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.
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
Oral Motricity Surgery
Submit a review for Dr. Nehal KothariYour feedback matters!
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.
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.
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.
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.
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 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?
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.
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.
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.
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.
I am a 27 year old man who for the past 3 months have been extremely scared about developing schizophrenia. I have no voices or hallucinations. But I started feeling extremely detached from everything and everyone around me. I have also started feeling extremely scared of random mundane things especially objects making noise like an air conditioner or birds chirping or a fan moving. I get scared and bothered. Is this psychosis?
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.
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.
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.
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.
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.