Nicole KulmaczewskiAbout the Author:

Nicole Kulmaczewski is a speech therapist working at a private practice in the Westchester, New York area. She co-founded Myspeech, a non-profit that aims to connect people who stutter to speech therapists in the United States as well as access to resources. Nicole is passionate about advocacy and spreading stuttering awareness through social media posts, continuing education, and day to day life.  

I hope these next few years will shape us to be softer and more graceful. I hope we are still practicing with kindness and with an open mind. I hope we still remember the beauty of a human experience and that our field revolves around it. I hope we are still involved in the stuttering community.

We are 26 years old now, just got through a grueling 7 years of the process of getting our C’s. We’ve spent the last year as a Clinical Fellow un-learning the machine that academia has made us become. 

I’d like to remind you of a few things we’ve learned recently just in case you’ve forgotten after so many years.

Being involved in the stuttering community has brought me close with many people who stutter/stutterers who have blessed me with their life stories. What they do not know is that their stories have helped me organize myself as a speech therapist with knowledge that I couldn’t have gotten anywhere else. These stories have helped me realize the importance of creating individually tailored treatment plans for my clients because I have heard too many of the “speech therapy nightmare” scenarios. These stories are the reason why I practice with a “one size does not fit all” approach. 

What I didn’t learn in school was the damage I could do to someone’s psyche when setting unrealistic goals for them, or when taking responsibility to “help them” which inevitably creates a power dynamic and sends the message of “you’re broken and I’m here to fix you”. These are lessons I have learned from hurt people who are on a life mission to heal and love themselves. I do not want to create more hurt people. 

Future me, have we hurt people? Do you think we’ve sent that message to our clients, that we are better than them and that they are broken and need fixing? I want to give you a moment to reflect on your morals and what guides you when you practice. What are YOUR goals as a therapist? 

Currently, my biggest fears are:

  • that with more experience, I will put myself on a pedestal.
  • that I will forget that my job is not to help, but to guide.
  • that I will absorb the subconscious ableist beliefs that were instilled in me in academia. 
  • that I will regurgitate the “assess, plan, treat, fix” mentality of the medical model as I grow as a therapist. 
  • that I will be “the therapist” people reference when talking about their nightmare-ish experiences in speech therapy because I wasn’t aware of the damage I was doing while having “good intentions”. 

Have any of those fears come true?

What are your biggest fears as you read this? 

Future me, what have we done to grow ourselves as a human? Have we grown wiser with age, or more jaded? How many years of speech therapy experience do we have under our belt now? 5, 10, 15? How much time have we spent reflecting on ourselves, on making ourselves the best version of a coach, a counselor, and a safe space for our clients?

I know we have to keep up with continuing education to keep our C’s , but how have we implemented things we’ve learned into our human interactions in the speech room? Can we see X’s perspective in other people when he said that he does have days when it’s hard and all he wants Is to take that magic pill and make it all go away? Can we see X’s perspective when she is sometimes reminded in speech therapy as an adult of how insignificant she felt as a kid when she was told to work harder to become fluent? Can we see X’s story come to life in other people when he told you that when he finally became excited about speech therapy because he was allowed to set his own goals? 

I hope you fondly look back and remember me writing this note to you, to humble you and remind you of our why. I hope that you never forget that each person is on their own journey. I hope that you have returned to this note over and over to remind yourself that humans value connection and that treating our clients as humans should be the #1 priority of any speech therapist, especially you, future me. 

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Comments

A Letter To My Future Self – Nicole Kulmaczewski — 66 Comments

  1. Hi Nicole,
    Thanks for sharing. Everything resonates with me, and being involved in the stuttering community is the best thing that happened to me! and I am very grateful and blessed to be welcome in the community.
    Cynthia 🙂

    • Hi Cynthia thank you for your comment! I’m glad it resonates with you … the stuttering community is definitely one of the most welcoming communities I have the pleasure to be a part of 🙂

  2. Beautifully and elegantly written, Nicole! And a great concept, too — create a checklist of sorts to revisit to ensure you’re the SLP you’ve set out to be as it’s easy to fall off track (with any goal across life).

  3. Hi Nicole, I am an SLP graduate student and it was nice to hear you talk about things you didn’t learn in school. Especially about how setting unrealistic goals can hurt a client. This is something I wouldn’t want to do and being aware of this can help me to not do this in the future. Also, hearing about the “one size does not fit all” and creating individual treatment plans is so important. I really enjoyed reading this and will remember to set realistic goals and create individual treatment plans in the future.

    • Thank you for your comment!! I’m glad that you have taken some lessons from my letter to my future self. Setting realistic goals with your client is so important! And making sure they are included in the process of coming up with the treatment plan will make a world of a difference. If you have any other questions feel free to reach out to me, I am always available to chat 🙂 my email is nkulmaczewski@myspeechapp.org

  4. Nicole, I, too, love the checklist. To summarize one of your key points, we must be both continuous learners and self-reflectors. I also found this line quite profound: “We’ve spent the last year as a Clinical Fellow un-learning the machine that academia has made us become.” Lastly, thank you for MySpeech! What wonderful work you all are doing!

  5. Hello Nicole,

    Thank you for this post! I am currently studying as a graduate student to become an SLP. This article is an eye-opener for me. It is really important to acknowledge this after I graduate and start working in a real-world setting. I don’t want to be a clinician that just checks off a box to do my job. Instead of getting caught up in a medical model routine, I want to be more real with my client. I should not do the same procedure with every client. I should consider what values that my clients have and what kind of goals they may want, and this could allow us to collaborate together. It may also motivate the client when they have a say in their own treatment plan.

    • I’m so happy to hear this was as eye-opening for you as it was for me. It’s never too early or too late to learn that lived experiences can supplement things we learn in grad school. I’m glad you have this mindset, this is a great foundation and you will make an amazing clinician one day. One who listens to their clients and sets realistic goals TOGETHER to make their lives easier and more enjoyable one step at a time. Thank you for taking the time to read my letter, I am thankful you took lessons from it and I wish you all the best as you finish your education and step into the SLP world!

  6. Hi Nicole,
    I am currently in my second to last semester of graduate school woohoo! While I am so excited to get into the profession that I am passionate about, I too have thought about some of the unrealistic goals SLPs have set for their clients. After reading this post, I’m reflecting on what exactly that does to clients confidence, overall therapy experience and view of self. I have experience with some amazing SLPs who practice with a “one size does not fit all” mindset, as well as experience with SLPs whom have grown complacent and don’t take the time to do what is best (in my opinion) for their client(s). I think it is so easy for clinicians to have the “checklist mindset” after obtaining the oh so sought after “C’s.” I chose this field to make a difference, to genuinely help others. I don’t want to fall into the “assess, plan, treat, fix” mentality of the medical model that you mentioned, do you have any advice on how to avoid that post graduate school?

    • Woohoo!!! SO close to the finish line. Thank you for reading my letter and sharing your reflections with me. My first advice to you is – trust your gut. Your gut, your intuition, and your instincts will never let you down and they will oftentimes lead you toward the most humanistic way to approach a situation. Personally, I find my instinct is the right way to go and when I polish it up with some EBP and sprinkle in some lived experience and voila! You have the perfect approach! That brings me to my second piece of advice … LISTEN. Listening to your clients makes a world of a difference. A lot of those questions you will come across while treating, those really difficult questions that you have to face while coming up with a personalized plan for the person that you are serving, will be answered by just listening to your client. My third piece of advice is that it’s never too early or too late to learn. A lot of times you are waiting until you’re out of grad school to start your career, but it has started, you’ve already begun. You’re doing so much background work and working on yourself as a clinician to make sure you’re going to go out there and do the right thing and that is so admirable. Just you commenting on my post put you one step ahead of someone who will wait until they get their C’s to start “practicing”. I am always available to talk more you can email me nkulmaczewski@myspeechapp.org 🙂 Good luck!!

  7. Hi Nicole,
    I am currently in my last year of graduate school! After reading this, it really makes me reflect on all my clinical experiences I have had so far. I have multiple amazing professors/supervisors who make sure that I am not using a “one size fits all” approach and that has been fantastic to learn from. I think that once I am out of grad school I will have to make a list of goals for myself as a clinician because grad school has very much pushed the idea that every session has to be perfect, that we are in this field to help others, etc. I like how you said that it is so important to look at the client’s perspective because we want to work with their goals for themselves and their concerns, not just the concerns/goals a clinician has set for them.

    • Hey 🙂 I’m so glad to hear that your professors and supervisors are teaching and implementing the approach that one size does not fit all. We are in this field to do good for others, and sometimes it means letting go of our desire to “help”. When we do that, we get on our client’s level, we seek to understand and we LISTEN. We do not take on the role of “helper”, yet we help in the best way possible … allowing our client to empower themselves (through their thoughts, actions, and being part of the goal setting process). Thank you for sharing your reflections and congratulations for making it to your last year!! So many exciting things ahead <3

  8. Hi Nicole!

    Thank you for sharing this letter. It was very enjoyable to read. I am a second year graduate student working towards becoming a future SLP. Your points about remembering that every client is a human stuck out to me. Every client is different and what works for one may not work for another. I have began to learn the value of letting a client choose their own goals or at the very least, heavily involve them in the process! The goals that are created can be make or break in terms of their motivation. I love how you mention having an open mind and making sure to always practice kindness. You never know what a client may be going through. It is important to be able to always keep their perspective in mind.

    • Hey there!!! Woohooooooooo second year, that means graduation soon! You’re almost there 🙂

      Absolutely, the essence of humanity is that we are all different. Therefore, different things have different effects on people. Giving your client space to be involved in the goal setting process is one of the best things you can do as a clinician in my opinion because it shows your client that you are listening! That is one of the best things we can do, listen. Client buy-in is absolutely important and I commend you for realizing that so early in your SLP career. When we set goals for people based on our expectations, they are often unrealistic and unattainable. Think about a time someone has set an unrealistic expectation on you, it’s impossible to be motivated to reach something you know is unattainable. Humanity first!!!!!

  9. This was a beautiful letter to all of our future selves. It is way too easy to get caught up in the checklists and to-do lists and forget that we are touching lives. Our clients are individuals and need to be treated as such. Maya Angelou said, that people always remember the way you made them feel, not necessarily what you said. I love how you mentioned you involve and even let your patients set their own goals as they are the ones that go out into the real world outside of our therapy room.
    Your comment about unlearning certain habits academia teaches us that is not beneficial to our practice. As a 2nd year graduate student I FELT THAT!
    What is one thing that you would tell graduate students who are soon to graduate and will work with PWS?

    • Thanks so much 🙂 One thing I would tell a graduate student would be this quote by Carl Jung – “Know all the theories, master all the techniques, but as you touch a human soul be just another human soul.”

      Also, trust that the person is an expert in their own stuttering experience. You can help empower your client, you can help your client realize certain things about their experience and journey, but you are not there to HELP the client. They are not helpless, they are not less than you. You are simply but a pair of ears and a partner in guiding that person to reach their true, unapologetic self.

      Treat the struggle, not the stutter!

  10. Nicole, such a powerful reminder to hold on to our WHY! I’m reading a book on developing a leadership mindset, and I love a term they use: “positive restlessness” – which is another way of describing a commitment to constant improvement and lifelong learning. That is what your paper made me think of…a deep desire to keep growing and learning! 🙂

  11. Nicole, as a current second year graduate student about to graduate and begin the journey toward my C’s, I felt this message resonate in my bones. So many times I’ve felt like assimilating to academia machine, to the medical model of treatment, just because it seems to be the easiest and most well researched way of doing things. But we forget the most important part — that the individuals we see are human beings. People, with their own lives, their own families — humans that deserve to be just as seen and heard as anyone else. Thank you for this wonderful reminder.

    • I cannot even express how happy it makes me to hear that what I’ve written resonates with others. I’m glad that you had these takeaways from my letter to my future self 🙂

  12. Nicole, thank you for this post to remind us to check in on ourselves and our motivations behind our therapy. I am a second-year grad student and I’m already feeling certain levels of burnout. I think the line in your post that hit me the most was “Future me, what have we done to grow ourselves as a human? Have we grown wiser with age, or more jaded?”. I have seen so many healthcare professionals become more jaded as time goes on. I think that the inner work of healing yourself and making sure you are present with your client to “guide” them, as you mentioned, is so important. As the medical model continues to put limitations on services, I hope to provide mindful and person-centered services with my client right in front of me, rather than falling into the trap of “assess, plan, treat, fix”. Thank you for this post! It was very meaningful and relevant to the field.

    • Thank you for your comment! The graduate level burnout is real … I feel like I’m just now healing from it and experiencing a whole different type of burnout. When we feel this way, it is so easy to become jaded because in a way, your brain and body force the boundary between work/life. When that boundary is forced, all humanity is taken away from our interactions with our clients.

  13. Nicole,

    Your message was powerful. It is so easy to get caught up in the day to day check lists and forget our WHY. I am a second year graduate student with one semester left. I love the idea of writing a letter to my future self to remember my why on the hard days. Thank you for sharing this letter and for being an inspiration to us all.

    • One more semester to go! How exciting, I remember being in your spot not that long ago myself. I’d love for you to share your note if you do write it. I’m glad to be a source of inspiration 🙂

  14. Hi Nicole!

    Thank you for sharing! I am a current SLP graduate student and am so glad to have found your post. I enjoyed reading the realistic comments you made in regard to fears that you have experienced while working as an SLP. I thought it was a well-written way to remind ourselves that even once we have finished school, and earned our credentials, that we still will be learning and implementing things we have learned just through interactions we have with our students/clients. I think that is one thing I love about our field is that we have the opportunity to always grow and learn. The style of your writing was empowering, as well, as you wrote this as a way to reflect back on your why. This has sparked me to write a future letter to myself.

    Thanks for your inspiration!
    Alayna

    • Yes!!!! The beauty of life and our field is that we always have so so so much more to learn. It’s ever-evolving and we should also adapt ourselves that way. I’m honored to be a source of inspiration for you, definitely would love to see your letter once you’ve written it.

  15. Hi Nicole,

    I absolutely loved your letter to your future self. It was so well written and I am sure many others related to other SLP’s or aspiring SLP’s.There are so many new and improved ways of giving therapy now that I am sure it can become overwhelming. How hard has it been for you to unlearn the machinery academia has made you?

    • It hasn’t been hard to unlearn, however it has been very impactful. I had to learn the hard way … but it was easier to do it by listening to people’s stories. Especially people who have gone through speech therapy before and have been hurt by it. Sometimes it is possible to learn from other people’s mistakes and I wanted this letter to be a message to all of us that we have to remember why we do what we do in order to not have to learn from our own mistakes the hard way.

  16. Hi Nicole!

    My name is Tori and I am a second year graduate student at Idaho State. At some point we all forget or gloss over the human experience and how its impacted each of us so differently. Your words about the experience of getting your C’s is one that most, if not all students experience throughout her SLP degree. The “one size does not fit all” approach is important because every client is not a “cookie cutter mold”. Those current fears stated are current fears I have as an SLP. I never want to get to the point with my career where I start each day as the same never learn anything new about my clients or this profession. To sum it up, my current fear is I will become a “cookie cutter” SLP that “wings it”. Focusing on the client and their human experience WILL BE my #1 priority.

    Thank you for your post,
    Tori

    • Hi Tori so nice to meet you! Your reflections on my letter definitely makes me feel less alone in the journey as well. Although, I don’t think it’s all too bad to “wing it” in the future. There’s a beauty of letting go of that “control” that we think we have, because in reality we can plan out a session and it can go the complete opposite way. We have to be flexible and we have to have confidence that each experience and every day is a new opportunity to learn and grow. Thank you for being vulnerable and sharing your fears with me. I do hope they never come true!!

  17. Nicole,

    Thank you for sharing these very real thoughts of an SLP who stutters. We share many of the same experiences and world-views. As an SLP who stutters who works in the schools, it seems my summers are becoming crucial to deeply re-connect with the stuttering community at conferences, with an added bi-product of un-programming much of the casual ableism that is instilled in my brain and perpetuated in our field daily.

    It is a huge fear of mine too that I might be a negative influence on a client and even potentially instill trauma. On a more positive side – think of how many people we have helped and lives we have changed due to our treatment philosophies which our grounded in our own stuttering experience, and our interactions with the stuttering community.

    It sounds like your do no harm mentality and drive to become a more skilled and competent clinician each day sets you apart from the generalist SLP that most people see and interact with. Thank you for sharing these vulnerable thoughts – they are great reminder for me to stay true to my core values.

    Randy

    • Hi Randy, thank you for your sweet comments and reflections. Thank you for the reminder that we really do change lives and that is extra true given that we practice with the intentions to do no harm.

      I am really happy that you have summers off to re-connect with other people, but more importantly yourself. Having time to reflect and re-program ourselves is so crucial to how efficient and happy we are in the workplace.

  18. Nicole – you are going to do amazing things!!! I have so enjoyed getting to know you over the past several years. Your enthusiasm and intelligence around treating those who stutter is gold. Just having the awareness of the concerns on your list will go a long ways towards your contribution to this field. Stay strong!!

  19. Hi Nicole!

    Wow, this was powerful. I am in graduate school for speech-language pathology and your line “We’ve spent the last year as a Clinical Fellow un-learning the machine that academia has made us become” really resonated with me. I sometimes worry the burn-out I am experiencing will negatively influence my love and passion for this field and how well I can meet my clients’ needs. I also appreciate your comment about reframing our perspective on “fixing” our clients. I feel grateful that several of my professors have drilled this into our heads and seem to be less focused on the medical model, so I can enter the field with this framework. I feel inspired to journal/write a letter about my own experiences, perspectives, values, fears, etc. that I can look back on one day. Thank you for sharing!

    • I am so glad you have professors that have helped you see our field in a different light. As I said in a previous comment, grad-school burnout is so real… I am sad to think that we are all so tired and burnt out even before we start our clinical fellowship years. But we do it because we are passionate, because there’s sessions we have that remind us of why we do what we do. Our field is so beautiful and there is so much joy and happiness in having human connections and no matter who you treat, focusing on human communication and interaction is always the #1 goal.

      Remember, you can’t pour from an empty cup. There is no shame to take some time for yourself and do what you love, so that you can spread that love and be a beacon of inspiration for others. I wish you the best of luck in your path 🙂

  20. I really enjoyed reading this Letter. Your opening lines really spoke to me. The line that said, “un-learning the machine that academia has made us become.” I think in school we can get caught up in academics, tests, and grades. I have recently started my clinical placements in school and it has helped me connect the dots and apply what I have learned in school to the field. I also like the comment you made that talked about the importance of not having tailored therapy. ALL of our clients are different. People are all DIFFERENT.

  21. Hi Nicole!

    I’m a second-year grad student and I found your words to be a great reminder that the essence of our work lies not just in the technical aspects but in the human connections we build. Reading your article reminded me exactly why I went into this profession. Communication is so valuable and SLPs play a crucial part in people’s lives. I admire your involvement in the stuttering community and your willingness to learn from individuals within it. Your commitment to creating individually tailored treatment plans and not just seeing your clients as their diagnoses is a testament to your compassion and dedication! I hope to have (and keep) the same mindset you have as I enter the field myself. Thank you for all you do as an SLP!

    • Hi Marissa, Thank you so much for your kind words <3 Communication is so valuable and the essence of the human experience. I would really recommend writing a letter to yourself and perhaps using a website/program so that it can send it back to you in a year or so. Just so you can keep yourself accountable, because, well who better to do that?

  22. Hi Nicole, your words resonated with me as a current second-year SLP grad student. As graduate clinicians, we are ingrained to be the best clinicians we can possibly be to provide the most competent services. This is essential in SLP, however it can take a toll on our emotional well-being, when we are trying our best to be perfect and not make mistakes. Your post gave me hope and encouragement and a reminder in order to be the best clinician, it requires using our therapeutic use of self and being human first. As humans, we are created to connect with one another and connection happens through communication. It is our job to empower those seek our services by understanding who they are as humans first and how we can help them achieve the best quality of lives. Thank you for your beautiful message!

    • Thank you for your beautiful comment!! I totally agree that it can take a toll on our emotional well-being. I have personally found it difficult to shift my perspectives after grad school and my CFY finished because it went from having to “perform” for a grade/criticism, to now having to do it on my own for the sake of my clients. In grad school, you are graded on YOUR performance, not the connections you make. In your clinical fellowship year, you are supervised and supported on your last journey of performing until the curtains finally close and you find yourself, perhaps, alone. It’s important to realize that you must take what you learn and use it in your sessions, but selflessly. You are not being graded on your performance, however, your performance has a greater impact because it directly affects your client. The human being in front of you relies on your confidence and competence to guide them in a direction where communication and human connection happen. (no pressure LOL!)

  23. Hi Nicole! Thank you for sharing your letter! I am currently a freshman working toward my BS in CSD and my goal is to become an SLP. I think that, since I am new to this field, I have never really thought about how you could fall into a pattern of checking off boxes and working in a “one size fits all” mindset. What you said in this letter was really eye-opening and insightful in many ways, and I absolutely understand the fear of becoming one of “those” therapists. What keeps you going through these fears you are having? Knowing that we can have such a big impact on people’s lives is truly inspiring and terrifying. How are you keeping yourself from falling into the negative mentalities you were taught previously? What tips do you have for aspiring SLPs to avoid these mentalities and habits, or creating a power dynamic?
    Thank you for sharing!

    • Hi Madison!

      Wow, you are already a superstar. When I was working toward my Bachelor’s degree I was definitely not as plugged in to the speech community like you are. If you look at my previous comment, just above yours, I talk about how grad school and post-grad school you are graded on YOUR performance and how you engage with your clients, but not much emphasis is placed on the connections you make.

      Life has such a funny way of giving you little glimpses and moments that remind you of your why. Why you are doing all of this, why you have persevered through school for so long. Whether that is evident in tangible progress in a session, sharing a laugh and being silly with your clients, acknowledgement from your peers/colleagues/boss, compliments and gratitude from parents or family members of your clients, or simply having a conversation with your client about whatever the heck they want to talk about.

      Being a speech therapist is one of the most beautiful experiences a person can have in their lifetime. You have a long journey ahead of you and it might have it’s bumps along the way, but I promise you, you come out on the other side as a better person. Just remember WHY we do this. Keep your humanity, treat with kindness and understanding, give yourself grace and patience, and you will make a difference in the way you are meant to.

  24. Thank you for sharing your letter to your future self! I am a 2nd year grad student preparing to start my CF in August. What is advice you would give on transitioning from a graduate school to working full time in the field?
    Thanks!
    Danielle

    • Hi Danielle-

      How exciting, I’m sure your CF year is going to be amazing! I’m not sure what setting you’ll be working in, but I think the one piece of advice I can give you is to just trust yourself and your intuition. You know so much more than you think you do, you are prepared to go out there and do some good things, all you need is some trust.

      I wish you all the best!

  25. Hi Nicole! Thank you so much for sharing this letter, as an aspiring speech pathologist this made me aware of a lot! I am currently a freshman in college and am taking my first speech pathology class, what advice would you have for me to keep in mind throughout my courses? You talked about how you were taught ableist beliefs and how you are very conscious not to let them influence you now or in the future, how would you suggest I recognize these beliefs as they are presented to me? Being taught those kinds of mindsets has never been something I thought about before and I would never want to ignorantly believe them!

    • Caroline, what an amazing question. I don’t think that there is a way to recognize these beliefs until we learn otherwise. It’s interesting because we’re not taught ableism … but it’s a message that is sent to us that is deeply ingrained in everything we learn and do. I would suggest to follow/read some disability advocacy pages/instagram sites/blogs. The best way to learn differently is from the people who we are showing ableism to. I really can’t think of a better way to learn about our own inherent ableism and our own hidden biases than to listen to stories of people that have been served by those like us and how/why damage was done!

  26. Hello Nicole,

    What a fantastic letter and I appreciate it so much. I am a second-year CSD graduate student and I initially was drawn to the field because of my interest in language and communication disorders generally but had not considered the magnitude of being a client-centered clinician and what that really means when I began down this path. The importance of connecting with my clients and guiding them, as you pointed out, has really continued to come into dimension for me and I appreciate the thoughtfulness of this letter. There really does seem to be a dichotomy between the clinical/ medical aspect of the profession and being a trauma-informed, neurodiversity-affirming, client-centered practitioner. It is a little depressing to think that when I graduate, I will have to spend significant time unlearning what I am paying so much but monetarily and time-wise to learn, so I’m hoping thats only a half-truth! Anyway, thank you for your thought-provoking letter.

    • Justine,

      Yes there is a huge divide between the different models that we apply in the way we practice. There is hope though, the world is shifting towards a more neuro-diversity affirming outlook. I think you have many great things to look forward to once you graduate, and one of those is continuing your education after you have invested so much. In my experience, it was un-learning, however there was so much supplemental learning that was done as well. It’s sad to think about on one hand, but on the other, it is something to look forward to as you begin your journey in serving others!

      Best of luck! <3

  27. Hi Nicole! Thank you for being vulnerable and sharing your fears as an SLP. As a second year graduate student I fear that upon graduation I will not be prepared to treat dysfluencies within a client. I know that there is continuing education and valuable research and studies to read but I would love to know if you have specific resources that you find are credible and applicable. Treating fluency should really be individualized and finding a good starting point is where I feel I am struggling to most as I am just now in my one and only fluency course and have never seen a client who has dysfluencies. I have heard from community members that the graduates of my program are not properly equipped so I wonder and that seems to be a bit of a theme so I wonder what we can be doing now to make a difference and make positive client centered impact. I appreciate your thought provoking letter!

  28. Hi Nicole!
    I thought your post is very powerful and insightful. Your perspective on this topic is not one that I have heard before, but I can totally understand where you are coming from. It can be interesting to feel like you are treating someone as though they are broken and that you need to fix them. I honestly didn’t think about this side of stuttering therapy, but I’m sure many people who stutter have felt this way. I think the level of self reflection you have done is admirable and I wish more clinicians would do this!

  29. Hello Nicole!

    This was very grounding post to read. As a person in my second year of grad school it was encouraging to hear about the growth that will continue to happen after graduation. Thank you for sharing your experience, encouraging words, and thoughts. What is the best advice you can give me as a person starting their CFY next year? Also, you mentioned the fears that you have about being a speech therapist. How do you combat these fears and what steps do you take to make sure that you don’t fall into them?

    -Isabel

    • Hi Isabel!

      Thank you for your comment 🙂 And how exciting, your CF year is one of the best experiences ever. You get to apply what you have been learning and you get to start your journey in the SLP world. The only piece of advice I like to give is to TRUST YOURSELF. You have worked so hard to get to where you are now, and your clinical fellowship year is only the first step. You are still learning, you are prepared, and you need to trust that you can provide your clients with the service they deserve. Your intuition is often correct, and your gut feelings are usually the key to the many questions that may come up. You got this!!!!

  30. Hello Nicole,
    I am a current graduate student and loved each of your points. I was interested in what made you become interested in stuttering? Did you have a personal experience with stuttering or was it something you discovered? Fluency has always been intimidating but this semester I am learning SO much and am feeling more comfortable. I am excited to learn more, LISTEN, and be a safe space for my clients.

    • Hi!

      I treated my first stuttering client in grad school with very minimal preparation and trust in myself. I, unfortunately, used a lot of fluency shaping techniques because that was the resource available to me at the time. My supervisor was also doing the best she could at the time and was offering some suggestions to what we could do with the client. As time went on, I noticed not only NO progress being made, but a lack of trust forming between my client and myself. I had a wonderful clinic partner that semester and we decided to go another route, less fluency focused.

      Then I had started volunteering for a non-profit for people who stutter, which is now called Myspeech. I am now a co-director, and along with my work partner Jenny McGuire (a person who stutters) we serve the stuttering community the best we can.

      Through my time in the stuttering community, I was able to attend some conferences, meet some amazing people and listen to some life-changing stories. I call them life-changing on two fronts. One, these people tell me their stories and reflections and how they remained resilient throughout their life, and two, they change the way I view the world. People who stutter taught me about stuttering.

      I am so happy and in awe of your joy and excitement for the stuttering community. And yes, learning and listening is the key to a solid foundation for stuttering therapy.

  31. Wow Nicole. The more I get to know you, and I’m so happy we even met, the more I wish I could clone you and give every PWS one of you. As you GET it. And yet you’re so humble and wonder if your future self will be as proud of you as we already are. I hope this paper will be read by all PWS students and that it may inspire them to choose the path to join hands with amazing SLPs like you who love to work with PWS.

    Happy ISAD and keep them talking

    Anita

    • Anita- your comment means the world to me. Happy ISAD and it has been an honor to have meet you at the Nordic conference and to exchange a few thoughts. Thank you for doing what you do for the community and it’s people like you who continuously inspire me to keep going, keep learning, and keep them talking!

  32. Thanks for sharing. I agree that it can take a toll on our emotional well-being. I am a second-year grad student and I’m already feeling burnout now.

  33. Hello Nicole,

    Thank you for sharing. I am currently in the process of getting my Master’s in speech-language pathology, and the part of your letter when you said you are “unlearning the machine that academia made you become.” really resonated with me. It is important to remember that our clients are people with feelings and emotions and not just someone to “fix.”

    Best,
    Nicole

  34. Hi Nicole!
    I enjoyed reading your letter to your future self. I am a second-year speech-language pathology graduate student learning much about stuttering. My favorite part of your letter was about the “You are broken, and I am here to fix you” mentality. Knowing that there is no “cure” for stuttering and that every person is unique, with their own experiences and journey, was something I had never thought of before our fluency class. I hope to continue to expand my knowledge to be the best possible speech therapist I can be!
    Thank you again,
    Caroline