Brainstorms: Functional Neurorehab for SLPs

What does gut health have to do with brain function, communication, and recovery? More than we once thought.

Guest: Jean Maxwell, DSc, RDN,

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In this episode of Brainstorms, Renee Garrett, MSEd, CCC-SLP, CBIS, sits down with registered dietitian Dr. Jean Maxwell, DSc, RDN, to explore the powerful connection between the gut and the brain and why speech-language pathologists and dietitians are stronger together when supporting individuals with neurological conditions.

About the Guest: Jean Maxwell, DSc, RDN, is a registered dietitian, doctor of integrative healthcare, and owner of MaxWell Nutrition LLC. She provides holistic, personalized nutrition counseling rooted in both science and the individual's specific needs. She has two decades of experience providing medical nutrition therapy to people with chronic illnesses and digestive issues, helping them achieve and maintain a healthy weight, and working with those looking to improve their wellness through better nutrition.

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Contact Jean: @maxwellnutrition on Instagram

MaxWell Nutrition LLC

Dirty Dozen and Clean 15

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*****Originally Aired: April 11, 2024*****

Guest: Alison Barclift, MSEd, CCC-SLP, ASDCS

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One misconception is that once children grow into adults, their needs diminish. For some autistic people, that is true. However, legal and caregiver concerns change and are not widely known outside the autistic community. So, join Renee and Alison, who have worked with autism across the lifespan for 20 years, for this educational and empowering hour for SLPs and families/caregivers of autistic adults.

About the Guest: Alison Barclift, MSEd, CCC-SLP, ASDCS, is a pediatric SLP and team coordinator with Sentara Healthcare in Southeastern Virginia. She manages 3 pediatric clinics and staff serving 3 cities for Early Intervention. She has been an SLP for 13 years and specializes in Autism. She has worked with autistic people of all ages for 20 years. She is certified in Early Intervention and ADOS-2 administration.

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Guest: Stephane Ratway, MS, CCC-SLP

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When most people think about spinal cord injury (SCI), they think about mobility. But for speech-language pathologists, the impact of SCI goes far beyond movement.

In this episode, Stephane Ratway, MS, CCC-SLP, and Renee Garrett, MSEd, CCC-SLP, CBIS, examine how SLPs support quality of life after SCI through ventilator weaning, breath support for speech, cough strength, and secretion management, as well as voice, communication, cognition, swallowing, and airway protection. These areas are central to patient safety, participation, and long-term outcomes, yet they are often misunderstood or underestimated within the rehab process. Whether you work in acute care, inpatient rehabilitation, or outpatient neuro settings, this episode will broaden your view of your role on the SCI team. Recovery is not just about movement. It is about being heard, being safe, and staying connected. You will walk away with practical, functional treatment approaches you can use right away.

About the Guest: Stephane Philippe-Ratway received her M.S. in Speech-Language Pathology from Florida State University in 1993. She has over three decades of experience working across the healthcare continuum, including trauma ICUs, acute care settings, rehabilitation, and home health. She has delivered numerous presentations at conferences and currently serves in the leadership council of the Spinal Cord Injury Support Group of South Florida and on the Women’s Support Group.

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*****Originally Aired: July 25, 2024*****

Guest: Rachael Silveira, MA, CCC-SLP

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In this episode, Renee is joined by Rachael Silveira to discuss tracheostomies and ventilators, and how to assemble a multidisciplinary team to care for patients with respiratory compromise. Managing patients with tracheostomy and/or ventilator dependency requires an interdisciplinary approach to ensure safety and optimal care. Through continuous monitoring, regular assessments, and nutritional support, SLPs are a crucial component of this team. SLPs are also critical to communication for these patients and to the education and support of the caregiving team/families. Effective management of tracheostomized and ventilated patients with compromised respiratory systems requires comprehensive, coordinated care tailored to each patient's needs.

About the Guest: Rachael Silveira, MA, CCC-SLP, is an ASHA-certified speech-language pathologist specializing in dysphagia and communication disorders at a Level 1 Trauma/Transplant Hospital in Miami. With advanced training in dysphagia management for respiratory-compromised and medically complex neurogenic populations, Rachael brings clinical depth and interdisciplinary leadership to her practice. A lifelong learner, she earns annual ACE (Award for Continuing Education) recognition and actively mentors fellow clinicians. Rachael is deeply committed to patient advocacy and quality of life, having spearheaded multidisciplinary Tracheostomy Teams across multiple facilities to implement standardized protocols and streamline care. She is also a passionate educator and innovator in the medical SLP space. Her initiatives include the “Badge Buddy Series” and TRACHtalks—an open-access collaborative promoting evidence-based tracheostomy care. Through national and international conference presentations, active research, and guest lectures at universities and hospitals, Rachael continues to elevate medical SLP education and practice. Her work reflects a powerful blend of clinical excellence, advocacy, and community-building in speech-language pathology.

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*****Originally Aired: August 19, 2024*****

Guest: Pamela Rowe, MA, CCC-SLP

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Renee is joined by Pamela Rowe, MA, CCC-SLP, to discuss social determinants of mental health and their relation to speech-language pathology. Social determinants of mental health are conditions in the environments in which people are born, live, work, and age that affect a wide range of health, functioning, and quality-of-life outcomes, as well as the risks associated with these domains. Social determinants of mental health can affect the development and treatment of communication and swallowing disorders. Understanding and addressing these social determinants can improve mental health outcomes as well as empower SLPs to design and implement more holistic treatment approaches. Join Renee and Pamela for an hour of impactful discussion.

About the Guest: Pamela Rowe, MA, CCC-SLP, is the Clinical Director of Pamela Rowe, MA, CCC-SLP, LLC, an adult and pediatric therapy practice with seven locations across Florida. Her multidisciplinary team provides Speech, Occupational, Physical, and Respiratory Therapy services to clients of all ages. Pamela is currently pursuing dual graduate degrees—a Doctor of Health Sciences and a Master of Public Health—at the University of Indianapolis. She is the co-author of *Putting Your Dreams To Work: Keys To Setting Up Your Therapy Practice* and *Start Your Engines: A Road Map to Your Clinical Fellowship Year*, both designed to guide aspiring clinicians through professional milestones. As a continuing partner with various state agencies, Pamela is passionate about helping individuals find their voice and communicate with confidence in their communities. Her work reflects a commitment to clinical excellence, public health advocacy, and empowering others through education and access.

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*****Originally Aired: April 16, 2024****

Guest: Stephanie Sweigart, MS, CCC-SLP

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In this episode, Renee is joined by Stephanie to discuss compassionate communication strategies. Whether you are using these strategies in therapy, with caregivers, colleagues, or multidisciplinary teams, we can build the skills needed to enhance collaboration and innovation. What does the 4-step pathway entail? How can we, as SLPs, remain non-reactive when tough situations or conversations occur? Join Renee and Stephanie for an interactive and empowering delve into compassionate communication.

About the Guest: Stephanie Michele Sweigart, MS, CCC-SLP, is a leading expert in mindfulness and compassion-based practices in special education. Certified as both a Speech-Language Pathologist and a Teacher of Mindfulness Meditation, she integrates holistic approaches into clinical and educational settings to empower professionals and students alike. Stephanie Michele is the founder of Golden State Speech Pathology Services, Inc., a woman-owned Non-Public Agency established in 2013. She is the author and creator of the acclaimed courses ShiftMakers: 1.0 and The Framework to Becoming a Mindful Speech Clinician. A frequent presenter at national and state conventions—including ASHA 2023 and 2024, and CSHA Convergence 2025—she also served as a YouTube host for SpeechTherapyPD.com. Her insights have been featured on podcasts such as Speechie Side Up, SLP Coffee Talk, and Speech Science Podcast, where she shares her passion for professional mindfulness and holistic practice. Stephanie Michele is a proud supporter of The Center for Non-Violent Communication, and her mission is to help individuals communicate with clarity and compassion to create lasting impact in special education.

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Guest: Farwa Husain, MS, CCC-SLP

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In this episode of Brainstorms, Renee Garrett, MSEd, CCC-SLP, CBIS, is joined by Farwa Husain, MS, CCC-SLP, for a thoughtful conversation on echolalia in adulthood and how Natural Language Acquisition (NLA) can support meaningful communication growth for adults with neurogenic language disorders. Together, they explore why honoring authentic, emotionally salient language matters just as much in adulthood as it does in childhood, and how echolalia can be understood as part of a functional communication system rather than something to eliminate.

Farwa and Renee break down the core principles of NLA and discuss how these concepts translate beyond pediatric practice into adult neurorehab, including acute care and medically complex settings. They share practical ways SLPs can incorporate naturalistic language modeling, consider gestalt language processing, and prioritize relationship-centered communication while still addressing cognitive communication goals and therapy demands.

This episode also addresses common misconceptions about echolalia in adults, how NLA can complement cognitive-communication rehabilitation, and real-world clinical examples illustrating these approaches. Whether you are new to NLA or looking to expand your adult neurorehab toolbox, this conversation offers evidence-aligned strategies to help adults reconnect with their voice using the brain’s natural learning pathways.

About the Guest: Farwa is the Founder of First Phrases and the Owner of One-on-One Speech Therapy, specializing in neurodiversity-affirming care and support for echolalia. She designs nationally recognized interdisciplinary programs, including the Connect and Play summer intensive, and serves as an international presenter, providing professional development training for schools and organizations. Farwa also serves as President of the Morris County Speech and Hearing Association and has been recognized as the 2024 “Clinician of the Year” by NBASLH and an “Innovator" in the field of speech language pathology by ASHA.

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Guest: Melissa Brunner, PhD, MHlthSC, CPSP

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In this episode of Brainstorms, host Renee Garrett, MSEd, CCC-SLP, CBIS, is joined by Dr. Melissa Brunner, PhD, MHlthSC, CPSP, to explore how social media can support connection and identity rebuilding after acquired brain injury when used thoughtfully and safely. Social media has the potential to offer community, purpose, and support after ABI, but for many survivors and caregivers, it can also feel overwhelming, risky, or confusing. Renee and Dr. Brunner introduce the concept of SocialAbility and share practical, functional strategies SLPs can use to help clients navigate online spaces with greater confidence, boundaries, and self-awareness. Designed for SLPs, caregivers, and survivors alike, this conversation offers compassionate guidance and real-world approaches for using social media as a meaningful and safe bridge back to social connection. About the

Guest: Dr. Melissa (Liss) Brunner, PhD, MHlthSC, CPSP, is a Senior Lecturer and certified practicing speech pathologist at the University of Sydney, Australia. She has over twenty years of experience in the assessment and management of swallowing and communication difficulties in adults, particularly working with people who have experienced a stroke or traumatic brain injury. Her clinical research addresses the use of digital health solutions to support participation and inclusion, in particular, the complexity of issues surrounding people with ABI using social media and how they may (or may not) be addressed during their rehabilitation. She is passionate about including people with lived experience in her work and is an author of social-ABI-ity training (part of the Social Brain Toolkit project).

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Guest: Julie A. Fechter, MS, CCC-SLP

Earn 0.1 ASHA CEU for this episode with Speech Therapy PD: https://www.speechtherapypd.com/courses/autonomic-wildcard

In this episode, Renee Garrett, MSEd, CCC-SLP, CBIS, is joined by Julie A. Fechter, MS, CCC-SLP, to explore dysautonomia, an often overlooked but highly impactful factor in neurorehabilitation. Autonomic dysfunction can quietly influence attention, fatigue, communication tolerance, swallowing safety, and overall engagement, showing up in therapy sessions in ways that are easy to miss or misinterpret.

This conversation is especially relevant for clinicians working with adults following stroke, TBI, long COVID, and other neurologic conditions. Renee and Julie walk through common red flags, practical assessment considerations, and therapy modifications that help protect energy and support carryover. If you have ever wondered why a patient’s alertness, vital signs, or cognitive endurance seem inconsistent from session to session, this episode offers a clearer framework for understanding what may be happening and how to adapt your clinical approach with greater confidence.

About the Guest: Julie A. Fechter, MS, CCC-SLP, is an adult medical SLP with 15 years of experience across nearly every setting imaginable. Specializing in Parkinson’s in her home health clinical practice, Julie was recently diagnosed with Sjogren's disease. She participated in a clinical trial, which significantly deepened her understanding of the patient experience. Julie has spoken at state speech conventions in California and Louisiana, as well as for the APDA NW. Julie spends time outside of work traveling (60+ countries), baking, arguing about politics, and moderating speech Facebook groups.

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*****Originally Aired: December 26, 2024*****

Guest: Sucheta Kamath, MA, CCC-SLP

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In this episode, Sucheta Kamath, MA, CCC-SLP, joins Renee to explore the advocacy journey from grassroots efforts to large-scale impact. Learn how to identify the power of local, community-based action and how it can spark change at the national and even global levels. We will discuss stories of advocates who started small and scaled their efforts, insights into building effective movements, and tips for anyone looking to make a difference in their community. This episode will empower you with the tools and motivation to drive meaningful change – wherever you are.

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