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How Root Cause Assessment Changes Feeding and Speech Outcomes

When a child presents with complex speech or feeding challenges, it’s easy to focus solely on the surface-level behaviors. But true, long-lasting transformation happens when we dig deeper to look inside the mouth and assess the underlying muscle function. In this episode, Hallie sits down with Galina Kislin, a pediatric speech-language pathologist and myofunctional therapist, to discuss her clinical journey and the shift that led her to prioritize root-cause assessments. Galina shares her experiences transitioning from Early Intervention into private practice, highlighting how a myofunctional approach became the “missing piece” for her stalled feeding and speech cases. Together, Hallie and Galina dive into the critical importance of looking at a child from the bottom up, executing thorough oral-motor exams, and building local interdisciplinary care teams. Galina also shares actionable, naturalistic strategies to help families integrate therapy seamlessly into their daily routines without feeling overwhelmed. About the Guest: Galina Kislin, M.A., CCC-SLP, CMT® Galina Kislin is a bilingual (Russian/English) speech-language pathologist and Certified Orofacial Myologist (CMT®) with 28 years of rich clinical experience. Her journey began in Early Intervention, where an early exposure to oral-motor therapy ignited her lifelong passion for pediatric feeding. Over nearly three decades, Galina has served children across preschools, elementary schools, and multidisciplinary outpatient clinics. Key Topics & Takeaways The Missing Piece: The Root Cause Approach: Interdisciplinary Collaboration: Soundbites “Why has nobody else looked in the mouth? We cannot treat what we don’t thoroughly assess.” “We need to look at everything from the bottom up. Understanding the underlying root causes completely changes your clinical outcomes.” “Therapy shouldn’t feel like an extra burden for parents. When we integrate functional, naturalistic strategies into daily life, families feel truly empowered.” Timestamps 01:01 – Galina’s Journey: From Early Intervention into Myofunctional Therapy 03:10 – Facing Structural Hurdles and Stalled Feeding Challenges in EI 04:46 – The Missing Piece: Embracing a Myofunctional Lens & Finding the Root Cause 09:40 – Intentional Parent Education and Functional, Hour-Long Sessions 10:58 – Crafting Naturalistic Home Strategies That Blend Into Daily Routines 14:03 – Navigating the Real-World Limitations and Rules of Early Intervention 16:33 – The Vital Importance of Thorough Oral Motor Exams Over Assumptions 24:22 – Boutique Service: Guiding Families Through the Treatment Process with Empathy 27:42 – The Clinical Value of True Root Cause Tracking (The Middle School “R” Case) 30:11 – Unpacking a Case: Speech, Feeding, and Myo Evaluation Integration 33:22 – Unlocking Speech Clarity and Intelligibility Without Traditional Targeting 37:58 – Private Practice Growth Mindset, Autonomy, and Overcoming Limitations 40:37 – Final Thoughts, Where to Connect with Galina, and Closing Resource Links & Resources Connect with Galina: Explore her courses and resources at Love the 2 Communicate and follow her updates on Instagram. Clinical Assessment Tool: Easily screen for muscle patterns and oral dysfunction at FastMyoScreening.com. RELATED EPISODES YOU MIGHT LOVE STAY CONNECTED 💬 Join the Conversation: Catch behind-the-scenes insights, collaboration tips, and daily clinical pearls on  Instagram | Facebook | LinkedIn ⭐ Love the show? Leave a quick review — it means the world to me! If Galina’s root-cause approach inspired you to collaborate with new providers in your area, please take a second to leave a review! Your support helps us reach the pediatric professionals and families searching for these exact answers.

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