Hi, I am Murli singh, speech therapist and audiologist. Me aj apko kuch haklana, jise stammering bhi kehte hai, ke baare me batana chahta hu.
Stammering ek aisi problem hai jise hum bohot he aram se theek kar sakte hai agr use sahi tareeke se treat kia jaae. But zada tar is problem pe tab dhyan diya jata hai jab bacche bade hojate hai. Stammering ke liye agar hum speech therapy ki help le, to har haklaane ki problem ka solution sambhav hai. Haklana ek aisi samasya hai jisme agar baccha 5-7 saal ka hota hai, tab bacche ko kuch pata nahi chal pata. Lekin jab bacche bade hone lagte hai, jese ki jab bacche 18-19 saal ke hojate hai, tab doosre bacche mazak banane lagte hai. Aisa hone se baccha depression me chala jata hai aur acchi education hone ke bad bhi wo apna represesntation nahi de sakta. Speech therapy ke madhyam se haklaane ki beemari 100% tak theek ho sakti hai, agr uska sahi tarah se treatment kia jaae speech therapy dwara.
Ap logo ko ek baat vishesh baat ka dhyan rakhna chaie ki haklaane ke liye speech therapy ka bhi koi aisa jaadui kaam nahi hai ki turant theek hojae. Stammering treatment ke lie speech therapist sabse pehle apni kuch exercise aur kuch tips bataega. Apko mirror ke samne khade ho ke yeh bataega ki kon kon se words ko kis tarah se bolna hai or yeh dekhega ki kon kon se words me wo hakla raha hai. Haklane ke lie speech therapy treatment theek se diya jaae to 100% ye problem theek ho sakti hai. To dosto, agar apko haklane ki beemari se azaadi apani hai to aap isko speech therapy ke madhyam se theek kar sakte hai.
Humare yahan kaafi bacche aate hai jinhe is tarah ki problems hoti hai, aur zadatar bacche theek ho kar jaate hai agr wo humare instructions ko theek se follow kare to. Lekin aisa nahi hai ki 3-4 din speech therapy ke lie aane se haklana band hojaega. Speech therapy koi jaadui dawai nahi hai or na he haklane ki beemari ko theek karne ka koi tonic hai.
Koi bhi ladka ya ladki kitne bhi educated ho, ya kitna bhi paisa ho, lekin agar shadi ki jab baat hoti hai, tab bohot dikkat aati hai. Shadi ke samay ya koi truth face karne ke samay baccho ko bohot problem aa sakti hai aur isse wo depression me bhi ja sakte hai. Islie haklane ki beemari ko theek karne ke lie speech therapy he ek aisa madhyam hai jisse hum ye problem poori tarah se theek kar sakte hai. Yeh ek psychological issue bhi ek, jese ki agar kisiko presentation deni ho or psychologically dimag me yeh aajae ki me hakla na jau to is wajah se maansik pareshani shuru hone lag jaegi.
Aisi problems ke lie agar ap treatment sahi se chahte hai to humare yahan se, Karkarduma ke aage Genisus Neurogen rehabilitation centre pe visit kar sakte hai. Humare yahan pe speech therapy, audiology ki suvidha di jaati hai. Iske ilawa ap hume Lybrate ke through bhi contact kar sakte hai.
Humne ek package banaya hua hai, agar aap us package ke instructions ko follow karenge to apka haklana poori tarah se samaaopt hojaega. To dosto agar apko meri baat samajh aai hai to aap humare paas aiye or humse treatment lijiye. Hum aapko Lybrate ke dwara poori tarah se madad karne ki koshish karenge, text messege k dwara bhi, audio/video call k dwara bhi
Meri taraf se aap sabhi ko bohot dhanyawad.
Dr. Murli Singh Nehra is an experienced speech therapist in Nirman Vihar, Delhi. He has an experience of over 17 years as a successful speech therapist. He is at present associated with Genesis Care for child health care. He and his team deal with problems such as unclear speech, repetition of certain words, voice disorders, communication problems after an accident and children who do not start talking at the proper age. He and his team also provide rehab for problems in speech in cases of hearing loss, disarticulating, cerebral palsy, mental retardation, cleft palate, autism, aphasia, ADHD (Attention Deficit Hyperactivity Disorder) etc.Dr. Murli Singh has completed his education of D.H.L.S., B.A.S.L.P. from Ali Yavar Jung National Institute of Speech and Hearing Disabilities, then H.N.B. Garwal University and pursued his B.Ed. SE. (H.I.) from M.P.Bhoj University, Bhopal.
Previously, Dr. Singh was a speech therapist at Jane Hospital, which is a unit of Jane Neuro Pvt. Ltd. He has a professional membership with Indian Speech and Hearing Association.
Book Clinic Appointment
Speech Therapy Treatment
Treatment of Throat and Voice Problems
Treatment of Hearing Disorders
Treatment of Speech Impairment
Therapy Oral Language
Language Therapy Treatment
Language Stimulation Treatment
Treatment of Learning Dysfunction Disorders
Language Presa Treatment
Submit a review for Dr. Murli SinghYour feedback matters!
Patient Review Highlights
It was getting very difficult for me to cope us with my speech disability. I used to feel embarassed about my speaking disablity. I consulted Dr Murli and I owe him a big thanks for making me fine again. My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. He ensures that he gives enough time to each patient. The facilities available in the Jain Neuro Hospital are very nice.
I thought it was something very normal, but then I realised the language therapy is something else. I am amazed that he is such a sweet doctor, even though he is so busy all the time. Even though Dr Murli Singh is not from our city, he is still very famous, so we consulted him. The entire Jain Neuro Hospital was spotlessly, clean. I'am almost on the path to recovery, Thanks to my his perfect advice.
It was getting very difficult for me to cope us with my speaking disability. I am so much benefitted with Dr Murli's treatment, that i am perfectly fine now. Over the period of time the speech therapy treatment has helped me a lot. I am so much benefitted with his treatment, that i am perfectly fine now. The friendliness of staff is the best in the Jain Neuro Hospital.
I was shocked to experience the symptoms of sore throat. I consulted Dr Murli. My previous experiences were not so good, but Dr Murli has completely changed my opinion as he is very helpful and humble. In order to diagnose my problem completely he asked me a number of questions. I owe him a big thank for making me fine again. During the treatment, he supported me a lot.
My problem was such that it required a number of sessions, and I must say after all the sessions, I am feeling much better now. Dr Murli is not just friendly, but also is very motivating. He gave me a speech impairment treatment, which benefitted me greatly. Due to my speech impairment i was feeling very depressed and had no hope.
The symptoms were severe and unmanageable, as I was suffering from pain in my hand, but Dr Murli Singh was able to handle it. He ensures that he gives enough time to each patient .In order to diagnose my problem completely he asked me a number of questions. The entire Jain Neuro Hospital was spotlessly, clean.
I am so happy with the results of my speech therapy , that I will surely recommend Dr Murli Singh to anyone gladly. He certainly knows the in and out of his speciality. The lab in the Jain Neuro Hospital was very clean and well managed.
Had a good experience with dr Murli Singh at his clinic Jain Neuro Hospital in . Dr was on time and he was very cordial and helped me understand the diagnosis and the prescribed medication. Wish him all the best.
I found the answers provided by the Dr. Murli Singh Nehra to be very helpful, sensible, practical and professional. Thanks for the advice
I found the answers provided by the Dr. Murli Singh Nehra to be knowledgeable. thankuu doc
Audiology deals in identifying and evaluating hearing disorders that are associated with adults, children or infants. The audiology department at genesis-neurogen diagnostic evaluations to people having speech, hearing, language and communication difficulties.
- Our team of experienced and qualified audiologists undertakes all kinds of hearing tests like newborn screening (oea) pta, etc. And also have experience with regard to all types of hearing aids, starting from the standard to the most advanced option. Our experts provide solution for all lifestyle needs e. G. Swimming ear plugs, noise muffs/plugs etc.
- We specialize with determining cochlear implant candidacy, mapping and auditory verbal therapy.
- We also deal with all kinds of speech-related problems including language and voice problems for e. G. Stammering, delayed speech and language misarticulation, cleft palate etc. With regard to children and aphasia, dysarthria, parkinson’s, hoarse voice etc in case of adults.
- A comprehensive assessment is carried out for each patient based on wjihich a customized treatment plan is planned through the use of latest and advanced technology.
- Our highly trained specialists offer a wide variety of services like speech/language intervention, cochlear implants and aural rehabilitation
As young children learn language skills, it's normal for them to have some difficulty saying words correctly. That's part of the learning process. Their speech skills develop over time. They master certain sounds and words at each age. By age 8, most children have learned how to master all word sounds.
But some children have speech sound disorders. This means they have trouble saying certain sounds and words past the expected age. This can make it hard to understand what a child is trying to say. Speech sound disorders include articulation disorder and phonological process disorder. Articulation disorder is a problem with making certain sounds, such as" sh" phonological process disorder is a pattern of sound mistakes, such as not pronouncing certain letters.
About articulation disorder
- Articulation disorder is the inability to form the certain word sounds correctly past a certain age. Word sounds may be dropped, added, distorted, or swapped. Keep in mind that some sound changes may be part of an accent, and are not speech errors. Signs of an articulation disorder can include:
- Leaving off sounds from words (example: saying" coo" instead of" school")
- Adding sounds to words (example: saying" puhlay" instead of" play")
- Distorting sounds in words (example: saying" thith" instead of" this")
- Swapping sounds in words (example: saying" wadio" instead of" radio")
About phonological process disorder
- Phonological process disorder is a regular pattern of certain word speech mistakes. The mistakes may be common in young children learning speech skills, but when they persist past a certain age, it may be a disorder. Signs of a phonological process disorder can include:
- Saying only one syllable in a word (example" bay" instead of" baby")
- Simplifying a word by repeating two syllables (example" baba" instead of" bottle")
- Leaving out a consonant sound (example" at" or" ba" instead of" bat")
- Changing certain consonant sounds (example" tat" instead of" cat")
Causes of speech sound disorders
- Often, there is no known cause for a speech sound disorder. But some speech sound errors may be caused by:
- Injury to the brain
- Intellectual or developmental disability
- Problems with hearing or hearing loss, such as a history of ear infections
- Physical abnormalities that affect speech, including cleft palate or cleft lip
- Disorders affecting the nerves involved in speech
Diagnosing speech sound disorders
First, your child's hearing should be checked. This is to make sure that he or she isn't simply hearing words and sounds incorrectly.
If hearing loss is ruled out, you may want to contact a speech-language pathologist. This is a speech expert who evaluates and treats children who are having problems with speech-language and communication.
By watching and listening to a child speak, the speech-language pathologist can determine whether the issues are part of normal growth and development or are a speech sound disorder. The pathologist will evaluate your child's speech and language skills, keeping in mind accents and dialect. Speech-language pathologists can also assess if a physical problem in the mouth is affecting your child's ability to speak.
Treating speech sound disorder
- The pathologist can then recommend a therapy plan to help your child overcome his or her disorder. Speech-language pathologists work with children to help them:
- Recognize and correct sounds that they are making wrong
- Learn how to correctly form their problem sound
- Practice saying certain words and making certain sounds
- The pathologist can also give you activities and strategies to help your child practice at home.
- If your child has a physical defect in the mouth, the pathologist can also refer your child to an ear, nose, throat doctor or orthodontist if needed.
A positive outlook
Early recognition and diagnosis of speech sound disorders can help children overcome speech problems. They can learn how to communicate well and comfortably.
- फिकर छोड दें! हकलाहट का इलाज सिर्फ़ दो हफ़्तों मे मुमकिन है। हकलाहट कोई बीमारी नही है और न ही कोई शारीरिक विकलांग है। यह एक पूर्णतः मानसिक बुरी आदत है जो आसानी से ठीक किया जा सकता है और वह भी सिर्फ़ 2 सप्ताह मे। पिछले 21सालों से मुरली सिहँ ने 2500हकलाहट-ग्रस्त लोगों की मदद कर चुके है और आज भी उन तमाम लोगों की मदद कर रहे है जो हकलाहट के वजह से दुखी, चिन्तित, शर्मिन्दा, असहाय, हताश और निराश है।हकलाहट के उपचार के चिर-उपेक्षरित और अवहेलित क्षेत्र मे एक क्रांति!
- अब और देर न करें! आपके जीवन मे हकलाहट के उपचार को प्राथमिक बनाएँ और अनगिनत मौकों को बरबाद होने से बचाएँ। जितनी जल्दी आप ठीक हो जाएँगे, उतनी जल्दी आपको एक खुशाल ज़िन्दगी मिल पाएगी। अभी हमारा कोर्स करने का निर्णय लें और हमसे संपर्क करें। इस कोर्स को करने के बाद दुनिया की कोई भी शक्ति आपको एक धाराप्रवाह और विश्वस्त वक्ता बनने से रोक नही सकेगी।
- इतिहास गवाही देती है कि जो लोग हकलाहट के शिकार होते है, उन मे दूसरों से ज़्यादा क्षमता और गुण होते है पर इस समस्या के वजह से उन्हे सफलता नही मिल पाती है। पर आप इस समस्या का अंत अभी कर सकते है और अपने मंज़ििलों को हासिल कर सकते है।अगर आप मे हकलाहट से मुक्ति पाने की इच्छा और कोशिश है तो मेरे पास आपके धाराप्रवाह वक्ता बनने के सपने को पूरा करने के लिए असरदार तकनीक है। मेरा मनना है कि अपने सहस और मेहनत से आप खुद अपना भाग्य लिख सकते है। तुरंत हमारा कोर्स करें और अपने सपने को साकार करें।
Aphasia is a communication disability that can result from damage or injury to those parts of the brain that process language. It can happen due to stroke, brain tumors, accidents, or brain infection. A brain injury which damages parts of the brain that deal with language can also bring on Aphasia. Aphasia can also be caused by dementia such as Alzheimer’s disease. Aphasia is sometimes also a symptom of epilepsy or other neurological disorders.
It’s more common in older adults, especially after a stroke. What happens in Aphasia is that the affected person is unable to understand or use words. He or she may also:
- Have difficulty speaking and finding the "right" words to express themselves verbally
- Have problems understanding conversation
- Have problems reading and comprehending written words
- Have problems writing words
- Is unable to calculate or use numbers
- Has a tendency to use gibberish words as a part of speech
There are various types of Aphasia, differing in certain important ways from each other.
Aphasia can also be mild or severe. With mild Aphasia, the patient is able to converse, though he may not be able to find the right word or may not understand complex conversations.
However, in severe Aphasia, a person may lose his ability to communicate completely which means he can’t speak or understand any conversation and may also not be able to read or write.
Three things that aid Aphasia recovery are
- Speech Therapy
- Family Support
Treatment for Aphasia depends on factors like:
- Cause of brain injury which causes Aphasia
- Type of Aphasia
- Position and size of the brain lesion causing Aphasia
- If the Aphasia is due to a brain tumor, surgery to remove the tumor affecting the language centre can treat Aphasia.
- For a person who’s got Aphasia due to a stroke, sessions with a speech-language specialist are very effective. The therapist teaches the patient ways to communicate using stuff that doesn’t involve speech.
He uses the following to help the patient communicate without words:
- Drawings and pictures
- Teaching patient to speak slowly and be calm when talking.
The speech therapist uses these two main techniques to tackle Aphasia:
- Substitute skill model: This uses a prop like a writing board to help with spoken language.
- Direct treatment model: This approach uses specific exercises to help patients
- Copy and recall therapy (CART): This approach uses repetition and recall of certain words during speech therapy.
- Visual communication therapy (VIC): This involves the use of index cards to represent various components of speech.
In addition, Aphasia patients are also trained in the use of hand gestures to aid in communication as a part of ‘Visual Action Therapy (VAT)’.
A child may have an articulation disorder if they are deleting sounds (e. G, saying “doic” for “dog”), substituting sounds (e. G, “dat” for “cat”), adding￼sounds (e. G, “balue” for “blue”) or distorting sounds (e. G, “thpoon” for “spoon”). In general, there is a range of typical speech-sound development. Most children are 90% intelligible to a wider range of communication partners by the age of four. If you are concerned about your child’s speech intelligibility or articulation, it is best to seek the advice of alicensed speech-language pathologist who will conduct a formal assessment. This formal assessment will involve looking at both speech and sound production and sound error patterns or distortions.
Child aphasia is complex disorder that is caused by damage to parts of the brain that controls language and speech. This disorder affects the child's ability to express herself through words and understand the speech of other people. The severity of the problem depends on the extent of the damage as well as the location of the damage. Since this is not a birth disorder, therefore, you should be much more careful as so you notice that your kid is facing language disorder. A speech pathologist can diagnose language disorders and teach your child strategies to help.
What are the leading symptoms of aphasia in kids?
Not understanding speech is one of the most common symptoms. Most patients cannot understand spoken or written language. Typically in these cases, the patient suffers from fluent aphasia, which is caused by damage to the left temporal lobe of the brain. The patient's speech might seem meaningless and incoherent with lots of unnecessary words being used. The child usually becomes upset when people don't understand what he is saying. Patients suffering from this disorder also have trouble expressing their thoughts and understanding language and they often take more time to communicate. Only short sentences are used by these patients with words often left out, making the sentence sound incomplete. Such children suffer from non-fluent aphasia where they understand what others are saying, but cannot communicate or speak well themselves. Their speech is almost similar to that of telegraphic languages that are usually followed by those toddlers who are just learning how to speak. Some children suffering from aphasia might have trouble repeating words even though they don't have problem understanding what others are saying. These children suffer from conduction aphasia and will be able to reproduce only parts of a sentence, if asked to repeat. Children affected with this disorder may see to be not listening to you or ignore you. Such kids might also have behavioral problems and may not be able to keep up with their friends and classmates. They will also suffer from forgetfulness.
Causes of aphasia: the leading cause of aphasia is brain injury, brain infection, brain tumour or abscess or bleeding in the brain.
Diagnosis of the disease: tTe disorder is diagnosed by a speech therapist who assesses the condition with a variety of tools to figure out the extent of damage. Its best to take your child to a paediatric speech pathologist who is an expert in treating children with brain injuries. The child will then be assessed on auditory comprehension, verbal expression, reading and writing ability and functional communication.
Treatment: There are many people who think that the speech trouble cannot be treated, but they are completely wrong. There are various ways to treat aphasia. The younger the patient the better the chances of recovery since the brain is not that developed to handle specific functions in kids as in adults. The treatment will depend on the severity of the condition and the goal that is to be achieved. Factors behind this trouble need to be determined first otherwise the perfect treatment cannot be decided. Some of the most prominent factors are aphasia type, brain-injury cause, age, brain-lesion size and positioning and others.
Some of the leading tips that can be applied as per association of national stroke are as follows:
- Using props can be helpful in getting across messages. Speaking slowly and staying calm while speaking. Drawing pictures or words on paper for communication.
- If you wish to discuss about any specific problem, you can consult speech therapist and audiologist.
Different speech sounds are acquired at different stages of a child's speech development. Sounds such as /pa/, /tha/ are acquired earlier and sounds such as /sa/, /ra/ and /sk/ (as in school), /tr/ (as in tree) are acquired later. In some children only one or two sounds may be mispronounced whereas in others so many sounds may be mispronounced that the child's speech may be unintelligible. Even at 4 years of age if your child's speech is not easily understood by a stranger then it is best to get professional help. See faq for more information on misarticulation.
- These children have difficulty producing speech on command (i. E, requiring conscious effort), and find it easier to produce frequently used utterances (i. E, “hi”, “hello”, “bye”). Excessive effort is used to produce the simplest of sounds.
- Speech problems of children with repaired cleft lip and palate:
- These children have nasal voice and misarticulation of speech sounds. Early intervention will help improve the quality of their speech.
ÏCerebral 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:
- 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:
- Articulation of words
- Sound and word formation
- Language and vocabulary development
- Breath control
- 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. If you wish to discuss about any specific problem, you can consult a Speech Therapist.
Hello sir, my daughter 4 year old she is suffering from hearing loss after typhoid .sir please suitable advice to her treatment.
Sir, Im from Mumbai. Im having a Stammering Problem from Childhood. Because of this im facing many problems. I can't able to talk fluently with someone. And when I get nervous it increases more and I can't speck also. Soo I request you to give me some suggestion or some suggestion of treatment or something. Thank you.
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. If you wish to discuss about any specific problem, you can consult a Speech Therapist.