Navigated to Not seeing generalization? You might be the bottleneck.

Not seeing generalization? You might be the bottleneck.

Dec 10, 2025
26 mins

Episode Description

If your therapy techniques only work when you’re in the room, that’s a problem.

Many therapists unintentionally “gatekeep” their expertise and miss opportunities to boost carryover.
It’s the unexpected downside of being really good at direct clinical work. 

Don’t get me wrong. Clinical judgment does matter. And some things can only be addressed by a trained clinician in a therapy room.

But when every decision depends on your personal expertise and physical presence, you’ve made yourself the bottleneck.

In this episode, I’ll share how to make the shift towards clear, repeatable systems that others can follow. When you make your methods easier to teach, you make your work scalable, easier to delegate, and far more convincing to leadership.

I’ll tackle common misconceptions like:

✅ “I can’t delegate; I don’t have direct reports.”

✅ “I don’t have time for consultation.”

✅ “We never get enough time to work on skills.”

Plus I share the three steps to making intervention “scalable” so your session plans can start doubling as consultation guides and training tools for others.

In this episode, I mentioned Language Therapy Advance Foundations, my program that gives speech pathologists a framework for building language skills needed to thrive in school, social situations, and daily life. You can learn more about the program here: https://drkarenspeech.com/languagetherapy

I also mentioned the School of Clinical Leadership, my program that helps related service providers develop scalable executive functioning strategies they can turn into schoolwide initiatives. You can learn more about the program here: https://drkarendudekbrannan.com/clinicalleadership

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