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

All parents expect their child to start going to school, learn writing and learning and do well in academics. However, children with dyslexia may not be able to progress at school at the same pace as others. The good news is that there are early pointers that can help a parent to identify dyslexia in the early stages. This can be helpful in training and support the child socially to learn and socialise normally.  Dyslexia is a disability that affects both spoken and written language. They have a different learning style and when supported and encouraged, instead of mocked and insulted, they can become avid readers. The following are common 10 indicators of developing dyslexia in children, in general, and at school.

10 Behavioural signs to watch for in general:

The child usually has difficulty concentrating and following instructions
The child is easily distracted, seems to daydream, and tends to forget words.
Poor personal organisation skills and is not very good at time keeping.
May get confused between today, tomorrow, yesterday; east and west; right and left; up and down.
Has difficulty remembering seasons, months and days.
Tends to be doing something to avoid work.
Seems distracted, and  daydream,  does not seem to listen
Requires a lot of effort focusing on things at hand and is constantly tired.
Slow pace of processing in terms of spoken or written language
Often appears withdrawn or lost in his own world.
10 Behaviours to watch for at school:

Poor standard of writing and written work in comparison with oratory skills.
Poor handwriting with badly formed letters.
Confused easily between similar looking letters like m/w, n/u, b/d.
Usually, messes up work by using close but wrong spellings and rewriting the same
Mixes up words by using similar-looking words   quiet and quite, tired and tried.
Same word is spelt differently at different times
Poor motor skills and pencil grip leading to slow, inaccurate writing
Produces a lot of phonetic spelling which does not change with repeated corrections
There is difficulty in blending words together, and struggles a lot when asked to read out loud, can miss out or add words that are familiar in between
Has difficulty connecting the story that is being written or read
As noted, these children have very inconsistent behaviour with very limited understanding of nonverbal communication. If these symptoms go on increasing as they grow, it is advisable to seek professional help so that support can be provided and the condition can be arrested at the early stages.

Dyslexia - 10 Signs Your Child Maybe Suffering From It!

Schizophrenia has been recognized as a mental disorder that combines symptoms like hallucinations with distorted thinking and others like fright and severe paranoia. This condition is one that gets progressively worse over time and leads to delusional thinking. Oversleeping and complaining of fatigue are usually the earliest signs of this condition's onset. Eventually, it becomes a debilitating factor in the life of the patient, who will not be able to function in a normal way due to the severe symptoms.

Read on to know more about the types and causes of this condition:

Genetic Causes: Schizophrenia may be caused due to genetic factors and it may be a learned or inherited disorder. It is known to affect patients who have a parent or a sibling who may have suffered from this condition. Yet, one must also remember that Schizophrenia can only be influenced by genetics, and not determined by the same.
Environmental Causes: When there has been an exposure to a viral infection during the pre natal stage, the patient is susceptible to this condition. Also, it may affect children who have been subject to the loss of a parent or separation at an early age. Physical and emotional abuse in one's childhood may also bring on this condition. Low level of oxygen at the time of birth is one of the causes of this condition in many patients.
Anomalies in Brain Structure: When the brain ventricles of the patient are enlarged, he or she may be prone to this condition. Also, anomalies in the temporal lobes and amygdala have links with the onset of this condition.
Types: A wide variety of mental and medical conditions can manifest with psychotic symptoms that must be considered in the differential diagnosis of schizophreniform disorder. These include psychotic disorder due to another medical condition or its treatment; delirium or major neurocognitive disorder; substance/medication-induced psychotic disorder or delirium; depressive or bipolar disorder with psychotic features; schizoaffective disorder; other specified or unspecified bipolar and related disorder; depressive or bipolar disorder with catatonic features; schizophrenia; brief psychotic disorder; delusional disorder; other specified or unspecified schizophrenia spectrum and other psychotic disorder; schizotypal, schizoid, or paranoid personality disorders; autism spectrum disorder; disorders presenting in childhood with disorganized speech; attention-deficit/hyperactivity disorder; obsessive-compulsive disorder; posttraumatic stress disorder; and traumatic brain injury.
Since the diagnostic criteria for schizophreniform disorder and schizophrenia differ primarily in duration of illness, the discussion of the differential diagnosis of schizophrenia also applies to schizophreniform disorder. 

Brief psychotic disorder. Schizophreniform disorder differs in duration from brief psychotic disorder, which has a duration of less than 1 month.

Residual Schizophrenia is a condition where the patient does not experience the various debilitating symptoms of the condition, and is on the road to recovery. Yet, even in this type of Schizophrenia, the patient will not really show any interest in life and the activities around him or her. Finally, the last type of Schizophrenia is Schizoaffective Disorder which is characterised by the symptoms of Schizophrenia as well as the symptoms of major mood disorders. When combined, this condition can lead to major complications and complex behavior.

A patient suffering from this condition will need to see a mental health specialist like a psychiatrist or a psychologist on an immediate basis. The treatment will be carried out on a long term basis for the results to start appearing.

Schizophrenia - Know the Causes Behind it

Borderline personality disorder (BPD) is a type of personality disorder characterized by an ongoing pattern of varying moods, self-image and behaviour. This often results in impulsive actions and problems in relationships and at work. You may experience intense episodes of various emotions like anger, depression and anxiety that may last for a few hours to a few days.

Diagnosis of BPD
If you experience the following 10 symptoms for a long time or if they have had a huge impact on your daily life, you may say that you are suffering from BPD:

Feeling of being abandoned. You feel that people may abandon you and are constantly worried about that. You would do anything to stop it.
Frequent mood swings. You experience intense emotions that last from a few hours to a few days. E.g. You suddenly start feeling low and depressed after feeling very happy and confident for a while.
Lack of identity. You don t know who you are and do not have a strong sense of your being.
Unable to sustain relationships. You find it very hard to retain relationships and make new ones.
You feel empty from within all the time.
Make impulsive decisions and show sudden reactions. You do things to harm yourself like binge eating, drug abuse or driving dangerously.
You inflict pain on yourself or have suicidal feelings.
You have anger issues which are very difficult to control.
You get paranoid or dissociate when you re stressed.
You experience all your emotions very intensely be it anger, happiness or sadness.
Self-Care - How can you help yourself?
If you start feeling overwhelmed, focus on one feeling at a time. It will help channelize your energy and thoughts into finding a solution for that emotion. Different therapies help different people at different times. You are the best judge to decide what benefits you the most.

Follow these tips to get through the various emotions that you may experience.

When you are angry and frustrated
Rip a newspaper
Hit a pillow
Listen to your favourite music
Go for a walk or do some vigorous exercise
When you are depressed and lonely
Wrap yourself in a blanket and watch your favourite movie or TV show.
Write all the negative feelings on a piece of paper and tear the paper.
Use positive affirmations to comfort yourself.
Cuddle a pillow/pet/soft toy
When you are tensed and anxious 
Try to shift your focus to something else like music, yoga or meditation.
Take a deep breath, use relaxation techniques and focus on your breaths.
Take a warm bath to help soothe your mood.
When you want to harm yourself
Rub ice over the parts where you want to hurt yourself.
Take a cold-water bath to cool yourself.



Borderline Personality Disorder (BPD) - Tips To Help You Diagnose The Problem!

The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person. 

Various risk factors that are associated with diabetes and depression are as follows- 

lack of physical activity
poor social environment
poverty
stress during pregnancy
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes. 

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin. 

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy. 

Various signs that can be observed in a state of depression are as follows: 

Complete lack of interest in doing any activity
Irritation or mood swings
Depressed mood
Disturbed sleep pattern
Changes in the appetite
Constant feeling of despair
Guilt Fatigue, weakness
Difficulty in concentration, transient memory loss
Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users. 

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

How Diabetes Can Lead To Depression?

Becoming a parent is one of the greatest joys in life. It is a magical feeling to hold your child in your arms for the first time. However, as your child grows up, you will notice certain behavioural changes that can be difficult to control or withstand. Temper tantrums are common in children. A child uses tantrums to vent frustration and anger, which he/she feels toward a person or a situation.

While such temper tantrums may lead you to lose your temper, remember that children do not have the same emotional maturity as that of an adult. Therefore, rather than being strict to your child, here are some ways to deal with temper tantrums.

1. Don t try to calm your child: Temper tantrums are often attention seeking in nature. Therefore, you will make it worse if you try too hard to calm your child while he/she is throwing such a tantrum. Instead, choose to ignore the behaviour and go about doing your job. However, keep an eye out to check that your child does not do anything to harm himself/herself or others during this time. You should also verbally clarify that such behaviour is not acceptable.

2. Speak softly but with resolve: Many parents seem to think that shouting at their kids helps against temper tantrums. It does not. In fact, the more your child shouts, the more softly you should interact with them. When you shout you give your child the opportunity to shout - they do this so that they can be heard. Instead, be stern. Sometimes offering a choice can help your child feel as if he/she is in control of the situation.

3. Empathize with your child: Seeing the world from your toddler s perspective is no easy task. This is why parents often think that a temper tantrum is meaningless. However, in most cases, a child s temper tantrum is rooted in the inability to perform a task or articulate his/her wishes. As a parent, you need to devise alternate forms of communication with your child, so that he/she can express feelings better.

4. Give them some space: Rather than scolding your child for throwing a tantrum, let him/her express their frustration. This is similar to the concept of adults venting undesirable feelings. However, tell your kids to express frustration in a non-destructive way. This approach helps your child become emotionally stronger, as they learn to deal with sadness and anger in their own way, without requiring support from elders.

You need to understand that all children throw temper tantrums at one time or another. How you handle the situation determines how your child will deal with frustration and sorrow in later parts of their life.

Parenting Tips To Tackle Temper Tantrums In Children!

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