Let Them Lead: The Child-Led Autism Podcast

There's a version of this job where you never say "I don't know." Where you excuse yourself, look it up on your phone, and come back like you had it the whole time.
A professor I admired (and still do, genuinely) told my grad school class to do exactly that before our first practicums. At the time I thought, well, if that's what I have to do, I guess I'll do it. Thirteen years later, I think it's the worst advice I've ever heard.
This came to me on a whim while I was working on something else. No script, no notes. Just me thinking out loud about why perfectionism runs through our whole field.
A lot of us have been taught that we can't be anything less than perfect. So we cling to control, because we don't want anyone to know what we don't know.
And then we don't try. We don't take the one small step toward child-led speech therapy, because we can't do the whole thing perfectly yet.
I get into the pickleball invitation I turned down, the day I read a post about research and landed back in grad school shame, and what trying to be a perfect clinician cost me.
This one is as much for me as it is for you.
TIMESTAMPS
Part one
04:07 No script, no notes, and the podcast I was listening to in the car that started all of this
06:31 Perfectionism as a coping mechanism, and where imposter syndrome fits
08:56 The all or nothing mentality, and what it costs us as a field
11:18 The advice my grad school professor gave us right before our first practicums
15:59 The pickleball invitation, and why I won't do something I might be bad at
20:49 Thirteen years later: what trying to be a perfect clinician actually cost me
Part two (the recording picks back up here, four days later, after my kids came barging in)
02:27 The post about research, the shame that followed, and the kind of content creator I want to be
11:48 What I will and won't go back and learn, and why I'm okay drawing that line
CALL TO ACTION
If this one landed for you, would you leave a review wherever you listen? It would mean the world to me!

We're back, friends! In this episode, Nicole Casey explores the Communication Bill of Rights, focusing on rights five through eight, and discusses how supporting autistic children requires team effort and consistent application across settings. 
Keywords: Communication Rights, Autism Support, AAC, Inclusive Education, Neuroaffirming Practices
Takeaways:
Supporting rights five through eight often requires team effort and ongoing communication.
Consistent use of AAC devices across settings is crucial for participation.
Honoring a child's right to refuse or ask for things builds trust and safety.
Proactively communicating about routines and objects helps reduce dysregulation.
Supporting social interactions and relationships enhances quality of life.

GET YOUR FREE TICKET TO THE CHILD-LED AUTISM SUMMIT HERE!! HAPPENING AUGUST 10-13 ONLINE. 40+ NEUROAFFIRMING PRESENTERS, AUTISTIC ADULTS, AND AAC USERS. DON'T MISS IT!
Episode summary
A few years ago, Nicole worked with a little boy who loved the Charmin Ultra Soft commercial and Downy Unstoppables, and instead of treating those interests as rewards to earn, she let them lead the session. What started as sitting at the computer watching videos grew into expanded language, a homemade book, and one of the purest pictures of inclusion she has ever seen. This episode is about why deep interests are not a distraction from the work. They are the work.
Key topics with approximate timestamps
05:30 Why this episode is about using deep interests to build communication, not dangling them as a carrot.

06:00 Meet the child: a deep love of the Charmin Ultra Soft commercial and Downy Unstoppables.

07:47 We do not get to decide if a child's interest is cool enough or normal enough.

08:30 Working with a gestalt language processor, modeling language and following his lead at the computer.

10:07 The routine that kept growing, and why only offering a few adult-chosen options misses the magic.

11:30 Two years later: descriptive words, longer sentences, and a mom who celebrated every interest.

12:33 Why we do this for neurotypical kids (hello, monster truck era) but not always for autistic kids.

14:55 The first time he said "go down," and why we have been conditioned to call sessions like this lazy.

16:00 Printing pictures and making a simple book he could call his own.

18:00 The book becomes his bedtime story, read aloud to his brothers.

19:18 He carries the book to school and cannot wait to show his teacher.

20:00 The Target text: a video of him reading his book to his whole class.

21:30 The most real picture of inclusion, centering the autistic child, not our systems.

23:00 Stop overcomplicating it: let the interest lead, hold your boundaries, trust the process.

23:54 Deep interests at the Child-Led Autism Summit and how to join.

Resources and links mentioned
The Child-Led Autism Summit, a free virtual event for SLPs, OTs, teachers, and autism support professionals. Get on the wait list or register at childled.org.

YouTube and Google Images as tools for finding a child's preferred videos and pictures.

Blank story books (a dollar store find) for making a child-authored book.

The Child-Led Collective: childled.org/collective.

About Nicole
Nicole Casey is a speech-language pathologist and the voice behind The Child-Led SLP. She helps SLPs, OTs, special educators, and autism support professionals move from compliance-based habits to child-led, neuroaffirming practice through real-world frameworks, ready-to-use resources, and a community that gets it. She teaches from what she has learned in real sessions with real kids, and she believes connection is the prerequisite for progress, not something a child earns after they comply.

Save your spot for the FREE summit happening August 10-13 all online!
Most of us have referenced the Communication Bill of Rights, printed it out, maybe hung it on the office wall. But how many of us have actually sat with what each right means in real life? In part one of this series, Nicole reads all 12 rights and then goes deep on the first four, using real classroom stories to show where these rights get honored, and where they quietly get violated.
In this episode:
(00:03) What the Communication Bill of Rights is, and who publishes it (the NJC)
(02:06) Reading all 12 rights out loud, in full
(03:30) Right 1: Dignity and respect in all interactions, and why it comes first
(06:30) When adults call kids lazy, stubborn, or noncompliant in front of them
(09:48) The girl who kept falling asleep, and the chair that got taken away
(11:45) Right 2: Meaningful communication that is culturally and linguistically appropriate
(13:00) The AAC device that only spoke English in a family that did not
(17:00) The Halloween costume moment that taught Nicole a lasting lesson
(22:47) Right 3: Being addressed directly, not talked about as if not there
(24:00) A simple, professional way to shut down disrespect in the moment
(25:08) Right 4: Receiving a response to all communication, even when the answer is no
(26:00) "Matthew tomorrow," and why ignoring a child is never the goal
(29:59) Holding boundaries without dismissing or ignoring kids
(32:21) Why these rights should guide our decisions, not just decorate the wall
(33:00) The Child-Led Autism Summit, August 10 to 13, free and virtual
 
Resources mentioned:
- NJC Communication Bill of Rights, third edition (search "NJC Communication Bill of Rights")
- National Joint Committee for the Communication Needs of Persons with Severe Disabilities
- The Child-Led Autism Summit, August 10 to 13, free virtual event: childled.org
- The Child-Led Collective: childled.org/collective
 
About Nicole:
Nicole Casey is a speech-language pathologist and the founder of The Child-Led SLP and The Child-Led Collective. She helps SLPs, OTs, special educators, and autism support professionals move from compliance-based practice to child-led, neuroaffirming care, with the frameworks, resources, and community to actually make it happen. She hosts the Let Them Lead podcast and runs the annual Child-Led Autism Summit.

JOIN THE WAITLIST FOR THE FREE CHILD-LED AUTISM SUMMIT HERE
A 19-year-old found the autism assessment report written about him at 15, and reading it made him feel like a stranger had published a list of everything wrong with him. That post sparked this honest conversation about how we write clinical documentation, who our reports actually serve, and how to be completely accurate without reducing a child to their deficits. Nicole shares a real AAC funding story, side-by-side sentence swaps, and practical ways to help families read reports as tools instead of verdicts.
In this episode:
(00:14) The Reddit post that started it all, and why listening to autistic adults matters
(02:26) How a report can make someone feel like a list of everything wrong with them
(08:00) Impact always trumps intent, and why this one brought up shame for Nicole too
(13:36) Who our reports are actually written for, the system versus the human
(15:00) The AAC funding story: a multimodal communicator who lit up on the device
(23:25) Walking the line between affirming language and building a case for insurance
(28:00) Accuracy is not the same as deficit framing, a side-by-side sentence example
(31:00) The neuroaffirming rewrite that says the same clinical thing, better
(33:30) Why so many of us default to deficit language (training, fear, efficiency)
(38:14) Concrete swaps you can use in your very next report
(43:04) The parent who said, for the first time someone understood my child
(45:00) Helping families read reports critically, as tools not verdicts
(50:00) What that 19-year-old deserved, and what our kids deserve
(52:35) The Child-Led Autism Summit, August 10 to 13, free and virtual
 
Resources mentioned:
- The Child-Led Collective: childled.org/collective
 
About Nicole:
Nicole Casey is a speech-language pathologist and the founder of The Child-Led SLP and The Child-Led Collective. She helps SLPs, OTs, special educators, and autism support professionals move from compliance-based practice to child-led, neuroaffirming care, with the frameworks, resources, and community to actually make it happen. She hosts the Let Them Lead podcast and runs the annual Child-Led Autism Summit.