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I have stammering problem but most of time I speak perfectly but when I feel nervously, in hurry or speak to unknown I am stammering I also do speech therapy but its up to me how can I control this disorder please help me. Plz.
Autism spectrum disorder (ASD) is a range of complex neurodevelopment disorders, characterized by social impairments, communication difficulties, and restricted, repetitive, and stereotyped patterns of behaviour. Males are four times more likely to have an ASD than females. A recent study in US found 1 in 68 children suffering from autism.
What are some common signs of autism?
The hall feature of ASD is impaired social interaction. As early as infancy, a baby with ASD may be unresponsive to people or focus intently on one item to the exclusion of others for long periods of time. A child with ASD may appear to develop normally and then withdraw and become indifferent to social engagement.
Children with an ASD may fail to respond to their names and often avoid eye contact with other people. They have difficulty interpreting what others are thinking or feeling because they can’t understand social cues, such as tone of voice or facial expressions, and don’t watch other people’s faces for clues about appropriate behaviour. They lack empathy.
Many children with an ASD engage in repetitive movements such as rocking, or self-abusive behaviour such as biting or head-banging. They also tend to start speaking later than other children. Children with an ASD don’t know how to play interactively with other children. Some speak in a sing-song voice about a narrow range of favourite topics, with little regard for the interests of the person to whom they are speaking.
Children with characteristics of an ASD may have co-occurring conditions, including Fragile X syndrome (which causes mental retardation), tuberous sclerosis, epileptic seizures, Tourette syndrome, learning disabilities, and attention deficit disorder. About 20 to 30 percent of children with an ASD develop epilepsy by the time they reach adulthood.
How is autism diagnosed?
Very early indicators that require evaluation by an expert include:
• no babbling or pointing by age 1
• no single words by 16 months or two-word phrases by age 2
• no response to name
• loss of language or social skills
• poor eye contact
• excessive lining up of toys or objects
• No smiling or social responsiveness.
If you find any of these features in your child, please consult the local pediatrician or child neurologist if available who can assess your child in detail. There is no single blood test to diagnose autism. However, the doctor needs to look into certain disorders in which children have similar features or having features of autism in addition to other signs of that disorder. E.g. Tuber sclerosis, Landau-kleffner syndrome (a form of Epilpesy), other childhood epilepsies, some metabolic and genetic disease. So your doctor may do some blood test, hearing assessment, EEG, etc. depending upon the presenting features and assessment.
What role does inheritance play?
Twin and family studies strongly suggest that some people have a genetic predisposition to autism. Identical twin studies show that if one twin is affected, there is up to a 90 percent chance the other twin will be affected. In families with one child with ASD, the risk of having a second child with the disorder is approximately 5 percent, or one in 20. This is greater than the risk for the general population.
Do symptoms of autism change over time?
For many children, symptoms improve with treatment and with age. Children whose language skills regress early in life (before the age of 3) appear to have a higher than normal risk of developing epilepsy or seizure-like brain activity. During adolescence, some children with an ASD may become depressed or experience behavioural problems, and their treatment may need some modification as they transition to adulthood. People with an ASD usually continue to need services and supports as they get older, but many are able to work successfully and live independently or within a supportive environment.
How is autism managed?
There is no cure for ASDs. However, it is important to diagnose it early and look for associated conditions like ADHD (Attention deficit hyperactive disorder), Epilepsy, sleep disorders, etc. Earlier is intervention, better is the outcome. Therapies and behavioral interventions are designed to remedy specific symptoms and can bring about substantial improvement. The ideal treatment plan coordinates therapies and interventions that meet the specific needs of individual children.
Educational/behavioural interventions: Therapists use highly structured and intensive skill-oriented training sessions to help children develop social and language skills, such as Applied Behavioural Analysis. Family counselling for the parents and siblings of children with an ASD often helps families cope with the particular challenges of living with a child with an ASD.
Medications: Doctors may prescribe medications for treatment of specific autism-related symptoms, such as anxiety, depression, or obsessive-compulsive disorder. Antipsychotic medications are used to treat severe behavioural problems. Seizures can be treated with one or more anticonvulsant drugs. Medication used to treat people with attention deficit disorder can be used effectively to help decrease impulsivity and hyperactivity.
Other therapies: There are a number of controversial therapies or interventions available, but few, if any, are supported by scientific studies. Parents should use caution before adopting any unproven treatments. Although dietary interventions have been helpful in some children, parents should be careful that their child’s nutritional status is carefully followed.
Conclusion: Autism is seen commonly now a day. The main features are delayed speech, poor eye contact and social interaction and restricted interest with repetitive behaviour. Parents and physician should aware of its early symptoms so that early intervention can be started.
My daughter is 2 years old and she is still unable to speak. Mumma" papa" Dada" Nana" kaka" only these words she speaks. Is there any serious problem? If this is problem where I have to go for her further check- up.
My frn shyam have some voice problem, in short you can he has little stammering problem, is this any treatment for himm.
I am 45 years old I have throat problem and I can't able to speak means voice is not clear so please help me what I take medicine for dat.
I can not pronounce some words properly. My tongue will not support. I can not speak fast! How to overcome from it?
I have stammering problem. When I talk with someone, I say very fast because of which I always have to repeat it once again. I have this problem from 5 years. I took a course of 9 months at a speech therapist 2 years ago and the problem become little bit less. But now it has increased. What to do for slowing down the speed & get rid of stammering ?
I have stammering problem since childhood. High stage fear. Fear.tension for this problem causes fever headache also.
I get fear to talk a person If I am facing that person for first time I will be fine if I need to talk to that same person second time I get fear and not able to face any person at all and I get unwanted thought and I get fear and I speak to person I get stammer to talk is it becoz of fear and I feel comfort spending time alone individual ly suggest me what should I do.
What is stuttering?
Stuttering affects the fluency of speech. It begins during childhood and, in some cases, lasts throughout life. The disorder is characterized by disruptions in the production of speech sounds, also called" disfluencies" most people produce brief disfluencies from time to time. For instance, some words are repeated and others are preceded by" um" or" uh" disfluencies are not necessarily a problem; however, they can impede communication when a person produces too many of them.
Some examples of stuttering include:
*" w- w- w- where are you going" (part-word repetition: the person is having difficulty moving from the" w" in" where" to the remaining sounds in the word. On the fourth attempt, he successfully completes the word.)
*" ssss ave me a seat" (sound prolongation: the person is having difficulty moving from the" s" in" save" to the remaining sounds in the word. He continues to say the" s" sound until he is able to complete the word.)
*" i'll meet you - um um you know like - around six o'clock" (a series of interjections: the person expects to have difficulty smoothly joining the word" you" with the word" around" in response to the anticipated difficulty, he produces several interjections until he is able to say the word" around" smoothly.)
What causes stuttering?
The exact cause of stuttering is unknown. Recent studies suggest that genetics plays a role in the disorder. It is thought that many, if not most, individuals who stutter inherit traits that put them at risk to develop stuttering. The exact nature of these traits is presently unclear.
What treatments are available for stuttering?
Most treatment programs for people who stutter are" behavioral" they are designed to teach the person specific skills or behaviors that lead to improved oral communication. For instance, many slps teach people who stutter to control and/or monitor the rate at which they speak. In addition, people may learn to start saying words in a slightly slower and less physically tense manner. They may also learn to control or monitor their breathing. When learning to control speech rate, people often begin by practicing smooth, fluent speech at rates that are much slower than typical speech, using short phrases and sentences. Over time, people learn to produce smooth speech at faster rates, in longer sentences, and in more challenging situations until speech sounds both fluent and natural" follow-up" or" maintenance" sessions are often necessary after completion of formal intervention to prevent relapse.