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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. Delayed speech is sometimes caused from hearing defect also. A deaf child is always dumb. Before we jump into conclusion of delayed speech, hearing assessment is mandatory.
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. If you wish to discuss about any specific problem, you can consult a pediatrician.
How control stammering at the age of 34, suggest a preferable ayurvedic medicine or homeopathic medicine.
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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.
How to take Bovista 30 liquid? Should I mix it with water and take or directly? What would be dosage? I have mild stammering so I have purchased Bovista 30 liquid medicine please answer by question!
Dear Sir/ Madam, I have a problem since my childhood. Normally I am ok, but when get nervous to speak/face anybody, (like teacher, Interview Board members, stranger people) I stammers a lot, and inside my heart beat became very fast. I can't speak even a single word fluently. I have tried that time to stay calm & relax, but I do not know why it happens with me. That was not a great reason for me to became so hyper. But I was. And stammer every word. Normally when I speak with my friends, family members, known people, I speak fluently, there is no lagging in my speaking. I don't know what type of problem is it? Is it for high anxiety? But why? Is there any solution for my problem? From- Manojit Paul. Male Age-23 Weight-60 kg Height-170 cm.
I have stuttering problem. It avoids me from talking to people. It really affecting my professional life .Kindly help get rid off this.
I am 66 years old. Since last 11 years I am suffering depression problem The cause of my depression was my son After his MBBS study he went to USA for further study I can not say that I have tremendous affection for him and at the same time I was also ready to stop his career . At present my depression level is very low I have to take depression medicine every day in night My son and his wife are now well settled On 5th Feb. 2016 I became grand father My grand son name is VIHAN From 4th Feb. To 28 July I was at USA At present I am in India and freckly speaking I am quiet normal I have diverted my life toward spirituality and at present I am follower of Lord Swaminarayan My question is can I free from taking drugs.
Not many look at the reasons for these disconnections from a service provider and the customer. Most of the efforts to understand this quote two main reasons
Economical constraints and
Unavailability of speech language pathologist (slp).
However, there are more reasons both sides. But its up to you to decide to waste your time reasoning or utilize best the available services.
To the care takers:
He/she is your kid, but not the speech pathologist's - being a parent, your role is central in helping the slp to help you to help your kid.
You need to communicate whats your needs are to the slp. They will tell you if its possible or not. You can ask questions till your doubts are cleared.
Don't be vague in your expectations. It will only hurt you when slp's goals are no way matching your because your slp is working step by step while you are already thinking about the end bypassing the whole process. Ask what can be expected or what is practical.
Slp can not produce results over night, unless he/she is a god or magician.
Each speech pathologist targets the same skills in their own way. Don't impose things by comparing two slps. It can not be measured in mg. In ones comfort zone, efficiency is maximum.
Consistently attend the therapy and then there is chance of improving your understanding about the improvement or reasons if there is no improvements.
Knowledge is good. Share it but not compare.
Note: more suggestions may be updated with feedback.