u/BlueCouchSitter

▲ 11 r/slp

What did you do next?

I have been practicing as an SLP for 20 years and lately I have been starting to consider what I may want to do next.

My current rumination: I am in my mid-40s, I own a small pediatric private practice in a large metropolitan area with a HCL. I do not accept insurance. Comparing my practice income for Q1 in 2025 to 2026, this year I have brought in close to 50% less. I have to assume this is the economy and factors of the world we live in that are outside of my control. My body does not like crawling on the floor all day; its getting increasingly uncomfortable sitting and playing on the floor too.

So what's next? What else can I do that may be inline with the work I have done? [I appreciate those who may suggest getting in-network with insurance providers--that is not in the cards for SO many reasons] Those of you that have transitioned away from the SLP world or direct clinical work, what have you done? I supervise graduate students during externship placements and have reached out to the university about opportunities but there are none at this time.

I'd love to hear from those who have gone through this transition.

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u/BlueCouchSitter — 7 days ago