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!

Speech therapy helps in improving the speech, understanding the language skills, and also help in communicating in non-verbal ways such as listening and taking turns. Speech therapy treats various kinds of communication and swallowing problems.

Children with Cleft Palate are diagnosed with an opening in the upper tissue palate in the mouth. This condition causes Velopharyngeal dysfunction (VPD) which results in excessive airflow from the nose while speaking. Although it can be corrected with surgery, the patient will still be affected by VPD.

Speech therapists help in this condition by assisting the patient with speech and language skills. The speech therapy for such a patient can be categorized as auditory feedback and articulation practice.

Auditory Feedback

Before involving the patient with any speech therapy, it is essential for the patient to understand the difference between normal voice and nasal voice output.

For this purpose, the child is instructed to use a tube to listen to the voice of the normal person. To understand the difference, one end of the tube is then held near the ear of the child and the other is held near his nasal and then he is instructed to make sounds so that he understands the nasal voice.

After this understanding, the different approaches to speech therapy starts.

Articulation Practice

This is usually where speech therapy begins. In this practice, the different type of condition is understood that relates to different speech organs. The understanding of different vowels, consonants and related sounds is taught to the child for making the speaking sound less nasal.

Some of the methods for achieving these sounds are:

Pharyngeal Plosives: This sound is produced when the tongue is moving backward. The practice of making  ng  sound, and dropping the tongue and producing  k  sound.

Pharyngeal fricatives: When the tongue retracts but is not able to make contact with the pharyngeal wall is when this sound is produced. The speech therapists make the child learn the techniques of making sounds of  t ,  ts ,  ch , or  sh , and provide feedback for learning the proper positioning of the tongue.

Nasal Plosives: This sound usually occurs when the tongue is positioned improperly and it obstructs the vocal tract. A speech therapist may make the child yawn so that the back of the tongue is pushed down, and feel as the mouth stretches.

Palatal-Dorsal Productions: It occurs due to the malocclusion of the teeth. Practicing sounds like  t ,  d ,  n ,  k ,  g , and  ng  often helps in such condition.

Take Away
Cleft Palate is generally developed due to improper growth while the child was in the womb. The difficulty of producing proper sounds when there is excessive airflow in the mouth can be overcome by training and practicing certain sounds, as instructed by a speech therapist.

 Cleft Palate - How Efficient Is Speech Therapy?

Stuttering is a type of speech disorder wherein, a person speaks slower than normal. It is quite  common in the age group of 3 to 8. The relationship between stress and stuttering has been pondered over for decades now. A lot of people seem to believe that stress and stuttering are co-related. On the contrary, recent studies show that stress is more of a consequence rather than a cause of stuttering. If you take the first theory into consideration, then according to that, children would be the greatest victims of anxiety and stress. But it is seen that the level of stress increases proportionately with the increase in age.

Social anxiety in teenagers increases due to stuttering, when they come across individuals who can speak in a normal pace. This in turn can crush their self confidence and lead them to isolate themselves from social groups and people in general. Hence, it is important to deal with stuttering in the early ages or as and when it occurs. 

Sometimes stuttering can develop due to physical or mental trauma.  Most people with stuttering do not seek therapy for it because they might not think of it to be too severe. Little do they realise that a simple process of speech therapy can help them overcome this disability and rejuvenate their level of self-confidence.

It has also come to light, that people with relapse in stuttering post therapy has shown a three-fold increase in anxiety levels than normal. Hence we cannot ignore the strong relationship between stress and stuttering. So from the above evidence, it is safe to conclude that social anxiety or stress develops as a result of chronic stuttering.

How to deal with stress related to stuttering?

Seeking help is a great start to tackle your disability. If your stuttering is prominent enough to warrant therapy, you must seek professional help for the same. You must also learn to control your anxiety by dismissing any anxious thought or make sincere efforts in controlling physical anxiety.

You can also try to increase your social skills by participating in events, such as public speaking that can reduce your stress levels and make yourself more confident about yourself. One must also remember that a person is defined by what he does rather than what he says. So never let a minor disability come in the way of your self worth!

Stress and Stuttering - How to Deal with It?

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

Speech therapy is a very distinct form of science that is often misunderstood by people in general. While the benefits of such a therapy is countless, people misinterpret what the therapy actually involves and what it does not. If you are avoiding speech therapy due to the following reasons, you should stop doing so as these are nothing but fabricated myths.

Speech therapy is all about talking: Do not think that speech therapy only involves talking with the therapist. The therapy focuses on the overall communication skills of a person, which definitely involves the speech but also the intricacies of articulation and body language. Sign aids and comprehension skills are also paid attention to in such a therapy session. So, if you feel that you have a problem regarding any one of these aspects, you need to visit a speech therapist.
Speech therapy is uninteresting: Nothing can be further from the truth than this. In fact, a visit to a dentist can be boring, but a visit to a speech therapist will always involve interesting activities such as tongue twisters. The therapists often treat children, which means that their offices, house toys, and other games designed to indulge the minds of infants as well.
A qualified speech therapist is needed for the therapy: Another myth, which needs to be dispelled, is that only a qualified speech therapist can help improve the speech of a person. In fact, any person who has a vast knowledge of diction, linguistic insight, and knowledge of grammar can help people with speech impairment. So, before visiting the doctor, the adults in the family should try and clear out the impairment themselves.
Speech therapy fixes issues in the snap of a finger: As with any kind of treatment, speech therapy does not work like magic. It is a continuous and long process that needs to be followed through. The pace of this treatment depends on the patient. Some patients are more receptive to this therapy than others. So, there is no guideline for the treatment of all speech-impaired individuals and one needs to be treated and allowed to get better at their own pace.
Your child will automatically learn perfect speech: If your child suffers from a speech impairment, do not delay a therapy session by thinking that he/she will automatically learn to speak better as they grow up. This way of thinking is not beneficial and hinders the eventual treatment for the impairment. The speech therapist can help you better if you bring your child to him/her as soon as you detect an issue. 

Don't Let These Myths Turn You Off From Speech Therapy

Sound travels through different parts of the hearing system to produce the ultimate sense of sound in the brain. People can hear when a sound wave stimulates the neurological component of the inner ear and takes the sound signals to the brain.

When there is a problem with the ear, human beings cannot hear, or hear garbled sounds. Hearing loss may have different reasons. There may be a tumor in the ear, a problem with the eardrum, the inner ear or the neurological structure. Different conditions can plague the hearing system and cause hearing loss. Some of these conditions can be serious and require medical intervention.

Let us discuss 3 such conditions where the intervention of an audiologist is a must.

Tinnitus and Vertigo

 Tinnitus is a medical term for a sense of ringing in the ears. It s annoying, to say the least. But more importantly, it could be a sign of hearing loss. This is why people need to see an audiologist if they have a sense of Tinnitus for a prolonged time. An audiologist can first diagnose the condition, and can then treat this problem with the help of specialized hearing aids.

 Vertigo and dizziness are the other two problems that result from a hearing system problem. It may create balance disorders. It is said that vertigo originates in the inner ear. Vertigo can also be treated with the help of physical therapy and medicine.

 Sudden Hearing Loss

 The human ear cannot hear sounds greater than 85 dB in intensity and 20,000 Hertz in tone. If the sound tone is less than 20 Hertz, then too the human ear is not able to hear anything. Between these two polarities, the human ear is able to catch all types of sounds. If human beings are exposed to sound waves of more than 85 dB in intensity, the ears may get damaged. In that case one may suffer from hearing loss. If a person has recently experienced huge changes in air pressure, exposed to blaring music or noise at close quarters, or had an accident causing loss of hearing, one needs to see an audiologist. The ears need to be assessed for trauma, if any, and treated quickly. However, hearing loss may have other reasons too such as reactions to medicines, head injury or some kind of illness that affects the hearing system. An audiologist would be able to make the right determination.

 Recurrent Ear Infections

This is common in children, but that does not mean that adults are immune to it. If there is chronic ear pain, difficulty in hearing along with drainage and fever or a feeling of pressure, an ear infection is most likely. Any doctor can detect an ear infection, however, if it is a recurrent one needs to see an audiologist. He has the wherewithal to evaluate the middle ear with different tests. A person may need treatment that only an audiologist can do.

There can be many situations in which a visit to an Audiologist is warranted; the above 3 are just a tip of the iceberg.

Audiologist - Why To Visit One?

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