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Joschwa

@joshuntley.bsky.social

Student Speech Pathologist A passionate musician exploring the vast evidence base of speech language pathology. Particularly interested in neurodiversity-affirming practice and swallowing disorders. #bskySPEECHIES #ADHD #ASD #dysphagia

Posts Replies Media

Joschwa @joshuntley.bsky.social · 15/10/2025

Even in mild #dysphagia / #กลืนลำบาก, people have been known to avoid certain foods or avoid mealtimes altogether. This avoidance can massively impact a person's identity and quality of life. If you or someone you know has trouble around mealtimes, check out this chart or consult an #slp today.

Caption:
Even in mild dysphagia, people have been known to avoid certain foods or avoid mealtimes altogether. This avoidance can massively impact a person's identity and quality of life. If you or someone you know has trouble around mealtimes, check out this chart or consult a speech pathologist today.

Image:
Eating together matters.
Before the meal: offer soft foods; sit upright and support posture.
During the meal: take small bites and sips; avoid talking while chewing.
How the family can help: pass dishes to invite participation; make familiar dishes safe by cutting or mashing them.
If you have questions, consult a speech pathologist.

คำบรรยายภาพ:
หากคุณมีอาการกลืนลำบากแม้เพียงเล็กน้อยคุณอาจหลีกเลี่ยงอาหารบางชนิดหรือหลีกเลี่ยงมื้ออาหารทั้งหมดสิ่งนี้อาจส่งผลต่อตัวตนและคุณภาพชีวิตของคุณหากคุณหรือคนรู้จักมีปัญหาเรื่องเวลาอาหารอ่านแผนภูมินี้หรือปรึกษาผู้เชี่ยวชาญด้านการแก้ไขการพูด

ภาพ:
การรับประทานอาหารร่วมกันเป็นสิ่งสำคัญ.
ก่อนมื้ออาหาร: เสนออาหารอ่อน; นั่งตัวตรงและรองรับท่าทาง.
ในขณะที่รับประทานอาหาร: กัดคำเล็กๆ และจิบทีละน้อย; อย่าพูดคุยขณะเคี้ยว.
ครอบครัวสามารถช่วยได้อย่างไร: แจกจานอาหารเพื่อเชิญชวนให้มีส่วนร่วม; ทำให้อาหารที่คุ้นเคยปลอดภัยโดยการหั่นหรือบด.
ปรึกษาผู้เชี่ยวชาญด้านการพูดและภาษาเพื่อขอความช่วยเหลือ.

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Joschwa @joshuntley.bsky.social · 14/10/2025

#Apraxia vs #Dysarthria - what's the difference? Apraxia is like a dancer trying to remember forgotten moves. The speech muscles are intact, but the brain signals are confused. Dysarthria is like a dancer with a sprained ankle. The brain signals are clear, but the speech muscles can't keep up.

An illustration of two dancers. The dancer on the left is saying "What's the next move?"; underneath them, text reads "Apraxia". The dancer on the right is saying "My body won't keep up."; underneath them, text reads "Dysarthria".

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Joschwa @joshuntley.bsky.social · 13/10/2025

The words come out, but they sound slurred, slow, or hard to understand... It's not because the person doesn't know what to say. It's because their mouth won't cooperate. This is #dysarthria, a motor speech disorder that #slp help to treat by strengthening and restoring motor planning connections.

An illustration of a brain linked by a dotted line to a mouth. Above the brain, a speech bubble reads "dog"; above the mouth, a speech bubble reads "duck". The text below the illustration reads "Dysarthria: When the speech muscles won't follow orders."

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Joschwa @joshuntley.bsky.social · 06/10/2025

The message is there. The person plans what they want to say. But the message gets lost along the way. #Apraxia happens when the brain's motor planning system is disrupted, like after surgery, stroke, or brain injury. #slp help to rebuild those brain-to-mouth connections, one sound at a time.

Illustration of a brain following a dotted line to a mouth. The line is obscured by arrows that divert down other paths that lead to question marks. The text reads "Apraxia of Speech: When the plan is there, but the message gets lost."

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Joschwa @joshuntley.bsky.social · 02/10/2025

Language and identity are intrinsically linked. For multilingual speakers, this often applies to more than one language. That's why speech pathologists assess communication in all languages that matter to the person. Recovery should not come at the cost of culture. #TranslationDay #LanguageMatters

An image of two speech bubbles. Both say "hello" but in two different languages (one is English; one is Thai).

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Joschwa @joshuntley.bsky.social · 30/09/2025

Imagine that you had just survived brain surgery but you were afraid to eat because it was unsafe. This is a common reality faced by people with post-surgical complications. Speech pathologists can help by providing safe eating strategies to restore participation and meaningful mealtime connections.

A man is looking upset while sitting at a table. There is food in front of him but he is not eating. Next to him are two people smiling and enjoying their meal. There is text above which reads "Recovery isn't just medical - it's social, too." There is also text below which reads "Speech pathologists make participation possible."

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