Sunday, February 7, 2016

SLP Love Hurts {sometimes}

With Valentine’s Day approaching, my friends, the Frenzied SLPs, and I thought it was the perfect time to talk about love.

I like to think of myself as professional, but I have a hard time viewing the children I treat as simply my “clients” or “students.”  I get attached, and they usually get attached, too. Whether they’re little angels or little devils I usually ended up sincerely loving them.  Even more so, I LOVE being an SLP,  but over the past 20 years I’ve discovered that sometimes it hurts.  Literally! 


Does this look familiar?... 


I’m betting it does.  
When working with 3 years olds (and up!) there’s plenty of pouting and crying. I can ignore it for a while.  Everyone is entitled to a little pity party sometimes.  Eventually, I go over and console and coax.  

Ahhhh that brings me back to this one time.....

I had been working on articulation and social skills with one little guy who happened to have anxiety and Oppositional Defiant Disorder (ODD) for about two years.  In the beginning, therapy sessions were mostly disastrous and chock full of defiance and aggression.  He regularly trashed my room and lashed out at me. Little Johnny was in a bad place.  School in general was not something he was fond of, and his parents were still trying to find the right medications to treat his conditions. 

Over time, with lots of medical attention and behavior modification, he improved. We had finally progressed to the point where he could attend a social skills group with a peer.  There was a time that any compliant behavior at all seemed like pipe dream, but now he was happier and more agreeable. He was even taking turns and accepting disappointment- which had been a long time problem.  I grew to love him.  He still had tough days, but instead of aggression, he just did the little-head-in-the-hands or head-buried-in-the-knees  and then pull himself together.  

One day it was taking longer than expected.  He had lost the game had played in our social skills group.  He had said all the right things out loud to himself, “It’s just for fun,” “It doesn’t matter who wins,” and he even told the winner “Good job.”  I was so proud of him, but his fortitude didn’t last long.  After a few grunts and crumbling of paper, he resorted to curling up in himself like a pretzel, and he wasn’t budging. Finally, I walked over and squatted in front of him.  I put my head over his and whispered words of encouragement in his ear.  Then I reminded him that it was almost time for recess, and he would get to play on the swings soon (his favorite).  His speech partner perked up and said, “Uh-uh, he moved his clip too far down so he can’t go out today.”  
Gee, thanks.  

As soon as he said it, Little Johnny whipped his head up, knocking me squarely in the mouth (my money maker!) and tossing me firmly off my squat and onto my butt. I instantly tasted the blood and realized my lip was busted - not to mention I was seeing stars.  Oh, and my pride/dignity was pretty banged up, too.  


He was immediately filled with remorse, apologizing and crying. We both took some time to lick our wounds, and then the day resumed- along with some Motrin and ice on my lip. I learned a valuable less that day-  not to put my head (or any other part) next to a pouting munchkin!! They’re unpredictable no matter how well I think I know them! I also squat next to kids much less often! 

Since then, I’ve learned other valuable lessons like: 
  1. Don’t attempt to assist handling a wild and unruly child with a lanyard around your neck- they most definitely will grab it and pull! Until I experienced this first hand I had no clue why anyone would ever buy a breakaway lanyard.  Now I most certainly do.
  2. It’s no use to even try to pick up a child who has turned into a wet noodle and has fallen limply to the ground.  At that moment, he/she has lost all bones, and attempting to handle them can result in slapping, biting, spitting and scratching. 
  3. Don’t chase a child you know you cannot catch (which for me is most of them). Instead, call for anyone walking in the hallway to head them off at the pass.  
But seriously, handling escalated behavior really is all about focusing on safety.  During my 7 years as “lead teacher” at my school (in addition to SLP), I intervened in behavior situations every week.  Now I am the CPI trainer for my district.  It’s so easy for someone to get injured.  Even at a primary school, kids are little but unruly and surprisingly strong!  I, myself, have been to urgent care after intervening with a violent child.  Sometimes it’s better just to keep a child safe and supervised (in an area free of dangers) and let him release and let off steam than it is to intervene. 
Keeping everyone safe is always the goal.  


9 comments:

  1. Good Advice!! In working with several of my students with severe autism, I have received a head butt, punches, slaps, kicks, and bites. I also get hugs, high fives, smiles and WORDS from these same friends. You never know what each day will bring :-)

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  3. Oh my word! That reminds me of when I lowered my head to pick up a toy and was soundly kicked in the eye. This guy had no shoes on and his big toe went right in! Yeah, never lean in!!

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  4. Working CPI has certainly had you handling tough behaviors. Thanks for giving such great tips. We love those little guys!

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  5. It does sound like he didn't mean to do it...or did he? :)
    Good tip about the lanyard...that's something a lot of people don't think about!

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    1. No, I don't think he meant to hurt me. Now I immediately take off my lanyard and toss it aside. I've had a few earrings ripped out and necklaces broken, too. One of my mentors told me a story about how a child pulled her lanyard- forcing her to bend over - and then quickly pulled her skirt down!

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  6. We are CPI sisters! I loved being on the CPI team when I worked in the schools! It's amazing how helpful it is for our students to have someone who can "speak their language"! Descalation can really be a quick thing, but in the meantime, safety, safety, safety first. Agreed! Great tips and I loved how you approached this topic. I actually LOL'd at the"my money maker" comment. Hahaha! Nicely done! Your school district is lucky to have you :)

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  7. Chock full of useful information, as usual!
    All Y’all Need

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  8. Excellent post. I am seeing a familiar mistake of many SLPs, we get wayyyy to close, both physically and emotionally. Not sure that will change due to our love, but giving space is an important lesson to learn! My favorite tip, don't chase a child...I chuckled to myself. You are right about those little buggers, they are squirmy and quick!

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