It might happen that you may not find your child, at twelve months to two years of age, at the same level as their peers in verbal communication. You think it's just a developmental problem they are facing and put off seeking professional advice; an intrinsically wrong step to take, because your child might be suffering from Speech Delay.
Delayed speech, or alalia, can be roughly defined as a delay in the development and use of the biological mechanisms that produce speech.
The symptoms of speech delay are roughly categorized into age related groups, generally beginning at the age of 12 months and continuing through the early adolescence, and they are:
1. Age-12 months
a. It is indeed a symptom if your child cannot point at objects or cannot manage gestures, such as waving good-bye.
b. Another symptom is that if your child does not prefer to communicate verbally as much as his/her peers.
2. Age-15-18 months
a. If your child is unable to pronounce familiar syllables or simply cannot call you even by this time, it's a worrying symptom.
b. You find your child unable to, or simply not reciprocating to 'no', 'hello', 'hi', 'bye'.
c. If your child is unable to extend his/her vocabulary up to 15 words by fifteen months, then it's a symptom.
3. Age-2-4 years
a. You find your child unable to spontaneously produce speech and words.
b. Another worrying symptom is if your child is lacking consonant sounds at the beginning and end of words while speaking.
c. If you still find your child unable to form simple sentences and words, then it is indeed a troubling symptom, confirming the disorder.
The causes for the speech delay disorder are:
1. A primary cause can be physical disruption in parts of the mouth such lips or palate, which may be deformed.
2. Another serious cause can be an oral-motor dysfunction which is the disruption in the creation of the specific area of the brain which deals with speech and communication.
3. The disorder can also be attributed to impairment in the development of the child's intellectual, receptive and expressive abilities.
4. There can also be psychological causes involving school environment and peer relationships which might lead to disruption of speech patterns and reluctance in speech expression and development.

Causes and symptoms of Delayed Speech

Your health is affected by a number of physical, mental and emotional conditions. Falling in love is one of these factors. Being in love with someone does not only put a smile on your face, it can also boost your immunity and lower stress levels. Love can make you feel stronger both mentally and physically. Here are a few reasons why love is beneficial to your health.

You may have a longer life: Love helps fight stress and hence helps reduce the harmful effects of stress. Stress is a direct trigger for many fatal conditions such as heart attack and strokes and thus, being in love reduces your risk of such diseases. Studies have also shown that when in love, a person takes more care of themselves and hence has a lower risk of having an accident, violence etc. thus, being in love can give you a longer lifespan and can reduce chances of an early death.
You may have a lower risk of lifestyle diseases: Along with boosting your immunity love can also improve your lifestyle. Instead of microwaving a TV dinner, a person in love is likely to eat a healthier meal with their partner and be more conscious of their diet. Being in love also makes you want to look good thus, encourages exercising. By following a healthy diet and exercising regularly, you can reduce your chances of suffering from lifestyle diseases such as diabetes and obesity. Living with a person you love can also lower your alcohol and nicotine consumption and hence protect you from their ill effects.
It protects you from depression: Companionship and love are good for a person s mental health. Love can help stabilise emotions and keep you from depression. By living with someone a person does not have the chance to withdraw into themselves and can always rely on having someone to talk to. By sharing your thoughts and emotions with another person, difficult situations can become easier to handle and hence cause less stress and depression.
It can help you look younger: As mentioned earlier, being in love can make you take better care of yourself. It is often said that a person in love  glows . In a nutshell, being in love makes you happy and this releases happy hormones that aid in the removal of toxins and prevent premature ageing. When you re in love, you may also notice your hair looking healthier and shinier.
In case you have a concern or query you can always consult an expert & get answers to your questions!

Why Falling in Love is Good For Your Health?

Marriages very well might be bonds made in heaven, but for all practical reasons, they remain enacted on earth. When two different people meet, it s the union of two different mind-cultures too. It contains two diverse goals, two different habits of living, dissimilar aspirations & overall different priorities, that needs to be fused to restart a new common journey.

"To know themselves in order to discover the other  is the key here. Most relationships will get strained at some time, resulting in a failure to function optimally and produce self-reinforcing, maladaptive patterns. These patterns may be called "negative interaction cycles".

There are many possible reasons for this, including insecure attachment, ego, arrogance, jealousy, anger, greed, poor communication/understanding or problem-solving, ill health, third parties and so on. Changes in situations like financial state, physical health, and the influence of other family members can have a profound influence on the conduct, responses, and actions of the individuals in a relationship. Marriages require the maximum efforts from both the individuals.

Given the growing concept of individualism and personal independence, people fail to put in or sometimes understand the requirement of working towards their marriage, leaving them searching for an escape route as soon as the going gets tough. Marital issues may lead to major individual psychological problems with each partner trying to hurt the other emotionally as the relationship gets bitter.

Consequently, divorce rates in this country have shown a considerable increase in the past decade. This article should help you figure out some of the ways to save and improve the bond that is marriage while keeping the importance of individualism and personal space in mind-

Teamwork: It is essential for both the individuals to work towards their marriage and show equal commitment. With only one person trying to build a better relationship while the other one shows minimal effort and goes astray reduces the sense of belongingness; eventually leading to estrangement.

Take Responsibility: Apologize when it s your mistake and take responsibility for your actions, instead of going around in a continuous loop of the blame game.

Keep the Spark Alive: Take out time for each other whenever possible. A simple date night once in a while or a weekend getaway with undivided attention to the partner helps to keep the romance alive in long term relationships which more often than not fades away with time, without effort from the partners.

Appreciate: Appreciating the partner s efforts are probably the most important factor in any marriage. It avoids the individual feeling as though he/she has been taken for granted; which is the root cause of most marital problems.

Therapy: Marital therapy is usually beneficial when people are unable to deal with their differences within the marriage. Through marital counselling, you can make thoughtful decisions about rebuilding and strengthening your relationship or going your separate ways. The therapist can help with many specific issues, including communication problems, sexual difficulties, conflicts about child rearing, intrusion from extended family, substance abuse, anger, and infidelity.

Marriage counselling might also be helpful in cases of domestic abuse. In a collectivist society like ours, family therapy is usually used because the families of both partners play a major role in their lives. Family therapy is a type of psychological counselling (psychotherapy) that can help family members improve communication and resolve conflicts.

Marriage - How To Strengthen It?

When man first started using tobacco, he probably did not know that it would grow to be an epidemic that could cause multiple health issues. Be it smoking or chewing, tobacco has severe negative effects on health. Take any of the current lifestyle diseases from diabetes to obesity, the common risk factor is tobacco abuse. In addition, depending on the form of tobacco used, specific organs are affected. For instance, chewing tobacco leads to oral cancer while smoking causes lung cancer.

The statistics around tobacco abuse are extremely startling and can be read below:

A total of about 90 trillion rupees are spent on various tobacco products.
About 1.4 trillion is spent on healthcare-related to conditions caused by tobacco abuse.
India has about 120 million tobacco users.
More than 7 million people die every year due to tobacco usage.
The Government has levied a GST of 28% on cigarettes, making them unaffordable, which is one of the ways to promote quitting.
For those who want to quit but are not able to, there is a quit-line setup, which is toll-free, 1800-11-2356 and is accessible from 8 a.m. to 8 p.m.
Tobacco is a menace in all the strata of society. The lower economic classes are adversely affected both due to lack of knowledge and healthcare facilities. Therefore, the government uses the World No Tobacco Day (WNTD) that is observed by all members of the World Health Organization as an opportunity to drive this awareness.

This is celebrated on May 31st every year. Some measures that are taken to promote 'say no to tobacco' campaign are listed below.

In 1975, the Cigarettes (Regulation of Production, Supply, and Distribution) Act was introduced, which made it mandatory for cigarette packs to have a warning stating  Smoking Kills  or  Smoking is injurious to health. 
Marketing campaigns are shown in the movie theatres at the beginning of movies which depict the hazards of tobacco
Smoking is banned in most public areas, and warnings are on display.
Children below 18 are not sold tobacco products. If in doubt, the seller can ask for age identification.
Schools and colleges do not have tobacco selling within 100 meters of the campus.
The price increase ensures that not everybody has easy access to cigarettes.
Celebrities promote quitting tobacco and smoking by talking about their personal stories.
How can a healthcare professional help you?

A healthcare professional plays a vital role in a smokers life, as it the healthcare professional that can increase the odds of quitting with guidance, medication, and support. 

What should a healthcare professional do?

Identify people who smoke 
Motivate them to quit or think about quitting
Refer a person who smokes for treatment and support
Support ongoing abstinence
What is the right smoking cessation strategy?

Ask: Every smoker to visit a healthcare professional
Advice: Urge the smoker to leave smoking
Assess: Assess whether the person is willing to quit in 30 days
Assist: Plan and help Rx Quit
Arrange: Arrange a follow-up through phone or SMS or in-person
What is that people who smoke need help with?

First and  the foremost challenge are the withdrawal symptoms 
Urge to smoke and borderline depression with a possibility of relapse
People who have high pre-abstinence nicotine intake
How to get over the initial withdrawal discomfort?

Behavioural support is of proven efficacy
Can be delivered in different formats
Face-to-face
Telephone
Internet
Nicotine replacement therapy and nortriptyline are of proven efficacy
Facts On Nicotine Replacement Therapy (NRT)

There are no real contradictions related to NRT
No drug interactions 
Side effects, if there are any are localized e.g.
Taste of oral products
Hiccups with the mouth spray 
Skin irritation with patch 
Treatment for quitting Nicotine  - Medications: Medicines which are useful adjuncts in the determined but unsuccessful quitters are Varenicline and Bupropion. 

Though smoking out in the open has reduced, there are miles to cover when it comes to eradication of tobacco. 

World No Tobacco Day - Making An Effort To Control Tobacco Usage!

Top tips to help you fight anxiety

Anxiety is the latest problem affecting a majority of the population, owing to our hectic and fast-paced lifestyles. All of us are so busy in our lives that we forget to provide our mind and body with the basic care that they need in order to function effectively. Here are five useful tips to help you overcome anxiety, on a daily basis.

1. Maintain the right diet
Though it may sound like a cliche, maintaining a healthy diet on a regular basis is the key to beating anxiety. Try and consume food products rich in Vitamin b which is known to improve mental health; and Omega-3s which can effectively counter severe anxiety and depression.

2. Get adequate sleep
Not getting enough sleep not only affects your mind but has an adverse effect on your body as well. Even anxiety can result in irregular sleep patterns and thus ensure that in any situation, you manage to get six to seven hours of sleep on a daily basis.

3. Engage with people
Man is indeed a social animal. People make us happy. The hormone oxytocin significantly reduces anxiety levels and it is released during the process of socializing; thus it is essential to be in contact with your close group of people.

4. Keep your immediate environment clean
A cluttered home or workplace not only adds to physical clutter but contributes towards building up mental clutter as well. Spend a few minutes every day in keeping your immediate environment clean and organized. You are bound to feel calmer and more relaxed.

5. Indulge in breathing exercises
When your brain is tensed, your breathing pattern automatically becomes short and shallow. In order to send relaxing signals to your brain, try taking deep and long breaths and continue the process for a few minutes.

If you would like to consult with me privately, please click on consult.

From lybrate: if you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over whatsapp, facebook and other media.


5 Most Effective Ways To Drive Anxiety Out Of Your Life

Role of relationship problems in depression and suicides - 
Almost everyday we read about people ending their lives by committing suicides from celebrities to common man to even children . Although this is not permitted in any religion and there is a legal debate on whether it should be legalized, the fact remains that people are driven towards this unfortunate step. Let's take a look at the common reasons for suicides to become so very common.

1) Lack of intimacy- We see that although we are surrounded by people most of people are having friends only on Facebook. Even among the people we interact everyday nobody wants to open up with anyone or allow you to open up with them.The fact that you are surrounded by people who don't share themselves with you intimately starts pulling your mind downwards. Work colleagues are bothered only about work, family is only bothered about the income you are generating, partners are obsessed with how much you can spend on them, friends are occupied with what benefits you can share with them. Therefore all in all, despite having all relationships, people feel left out and alone like as if their inner self has been left unwanted and uncared of. The monotony of mechanical life hastens the culmination of this abuse into drastic steps like suicide.

2) High demands- People are often left to fend with high demands from them from their social circle. Many people cannot attempt this and some who attempt are not able to make it. This leaves them with a feeling of failure which is often frowned and looked down upon whether it is a student or a professional. It is no surprise that today even below 10 years olds are successfully attempting suicides.

3) Inappropriate planning- Planning is a key necessity for successful results whether it is financial or relationships. but unfortunately many people are unable to obtain the correct know how which will enable to implement their plans successfully.

4) Inability to cope- Many people plan to do things but are unable to cope with the harsh realities that come with the plans. To some it may be unseen to some unbearable. So although they set out on doing something the journey is not what they had expected.

5) Lack of results- Sometimes although everything is planned well, executed well and completed well it does not fetch us the rewards that may seem appropriate to the level of efforts. This is something that is very difficult to deal for most people and is a result of many unfortunate casualties.

6) Lack of desire-It is very important to have something to look forward to in life. But unfortunately in an age where drinking water and using the toilet cost s money many people cannot think of having something to look forward to and hence this unfortunate step.

Therefore, you have to be very prudent in what we are doing today because we can never predict which way our lives may go and even importantly which way you may yourself go based purely on circumstances beyond our control dependent on the choices we make today or others make for us. Although suicide is not a sensible solution to any problem it does remain a common reality. If you are feeling suicidal please remember to seek help.

Please feel free to consult me privately for further assistance.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Health Tip - Role of Relationship Problems in Depression and Suicides

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