Just as children grow at different speeds, they respond to a speech therapist at different paces. Some children may need only one or two classes to master a sound, while others may need much longer. Some of the ways to make working with a speech therapist more productive are:

Have Clear Goals: When a speech therapist enters your family, the parents, therapist and child should have the same goals. Therapy would not help if the parents and therapists wanted to focus on different things. For example, the parents might be concerned with the child s vocabulary while the therapist may want to focus on articulations. Similarly, if the child does not understand the goal, he or she may not show much improvement. Ideally, a goal should be clear, measurable, realistic and be associated with a time frame. It should also be challenging but not out of reach.
Homework: A therapist has a limited amount of time to spend with the child. A majority of this time must be spent in learning something new each session. However, this will not be possible unless the child has made progress since the last class. Hence, it becomes important for the therapist to give the child homework and for the parents to oversee this. Video tutorials can be very helpful here. This helps parents know exactly what the child is supposed to practise.
Trust: A speech therapist may be an outsider to the family but he or she must be trusted to do their job in the way they think best. Very often, parents and therapists may not have the same views about how the child should be taught. Here, it is important to remember that the therapist is the expert and knows what he or she is doing. This is another reason why it is important to set clear goals together at the onset of therapy.
Speak Up: While the therapist may be an expert on how to build vocabulary and improve speech patterns, parents are experts on their child. Thus, it is important to communicate openly with the therapist. Answering therapist questions honestly can help him or her assess where the problem lies and in turn address it. Similarly, if you have questions, do not be afraid to speak to your therapist about them. Share the child s progress and changes that you have noted so that the therapist can adjust the lessons accordingly. 

Tips To Make The Speech Therapy More Effective!

Causes and symptoms of Catatonic depression

Catatonic depression is a kind of depression which is characterized by prolonged periods of speechlessness and motionlessness. It is described as a state of mind that is caused by neurogenic and motor inabilities caused due to dysfunction of various neurotransmitters like glutamate and dopamine. People who suffer from a severe case of this condition, even have difficulty in performing simple regular tasks. For example, the act of eating breakfast may take a span of hours.

Some of the common symptoms of this condition are:

- Feelings of sadness
- A change in appetite causing gain or loss of weight
- Difficulty in concentrating and thinking
- Feelings of restlessness, worthlessness, and guilt
- Fatigue
- Irritability
- A loss of interest in any activity
- Trouble sleeping
- Attempts at suicide
- Cynicism and negativism
- Agitation
- Unusual and abnormal movements
- An inability to move and difficulty in speaking
- A refusal to eat or drink due to extreme anxiety

The major causes of catatonic depression are:

1. Abnormal neurotransmitter production

Irregularities in the production of neurotransmitters are believed to be one of the major causative factors of this type of depression. These neurotransmitters present in the brain help cells to communicate with each other. Serotonin and norepinephrine are the neurotransmitters which are mostly associated with this type of depression.

2. Dopamine irregularities

Another reason for this condition is believed to be the irregularities in dopamine, glutamate, and gamma-aminobutyric acid neurotransmitter systems. Underlying neurological, physical, psychiatric or psychological conditions are accompanying issues.

Administering antidepressants or using electroconvulsive therapy are some of the known ways of treatment which have proved effective for getting relief from catatonic depression.



What Makes Catatonic Depression so Impairing?

There are instances when a kid doesn t show the usual signs of development compared to their peers. Most parents take it casually thinking that their child will catch up in due course only to find a larger problem associated with it. It is therefore extremely important to discuss speech and language related delays with a medical practitioner to find out whether a child is immature or has a genuine problem which requires medical help. A child can show different signs as per age:

Different age group:

Within the first 12 months, a baby should be able to relate to his environment and make babbling and cooing sound. It is often observed that by month 9, a baby is capable of stringing sounds after seeing things. If a baby is intently watching objects, but is unable to make any sound, this may be an early symptom of speech or language related problem.
Between the 12th and the 15th month, a baby should be capable of making a wide array of sounds including few commonly used words. Babies should also be able to take few basic instructions and oblige those.
Between the age of 18th and 24th months, a baby becomes smart enough to pronounce anywhere in the range of 20 to 50 words. They also start combining words and make simple sentences. They should be capable of identifying common objects and remember their names.
By the age of 3, a toddler should be smart enough to combine 4-5 words and form sentences. Kids of this age also become smart enough to take straightforward instructions and perform them comfortably. Any deviation on this should be immediately reported to the Doctor.
What are the warning signs?
If a child between the age of 1-2 is not able to do the following things:

Fails to use gesture
Use more gesture than vocalising by the age of 18 months
Produce no voice by 18th-month
Fails to perform simple instructions
A child between the age of 2-3 needs evaluation if:

Capable of imitating words but isn t spontaneous in vocalising
Repeats certain words multiple times
The tone of voice is unusual compared to his peers
Possible causes of speech and language delay:

Problems with palate leading to oral impairments
Short frenulum restricting sufficient tongue movement to produce speech
Oral-motor problems leading to speech limitation
Problems related to hearing
Chronic infection of the ear leading to speech delay
What does the pathologist assess?

What can the child speak?
What can the child understand?
Oral-motor status
Clarity of speech
Post the above evaluation a pathologist directs a plan of action. Sometimes speech therapy sessions are recommended in order to improve kids  skill. For a motor related problem, a doctor can state a plan of action and limit the expectation of parents.

Speech & Language Delay - Spot The Signs!


A new relationship involves a lot of weighing from both the sides. Learn what really matters to win people over in this post. When you want to build a new relationship, whether it is for work, business, personal, marriage, friendship etc there are several factors that help take off and bloom the relationship. These factors are broadly the same in different age groups as far as psychological impact matters. Some of the most important influential factors from a psychological point of view have been highlighted here. 

1. Presentation- When you want to draw someone into relationship with you for any reason, it is important that you present yourself at you best levels be it physical or mental. Like they say that the first impression is the best impression, your display of you strengths creates an impression that helps people decide what they want to do with you. This doesn't mean you should hide all your weaknesses but highlighting your strengths is as important as making your weaknesses clear. Always learn to put your best foot forward as sometimes that itself may not be enough. You can't really send your neighbour for your job interview!! There are many instances when people send different photographs in their applications and different ones appear for the exams. This is mere cheating and not winning.

2. Plan – Let people know what you want to do with them and what they can they can do with you. No one can say they don’t have a plan. There is always some plan. Knowing it strengthens why you want to have that relationship in the first place. Otherwise it's like something which is there but you can never want to do anything with! When you are honest with your plans and they workout as you described it, it creates confidence in relationship or else it is destroyed forever. You can cheat a person with your plans once, not forever.

3. Possibilities- Will this relationship bring me trouble? Obviously nobody wants to get into a relationship with anybody that brings them trouble be it physical or mental. Next question is whether it will benefit me? Small or big depends on person's needs. Some relationships neither bring us trouble nor benefits us, such relationships are better than the ones which can cause harm.

4. Potential – Question. Does this relationship you are trying to develop have any possibilities of growth a few or many years down the line. Obviously we have a lot of friends who wither by passing of time. Does this relationship have an expiry date irrespective of how well or bad it goes? Like when we join college we know for sure that the friends will be with us till the duration of the course and that's it. We will know that if we study together it will help us achieve great grades in college and hence a great life later. These kind of growth possibilities or possibilities of deterioration are important to be well aware of and will naturally decide the course of relationships.

5. Progress – No matter what our initial assessments are, how the relationships helps us fare in the outside world will ultimately decide the future of any relationship. Loss, sorrow, tragedy, degradation in any aspect of life, insults, injury, loss of health etc will never help any relationship continue or last.

6. Partnerships – When we want to build a relationship with someone, the best way to do it is to obviously partner with that person in as many activities as possible. The more interested a person is the more activities that person will involve you in and try to do it with you. This type of partnership activities, be it spending a few hours in the evening, or a few minutes on phone, or an association of months or years are a foolproof way to show you are interested. Conversely a person who doesn't partner with you in anything is extremely unlikely to ever have any sort of relationship with you. Partnership in activities is the only way to show and know that you are interested or the other person is interested respectively. After all chasing the moon, stars and rainbow are activities of people who don’t realize its out of their reach. Sensible people are busy with what their eyes see, hands feel, ears listen, tongue tastes and thinking perceives as appropriate.

7. Positioning attitudes- As a tree bends with the winds to prevent from cracking, we all have to be flexible with our attitudes towards each other. Being too rigid about our protocol on how relationships should run irrespective of the reality and circumstances of the person we are having a relationship with is naturally going to break relationships. After all a doctor who heals and prevents all illnesses is better than a doctor who abuses his patients for falling ill but never does anything for them. Eg: You get bed and good food in a hotel as well as at your home. A hotel will provide food only on payment of money, but family will provide it whenever your hungry. Hence hotels can never expect the same emotions as family can, and this is as natural as it should be. Hence be careful what you want from a relationship. Whether you want to be treated as a hotel or family is entirely how you play yourself with others. After all only families can expect loyalty not hotels.

8. Politeness- In any relationship, many years down the line, what our long term memory retains is how comfortable we were in that relationship. Even if we profit from a particular relationship, the fact that it shook us mentally and emotionally will never allow us to go back or retain that relationship. Life is short and the only thing that matters is to spend it comfortably. Not destroy our peace for some benefit that destroys our peace of mind.

9. Personation- While sending a representative of your organization for a client meeting may work in business, you cant really send a representative to meet you wife or kids at home. In personal relationship, lack of your physical presence obviously means that you don’t have time for them. In any relationship, individuality matters a lot. Just imagine, if all actors acted exactly the same in movies, why would you prefer any particular one over the other as your favourite? The nuances and differences in our personalities are what makes us all unique. We are not robots from a particular brand to behave exactly the same way. If a person in a relationship doesn't sense your individuality you are wasting their time by trying to have a relationship with them, especially a personal one.

10. Positive reinforcement- When we get into a relationship, it is important that we feel good about ourselves and what we are doing. If you feel like a shoplifter entering a shop, you will not feel good about that relationship. When a shopkeeper welcomes us, shows us his products, tells us their details and provides all the explanations on how we will be well off with the product, provides his guarantee for it, confirms its essence, many people buy it even if they don’t compulsively need it. It’s the same in relationships. On the same side if a shopkeeper is arrogant, avoidant, abusive, insulting etc you are very unlikely to buy anything in that shop because you are not sure that the shopkeeper means any good and will be happy with the shopkeeper s product. The experience of buying is as important as the product we buy. Nobody is happy about something they got when they weren't treated the right way or is interested in retaining it when they don’t get good service for it.

11. Persistence on all Ps – Obviously when we want relationships to last, we need to be persistent on all the above P's. Otherwise it wont take long for a relationship to be counted in “once upon a time”!! A simple conversation even if for a few minutes every now and then when you need it may make it seem that you are still there for a person. Without even that people may even find it hard to remember that they even had something to do with you sometime before keeping in mind the the numerous activities we involve daily to maintain our lifestyles.

“KNOWING IS DOING AND NOT KNOWING IS UNDOING EVEN IF DOING!”

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How To Win Over New Relationships

Most patients suffering from ulcerative colitis are advised to undergo a surgery as that is oftentimes, the last option remaining for them. Failure of other treatments to bear any results leads to the need for a surgery. There are two main categories of surgery options; however, the difference lies in where the waste pouch will be placed following the ulcerative colitis surgery.

A patient who is planning to go through the ulcerative colitis surgery procedure must be aware of the recovery period and its duration. Since the surgery is an invasive and an intensive procedure, the recovery time is lengthy. So, naturally, before you arrive at any decision it is recommended that you consult your doctor, surgeon and other healthcare professionals about the procedure.

Ulcerative colitis is not a curable disease, but if your colon and rectum are removed, the symptoms of ulcerative colitis can be treated. But educate yourself as you may still have to live with a number of side effects of the surgeries, even after the incisions have healed. This is the reason that you must prepare yourself both physically and mentally before making any decision, which should be based on the information available.

Tips for Quick Recovery
The recovery from ulcerative colitis is quite tricky. As it is an invasive surgical procedure, the recovery time is lengthy. However, you should not fret yourself with that. With the required care and doctor s advice, you will be able to return to your daily life in full vigor. In order to improve your recovery and hasten the process, you will be given a detailed file of information that you must follow strictly. These tips are:

After the surgery, you may have to remain in the hospital for 3 to 7 days. This is a mandatory protocol as it allows your surgeon to monitor your incisions and treat any complication or infections.
Any procedure that you may opt for, a total of 4 to 6 weeks is a minimum requirement for recovery.
During this time, you will be asked to meet your surgeon regularly and in some cases an enterostomal therapist as well. An enterostomal therapist is a specialized doctor who only deals with patients who have had their colon removed. So you should make an appointment with an enterostomal therapist, suggested by your doctor, and have him/her review your case.
Eat nutritional healthy foods to avoid any complications.
Stay hydrated by drinking at least 2-3 liters of water per day.
A rehab therapist or a physical therapist will help you to move towards your normal life, by keeping you active and recommending rejuvenating exercises that won t hamper your health.
Manage stress and anxiety as they cause stomach issues.


Ulcerative Colitis Surgery - Tips For Quick Recovery!

Cerebral Palsy (CG) is a neurological disorder caused by an injury to the brain or a brain malformation that occurs while the child s brain is still developing   in the mother s womb before birth, during birth, or immediately after birth.

This disorder affects the child s movement and muscle coordination and control. It also affects his:

Reflexes
Balance
Posture
Motor skills and
Oral motor functions
In easy to understand language, CG can impact the child s ability to walk, talk, sit, do simple tasks like eating, combing hair, talking, and other activities we take for granted. The physical impairment caused by cerebral palsy can affect all limbs, the face and head, or it may just affect one limb. Since CG affects muscles and a child s ability to control them, common symptoms include muscles that contract too much, too little, or all at the same time, leading to limbs that are stiff and forced into awkward positions. Other complications also arise such as intellectual impairment, seizures, or vision/ hearing and speech impairment.

How does Speech Therapy help?
Speech problems affect more than half of all children with cerebral palsy as they have difficulty controlling the muscles in their face, throat, neck and head. Apart from speaking, this also affects chewing and swallowing. It can also cause drooling and the ability to learn, difficulty hearing and understanding spoken language.

This is where speech and language therapy comes in. Speech therapy improves a child s speech and communication by strengthening the muscles used for speech. It also improves understanding of speech and language as well as help with swallowing disorders, like dysphagia.

Speech therapy helps exponentially as when children improve their speech and communication, they are able to express their needs, share their thoughts and interact with others, leading to an overall improvement in their overall quality of life.

Speech therapy can help with the following:

Listening
Articulation of words
Pronunciation
Fluency
Sound and word formation
Language and vocabulary development
Breath control
Chewing
Swallowing
Speech muscle coordination
Apart from this, the other primary benefits are boosting self esteem, socialization, independence and reducing shyness. 

Exercises used in Speech Therapy
Speech therapy treatment usually consists of exercises tailored to a child s specific needs. Different exercises are used in speech therapy like:

Articulation therapy: The therapist uses language cards to help focus attention on specific sounds to encourage the child to make sounds while looking in the mirror to help him understand how his mouth moves.
Blowing exercises: The therapist encourages the child to blow bubbles or a whistle to train the mouth muscles to produce sounds.
Breathing exercises: Work is exclusively on inhalation and exhalation to strengthen the diaphragm.
Jaw exercises: The child is encouraged to eat foods that require extra chewing to strengthen jaw muscles.
Language and word association: The therapist uses flashcards with different words and sounds written on them.

Cerebral Palsy (CP) - How Speech Therapy Can Help You?

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