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Monday, 31 December 2012

overcome speech impediments

Don't Stop
Speech impediments, however conspicuous, can be overcome with therapy and, in some extreme conditions, surgery
    Hiten Vyas, 33, from Leicester in UK first realised he had a speech impediment at the age of 10. His teacher asked him a question, and though he knew the answer, he found himself unable to do so despite repeated attempts. Every time he tried to speak, he would stammer.
    What followed next was 13 years of ordeal. Vyas stopped talking altogether for the fear of being laughed at. He missed out on a normal teenage, missed having girlfriends, shied away from classroom presentations. He was so upset with his speech abnormality that he could not focus on his selected field of study computer science, which required minimum public speaking.
    “Most of my formative years were spent in anxiety, fear and pain. I was so afraid of being mocked that I could not share the problem of stammering even with my family. I had learnt to hide my defect by either keeping quiet or skipping the problem words,” says Vyas, who is now a certified master practitioner of neuro-linguistic programming (NLP) and a life coach who teaches people the art to build self-confidence.
    “When I was pursuing a PhD it struck me that by shying away from my problem, I was making things worse. I took several rounds of speech and language classes, NLP training and joined online forums for self-help. Failed many times but kept going and slowly won my selfconfidence back,” he says. Vyas now talks almost fluently. He has also created ebooks to help people overcome speech defects, available on pothi.com.
According to speech therapists, at least 1% of all population suffers from some kind of a speech defect. In India, there are at least 12 million people suffering from speech problems.
    Such disorders have different causes, and may range from a few speech sound errors or repetitions of sounds or words to a total loss of the ability to use speech to communicate effectively.
    “Why does this happen is a big question. One doesn’t always have answers to this question, especially in cases of sudden onset of stammering. However, some known causes of speech impediments are hearing loss, neurological disorders, brain injury, mental retardation, autism, physical impairments such as cleft lip, and vocal abuse or misuse,” says Dr Raj Sharma, consultant speech and language therapist at Fortis group of hospitals.
   “About 50% more number of children are suffering from these problems,” says Sharma. He attributes this trend to decreasing interaction between parents and children. “Children get most of their verbal knowledge and skills from television, laptops and radios. It is a reality that in most nuclear families kids are left to the maids — as they are their first point of contact for most part of the day — children acquire their language skills,” he adds.
   Experts, however, believe that most of the developmental speech defects can be easily corrected with the help of speech therapy. “Therapy will vary depending on the nature and severity of the problem, the age of the individual, and the individual’s awareness of the problem,” says Dr Mani Bansal, consultant speech therapist at Max group of hospitals.
   “The process to cure physical deformities might include surgical intervention followed by therapy,” she says.
   In most cases, therapists usually teach patients breathing and oral exercises, primarily to train them to correct the pitch and improve rate of speech and voice modulation. “These are the basic interventions especially when working with children, to overcome developmental errors such as stammering and lisping,” said Dr Bansal. “We train children using lots of toys and books as it keeps them occupied and happy and they learn much quicker,” she says.

TYPES OF SPEECH PROBLEMS
     Fluency disorder: An interruption in the flow or rhythm of speech characterised by hesitations, repetitions, or prolongation of sounds, syllables, words, or phrases
   Articulation disorder: Having difficulties with the way sounds are formed and strung together, usually characterised by substituting one sound for another (wabbit for rabbit), omitting a sound (han for hand)
   Voice disorder: Characterised by inappropriate pitch (too high, too low, never changing, or interrupted by breaks); quality (harsh, hoarse, breathy, or nasal); loudness, resonance
p. 10 of Hindustan Times (Mumbai), 23.12.12
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SPEECH THERAPY CENTRES (in Mumbai)
    Dr LH Hiranandani hospital at Hiranandani Gardens, Powai
    Fortis Hospital at Mulund, Kalyan and Navi Mumbai.

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