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Speaking Difficulty Tips

stop it, speak without a abnormal break...

Dr. Satyabrata Panigrahi 93% (246 ratings)
Master of Hospital Administration, Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P), MASTER IN AUDIOLOGY AND SPEECH LANGUAGE PATHOLOGY
Speech Therapist, Bangalore
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.

In most cases, stuttering has an impact on at least some daily activities. The specific activities that a person finds challenging to perform vary across individuals. For some people, communication difficulties only happen during specific activities, for example, talking on the telephone or talking before large groups. For most others, however, communication difficulties occur across a number of activities at home, school, or work. Some people may limit their participation in certain activities. Such" participation restrictions" often occur because the person is concerned about how others might react to disfluent speech. Other people may try to hide their disfluent speech from others by rearranging the words in their sentence (circumlocution), pretending to forget what they wanted to say, or declining to speak. Other people may find that they are excluded from participating in certain activities because of stuttering. Clearly, the impact of stuttering on daily life can be affected by how the person and others react to the disorder.

What are signs and symptoms of stuttering?

Stuttered speech often includes repetitions of words or parts of words, as well as prolongations of speech sounds. These disfluencies occur more often in persons who stutter than they do in the general population. Some people who stutter appear very tense or" out of breath" when talking. Speech may become completely stopped or blocked. Blocked is when the mouth is positioned to say a sound, sometimes for several seconds, with little or no sound forthcoming. After some effort, the person may complete the word. Interjections such as" um" or" like" can occur, as well, particularly when they contain repeated (" u- um- um") or prolonged (" uuuum") speech sounds or when they are used intentionally to delay the initiation of a word the speaker expects to" get stuck on"

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.)
How is stuttering diagnosed?

Identifying stuttering in an individual's speech would seem like an easy task. Disfluencies often" stand out" and disrupt a person's communication. Listeners can usually detect when a person is stuttering. At the same time, however, stuttering can affect more than just a person's observable speech. Some characteristics of stuttered speech are not as easy for listeners to detect. As a result, diagnosing stuttering requires the skills of a certified speech-language pathologist (slp).

During an evaluation, an slp will note the number and types of speech disfluencies a person produces in various situations. The slp will also assess the ways in which the person reacts to and copes with disfluencies. The slp may also gather information about factors such as teasing that may make the problem worse. A variety of other assessments (e. G, speech rate, language skills) may be completed as well, depending upon the person's age and history. Information about the person is then analyzed to determine whether a fluency disorder exists. If so, the extent to which it affects the ability to perform and participate in daily activities is determined.

For young children, it is important to predict whether the stuttering is likely to continue. An evaluation consists of a series of tests, observations, and interviews designed to estimate the child's risk for continuing to stutter. Although there is some disagreement among slps about which risk factors are most important to consider, factors that are noted by many specialists include the following:

A family history of stuttering
Stuttering that has continued for 6 months or longer
Presence of other speech or language disorders
Strong fears or concerns about stuttering on the part of the child or the family
No single factor can be used to predict whether a child will continue to stutter. The combination of these factors can help slps determine whether treatment is indicated.

For older children and adults, the question of whether stuttering is likely to continue is somewhat less important, because the stuttering has continued at least long enough for it to become a problem in the person's daily life. For these individuals, an evaluation consists of tests, observations, and interviews that are designed to assess the overall severity of the disorder. In addition, the impact the disorder has on the person's ability to communicate and participate appropriately in daily activities is evaluated. Information from the evaluation is then used to develop a specific treatment program, one that is designed to:

Help the individual speak more fluently,
Communicate more effectively, and
Participate more fully in life activities.
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.
1 person found this helpful

Homeopathic Approach To Overcome Fear Of Public Speaking!

Dr. Pankaj Chhajed 92% (115 ratings)
M.D Homoeopathy ( Practice of Medicine ), BHMS
Homeopath, Nashik
Homeopathic Approach To Overcome Fear Of Public Speaking!

The words 'stress and 'anxiety' are often used interchangeably, but bear different meanings in medical terms. Stress is caused by particular situations or events in one's life that makes one feel frustrated, angry, worried or even anxious. The stress response is different for each individual such that the same event can often elicit disparate responses. For example:

Public speaking excites some but terrifies others;

  1. Pressure from deadlines increases productivity in some but renders others paralyzed;

  2. Difficult circumstances in family or friend settings find some eager to take control and others stricken with panic;

  3. Social situations requiring people to voice their opinions are easy and comfortable for some but stressful for others;

  4. Changes in the work environment are welcomed by some but not by others.

Anxiety, on the other hand, is a general feeling of apprehension or fear, the source of which is not clearly defined. Anxiety disorders are a group of psychiatric conditions that cause excessive anxiety. They include:

  1. Generalized Anxiety: Generalized anxiety disorder (GAD) is a pattern of frequent, constant worry and anxiety over many different activities and events);

  2. Specific Phobia: A phobia is a persistent and irrational fear of a particular type of object, animal, activity, or situation that poses little to no actual danger;

  3. Obsessive Compulsive Disorder: Obsessive Compulsive Disorder is an anxiety disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations (obsessions), or behaviours that make them feel driven to do something (compulsions). Often the person carries out the behaviours to get rid of the obsessive thoughts, but this only provides temporary relief (not performing the obsessive rituals can cause great anxiety);

  4. Social Phobia: Social Phobia is a persistent and irrational fear of situations that may involve scrutiny or judgment by others, such as parties and other social events.

Those suffering from anxiety disorders display such symptoms on a regular basis and thus have difficulty with daily activities and relationships. These symptoms present themselves sporadically and often without warning.

In many cases, anxiety is developed by overdue stress that is no longer linked to a specific cause.

Homeopathic Treatment for Stress and Anxiety:

Homeopaths for the last two centuries have been constantly pushing this theory of mind and physical body being deeply interconnected and about fixing the problem at a mental level that can often help the other. In homeopathy, mental symptoms of the patient are given the utmost importance. Constitutional treatment in homeopathy combines the understanding of both the psycho and the physiological profile of the patient, with the psychological profile being given more importance.

Homeopathic Medicines for Stress:

A number of homeopathic medicines are effective in treating disorders where one who has learnt the wrong way of handling or responding to stress.

  1. Homeopathic remedies for stress - for the Classic - Type A Personality: Medicines such as Argentum Nitricum and Tarentula are very effective in controlling the accelerated behaviour of Type A people. Anxiety is very marked in such patients . Anxiety disorder is very effectively treated with homeopathy

  2. Homeopathic remedies for stress: When Anger is the Key symptom: Stress manifests through anger in some patients .Nux Vomica and Staphysgaria are meant for the easily angered and impatient ones.

  3. Homeopathic Medicines for stress: When grief is the cause: Ignatia and Natrum Mur where long-standing grief is a reason for stress response.

Homeopathic remedies for stress: for those who are 'Overworked': Kali phos is for a good individual who over-stretches himself physically and mentally. It is great homeopathic remedy for those have 'burnt out' their minds for over work.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4819 people found this helpful

Does Your Child Speak Like Others Kids?

Dr. Hari Mathi 87% (47 ratings)
Bachelor of Audiology & Speech Language Pathology (B.A.S.L.P)
Speech Therapist, Chennai
Does Your Child Speak Like Others Kids?

6 months

 -does not responds to sound by making sounds, or by looking at the speaker.

12 months

- isn't using gestures, such as bye-bye & does not stops activity in response to'no.

18 months

- does not point to five body parts and has trouble imitating tow word sentences

2 years

- does not follow a serious two simple but related commands.

3-4 years 

- about three quaters of the child's speech at 3 years and by 4 years old, a child should mostly be understood even by people who don't know the child.

If your answer is" yes, consult a speech language pathologist

Physio Speak: Tips To Help The Runner In You!

Dr. Punnam Gupta 88% (174 ratings)
BPTh/BPT; certificate in sports medicine, PGCR, Diploma in Sports Medicine
Physiotherapist, Delhi
Physio Speak: Tips To Help The Runner In You!

Are you a runner? In case you are, then it is vital that you understand what your body needs to run extra miles. It's not just about running, it's all about how you can push yourself until the end of finishing line or your target. 

Generic Tips for Beginners

  • Right Shoes- Most Important: Go for specialised running shoes that are easily available in the market now at an affordable price. It is advisable to buy a shoe which is one size up.
  • Support- A Must: For women, it's a must to go for a good sports bra. It's meant for flat-chested women as well. This will avoid any kind of discomfort such as sagging of breasts, or even pain and discomfort. 

Remember that excess running affects Cooper's ligament that supports the breasts.

If you are a man, go for tight but comfy underwear. That will reduce abrasion. 

Keep a Close Watch: In the initial stage, you should run only comfortable miles. Gear up with a close-fitting comfortable sports outfit so that you can breathe, and your sweat is whipped. 

Watch your Pace: Running is different than cycling or swimming. Even if you have mastered other sports, go slow with running. Gradual increase is always advisable.
Need a Commitment: Track your progress. Run at least thrice a week. 

Specific Physio Tips 

  • Run and Rest: Rest is equally important. When you run, your body needs time to repair. It means body needs a balance of tissue wear and tear and tissue fortification.
  • Know you Injury Cause: You must identify what's the cause of your injury so that accordingly you deal with it. Many websites can help you with that.
  • What does your Body Say? Initially, it's normal that your body aches at few spots. Use a simple formula of RICE (rest, ice, compress and elevate) However, if it persists, then see a physiotherapist.
  • Toughen: You need to identify your weaknesses so that you work on them to toughen yourself. Calf muscles, glutes and quads are commonly affected. Tough muscles absorb the effect more efficiently.
  • Steady: You need to have control on your movements. Poor control leads to adverse effect on running. You can check it by assessing your single leg balance and single knee dip. Check if your body is balanced.
  • Stretch your Body: This helps you to get rid of muscle tightness or joint stiffness. 
  • Adapt: Listen to your body and adopt the method of running that gives you painless run.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4705 people found this helpful

Difficulty Swallowing (Dysphagia) - Know The Causes Behind It!!

Dr. J. K.Gupta 91% (83 ratings)
MS ENT, MBBS
ENT Specialist, Noida
Difficulty Swallowing (Dysphagia) - Know The Causes Behind It!!

Swallowing food comes naturally to human beings. But when there is a problem, it is usually called Dysphagia. Esophagus, a muscular tube-like organ located at the back of our throat, usually helps in swallowing food and transferring them to our stomach. When esophagus does not function properly, dysphagia happens. Patients suffering from brain or nerve disorder, seniors and babies might have this problem.

People with dysphagia might witness the following issues:

  • Difficulty in swallowing solids and liquids.
  • Gaging, choking or coughing usually occurs when trying to swallow.
  • Experience pain when trying to swallow and also heartburn.
  • Swallowed food might come back up either through mouth or nose.
  • A chronic problem might result in weight loss.

Causes:
There are 2 main reasons, why the Esophagus might become dysfunctional.

  1. Due to some medical condition the muscles and nerves that help the esophagus work have stopped working.
  2. The esophagus is blocked by something.

There can be a number of reasons for both the condition. Here are the reasons why the muscles and nerves might not work.
Certain diseases can create problems with your nervous system, which in turn can affect the esophagus. These diseases are polio, multiple sclerosis, muscular dystrophy, Parkinson’s disease.

  1. A brain stroke, spinal cord injury or brain injury can also affect swallowing.
  2. Polymyositis or Dermatomyositis are immune system problems that can cause swelling or weakness.
  3. The muscles of esophagus suddenly squeeze, which is called esophagus spasm.
  4. Scleroderma causes the esophagus to become thin and weak.

The esophagus might be blocked because of these reasons:

  1. Esophagus might have malignant or non-malignant tumours.
  2. Esophagitis is a medical condition when the esophagus is infected, got some allergy or even if a pill got stuck on it.
  3. People suffering from reflux diseases often experience the acid that backs up into the esophagus. This can cause an ulcer on it resulting in scars. Scars make Esophagus narrower, making it difficult to swallow.
  4. There are small sacs called Diverticula on the esophagus or the throat, often making it difficult to swallow.
  5. Lymph nodes, tumours, bone spurs can also obstruct esophagus and create difficulty in swallowing.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2606 people found this helpful

How to Manage Difficulties with Sexual Performance?

Dr. Swarajit Ghosh 86% (21 ratings)
MBBS, Structure of Intellect learning Specialist, Membership
Psychiatrist, Delhi
How to Manage Difficulties with Sexual Performance?

Sexuality for both males and females is a complicated and often much misunderstood phenomena.

For males, research seems to indicate that premature ejaculation (PE) as well as erectile dysfunction (ED) are major causes of worry. Here is a common question that is frequently asked:

Are PE and ED serious conditions?

Interpreting these 'symptoms' is best done judiciously. ED is often a situational and perhaps a 'matching' issue. To put simply, this means that the male partner is anxious-about himself or about the desirability, correctness, environment or the reasons behind the anticipated event. Does this make the condition serious? That is best assessed by BOTH partners! PE is similar in the context described previously.

However, sometimes especially ED can be due to medications being consumed or due to some physical aberration like diabetes or hypertension. There are several medical and surgical conditions which might lead to ED and these always need to be adequately investigated and ruled out or treated. So in the approach to ED, keeping both 'situational' and medical/surgical factors in mind is always prudent, both for the sufferer as well as the physician.

5 people found this helpful

How To Deal With Difficult People In Your Life?

Dr. Pooja Anand Sharma 89% (91 ratings)
Ph.D - Psychology, M.Sc. - Counselling and Psychotherapy, M.A - Psychology, Certificate in Psychometric Testing, Basic Course in Integrated Hypnotic Modality for Behavioral Resolution, Certificate in Cognitive Behavioral for Couple, B.Ed- Psychology Hon.
Psychologist, Delhi
How To Deal With Difficult People In Your Life?

We all have come across the situation where we have to deal with difficult people in our life. Emotional abuse is a worse form of abuse as it destroys your self-esteem. Emotional abuse takes place when an individual intentionally or otherwise, involves in a kind of behaviour that puts other person down and exert control over them. Threats, intimidation, betrayal are a harmful form of emotional abuse which person can face.

Many examples of emotional abuse are seen like in a parent-child relationship, those faced by co-workers at the workplace, in a sexual relationship. For e.g. In case of a sexual relationship, where the other partner wants to leave the relationship because of the abusive sexual behaviour of his/her spouse, the abuser will manipulate by convincing the partner in threatening, abusive way, by putting you down making you feel guilty. Unwanted sexual acts which would make you feel uneasy like “if you love me you would do this for me” this is beginning of abuse in which partner is trying to take control over other.

Traits of toxic people

  1. Narcissist, criticizer.
  2. Controlling the other persons.
  3. Boaster.
  4. Manipulative and judgemental.
  5. Always wants to prove themselves to you even if they are wrong.
  6. They will try to defend themselves by manipulating in which they are best as they are not interested in your point of view.
  7. Censorious, critical, fault finder.
  8. They will not apologize.
  9. They always force onto relationships.
  10. Everything should go according to their experience.
  11. Liars.
  12. Always talks negative about other people instead of focusing on good things.
  13. Always tends up hurting others by their actions and are always self-absorbed.
  14. Frequent loss of control over temper

Impact of toxic people on our lives

  1. When you are peace but you suddenly start feeling guilty or being scorned by people who use to care about you chances are you might be manipulated by toxic people.
  2. Low self-esteem.
  3. A feeling that someone is controlling you.
  4. A feeling of shame for no reason.
  5. Avoiding to meet people.
  6. Emotional instability.
  7. A feeling of helplessness.

How to deal with it

  1. Stay calm don’t take toxic people’s behaviour personally. Walk off if required.
  2. Practice defenceless.
  3. Confront them face to face.
  4. Move on without them. Don’t let their behaviour affect your mental peace.
  5. Don’t have to help them in every crisis, let them deal their own drama.Recognise your strengths and weakness.
  6. Don’t be a victim.
  7. Spend time with your beloved ones who are trustworthy.
  8. Be in charge of your own emotions.
  9. Always focus on the solution rather focusing on the problem.
  10. Stand for yourself when they try to bully you.
  11. Set your limits to respond only when necessary.
  12. Forgive but don’t forget.
  13. Don’t pity yourself.
  14. Take time out for yourself, pamper yourself by taking a break.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4895 people found this helpful

6 Ways To Help Your Baby Learn Speaking

Dr. Amit Chitaliya 93% (899 ratings)
Fellowship In PCCM, Fellow-Pediatric Flexible Bronchoscopy, Fellowship In Pediatric Cardiac Critical Care, D.C.H., M.B.B.S
Pediatrician, Ahmedabad
6 Ways To Help Your Baby Learn Speaking

The role of parents in language development of children is a primary one. Basically, it will be a one way communication as babies will not respond, but that should not deter you from speaking to them. It has been shown that talking to children early on helps them to talk faster and learn more words. The number of words a child hears is directly proportional to the amount of vocabulary he/she will be able to master.

6 ways to help your baby learn speaking:

  1. Let them listen a lot: Children learn speaking by listening first. So more and more words they will listen, so do they will speak. Make sure your child comes in contact with children in the peer group and plays with them as with the help of their friends they can learn many words. 
  2. Read a book: You should start reading to your child as early as possible. The type of book is not as important as you may use, various touch and feel books such as graphic novels. Initially, you may start with board books and then move on to picture books and finally to story books. It helps in increasing the child's vocabulary.
  3. Talk as much as you can: Part of a child's ears and brain that respond to sound are developed since birth, so even though talking to your baby may not make much sense, talking to them enhances their development of speech. The infant absorbs the words which facilitates speaking.
  4. Look for cues: If the child is interested in something such as a book or a toy, then engage with the child on that subject. Encourage him/her to ask questions and interact as much as possible. These interactions help in enhancing the child's language skills.
  5. Limit television: Using television to teach vocabulary to your child is not as effective as talking directly. The primary reason is that characters in television do not react to your child's cues. This does not allow the child interact, which results in reduced language learning.
  6. Treat ear infections early: It is important to treat ear infections early as this causes hearing problems which in turn delays language learning. Consulting a pediatrician to get treatment for ear infections of your child is advisable. You should see to it that the child is being administered medications at regular intervals.
3649 people found this helpful

Super Fact of the Day: Women can speak twice as fast as men!

Dr. Surbhi Agrawal 92% (19566 ratings)
PDDM, MHA, MBBS
General Physician, Nashik
Super Fact of the Day: Women can speak twice as fast as men!

Women are not only more talkative than men but are also known to speak faster than them. Both men and women have a different speaking rate. On an average, women have been found to speak 250 words per minute. In contrast, men speak only about 125 words per minute.

Would you like to share this interesting fact with family or friends? Go ahead and Share!

518 people found this helpful

6 Ways To Help Your Baby Learn Speaking

Dr. Vineet Bhushan Gupta 88% (96 ratings)
Diploma in Child Health (DCH), MRCPCH, MRCP (UK), MD - Paediatrics, MBBS
Pediatrician, Delhi
6 Ways To Help Your Baby Learn Speaking

The role of parents in language development of children is a primary one. Basically, it will be a one way communication as babies will not respond but that should not deter you from speaking to them. It has been shown that talking to children early on helps them to talk faster and learn more words. The number of words a child hears is directly proportional to the amount of vocabulary he/she will be able to master.

6 ways to help your baby learn speaking:

1. Let them listen a lot

Children learn speaking by listening first. So more and more words they will listen, so do they will speak. Make sure your child comes in contact with children in the peer group and plays with them. Many words they will learn with the help of their friends.

2. Read a book

You should start to read to your child as early as possible. The type of book is not as important as you may use various touch and feel books such as graphic novels. Initially, you may start with board books and then move on to picture books and finally to story books. It helps in increasing the child's vocabulary.

3. Talk as much as you can

Part of a child's ears and brain that respond to sound are developed since birth, so even though talking to your baby may not make much sense, talking to them enhances their development of speech. The infant absorbs the words which facilitates speaking.

4. Look for cues

If the child is interested in something such as a book or a toy, then engage with the child on that subject. Encourage him/her to ask questions and interact as much as possible. These interactions help in enhancing the child's language skills.

5. Limit television

Using television to teach vocabulary to your child is not as effective as talking directly. The primary reason is that characters in television do not react to your child's cues. This does not allow the child interact which results in reduced language learning.

6. Treat ear infections early

It is important to treat ear infections early as this causes hearing problems which in turn delays language learning. Consulting a pediatrician to get treatment for ear infections of your child is advisable. You should see to it that the child is being administered medications at regular intervals.

2541 people found this helpful
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