Not In The Visit Note

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 the job that doesn’t make it into documentation— the guilt, the second-guessing, and the weight of making a call that doesn’t sit right.We also unpack the clinical realities behind these decisions: plateaus, limited carryover, attendance barriers, burnout, and when therapy may no longer be the most effective support. Because sometimes doing what’s best doesn’t feel good. And sometimes the right decision is the hardest one to make.This is the side of discharge no one really talks about.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 isn’t easy. Between work, responsibilities, and showing up for everyone else, self-care often ends up last on the list. We dive into the guilt, the excuses, and the very real struggle of making time for ourselves, even when we know how important it is.If you’ve ever said “I’ll take care of myself later” and then… didn’t—this episode is for you.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 hiring processes, plus the lessons we learned (sometimes the hard way). Whether you’ve been in the hot seat or on the other side of the table, this episode will have you laughing, cringing, and maybe feeling a little better about your own interview mishaps.Because sometimes the red flags don’t just wave… they scream.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 notes. We’re sharing real-life moments, parent confessions, and a few “you can’t make this up” situations that will have you laughing and nodding along.Whether you’re a parent, therapist, or just someone who’s ever wondered why a child is emotionally attached to a sippy cup from 2019… this episode is for you.Tune in for laughs, relatable chaos, and a reminder that kids will always keep us guessing.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 circumstances, we break down the moments that never made it into the official documentation (for obvious reasons). Along the way, we talk about professionalism in unpredictable situations, how communication skills can come in handy anywhere, and why sometimes… it’s just better to laugh it off later.If you’ve ever had a moment at work that felt straight out of a sitcom, this episode is for you. Trust us—these stories are definitely not in the visit note.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 developmental reality. We’re not here to bash doctors—we’re here to add perspective. We’ll talk about common phrases parents hear, why they can be misleading, and what families should consider when making decisions about their child’s communication and development.This episode is all about empowering parents to ask more questions, trust their instincts, and understand that one voice shouldn’t be the only voice guiding their child’s care.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 therapy actually looks like behind the scenes. We break down the highlights people post, the messy parts they don’t, and why therapy progress rarely fits into a 30-second reel.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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, the misconceptions behind them, and what parents might not realize about speech and language development. With a mix of humor, honesty, and real talk from the therapy room, we unpack the moments that make clinicians glance at each other and think… “that was definitely not in the visit.” Expect relatable stories, a little venting, and a lot of truth about what really goes on behind those WH questions.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 discuss:• The medical and genetic details that don’t always get disclosed upfront• How surprising family structures can impact case history and clinical reasoning• Keeping a straight face when your brain is screaming• How to stay professional, neutral, and culturally respectful• And why you really need the full history at the initial evaluationBecause sometimes it’s not in the visit note… but it absolutely changes the visit. If you work in home health, private practice, or schools — you already know: nothing surprises you anymore. Or does it?No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 disagreements are real and I promise we’re still friends after this.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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—because therapy might feed your soul, but these families are really testing our immune systems.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 treatment plan.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 memory. We unpack what patient clothing choices (or absence thereof) say about comfort, vulnerability, culture, mental health, and sometimes just pure chaos. Equal parts humorous and human, this episode pulls back the curtain on the things healthcare workers see every day… but never document.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 about how missed appointments impact providers, staff, and patient care itself. Beyond the frustration, we explore how these cancellations affect our mental health, financial stability, and productivity....and the creative ways we spend our unexpected free time.  Honest, relatable, and a little therapeutic, this episode covers what happens when the patient never walks through the door.No names. No facilities. Just validation, dark humor, and the stuff that never makes it into the visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com

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 visit note.This podcast is intended for educational and entertainment purposes only and is not a substitute for professional clinical judgment, evaluation, or treatment. Listeners should seek guidance from licensed professionals for individualized care decisions.Music: www.bensound.com