Swallow the Gap

When the Walls Come Down: Cognitive Care in Real Life


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This discussion explores what cognitive communication therapy can look like when it moves beyond worksheets and test scores. Guest Lauren Schwabish, an SLP with more than two decades of experience, explains how shifting into community-based practice allowed her to engage patients in more meaningful, real-life problem solving. She describes using self-anchored rating scales, functional observation, and collaborative strategies rather than relying solely on impairment-based models. The episode also touches on managing cognitive fatigue, reframing therapy goals, and addressing persistent myths about neuroplasticity. Listeners will hear practical examples of how SLPs can adapt interventions to match the demands of everyday life. Lauren’s enthusiasm for her work is matched by a thoughtful examination of how clinicians can avoid burnout and rediscover purpose. 

Find Lauren at neurospeechservices.com or Instagram @neurospeechservices 

 https://brainfatigue.se/wp-content/uploads/2020/06/MFS-English.pdf 


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Swallow the GapBy Tim Stockdale, SLPD, CCC-SLP

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