Stuttering is a communication disorder of which the flow of speech is broken by repetitions (li-li-like this), prolongations (lllllike this), or abnormal stoppages (no sound) of sounds and syllables. There may also be unusual facial and body movements associated with the effort to speak.
About five percent of all children will go through a stage of developmental stuttering. This period of stuttering consists of easy repetitions without tension or signs of struggling. Most dysfluencies are only two or three repetitions in length and most of the time the child will appear unaware of the stuttering and will continue talking without signs of distress.
75 percent of these children will begin to spontaneously recover from normal dysfluencies after approximately six months. At the six-month mark you will want to note if your child’s speech is improving, staying the same or getting more difficult for them.
If you are worried about your child’s dysfluency consider these factors when deciding if it is time to talk with your child’s doctor or a speech language pathologist:
- Is your child a boy? 4x more boys stutter than girls.
- Is there a family history of stuttering? If yes, it is more likely your child may need skilled intervention.
- Has the dysfluent speech lasted longer than six months? If your child’s speech has not improved or has become more dysfluent, your child may need skilled intervention.
- Is your child aware of the stuttering? A child who stops talking, avoids words, abandons a message or verbalizes talking being difficult is more likely to need skilled intervention.
- Do you see increased facial or body movements when your child is stuttering? If you are noticing increased eye blinking, head nodding, facial tension, hand or foot tapping it is more likely your child may need skilled intervention.
Answering “yes” to two or more of these questions indicates it is time to talk to your child’s pediatrician about next steps. Continue Reading »
Cooler temperatures, football and turning leaves signals fall is upon us. Other indicators of the season are sneezing, itchy or watery eyes and a runny nose. Winter is coming, so while we enjoy the last of the nice weather it’s important to know whether you’re experiencing seasonal allergies or chronic sinusitis, better known as a sinus infection.
Many things can trigger seasonal allergies, whether it is pollen in the air, especially ragweed pollen in the fall, or your favorite pet. What really causes an allergic reaction to happen is your own immune system, which mistakes allergens for a more serious threat and attacks them. One of the differences in symptoms between regular allergies and chronic sinusitis is sneezing; allergies will cause sneezing, while those suffering from sinusitis will not. Other symptoms of seasonal allergies can include:
- Dark circles under the eyes
- Itchy and watery eyes
- Runny and itchy nose
Sinusitis is swelling of the tissue lining the sinuses. As the nose becomes blocked with fluid or germs it can lead to an infection. This usually happens right after a cold or can be caused by a deviated septum. Chronic sinusitis is characterized as inflammation in the sinuses lasting around eight weeks or longer. Those who suffer from chronic sinus infections may have some of the following symptoms: Continue Reading »
At 18 months of age your toddler is exploring his/her world and learning so many new things. Here are some of the typical speech and language milestones that indicate your child is progressing in language development.
- Uses 10-15 different words
- Uses words to have needs met (“more, up, eat”)
- Understands and uses the names of five different familiar objects
- Imitates sounds and words spontaneously
- Starts to combine two words (“all done, up mama”)
- Uses real words intermixed with babbling
- Hums along with familiar children’s songs
- Imitates words and word combinations with a model
- Recognizes pictures of family members and familiar objects
- Points or uses gestures to get your attention or make requests for objects/actions
- Retrieves a known object from another room upon request (“go get your blanket”)
- Follows simple commands
- Points to body parts when asked
- Develops a play routine (baby doll, kitchen play, car play)
- Enjoys looking at books and will turn pages a few at a time
Continue Reading »
Teens are notorious for being moody, but there’s a difference between typical teenage emotions and depression. In fact, the National Institute of Mental Health estimates that 2.6 million U.S. adolescents ages 12 to 17 had at least one major depressive episode in 2013. Depression in teens can lead to unhealthy coping behaviors, resulting in problems at school, drug and alcohol abuse, violence, self-harm, and reckless behavior. These issues are often a cry for help, and by knowing the signs of depression in teens; parents, teachers and other caregivers can identify teens who would benefit from professional attention.
Signs of depression in teens
Did you know that symptoms of depression can be different in teens than in adults? Be on the lookout for:
- Irritable or angry mood for most days in a week, for at least two weeks. Outbursts of hostility are often the predominant mood in depressed teens, as opposed to sadness.
- Unexplainable physical aches and pains. If a teen is complaining of symptoms such as headaches or stomachaches but a physical exam doesn’t show a cause, this could be a sign of depression.
- Withdrawing and/or changing social groups. Unlike adults, often teens with depression will not isolate themselves completely, but may pull away from those that know them well and begin socializing with peers who don’t question the change in their behavior or mood.
Other signs of depression are more similar in both teens and adults. These include:
- Lost of interest in things that used to be enjoyable.
- Change in sleeping or eating habits.
- Irrational fears or worries.
- Very low energy and motivation.
- Feelings of worthlessness, hopelessness or guilt.
- Difficulty concentrating.
- Thoughts of suicide.
If a teen is expressing thoughts of suicide, it is imperative that he or she be evaluated by a mental health professional immediately. If a teen is showing several of these signs, the best thing an adult can do is be supportive in getting him or her medical attention. Continue Reading »