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Micromanaged as a Telepractice SLP? Here’s How to Take Back Control

I have seen many posts in the Teletherapy social media groups stating that they feel more micromanaged in the virtual setting than in person. This trend stems, at least in part, from lingering skepticism about telepractice.

It’s true- those who don’t understand the virtual setting and are skeptical of this mode of service delivery being a reliable way of providing therapy services tend to go above and beyond to check up on what you’re doing. They may walk into one of your sessions to ensure you do what you should. Your notes and minutes might be checked more frequently. Your expertise may even be questioned. If you are experiencing these (quite frankly) annoying and insulting interferences, set up a meeting with the individual(s) causing you to feel so micromanaged. 

Communicate these things:

  • State that you are a qualified licensed speech-language pathologist with years of experience.
  • Mention that you have provided therapy in person and are doing the same thing you did before (but online).
  • List the success stories you’ve had with students and relationships with families.
  • Note that you aren’t late submitting your reports, that you attend virtual therapy sessions on time (and make up missed sessions when you’re out if required), and that you are present at meetings. 
  • Invite them to observe a session, so they have a better understanding and develop an appreciation for what you’re doing. (You don’t have to do this if you think it will make things worse)
  • Remind them that they would not be looking at your work to this degree if you were in an office next door to them. 
  • Ask them to collaborate with you as peers so you can have a positive experience working together. 

Note: Document everything if you are dealing with someone who is massively overstepping boundaries and potentially breaking HIPAA laws. Take screenshots, save all communication, and get the administration at school and the company who hired you aware and involved. With the ongoing SLP shortage, your expertise is valuable, and they will likely want to address the issue to retain you.

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