
Episode 64: Bethany Burrell (Speech Pathologist): Rural Speech Therapy: Hidden Challenges, Real Impact
04/02/25 • 53 min
What happens when you're the only speech pathologist for hundreds of kilometers? Meet Bethany Burrell, founder of Speak To Bee, who travels across 200 kilometers of rural Victoria supporting children and adults with complex communication needs. Her journey reveals the hidden struggle of families in remote communities facing five-year waiting lists, three-hour drives to specialists, and profound isolation.
Bethany shares how her own neurodivergence became her superpower, creating therapy sessions that look nothing like traditional table-work. "If they want to be under the table with a blanket over the top, that's completely fine. If we're walking on the beach having fun, that's fine too," she explains. This flexible approach helps her connect with clients who might otherwise struggle in conventional settings.
The boundaries between professional and personal blur dramatically in small towns where your GP might also treat your clients, and grocery shopping becomes a therapy reunion. Yet these close connections create rich, meaningful relationships that sustain both therapist and client through challenges. Bethany's candid discussion about burnout—the warning signs, the recovery process, and the boundaries necessary for survival—offers valuable wisdom for any helping professional.
For speech pathologists considering rural practice, Bethany paints an enticing picture of professional growth, personal development, and the incomparable reward of helping someone order their first hot drink or say "I love you, mum" for the first time. Her story reminds us that sometimes the most significant impact happens far from the spotlight, where dedicated professionals quietly transform lives one conversation at a time.
Ready to explore how you might make a difference in underserved communities? This episode will challenge your assumptions about rural practice and might just inspire your next career move.
speaktobee.com
danabaltutis.com, mytherapyhouse.com.au, https://mytherapyhouse.com.au/your-childs-therapy-journey/ https://www.danabaltutis.com/services
What happens when you're the only speech pathologist for hundreds of kilometers? Meet Bethany Burrell, founder of Speak To Bee, who travels across 200 kilometers of rural Victoria supporting children and adults with complex communication needs. Her journey reveals the hidden struggle of families in remote communities facing five-year waiting lists, three-hour drives to specialists, and profound isolation.
Bethany shares how her own neurodivergence became her superpower, creating therapy sessions that look nothing like traditional table-work. "If they want to be under the table with a blanket over the top, that's completely fine. If we're walking on the beach having fun, that's fine too," she explains. This flexible approach helps her connect with clients who might otherwise struggle in conventional settings.
The boundaries between professional and personal blur dramatically in small towns where your GP might also treat your clients, and grocery shopping becomes a therapy reunion. Yet these close connections create rich, meaningful relationships that sustain both therapist and client through challenges. Bethany's candid discussion about burnout—the warning signs, the recovery process, and the boundaries necessary for survival—offers valuable wisdom for any helping professional.
For speech pathologists considering rural practice, Bethany paints an enticing picture of professional growth, personal development, and the incomparable reward of helping someone order their first hot drink or say "I love you, mum" for the first time. Her story reminds us that sometimes the most significant impact happens far from the spotlight, where dedicated professionals quietly transform lives one conversation at a time.
Ready to explore how you might make a difference in underserved communities? This episode will challenge your assumptions about rural practice and might just inspire your next career move.
speaktobee.com
danabaltutis.com, mytherapyhouse.com.au, https://mytherapyhouse.com.au/your-childs-therapy-journey/ https://www.danabaltutis.com/services
Previous Episode

Episode 63: (Nikita Pinto Speech Pathologist) : The Pre-Linguistic Journey: How Children Master Communication Before First Words
Speech Pathologist Nikita Pinto reveals the critical pre-linguistic skills children need to develop before they can speak their first words. These foundation skills are essential building blocks that support all future communication development.
• Reacting to sounds and people in the environment forms the basis of listening and understanding
• Responding to people and turn-taking establishes the back-and-forth pattern essential for conversation
• Attention span is crucial as children need to stay focused to absorb language information
• Joint attention allows children to share experiences with caregivers about objects or events
• Playing with toys provides exploration opportunities and contexts for language learning
• Understanding familiar words precedes the ability to speak them
• Vocalizing and making different sounds develops into first words
Parents often focus exclusively on getting their child to say words, missing the importance of building connection first. Children need to hear words repeatedly in different contexts for approximately six months before they can use them meaningfully. Using facial expressions, animated voices, and body language ("affect") helps captivate children's attention and makes words "stick."
Instead of asking lots of questions, provide information by commenting and naming things in your child's environment. Use the "four-to-one rule" - offer four pieces of information before asking one question.
danabaltutis.com, mytherapyhouse.com.au, https://mytherapyhouse.com.au/your-childs-therapy-journey/ https://www.danabaltutis.com/services
Next Episode

Episode 65: Judy Au (Occupational Therapist) - Unlocking Sensory Secrets: An OT's Guide to Child Development
Occupational Therapist Judy Au explores the holistic approach of pediatric OT, explaining how foundational skills underpin a child's ability to participate in daily activities and engage with the world.
• Occupational therapy supports children in all daily activities including play, social interactions, and self-care
• The DIR Floortime approach is relationship-based, considering each child's individual differences and developmental level
• Foundation skills like sensory processing and regulation must be established before working on specific tasks like handwriting
• Children need the right amount of sensory input to feel calm and ready to engage, communicate and learn
• Each child has a unique sensory profile that affects how they experience and respond to their environment
• Movement before fine motor tasks helps prepare a child's brain for learning and focusing
• Sensory-friendly strategies can be adapted based on a child's changing needs rather than following a fixed "sensory diet"
• Co-therapy with multiple professionals allows for more comprehensive support for both child and parents
danabaltutis.com, mytherapyhouse.com.au, https://mytherapyhouse.com.au/your-childs-therapy-journey/ https://www.danabaltutis.com/services
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