TOTS  Resources





Podcasts and Articles

Episode 8: Orofacial Development Through the Lifespan

My guest today is Autumn Henning, Speech-Language Pathologist, Certified Orofacial Myologist, and International Board-Certified Lactation Consultant. Autumn graduated from the University of Kentucky with a Master’s Degree in Communication Disorders and is an Assistant Professor within the voluntary faculty series in the Department of Communication Sciences & Disorders at the University of Kentucky College of Health Science. She was a Founding Board Member of the International Consortium for Oral Ankylofrenual Professionals (ICAP). Autumn specializes in orofacial function and development throughout the lifespan. She has spoken at a variety of prestigious conferences and organizations, written articles, appeared as a guest on several podcasts, and trained thousands of professionals. You can find out more about Autumn on her website at

Show Notes:

Autumn’s website:

Blog – Abolishing the “Preferred Provider” Title:

Blog – Words Are Worth a Thousand Pictures:

TOTS Training Course:

TOTS Trained Professionals Directory:

Signs of Tongue Tie:

Amitai 2020 Folic Acid and Tongue Tie Research:

July 20, 2022, 3:33:21 PM

Episode 15: Tongue Ties-- The Whole Picture

I know most of my content is about feeding issues that may affect breastfeeding babies but today I have something for adults and babies.

Episode 15 is all about de-mystifying all things tongue-tie related and why a team approach is necessary for effectively addressing tongue & lip ties. We even go into details about HOW to select the members of your baby's care team.

Our guest, Autumn R. Henning, MS, CCC-SLP, COM, IBCLC, is one of the nation's top thought leaders and practitioners of tongue-tie and oral function from birth to the elderly and everything in between.

She is the first:

Certified Orofacial Myologist (COM)
Speech-Language Pathologist (CCC-SLP) AND
International Board Certified Lactation Consultant (IBCLC)
…which equals one magical 🦄 of a provider.

Autumn has completed specialty continuing education including Beckman Oral Motor, and TummyTime! Method, Understanding the Orofacial Complex, and Foundations in Myofascial Release for Neck, Voice, and Swallowing. Autumn has been invited to speak for many prestigious conferences and organizations including the International Association for Orofacial Myology (IAOM) and the International Consortium of Oral Ankylofrenula Professionals (ICAP). She has presented as part of GOLD Learning's First Tongue Tie Symposium.

Lastly, Autumn is the creator of the cutting-edge educational course called
TOTS Training ® and has a booming private practice in Greenville, SC, called Chrysalis Orofacial®.

Mentioned in this episode:

July 20, 2022, 2:10:45 PM

Care of TOTs with Autumn Henning (Episode 21)

In this episode Katie discusses care of TOTs with Autumn R. Henning, MS, CCC-SLP, COM®, IBCLC of Chrysalis Orofacial. As an IBCLC and COM, Autumn works with clients the entire lifespan. Tongue tie starts in utero, changing the way baby swallows amniotic fluid and continues throughout life, effecting breastfeeding, speech, sleep and more. The effects of tongue tie never end, we just learn how to compensate, some better than others. Autumn works with a team of providers in Greenville South Carolina and has courses for providers.

June 1, 2022, 7:08:33 PM

Chrysalis Orofacial (Episode 19)

In today's episode, we hear from Autumn Henning, founder of Chrysalis Orofacial. Autumn is a Speech-Language Pathologist, Certified Orofacial Myologist and an International Board Certified Lactation Consultant. Autumn shares with us all the services Chrysalis Orofacial provides, how the function of the face and mouth effect so many aspects of daily life and a few client success stories.

February 17, 2022, 2:56:26 PM

Tongue Tie Truths and Orofacial Function (Episode 22)

In this podcast episode, guest Autumn Henning speaks about her experiences on the topic of Orofacial Myology Therapy (OMT) with host Kate Broderick. Kate asks Autumn technical and practical questions about OMT. Join us, whether you are a parent, family member or another healthcare professional, to gain more information and insight about this area with two experts in the field.

February 2, 2022, 5:25:19 PM

Hometown Heroes: Airway Edition

Welcome to brand new episode of Hometown Heroes: Airway Edition! Today, we’re joined by Autumn Henning, MS, CCC-SLP, COM®, IBCLC of Chrysalis Orofacial to discuss everything we need to know about orofacial function!

Episode Highlights:

Red flags for parents to look out for in children Importance of working with board certified lactation practitioners Breast and bottle feeding 101 The role of the tongue in solid food feeding Signs and symptoms for adults Guiding metrics for parents to know what provider to seek


“Clicking noise is the tongue losing the feel.”

“Pediatricians are responsible for the whole body and well being of babies.”

“Breastfeeding should never be uncomfortable.”

“If breastfeeding hurts, there’s something going on.”

“Ask questions, seek answers.”

“How our mouth and face functions dictates its structures.”

December 8, 2021, 3:29:12 PM

Offering Courses and Clinical Services as a Specialist

Are you thinking about starting a specialty-based private practice? Do you already have one?

In this episode, I am talking to an SLP celebrity, ​​Autumn Reed Henning, about how having a specialized business and private practice has really helped her increase her impact and find success fast as a private practice owner.

Autumn R. Henning, MS, CCC-SLP, COM®, IBCLC is a certified and licensed Speech-Language Pathologist with a Certificate of Clinical Competence from the American Speech-Language-Hearing Association (ASHA). She is a Certified Orofacial Myologist® through the International Association of Orofacial Myology (IAOM), and she is an International Board Certified Lactation Consultant.

Autumn specializes in orofacial function and development throughout the lifespan. She works with infants to adults in her private practice, Chrysalis Orofacial in Greenville, SC.

She also has trained thousands of professionals from varying fields internationally in her E3 Model of Care and flagship course TOTS: Tethered Oral Tissues Specialty Training.

October 4, 2021, 4:28:56 PM

The Goods on Being Your Own Secret Sauce

In this episode, we have Autumn Read Henning M.S. CCC-SLP, COM, IBCLC. We chat about the benefits of observation to your craft, and having the desire to find the solution for rooted problems. We also get to chat about her private practice and business journey as well as her newly-established online course!

We get into all the things! You'll also hear us talk about:

-The true value of skill over experienceImportance of critical thinking and confidence to share the idea

-The passion for helping peopleWillingness to create change and be the change

August 19, 2021, 1:54:47 PM

Interview with Autumn Henning COM, SLP

Boy do we have a special episode for you!

Today we chat with Autumn Henning SLP COM IBCLC on everything Myofunctional. She is a leader in her field and blowing up the educational resources game. She has reserved some exciting announcements for this episode and we can't wait to have our fellow practitioners hear it! This interview discusses bridging the gap between providers, utilizing other professionals, educational resources and all things treatment verses therapy.

November 2, 2021, 1:55:36 PM

Collaborative Approach to Treating Anklyoglossia

Peer-reviewed journal article:

Adopting a multidisciplinary approach when caring for patients with ankyloglossia has the potential to improve function and quality of life throughout the lifespan.

November 2, 2021, 1:34:28 PM

The 411 on Lip Taping

In this episode, Hallie and Autumn R. Henning SLP COM IBCLC give the 411 on lip taping. They discuss the importance of determining the root cause of a patient's mouth breathing and how lip taping is quite literally putting a band aid on the problem (vs. addressing the root cause). They go on to highlight the importance of myofunctional therapy to help guide the musculature for a proper closed mouth posture.

July 22, 2021, 12:28:44 PM

Where to start and End with TOTs?

Autumn and Hallie discuss tongue-tie symptoms and assessments, diagnosis, treatment timelines, criteria for referrals, creating a treatment team of other specialists, and the importance of after-care and post-release therapy.

June 16, 2021, 7:34:04 PM

The Trifecta of SLP Certifications

We talk about the private practice of an SLP who has followed her passion and is certified in Certified Orofacial Myologist® through the International Association of Orofacial Myology (IAOM) and is an International Board Certified Lactation Consultant.

November 2, 2021, 1:51:39 PM

Episode 26 ft. Autumn Henning, CCC-SLP, COM, IBCLC

In today’s episode, Brittny and Autumn R. Henning, MS, CCC-SLP, COM, IBCLC discuss all things TOTs related— how to explain TOTs to patients and parents, how to respond when they say “but nobody ever told me this before!”, the importance of pre and post op therapy, how to handle a patient who does not follow your recommendations/referrals, what providers are a must for TOTs cases, and what factors to consider for optimal timing of release.

November 2, 2021, 2:01:00 PM

Podcast with Martha Macaluso

November 2, 2021, 2:07:48 PM

Plot the TOT with Autumn Henning and Ann Bynum

In this episode Hallie talks with Dr. Ann Bynum and Autumn R. Henning about their new course, Plot the TOT, launching on June 26th! They also discuss how they met each other and started collaborating together. Through their collaboration they found a need to educate others on the importance of collaboration amongst disciplines in order to provide the best care to their patients.

November 2, 2021, 2:14:33 PM

Tongue Tie and Feeding Disorders

How tongue tie can lead to pediatric feeding disorders by Autumn Henning

April 30, 2019, 1:22:37 PM

Current Info on Tongue and Lip Tie

In this interview, I go over treatment and assessment of tongue tie. Here are some of the questions I answer and topics I cover:

What kind of assessment do you recommend- informal or formal?

I recommend a conglomeration of formal measures and informal observations.

Components of my assessment include :

-- a very in-depth case history

-- functional observations with feeding/speech, standardized articulation test (if indicated)

-- oral motor assessment (I use Beckman Oral Motor Protocol)

-- manual inspection of the oral cavity.

-- There are several protocols including the TAP, ATLFF, Carole Dobrich’s Assessment, and Lingual Frenulum Protocol by Martinelli and Marchesan as well. I do these in that order to avoid bias. If truly an oral restriction is present, all signs/symptoms, functional observations, testing, and oral motor findings add up to what I visibly see and feel in the mouth.

How do you determine severity of the tongue and/or lip tie and if a child needs surgical intervention?

Severity is based upon the level of impaired function, symptoms, and impact on quality of life. One of the common misconceptions is about the classification of tongue and lip ties. I tell my patients that this is only a descriptor of the placement of the attachments and not like cancer where class 4 is worse than class 1. I may have a child failing to thrive with a class 1 tie or a child that is a picky eater with a class 4 tie and vice versa.

November 2, 2021, 2:32:17 PM


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