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Dr. Nehal Kothari

Speech Therapist, Mumbai

Dr. Nehal Kothari Speech Therapist, Mumbai
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. Nehal Kothari
Dr. Nehal Kothari is a renowned Speech Therapist in Jaslok Hospital, Mumbai. You can consult Dr. Nehal Kothari at Let's Talk Speech Therapy in Jaslok Hospital, Mumbai. Save your time and book an appointment online with Dr. Nehal Kothari on Lybrate.com.

Find numerous Speech Therapists in India from the comfort of your home on Lybrate.com. You will find Speech Therapists with more than 35 years of experience on Lybrate.com. You can find Speech Therapists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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#205, Doctor House, Peddar Road, Landmark:Opp. Jaslok Hospital, MumbaiMumbai Get Directions
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I speak very less. So. How can I improve my speaking skills and can interact with others confidently. I am quite boring also so what shall I do to be more interesting.

MBBS
General Physician, Jalgaon
Don't feel guilty don't consider your self as a weak person, boring person please be confident always read good and inspiring books swami vivekanand's books are the best please read them practice for speaking your self do yoga pranayam and meditation daily avoid excessive thinking take cap tagar by himalaya 2 at night re consult after 15 days.
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My 3 years son is badly suffering from Stammering. He is not able to pronounce words clearly. I feel very upset to see my little ones suffering. Please suggest for the treatment. Note: I am his father, 30 years old, also suffering from stammering since my childhood. I won't face much problem in communicating with people around me.

Diploma in Child Health (DCH), F.I.A.M.S. (Pediatrics)
Pediatrician, Muzaffarnagar
My 3 years son is badly suffering from Stammering. He is not able to pronounce words clearly. I feel very upset to se...
Baby learns to speak what he hears. His stammering may be due to your speech. It may be resolved. Encourage him to speak slowly. Speech therapist may be helpful.
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How can I prepare my voice soft and sweet, what type of foods are disturb my vocal/voice?

MBBS, cc USG
General Physician, Gurgaon
spicy/sour/ refrigerated food disturb voice Shouting/ anger also disturb voice You can make your voice sweet by thinking good thought and by going practice for music regularly, Meditation can also help in this Consult me for further management
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Sir. I am ajeet yc from Vijayapur. Now I am studying MCA final year. I have stammering problem. Will you please help me to speak. I am speaking good but some of words start with k, s, p, q, etc I struggled on this spells.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear, welcome to lybrate. Stammering is" speaking with sudden involuntary pauses and a tendency to repeat the initial letters of words" or" say something with difficulty, repeating the initial letters of words and with sudden involuntary pauses" stammering could be due to two reasons. First reason is vocal cord misalignment. Second is psychological performance anxiety. First of all you should consult an ent specialist and evaluate your vocal chords. If there is problem, ent specialist will be able to correct it. If there is no problem with your vocal chords, the best option is stammer therapy. Take care.
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When I give presentation, interviews I start stammering, and when I talk to my friends I used to talk normally why it happening, there is any medicine to stop stammering. Please suggest me. Its very painful full.

MBBS
General Physician, Cuttack
1.speak slowly/confidently and give a pause in between words while speaking 2.avoid anxiety/ nervousness/inferiority complex 3.consult speech therapist for further advice
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Autism in Children

CCT, FRCPCH , MRCPCH, Diploma in Child Health (DCH), MBBS
Pediatrician, Gurgaon
Delayed Speech: Can it be autism?

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.

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My grandson is three and half years. He is absolutely normal health wise. He goes to play school and seems to enjoy. He utters words like Amma appa ayyappa. But is not coming out with sentences. Vocabulary is limited. Very cheerful active playful. Some say he has mild Autism. For three months he went through some sort of speech therapy. Slight improvement was found. Eye contact is there. Some times he does tow walking. Beta tests are negative. What could we do? Any advice?

MBBS, MD - Psychiatry, DNB (Psychiatry)
Psychiatrist, Thrissur
Respected Sir. I would like to request you to please forget about giving your grandson a diagnosis, atleast for now. Autism is quickly becoming a sort of "fashionable" diagnosis among the upper middle class people. I would like to know why you believe that he has Autism and supposing he does, I am sure you have already searched on the internet and consulted many others and already learnt that Autism as of now has no definitive treatment. From what I could gather from your question, he does appear to have mild delays in certain areas of development which I think will improve if given adequate training in that area. Also it would be advisable to keep monitoring his IQ and also identify other deficits as he grows up so that they can be caught early and managed accordingly. I would advise you to be in touch with a Pediatrician, Neurologist and Psychiatrist for regular followup of your grandson.
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I do stammer nd my voice is not clear like others nd sometimes I found difficulty with some particular words .I hv inferiority. Complex of this prblm but I talk very confidently to everyone .does this prblm has permanent solution? Or I will suffer from this throughout my life.

MD - Psychiatry
Psychiatrist, Chennai
Stammering is typically recognised by a tense struggle to get words out. This makes it different from the normal non-fluency we all experience which includes hesitations and repetitions. Commonly it involves repeating or prolonging sounds or words, or getting stuck without any sound (silent blocking). Sometimes people put in extra sounds or words. Often people lose eye contact. Some people who stammer talk their way round difficult words so that you may not realise they stammer at all. This avoidance of words, and avoidance of speaking in some or many situations, is an important aspect of stammering. Stammering varies tremendously from person to person and is highly variable for the person who stammers who may be fluent one minute and struggling to speak the next. Get an mri brain and eeg with a psychiatrist evaluation. It can be dramatically improved, if it s due to anxiety. All the best.
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Cerebral Palsy (CP) - How Speech Therapy Can Help You?

D.H.L.S, B.A.S.L.P, M.A, B.Ed .SE . ( H.I )
Speech Therapist, Delhi
Cerebral Palsy (CP) - How Speech Therapy Can Help You?

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:

  1. Reflexes
  2. Balance
  3. Posture
  4. Motor skills and
  5. 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:

  1. Listening
  2. Articulation of words
  3. Pronunciation
  4. Fluency
  5. Sound and word formation
  6. Language and vocabulary development
  7. Breath control
  8. Chewing
  9. Swallowing
  10. 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:

  1. 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.
  2. Blowing exercises: The therapist encourages the child to blow bubbles or a whistle to train the mouth muscles to produce sounds.
  3. Breathing exercises: Work is exclusively on inhalation and exhalation to strengthen the diaphragm.
  4. Jaw exercises: The child is encouraged to eat foods that require extra chewing to strengthen jaw muscles.
  5. 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.
4207 people found this helpful

For e.g I have a problem form 15 years my voice is like as parrot mean me tutlata hu. I am doing exercise of speech therapy but not result came So tell me how I clear my voice.

PDDM, MHA, MBBS
General Physician, Nashik
Stammering can be made lesser only and only by speech therapy. So you should take the help of a speech therapist. Also, i'd suggest you to visit a psychologist as confidence plays a great role in dealing with this problem. I'd suggest you to speak very slowly, word by word. People may make fun of this but believe me, slowly you'll get better at it. Hope your query is answered. Feel free to ask if you have any doubts. Wishing you good health.
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I have been stuttering for some years now. At times it is just normal but at times it seems to get bad. Pl recommend a homeopathy medicine for the same.

PDDM, MHA, MBBS
General Physician, Nashik
Stammering can be made lesser only and only by speech therapy. So you should take the help of a speech therapist. Also, i'd suggest you to visit a psychologist as confidence plays a great role in dealing with this problem. I'd suggest you to speak very slowly, word by word. People may make fun of this but believe me, slowly you'll get better at it. Hope your query is answered. Wishing you good health.
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I am a men but my voice like as women. I need tips for clear my voice .Please tell.

PDDM, MHA, MBBS
General Physician, Nashik
Breathe deeply and exhale on a hisssssssing sound. Repeat 10 times. Proper breathing is the foundation for a healthy voice AND control over nervous energy that can make the voice quiver. Say “Mm-mmm (as in yummy) Mmm-hmm (like yes) ” Repeat 5 times. This develops mask resonance, which creates a clean and vibrant sound by creating a clean approximation of the cords and a resonance that will sound great and project easily. Say “Mm-mmm. Mmm-hmm.” up and down your vocal range, from low to middle to high and back again, 10 times. Kindly get your serum testesterone levels done and revert.
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My son is a adhd kid. He has some speech delay also. What is the best way to treat him. Are there any special schools for him.

C.S.C, D.C.H, M.B.B.S
General Physician,
Stimulants such as methylphenidate and amphetamines are the most common type of medication used for treating adhd. Although it may seem counterintuitive to treat hyperactivity with a stimulant, these medications actually activate brain circuits that support attention and focused behavior, thus reducing hyperactivity. In addition, a few non-stimulant medications, such as atomoxetine, guanfacine, and clonidine, are also available. For many children, adhd medications reduce hyperactivity and impulsivity and improve their ability to focus, work, and learn. Medications also may improve physical coordination. However, a one-size-fits-all approach does not apply for all children with adhd. What works for one child might not work for another. One child might have side effects with a certain medication, while another child may not. Sometimes several different medications or dosages must be tried before finding one that works for a particular child. Any child taking medications must be monitored closely and carefully by caregivers and doctors. Stimulant medications come in different forms, such as a pill, capsule, liquid, or skin patch. Some medications also come in short-acting, long-acting, or extended release varieties. In each of these varieties, the active ingredient is the same, but it is released differently in the body. Long-acting or extended release forms often allow a child to take the medication just once a day before school, so he or she doesn't have to make a daily trip to the school nurse for another dose. Parents and doctors should decide together which medication is best for the child and whether the child needs medication only for school hours or for evenings and weekends, too. For more information about stimulants and other medications used for treating mental disorders, see the nimh mental health medications webpage. The food and drug administration (fda) website has the latest information on medication approvals, warnings, and patient information guides. What are the side effects of stimulant medications? the most commonly reported side effects are decreased appetite, sleep problems, anxiety, and irritability. Some children also report mild stomachaches or headaches. Most side effects are minor and disappear over time or if the dosage level is lowered. Decreased appetite. Be sure your child eats healthy meals. If this side effect does not go away, talk to your child's doctor. Also talk to the doctor if you have concerns about your child's growth or weight gain while he or she is taking this medication. Sleep problems. If a child cannot fall asleep, the doctor may prescribe a lower dose of the medication or a shorter-acting form. The doctor might also suggest giving the medication earlier in the day, or stopping the afternoon or evening dose. Adding a prescription for a low dose of a blood pressure medication called clonidine sometimes helps with sleep problems. A consistent sleep routine that includes relaxing elements like warm milk, soft music, or quiet activities in dim light, may also help. Less common side effects. A few children develop sudden, repetitive movements or sounds called tics. Changing the medication dosage may make tics go away. Some children also may have a personality change, such as appearing" flat" or without emotion. Talk with your child's doctor if you see any of these side effects. You can ask for special schools in your area.
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I am 16 years old and I am sing song I was no stammering but I am talk any other person that time I am stammer so what can I do self therapy.

Masters in Speech Pathology and Audiology
Speech Therapist, Gurgaon
You are right. Normally we don't stammer when we sing or say a poem or even if we act like some one or imitate some body. As you are conscious about how or the way you speak not what you are speaking. Go to a experienced speech therapist.
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Hello doctor, my daughter is 3.6 years old and studying in a good school, BT she does not reply if we asked something, she replies rarely, she does not speak clear also can not jump. I am afraid about her because she is good in education BT don't want to answer anyone. Please suggest me something. I am a house wife and give my full time to her.

Diploma in Obstetrics & Gynaecology, MBBS
General Physician, Delhi
Hello doctor, my daughter is 3.6 years old and studying in a good school, BT she does not reply if we asked something...
She is only 3.6 years old. It looks like you are being overprotective mother. Give her space to grow mentally, it does not look like any disease. If she cannot jump due to any physical reasons, do get her checked by doctor, but if she is stubborn, leave her alone, let her jump around at her will, let her study in a play school/ regular school. Remember too much discipline can be binding for growth of a kid.
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Stuttering - Health Tip

Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Chennai
Stuttering is a speech disorder in which sounds, syllables, or words are repeated or last longer than normal. These problems cause a break in the flow of speech (called disfluency).
Symptoms of stuttering may include:
Feeling frustrated when trying to communicate
Putting in (interjecting) extra sounds or words (" we went to the. Uh. Store")
Repeating sounds, words, parts of words, or phrases (" I want. I want my doll" i. I see you" or" ca-ca-ca-can")
Tension in the voice
Very long sounds within words (" I am booooobbbby jones" or" llllllllike")
Signs and tests:
No testing is usually necessary. The diagnosis of stuttering may require consultation with a speech pathologist.
Treatment:
There is no one best treatment for stuttering. Most early cases are short-term and resolve on their own. Speech therapy may be helpful if:
Stuttering has lasted more than 3 - 6 months, or the" blocked" speech lasts several seconds. The child appears to be struggling when stuttering, or is embarrassed. There is a family history of stuttering. Speech therapy can help make the speech more fluent or smooth, and can help the child feel better about the stuttering.

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I am suffering from a stammering problem so sir/mam please suggest me and give guide lines regarding this problem.

BASM, MD, MS (Counseling & Psychotherapy), MSc - Psychology, Certificate in Clinical psychology of children and Young People, Certificate in Psychological First Aid, Certificate in Positive Psychology
Psychologist, Palakkad
Dear Lybrate user. In many of the cases Stammering has two important reasons. Vocal chord misalignment or other problems are the primary reason. For this vocal chord complaint, you should consult an ENT specialist and get it corrected. Second reason is purely psychological. Stammer therapy can help you in psychological reasons. Take care.
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I am a seasoned teacher with 16 years experience. I am 41 years old . I suffer from interiorised stammering and extreme nervousness and social phobia. I can not mingle properly though I have wonderful creative ideas to share . Stammering is creating a hell lot of problem. Pls help me holistically and remove my malady.

DSE HI BED IN SPLEDU
Audiologist, Delhi
you required to take assessment proper good speech therapist and then speech therapy regularly some exercise you required as breathing control and standing front of mirror slowly reading story and some word you notice that which word you stammering then these word practice slowly reading.
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