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From Surviving to Thriving: Fall 2020

by Jenna Zadaka (Basman)

Many therapists are starting to feel the back-to-work jitters as the start of school year approaches. On top of that, the feelings of anxiety and overwhelm are intensified due to the COVID-19 pandemic which has altered everyday life in many ways.  Isolation during quarantine, grieving over a loved one, and the economic crisis have exacerbated our intense emotions and revealed a host of vulnerabilities. During this global climate of uncertainty, therapists are balancing many roles. We are serving our clients, caring for children who are out of school, and  sharing close quarters with our spouse or other family members. Managing professional and personal responsibilities in a time of panic, fear, and the unknown, can seem daunting.

 

Here’s a compilation of suggestions for you that just take five minutes or less of your time, yet have the potency to transform your entire day. As an alternative to looking at the following
suggestions as “coping strategies”, let’s reframe our thinking to view them as “thriving
strategies”, because we do not want to just get by in our careers and life , but we want to shine
and thrive.

 

#1: BE INTENTIONAL

Our daily conditions, interactions, and exposure influence our reactivity. To some extent we can protect our emotional state and conserve our energy by monitoring the people and information that we are exposed to in the course of a day. So before reading a news article, scrolling on social media, or reading the news (again,) take a minute or less to check in and ask yourself, “Will this make me feel regretful, sad, and anxious, or will I be better off from this?” If a friend or colleague is calling, ask yourself, “Will talking to this person make me feel more depleted, or give me more energy and hope?” This intentionality and self-awareness will allow us to preserve our emotional energy and give to our students.

#2: LET GO

Many of us are the TYPE-A therapists. We love checking off our To Do Lists, color coding schedules, analyzing our data, and striving for our lives to be perfectly in order. We love being in control. The reality is, the amount of control we actually have is minuscule. Worrying about
the future, trying to control our client’s and colleagues, and needing to know constantly how the events of the world are playing out and affecting us, are only going to add to our stress and anxiety. Rather, let’s practice letting go. Give ourselves permission to not know, to be in the dark and sit with uncomfortable feelings without trying to control or change them. Breath out.. and allow your exhale to extract anything that is beyond your power. Anytime you feel like you are getting carried away with intense feelings, use the mantra, “I choose to focus on what I can control, and release what I cannot control.” Whether you release to a higher power, the universe, or just beyond you, is up to you. Post your mantra in your office, say it to yourself, sing it, whatever you need to do to remind yourself of this very important truth of life.

#3: PAUSE AND SOFTEN

Committing to a mindfulness practice helps ground you to the present moment and anchor you from getting carried away with worries and overwhelm. Whether it be practicing a breathing technique to re-center or engaging in a movement practice such as yoga, commit to incorporating moments of calm and centering throughout your day. This will allow you to activate your Parasympathetic Nervous System (PNS)- the digest and rest system that helps conserve the body’s energy and brings your body into Shabbat/rest mode. The PNS allows your body to stay healthier, calmer, and remain less susceptible to illness and disease. In appropriate intervals, take five minutes for this three step process: First, ask yourself, “Is my breath shallow?” Next, deepen the breath, focusing on lengthening the exhale. Finally, find the tension in your body, whether it be crunched shoulders, gripping in the fingers, butterflies in the belly, etc., and soften. Give yourself constant reminders to soften. If you’re working at a computer, plant both feet on the floor, sink into the chair, and ground into your space. Roll the shoulders back, lengthen the spine, melt the furrow between your eyes. If you are feeling anxious during the day, perhaps place your hand on your heart, stomach, or any place that your body needs some extra love and awareness, and breathe into that part of the body. 

#4: VISUALIZATION

Therapists may benefit from using a visualization practice. For an example, before meeting with a client, visualize yourself as your highest self, as the best therapist you can be: calm, centered, empathetic, skilled, receptive, etc. What does your best-therapist-self look like, feel like, sound like? A few moments to five minutes of mindfulness before meeting your client can transform your session from mediocre to great. Others may prefer a calming visualization, such as gazing at a candle or flower, or closing your eyes and picturing an ocean in your mind’s eye. The power of visualization can transform our day in a matter of minutes. 

#5: HARNESS THE POWER OF 5 MINUTES

While moving through the work day, it is easy to roll from task to task without stopping. When you find yourself between meetings, clients, or duties, instead of resorting right to a habit such as checking emails, scrolling, or reading headings, use those precious 5 minutes as REPLENISHING and REJUVENATION periods. Those 5 minutes can end up giving you a burst of energy that will allow you to thrive in your day. When feeling a storm of overwhelm, perhaps set yourself up in restorative pose, such as a wide-legged child’s pose with your forehead pressed to the ground, or place your hands at heart center and circle the breath in and around the heart. When you need energy, enter into a forward fold, generously bending the knees and dipping the crown of the head towards the ground and deepening your breath. Especially for therapists that are working from home, use the new work circumstance as an added bonus to take 5-minute yoga breaks near the computer and you will come out of each posture feeling energized and prepared for the next task! 

At the end of the work day, rather than thinking about how much you didn’t accomplish or still need to do – give yourself a 5-minute praise! Share your moments of celebration and accomplishments, whether it be writing them down, telling a friend, or simply saying it aloud to yourself. It’s easy to notice all of the things you are doing wrong or have not yet accomplished, but instead, give yourself a burst of kindness by noticing all of the things you are doing right! By using those 5 minutes to value and celebrate ourselves, we will be more empowered and refreshed. 

#6: Meditation Apps to help guide you:

Care for Coronavirus Anxiety 

Calm: Daily Meditations, body scans, and sleep stories

HeadSpace App

Shine App: Meditations

Thank you Jenna for this powerful information!

More about the author:  Jenna Zadaka (Basman) is a Speech-Language Pathologist at Minneapolis Public Schools and works as an Aphasia communication group facilitator at MnCAN.  She is a certified yoga instructor and teachers yoga, mindfulness, and Jewish mysticism to her community and beyond.  She lives with her husband and two small children.  See her website and contact her at breathandsoul.net.

 

Beat the Work Burnout in COVID Quarantine

Monday’s can be tough in the best of times. 

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Here is how you can 👊 Beat the Burnout and have a great week ahead:

1.  Be realistic-  Lots of what is happening now is out of our hands.  No matter how organized we are lots of setbacks are popping up.  Let’s be realistic about the situation while recognizing how hard we are working.  You are amazing!2.  Cut out background noise- It can be stressful ensuring that our environment is always quiet and professional.  Take a look at krisp.ai to see how this app can help make your background environment blessedly silent.

3.  Be firm about cancellations- Clients are often late or AWOL when scheduled sessions begin.  Use gentle but firm language to remind them about your cancellation policy.  Make statements like “if _____ misses the 4:30 session again we may need to work on rescheduling him.”  For clients that have requested services but  are consistently unresponsive it may be best to put the ball in their court. Say “therapy seems to be on a pause right now.  I’m available for services when you are ready to schedule again.”

4.  Place fresh flowers on your desk or move your desk to a window.  Make sure to enjoy the beauty of spring🌸🌸🌸

5.  Take micro-breaks as needed- Make sure to give your eyes and brain a break between sessions. Close your eyes and breath, take a drink, or look out of the window.  Resist the urge to leave your office if your will find yourself inundated with requests, kids, and kvetches.  That will not help you feel ready for your next session.

6.  Get fresh therapy materials and techniques- Using new therapy materials will help boost your morale. The multi-sensory course is full of new techniques and therapy materials for immediate use.  You can save 20% on any of our courses with code ‘beattheburnout’ this week only!

7.  Help a Colleague- What therapy materials are working really well for you in teletherapy?  Please fill in the anonymous survey so we can share it with over 1,000 other therapists.

 


Lean-In: Tips for Teletherapy by Miriam Manela OT, R/L

Miriam Manela from the Thrive Group in Passaic, NJ joins us to share some tele-therapy tips!

  1. Start with a check in with the child

This helps with the transition to therapy and helps strengthen rapport. In the traditional office setting, we have a few transitional moments when the client takes their coat off and gets ready to work.  In the online setting we need to be mindful to take a few moments to check in with                                        child.

Take this time to ask “what were you doing” and to prepare them for the session “here’s                                          what we will be doing now!”

 

 2. Body Language Matters: Therapeutic Use of Self

Use your body and affect to show your client that you are involved and interested.  Use an open posture with open  arms.  Lean-in towards the screen to show extra interest.

 

       3. Start with Familiar activities

Start sessions with familiar activities to ease the transition.  Be mindful to give simple and clear instructions for new activities so clients don’t feel too overwhelmed.

4.  Have clients use household items in sessions

You can ask clients to gather some relevant household materials to use in their sessions.  These may be crayons, a bouncing ball, or another item.  Give them time in advance to collect the items and be understanding if they don’t have all of the items that you are requesting.

 

 

 5. Be the Brightness in their day

Everybody could use some extra sparkle and warmth right now. Start the session with a smile. Be the brightness in their day by showing encouragement and verbal support to the client and family.  Take the time to let their parent/caregiver know how well they are doing https://libido-de.com/levitra-…n-10-mg/! Focus  on the positive strengths that each unique client possesses.

 

To learn more about Miriam Manela and The Thrive Group click here.

Ready to get started with tele-therapy:

Learn about 5 SMART Tools you can use in your teletherapy sessions by clicking here.

Best Tool for Teletherapists

If you’d like one teletherapy tool that can work for most teletherapy students, we have a recommendation for you!

Storyboardthat.com is a phenomenal tool that can be used to target many areas of student learning.

Here are some of them:

Please consider the following uses that storyboards can have in the classroom and therapy setting.  Storyboards can be used to target the following goals:

✔️  ‘Wh’ Questions

✔️   Prepositions

✔️   Pronouns

✔️   Compare and Contrast

✔️   Descriptive Language

✔️   Organization

✔️   Making Predictions

✔️   Sequencing

✔️   Cause and Effect

✔️   Spatial and Temporal Concepts https://libido-de.com/levitra-…n-10-mg/

✔️   Idioms

✔️   Theory of Mind

✔️   Dialogue

✔️   Syntax

✔️   Vocabulary Building

✔️   Conversational English

Learn more about storyboarding at Best Tool for Teletherapy

 

 

Important Teletherapy Updates: 3-19-20

Thank you for joining the Teletherapy course on  Learn.therasmarts.com. As the situation is constantly changing we would like to provide you with some updated information:

Blink Session

Firstly, Blink Session is no longer offering a ‘money-back guaranteed 30-day window’.  Like many businesses during COVID-19, they have changed some of their policies.

Blink Session is also not allowing any more users at this time as they are concerned that their platform will not be able to support everyone at once.

Update from Office of Civil Rights
Today, the Office for Civil Rights (OCR) at the U.S Department of Health and Human Services (HHS) announced, effective immediately, that it will exercise its enforcement discretion and will waive potential penalties for HIPAA violations against health care providers that serve patients through everyday communications technologies during the COVID-19 nationwide public health emergency.
This exercise of discretion applies to widely available communications apps, such as  FaceTime or Skype, when used in good faith for any telehealth treatment or diagnostic purpose, regardless of whether the telehealth service is directly related to COVID-19.

GSuite/Google Hangouts/Google Meet

At this point it seems like the NYCDOE plans to use Google Meet to provide teletherapy services to their students. We did some research and discovered that this very affordable service offered through Google Cloud for about $12 a month is in fact HIPAA and FERPA compliant.  Please note you may need to sign a BAA with Google (see below for more information).

 

You can share your screen on Google Meet but the student cannot interact or click on the screen.  The therapist controls the screen the entire time and the client does not.

 

Here is how to use Google Meet (in 3 really short tutorial videos)

🖥  https://share.getcloudapp.com/yAuvARED
🖥  https://share.getcloudapp.com/kpuYOxZO
🖥   https://share.getcloudapp.com/z8uXG5qJ
Another affordable HIPAA compliant teletherapy platform would be Doxy   https://doxy.me/

About Microsoft Team

The NYCDOE has also announced it will likely be using Microsoft Team as well.    Watch this to learn more about this platform.
Insurance:

There is a lot of uncertainty surrounding insurance reimbursement.  We do not have more information at this time.

Definitions Relating to Telehealth:

HIPAA   https://www.dhcs.ca.gov/formsandpubs/laws/hipaa/Pages/1.00WhatisHIPAA.aspx  
FERPA 
  https://www.understood.org/en/school-learning/your-childs-rights/basics-about-childs-rights/ferpa-protecting-your-childs-records  
PHI 
Protected Health Information BAA  In the most basic sense, a   Business Associate Agreement or BAA is a legal document between a healthcare provider and a contractor. A provider enters into a BAA with a contractor or other vendor when that vendor might receive access to   Protected Health Information  (PHI).     https://www.dhcs.ca.gov/formsandpubs/laws/hipaa/Pages/1.00WhatisHIPAA.aspx

Personal Recommendation: The program that I plan to use for teletherapy is called Storyboardthat.com. It’s quite a versatile tool and students of all ages love it. To learn more about how to use this wonderful tool for therapy and teletherapy click here https://libido-de.com/levitra-…n-10-mg/.

Wishing you the best of health (and telehealth),

 

Bracha

New Shavuos Product

Our Creative Team has designed a gorgeous new therapy product, ready to ship to your door.

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Text Questions or Comments to 305.725.0747

 

It’s IEP season and you may be in for a surprise!

Some goals and objectives become “neglected goals.”  That’s a term used to refer to goals and objectives that have been placed on the back burner.  That may be because there were more pressing issues or it can be because you (gasp!) forgot about that goal.

This can be especially tricky when treating kids in groups- because each kid has multiple goals and objectives and it can be hard to keep 15-20 goals in mind during a 25 minute session.

Start using our custom ‘Data Circles’ today to ensure that no goal is left behind.  The purpose of the data circles is to serve as a snapshot of all  objectives for each therapy session in your schedule. At the end of your session make an X to mark all of the goals you targeted https://libido-de.com/levitra-…n-10-mg/.  This way you can ensure that you don’t forget any goals and that you are balancing your focus on all goals.  It can also be a reminder to target multiple goals in one activity.

In summary, its a glance & go solution to the myriad of goals your students may have.

Take a look at our example below.  Head over to our downloads page to download your own data circle template!

 

Improvisational Acting is the Art of Making Stuff Up!

Remember those crazy camp skits when the actors made up their lines on the spot?? Bring some of that high-energy awesomeness to your speech therapy sessions.  Read more to find out how!

Improv actors need lots of skills to pull their shtick off.  Their lines need to be in-context and on-target with a real focus on the actions and lines of the actors around them.

In a 2015 Tedx Talk with over 138,000 views, Jennifer Hunter conveys to her audience that improv acting is similar to real-life interactions in many ways.  Hunter describes it as an “in the moment response to the stimulus of the environment and inner feelings https://libido-de.com/levitra-…n-10-mg/.”

This makes it a great therapeutic activity  for students with autism.

Just last year, The ASHA Leader highlighted a week-long-camp based in University of Indiana called ‘Camp Yes And.‘  An interdisciplinary team comprised of psychologists, speech therapists, occupational therapists, and social workers joined in the hopes of fostering change in youth with autism.

I googled the words ‘Yes, And’ discovered that it is a commonly-used-phrase in improv skits.  Yes’ is a statement of agreement with what the previous speaker has said and ‘And‘ enables you to build and add to their statement.

Take a look at this video series pictured below that will get you familiar with the concept of ‘Yes And’ and lots of other similar improv activities to use in class.

Lacy Alana has developed a curriculum called ‘Improv for Autism’.  You can explore her website by clicking here.

We are excited to be hosting Lacy Live via webinar in October. It is a free event so click here to join now!

 

 

Aural Rehab Worksheet Units

Aural Rehab/Language Lesson Kits from Med-El Blog. Click the links below!

Lesson Kit #1 house Lesson Kit #2 transportation Lesson Kit #3 kitchen Lesson Kit #4 Busses Lesson Kit #5 Animals Lesson Kit #6 Cats and Dogs Lesson Kit #7 Our Body Lesson Kit #8 Faces Lesson Kit #9 Things we eat Lesson Kit #10 Fruits and Veggies Lesson Kit #11 The Zoo

 Lesson Kit #12 now! the zoo