a special interest in the social-emotional development of young children and its impact on their speech and language skills. As a speech-language pathologist, Dr. Fernald works with children who have a variety of communication disorders. She specializes in the assessment and treatment of Selective Mutism and is the developer of the DIR-SM model.

Guest: Tiffany Elliott, MS CCC-SLP, CNT, IBCLC

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Bridging-NICU-to-Home

In this special birthday episode of First Byte, Michelle Dawson, a devoted therapist and mother, explores the intricate journey from NICU to home with expert Tiffany Elliott. They discuss practical strategies for caregivers in maintaining emotional wellbeing, the importance of neuroprotective care, and the Hospital to Home Systems Change project aimed at improving continuity of care for infants and their families. Elliott shares her insights from working in various NICUs, setting up essential support systems, and the critical role that emotional support plays in successful infant feeding. This episode is packed with valuable information for anyone interested in pediatric feeding, NICU professionals, and caregivers navigating early intervention services.

Episode Timeline:

00:00 Welcome to First Bite

00:29 A Day in the Life of a Pediatric Feeding Specialist

01:31 University of Tennessee Lecture Experience

04:11 Encouragement for Clinical Supervisors

05:59 Introducing Tiffany Elliott

06:41 Tiffany's Journey and NICU Experience

19:09 Hospital to Home Systems Change

23:39 Challenges in Early Intervention

26:53 Barriers and Solutions in Washington State

36:21 Personal and Professional Reflections

40:12 Navigating Academia and Authenticity

41:39 Balancing Productivity and Care in the NICU

44:21 Challenges in Early Intervention Systems

45:29 Continuity of Care and Billing Codes

49:21 Training and Support for Caregivers

51:59 Emotional Wellbeing and Feeding

01:00:16 Practical Strategies for Caregiver Support

01:11:38 Final Thoughts and Resources

About the Guest(s): Tiffany Elliott, MS CCC-SLP, CNT, IBCLC, is a Speech-Language Pathologist (SLP) who specializes in pediatric feeding and swallowing disorders with a strong focus on preterm and medically complex infants and strengthening the caregiver-infant dyad. She is also an International Board Certified Lactation Consultant (IBCLC) and holds certifications in neonatal therapy (CNT) as well as neonatal touch and massage (NTMTC). She is currently a LEND trainee at the University of Washington. Tiffany is passionate about improving systems of care. She is a hospital-to-home systems change specialist with Northwest Center, where she partners with professionals across Washington state to enhance the hospital-to-home transition for infants and build community therapists' capacity. She also works on the infant feeding team at Seattle Children’s Hospital, providing direct care for infants and their families. Before these positions, she co-founded the UW Medical Center’s NICU SLP program and worked at Mary Bridge Children’s Hospital.

Watch this episode on YouTube: https://youtu.be/n7hXTJG_FJM

Mentioned in this episode:

School of Speech is Back!!

Season 2 of School of Speech has arrived! Every host Carolyn Dolby every Monday morning as she sits down with practicing SLPs, academic researchers, and leading experts to talk about all aspects of school-based speech-language pathology. Carolyn and her guests explore everyday topics, tackle tough situations, and share valuable insights to support school therapists in their daily practice. Find School of Speech on Spotify, Apple Podcasts and other podcast platforms.

Guest: Amy Zembriski, MBA, MS, CCC-SLP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Neurodiversity-Affirming-Feeding-Therapy-Where-do-I-Start

In this episode of First Bite, host Michelle Dawson introduces a valuable conversation between Erin Forward and Amy Zimbrisky, a seasoned speech therapist specializing in neurodiversity affirming feeding therapy. After highlighting insights from the Feeding Matters Conference, Erin and Amy delve into practical strategies for beginning feeding therapy with neurodiverse children. They discuss creating a safe and welcoming environment, the importance of caregiver education, and the significance of understanding each child's unique relationship with food. Amy shares her personal journey in overcoming challenges and learning to support her clients in a more holistic and relationship-based manner, emphasizing the significance of autonomy and trust. Tune in to learn how to build therapeutic strategies personalized for each child, utilize AAC effectively, and foster a positive mealtime experience.

Episode Timeline:

00:00 Introduction and Episode Overview

00:41 Feeding Matters Conference Highlights

01:31 Creating a Safe Space for Feeding Therapy

03:33 Personal Reflections and Announcements

05:25 Introduction to Amy Zembrisky

07:16 Amy's Journey in Feeding Therapy

11:44 Building Trust and Autonomy in Feeding Therapy

15:29 Caregiver Education and Support

17:44 The Importance of Routine and Flexibility

35:28 Validating Caregiver Concerns

36:44 Navigating Social Media Judgments on Parenting

37:51 Understanding Children's Food Preferences

38:54 The Importance of Flexibility in Feeding Therapy

40:24 Building Trust and Safety in Therapy

42:10 Case Study: Engaging a Child in Mealtime

43:42 Personalizing Therapy Approaches

47:45 The Role of Caregivers in Feeding Therapy

58:12 Advice for New Therapists

01:00:55 Resources and Mentorship

01:05:19 Conclusion and Contact Information

About the Guest: Amy Zembriski, MBA, MS, CCC-SLP is a certified speech language pathologist with an extensive background working in a variety of settings, including acute care, skilled nursing facilities, schools, early intervention, and private practice. Additionally, she has had past experience working as an adjunct professor supervising graduate students during their diagnostic clinical practicum. She is the owner of Speech Therapy Connections in Fair Lawn, NJ, where she specializes in augmentative and alternative communication (AAC) and gestalt language processing; Amy offers expert support for families with autistic children. Her passion lies in educating and empowering both professionals and families through neurodiversity-affirming practices.

Mentioned in this episode:

School of Speech is Back!!

Season 2 of School of Speech has arrived! Every host Carolyn Dolby every Monday morning as she sits down with practicing SLPs, academic researchers, and leading experts to talk about all aspects of school-based speech-language pathology. Carolyn and her guests explore everyday topics, tackle tough situations, and share valuable insights to support school therapists in their daily practice. Find School of Speech on Spotify, Apple Podcasts and other podcast platforms.

Guest: Ashley Muñoz López MBA, MS, CCC-SLP, BCS-S

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Discovering-the-Leader-in-You

In this episode, Michelle Dawson introduces the theme of leadership within the field of speech pathology. Michelle shares insights from her recent experience at the Feeding Matters conference, highlighting the importance of advocacy, especially regarding the protection of 504 plans under threat in several states. The week's guest, Ashley Lopez, delves into her journey as a speech pathologist transitioning from adult care to pediatric care, her pursuit of leadership roles, and the challenges of balancing professional and personal life during these transitions. Ashley also opens up about the impact of postpartum depression, the necessity of finding one's tribe for support, and her educational path that includes obtaining an MBA to enhance her leadership skills. This episode is a heartfelt discussion about personal growth, professional transitions, and the essential role of advocacy in the field.

Link to ASHA Advocacy - Texas v. Beccera: https://www.asha.org/news/2025/texas-v-becerra-a-lawsuit-that-threatens-disability-rights/

Episode Timeline:

00:00 Welcome to First Bite

00:18 Reflections on Feeding Matters Conference

02:52 The Fight for 504 Plans

07:39 Introducing Ashley Lopez

09:14 Ashley's Journey into Speech Pathology

17:33 Career Pivots and Challenges

20:45 Transitioning to Pediatrics

22:52 Navigating Postpartum Depression

32:35 Mentorship and Adult Learning

34:19 Pursuing an MBA During the Pandemic

37:38 Discovering a Passion for Medicine

38:01 Pursuing an MBA

38:41 Balancing Education and Career

39:59 Understanding the Bigger Picture in Healthcare

40:50 The Importance of Leadership in Healthcare

41:38 Graduating and Future Aspirations

43:06 Challenges in Clinical Training

45:09 The Role of Business in Healthcare

46:10 Personal Life and Professional Balance

49:14 Finding Support and Building a Tribe

51:43 Adapting to New Normals

01:03:04 Leadership and Continuous Learning

01:09:09 Concluding Thoughts and Gratitude

About the Guest: Ashley is a board-certified clinician with experience in direct patient care, project management, service line development, and leadership. She has worked as a speech-language pathologist for over a decade and has experience working with children and adults in various practice pathways. She has substantial experience working with patients with acquired brain injury, respiratory compromise, and dysphagia.

Ashley has been published in the ASHA Leader and Aerodigestive Health as well as the Perspectives of the ASHA Special Interest Groups. She received the Distinguished Early Career Professional (ECP) Certificate in 2018 and graduated from ASHA's Leadership Development Program (LDP) in 2019. She is a current member of the Hispanic Caucus for ASHA and a previous board member. She has been a guest speaker for several universities and has presented at the local, state, and national levels, including multidisciplinary presentations with nursing organizations. Most recently, she was invited to be a speaker at ASHA's upper airway online conference. In 2020, Ashley began her term as a site visitor for the Council on Academic Accreditation (CAA). ​​​

Ashley provided dedicated service to ASHA's Special Interest Group 13 as a professional development member from 2021 - to 2023 and the CE content manager. Currently, she is serving on the adult swallowing committee for the ASHA 2024 convention. Outside of her duties in the clinical realm, Ashley empowers diverse members of the healthcare workforce and was the 2022 co-chair and 2023

Guest: Dyan Dickerson MA, CCC-SLP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Floortime-for-the-SLP

In this episode of First Bite, Michelle and Erin welcomes Dyan Dickerson, a certified expert in DIR Floortime and feeding, to explore the intricacies of the Floortime model. Listeners get an inside look into the principles of DIR (Developmental, Individual Differences, Relationship-based) Floortime and understand its impact on communication and feeding therapy. Diane shares her professional journey, the importance of affect, and how to approach therapy with critical thinking. Tune in to hear case studies and learn practical tips for applying Floortime in both feeding and communication settings.

About the Guest: Dyan Dickerson is an ASHA (USA) and RCLST (UK) certified speech-language pathologist who graduated with both her B.S. and M.A. degrees in Communication Sciences and Disorders from the University of Central Florida. While in school, Dyan became passionate about The Floortime Approach while working privately with a family, where she used the approach with their son for nearly four years (Hi, J!). After graduation, Dyan moved to Washington, D.C., to work at The Floortime Center for six years, where she later became the lead speech-language pathologist. Dyan provided services in the private practice setting, school-based therapy, home services, and throughout the community. She saw clients in individual sessions and group therapy as well as provided intensive services for families around the world as part of a collaborative team. Dyan is Floortime trained and holds certification in the S.O.S. Approach to Feeding and Integrated Listening Therapy (iLs) and training with Gestalt Language Processing. While working at The Floortime Center, Dyan traveled to Budapest to present on Foodtime, a feeding program she co-developed, as well as Miami to present on both Foodtime and speech-language therapy using the Greenspan Floortime Approach. Dyan is a collaborative volunteer for The Greenspan Approach online course - an ASHA-approved C.E. program - she holds licensure in Florida and the UK. Dyan believes in a developmental, whole-child approach to therapy and uses The Floortime Approach to support children and their families. Dyan is soon moving back to Tampa, Florida, and will support clients and families in person and virtually.

Mentioned in this episode:

School of Speech is Back!!

Season 2 of School of Speech has arrived! Every host Carolyn Dolby every Monday morning as she sits down with practicing SLPs, academic researchers, and leading experts to talk about all aspects of school-based speech-language pathology. Carolyn and her guests explore everyday topics, tackle tough situations, and share valuable insights to support school therapists in their daily practice. Find School of Speech on Spotify, Apple Podcasts and other podcast platforms.

Guest: Travis Threats, PhD, CCC-SLP

GoFundMe link referenced in intro: https://www.gofundme.com/f/honoring-chriss-love-legacy-through-his-daughters

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=A-Conversation-on-the-Intersection-of-Faith-between-Clinicia

In this heartfelt episode of 'First Bite,' host Michelle Dawson and guest Dr. Travis Threats dive deep into the intersection of faith, healing, and cultural awareness within the field of speech therapy. From personal stories of overcoming grief and professional struggles to examining the role of faith in patient care, this episode explores how spiritual beliefs and cultural backgrounds profoundly influence therapeutic practices. Viewers will learn about the importance of humility in practice, honoring diverse traditions, and the ethical considerations of treating clients from various faiths and cultures. Join us for an enlightening conversation on bringing light, hope, and joy to the pediatric speech therapy community.

Episode Timeline:

00:00 Welcome to First Bite

05:46 Introducing Dr. Travis Threats

08:30 Faith and Professional Practice

16:21 Cultural Competence in Speech Therapy

33:05 Client's Unexpected Reaction

34:08 Faith and Professionalism

35:34 Navigating Religious Differences

38:57 Handling Bias in Clinical Settings

42:14 Cultural Sensitivity in Practice

56:44 Faith in Healthcare Professions

01:01:26 Concluding Thoughts and Reflections

First Bite is now on YouTube - https://youtu.be/khogy7_oMjM

Mentioned in this episode:

School of Speech is Back!!

Season 2 of School of Speech has arrived! Every host Carolyn Dolby every Monday morning as she sits down with practicing SLPs, academic researchers, and leading experts to talk about all aspects of school-based speech-language pathology. Carolyn and her guests explore everyday topics, tackle tough situations, and share valuable insights to support school therapists in their daily practice. Find School of Speech on Spotify, Apple Podcasts and other podcast platforms.

Guest: Dr. Richard Noel, MD

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=The-Medical-Domain-of-Pediatric-Feeding-Disorder

In this episode, Dr. Richard Noel joins the discussion to shed light on Pediatric Feeding Disorder (PFD) and its medical domain. Dr. Noel shares his journey to becoming a pediatric GI specialist and explores the critical components of managing PFD. Key topics include the importance of growth and nutrition, management of upper GI tract issues, and the significance of airway and lung concerns. Dr. Noel also addresses common misconceptions about reflux in infants and the use of various appetite stimulants such as ciproheptadine and mirtazapine. Viewers will gain valuable insights into constipation management, the role of scheduled toileting, and the importance of multidisciplinary care in treating PFD. The conversation underscores the need for better medical understanding and care strategies for children with PFD.

Timeline:

00:00 Introduction and Guest Welcome

01:41 Journey to Becoming a Pediatric Gastroenterologist

05:32 Understanding Pediatric Feeding Disorders

06:51 Medical Domain of PFD: Key Considerations

08:24 Addressing Nutritional Concerns

14:17 Managing Constipation in PFD

21:39 Behavioral Strategies for Feeding

23:36 Family Involvement in Feeding Therapy

26:04 Family Routines and Feeding Therapy

26:47 Medications for Appetite Stimulation

27:03 Ciproheptadine: Uses and Effects

31:18 Mirtazapine: An Appetite Stimulant

34:49 Megastrol: A Powerful Appetite Stimulant

37:07 Managing GI Issues in Children

38:03 Reflux and Vomiting in Infants

43:09 Cyclical GI Disorders: Abdominal Migraines and More

47:20 The Role of Multidisciplinary Teams in Pediatric Care

48:56 Challenges in Pediatric Feeding Disorder Education

53:46 Advocacy and Access to Multidisciplinary Care

About the Guest: Dr. Richard Noel was born in Mexico City and grew up in San Antonio, TX. He has MD/PhD degrees from the University of Texas Southwestern Medical Center in Dallas and did a residency in Pediatrics at Wake Forest University in NC. He trained in Pediatric Gastroenterology at Cincinnati Children’s Hospital Medical Center, where he developed an interest in working with children with pediatric feeding disorders. He worked for 10 years at the Children’s Hospital of Wisconsin with Dr. Colin Rudolph and then transitioned to Duke University, where is currently Division Chief for Pediatric Gastroenterology, Hepatology, and Nutrition.

Watch this Interview on YouTube: https://youtu.be/NVGPdIzfobs

Mentioned in this episode:

School of Speech is Back!!

Season 2 of School of Speech has arrived! Every host Carolyn Dolby every Monday morning as she sits down with practicing SLPs, academic researchers, and leading experts to talk about all aspects of school-based speech-language pathology. Carolyn and her guests explore everyday topics, tackle tough situations, and share valuable insights to support school therapists in their daily practice. Find School of Speech on Spotify, Apple Podcasts and other podcast platforms.

Guests: Jennifer Ruckner, MS CCC-SLP, and Beth Cooper, MOT, OTR/L

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/course?name=Sensory-Detective-Part-2-A-Closer-Inspection

In this episode, Michelle is joined once again by Jennifer Ruckner, MS CCC-SLP, and Beth Cooper, MOT, OTR/L, for “Sensory Detective Part 2: A Closer Inspection”. In “Part 1” (#3660), Jen and Beth went into detail on the roles and responsibilities of SLPs and OTs with respect to “sensory” and how they can collaborate, and they were just getting started. In “Part 2”, they share why it is so critical to empower caregivers in their child’s sensory journey and how to teach clinicians to do so, starting with the initial evaluation. Jen and Beth then transition to a series of case studies to highlight the impact of the “medical domain” of pediatric feeding disorder on the child’s sensory systems and wrap up with recommendations on when/why taking a break from therapy can be beneficial. Remember, everyone has a role in “sensory,” and we hope that this episode continues to grow your passion for it.

About the Guest(s):

Jennifer Ruckner MS, CCC-SLP received her Bachelor's of Science Degree and a Master's Degree in Communication Disorders from Auburn University. She has been a speech-language pathologist since 1990 working in a variety of settings including Early Intervention, school districts, and private practice. Jennifer piloted a preschool expressive language program for Stafford County Schools. Jennifer specializes in Social/Pragmatic Language, Autism Spectrum Disorder, Expressive Language Disorder, and Feeding Disorders, and is Beckman Oral Motor Certified. She provides services through Telepractice and at home. In 2008, she and partner Patti Minicucci created Tots To Teens Therapy Services to provide speech and language resources in an interdisciplinary approach to the families of Northern Virginia. Jennifer is a Community Ambassador for Feeding Matters, a non-profit, parent-founded organization.

Sharibeth (Beth) Cooper MS, OTR/L received her Master’s Degree in Occupational Therapy from the University of Illinois-Chicago in 2004. She has experience working in various settings, including home-based early intervention, teletherapy, school systems, outpatient clinics, and as part of a diagnostic team for a center for autism. She is certified in the Handwriting Without Tears® program, M.O.V.E® program, and Therapeutic Listening®. She has completed advanced continuing education in MORE, Floortime/DIR, Kinesiotaping, The Ready Approach for Self Regulation®, The Alert Program®, TEACCH®, TalkTools, neurodevelopmental techniques, and assistive technology. She has been a presenter at state conferences, parent workshops, universities, daycares, and school programs. Beth also serves as the Clinical Director at Tots to Teens Therapy Services. In her spare time, Beth enjoys spending time outdoors with her husband and four children.

YouTube Episode Link: https://youtu.be/VrDBJufQpzo

Mentioned in this episode:

School of Speech is Back!!

Season 2 of School of Speech has arrived! Every host Carolyn Dolby every Monday morning as she sits down with practicing SLPs, academic researchers, and leading experts to talk about all aspects of school-based speech-language pathology. Carolyn and her guests explore everyday topics, tackle tough situations, and share valuable insights to support school therapists in their daily practice. Find School of Speech on Spotify, Apple Podcasts and other podcast platforms.