Hallie Bulkin explains that screening identifies risk and whether further assessment is needed, but does not diagnose or plan treatment. Many clinicians skip the assessment step and jump straight from screening red flags to treatment, creating uncertainty. Proper sequencing is screening first, then assessment to find underlying causes, then treatment planning.
makes it super clear. Is this within typical limits, or is further assessment warranted? That's it. Screening is not diagnosis. It's not treatment planning. It's not solving everything. It's determining risk and next steps, and that alone is super powerful. Okay, so here's the thing though, right? I see confusion creep in because many clinicians think like, if I can identify red flags, I should automatically know what to do next. But that totally skips a step, right? Screening just answers like, should we assess further? An assessment is what answers why is this happening? What system is driving it? Is treatment warranted? What do we prioritize? And so if you try to jump from screening straight into treatment decisions, you're gonna feel unsure because you're missing some critical information. And that's not a competence issue, that's a sequencing issue.
What I Was Missing in Feeding Therapy: ARFID, Airway, and Myo with Samy Hernandez
