By: Nancy B. Swigert*, M.A., CCC-SLP, BCS-S
[Editor’s note – We asked Ms. Swigert to write this article in response to the inquiries we receive weekly from people who feel they have been pushed aside by their physician when searching for assistance with a swallowing issue. There is a common set of themes… my doctor doesn’t believe me, he doesn’t see anything wrong (it’s in your head; have you seen a psychiatrist), and he can’t refer me to someone who might help. Although not every swallowing disorder can be addressed; there are science-based assessment tools and therapeutic techniques that can alleviate many swallowing issues. This article is a resource to help you find a clinician who is right for you.]Understanding Swallowing Problems
If you or your loved one has a swallowing problem, you may have experienced frustration as you looked for the right person to help. Often, the first call should be to a speech-language pathologist (SLP), but not just any speech-language pathologist. Because speech-language pathologists have a wide scope of practice, not every SLP knows about swallowing.
SLPs have at least a master’s degree and provide evaluation and treatment for all types of communication disorders in addition to swallowing disorders. They have the education and training to see a variety of patients, including preschool children with speech difficulties and adults recovering from strokes.
Finding the Right Speech-Language Pathologist
Not all SLPs have experience in helping adults or children with swallowing disorders. To find the right SLP, look for those who are board-recognized specialists in swallowing and swallowing disorders, a distinction granted by the Specialty Board for Swallowing and Swallowing Disorders, created by the American Speech-Language-Hearing Association (ASHA).
To qualify, SLPs must have worked at least four years after obtaining their master’s degree, demonstrating experience treating individuals with swallowing disorders, and have 75 hours of continuing education related to swallowing.
Once accepted, they can take an examination covering topics such as cranial nerves, intervention strategies, and diagnostic procedures. Successful candidates earn the designation BCS-S (Board Certified Specialists in Swallowing and Swallowing Disorders) and can be found at www.swallowingdisorders.org.
The Assessment Process
The SLP will assess the swallowing problem and may recommend further evaluations, such as visits to medical specialists (e.g., otolaryngologist, gastroenterologist, neurologist) or specialized tests like a modified barium swallow or an endoscopic exam. They can develop a care plan and provide therapy as needed.
Many insurance companies will cover the evaluation and treatment services, and the SLP can help clarify specifics related to your plan.
Global Network of Specialists
The National Foundation of Swallowing Disorders has a growing network of qualified specialists around the globe, including in Canada, the United Kingdom, Spain, Australia, Japan, Ireland, the Philippines, India, and more.