Ep. 6: How to Ask Better Questions & Get Better Therapy Outcomes
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Why do therapists often focus on negative outcomes instead of solutions?
What's up everyone? Welcome to Making the Shift.
Where we listen to autistic voices,
explore new therapy ideas,
and share neurodiversity affirming methods and strengths-based approaches to support autistic kids.
Because we're not here to try and quote fix kids.
We are here to love them, embrace them, and celebrate them for who they are. I'm Jesse Ginsburg, sensory integration trained SLP, founder of a top-rated speech therapy clinic in Los Angeles, and creator of the Inside Out Sensory Certificate for SLPs.
And I'm Chris Winger, also known as Speech Dude, high school SLP and creator of the Dynamic Assessment for Social Emotional Learning. Are you ready to make the shift?
Let's do it.
Hi everyone, welcome to episode six of Making the Shift.
Yes, we've made it. It's our um Tuesday as we are slowly transitioning into Drum roll please. Summer for me.
Yeah, I was gonna say speak for yourself.
Yes, life is going to be in uh the fast lane and the carpool lane for me coming up next week. It's gonna be great. Put in cruise control, baby.
It's so funny because you're someone who I think would actually enjoy having all that time off 'cause you keep busy. So much. But for me, it's like the idea of it sounds great. But then even if it's just one sick day, I wake up and I'm like, Well, what am I gonna do today?
That's true. You know, I am lucky because I feel like it's not just my like downtime. When it's summertime, I'm still doing stuff. I'm still like Putting some effort into growing my brain.
I was gonna say, yeah, you that's true.
You know? It could be
like the other day I was on a call in here and I looked out the window and he was responsible for all three kids. And instead of just like sitting down, you were having them water all the flowers in the garden and like put some spray on the plants. I don't know.
All that good stuff, yeah. You know, actually that kind of brings us into our topic for today because when I do things with the kids, when I do things around the house, when I do things at work. All of those things are based upon my thoughts. And the thoughts that we have are just basically a series of questions and answers. And so the things that I do with the kids in the backyard, the things that we do when we go out, when we go, you know, when I go off to work, that's basically how all of our lives work, right? So I constantly try to improve.
How do personal life challenges shape the way we ask questions in therapy?
those thoughts, which are basically improving the questions. That's kind of how it works. So um that's really what we're going to talk about a little bit today, but we were going to share some things, um, maybe on a little bit more of a of a personal note. To get today um Put into fifth gear, right?
know
what that means.
Is that a is that a real gear?
Fifth gear?
See, you would know only. Oh, I was gonna say only stick people would know that, right?
No, no, no, no. I think country music fans know that. Put it in the fifth year.
Um, but yeah, I think that you know, for us these conversations are so important because This is almost like one of those things that's why it's so near and dear to our heart, I guess. This topic that has improved our lives so much is learning about the quality of the questions that we're asking. Because, you know, when we first started dating, these were some of the conversations we were having. And Just to put it into perspective for you, like I mean, both of us were had been through probably like the hardest times in our lives. Yeah. Right. I was divorced. I had two young kids. I was transitioning between having them from From having them with me a hundred percent of the time to now fifty percent of the time, which is so hard.
I was trying to keep my speech therapy clinic open in the height of COVID while trying to start a new business. Like there were so many hard things going on. And same with you.
Yeah. I mean my situation just prior years was my dad. had uh passed away from a fluke heart attack months following that I went through a divorce. You know, then uh you know just a couple of years after that COVID hit, working from home, no longer at work, which was my source of energy, being in person with students, a lot of things came up.
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Chapters
8 chapters
1
Why do therapists often focus on negative outcomes instead of solutions?
0:08–2:56
2
How do personal life challenges shape the way we ask questions in therapy?
2:56–5:28
3
What is the impact of framing questions as “what if” versus “how can we support…?”
5:28–7:54
4
Which specific question‑reframing techniques improve session outcomes for families?
7:54–10:35
5
How can SLPs shift from deficit‑based language to strengths‑based language?
10:35–13:43
6
What role does collaborative questioning play when communicating with parents?
13:43–16:33
7
How do assessments and surveys reinforce negative versus positive perspectives?
16:33–19:08
8
What practical steps can listeners take today to ask better questions in therapy?
19:08–20:52
Speakers
2 identifiedMore from The NeuroAffirm Podcast
Ep. 125 How to Run Successful Social Groups
Ep. 124 Building Rapport Isn’t Enough...How Therapists Become Part of the Intervention
Ep. 123 Not Seeing Progress in Speech Therapy? Start Here.
Ep. 122 Screen Time Considerations for Autistic Kids
Ep. 121 The Biggest Sensory Mistakes SLPs Make
Ep. 120 Why Anxiety is So Common in Autism (And What Actually Helps)