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About 20–30% of children or adults with selective mutism have speech or language disorders that add stress to situations in which the child is expected to speak. [19] In the DSM-4, the term “elective mutism” was changed to “selective mutism.” This name change intended to deemphasize this refusal and oppositional aspect of the disorder.
Speech-language pathologists (SLPs) may provide individual therapy for the child to assist with speech production problems such as stuttering. They may consult with the child's teacher about ways in which the child might be accommodated in the classroom, or modifications that might be made in instruction or environment.
Developmental verbal dyspraxia can be diagnosed by a speech–language pathologist (SLP) through specific exams that measure oral mechanisms of speech. The oral mechanisms exam involves tasks such as pursing lips, blowing, licking lips, elevating the tongue, and also involves an examination of the mouth.
A disfluence or nonfluence is a non-pathological hesitance when speaking, the use of fillers (“like” or “uh”), or the repetition of a word or phrase. This needs to be distinguished from a fluency disorder like stuttering with an interruption of fluency of speech, accompanied by "excessive tension, speaking avoidance, struggle behaviors, and secondary mannerism".
Language disorders can also be categorized as developmental or acquired. A developmental language disorder is present at birth while an acquired language disorder occurs at some point after birth. Acquired language disorders can often be attributed to injuries within the brain due to occurrences such as stroke or Traumatic brain injury.
Speech-generating devices (SGDs), also known as voice output communication aids, are electronic augmentative and alternative communication (AAC) systems used to supplement or replace speech or writing for individuals with severe speech impairments, enabling them to verbally communicate. [1]
Teens in New York can consent to therapy starting at age 16, and a provision allows doctors to authorize treatment for younger children if they deem it in their best interest.
Pausing during speaking emphasises the information and this enables the audience to interpret the information correctly. Speaking at approximately 120-150 words per minute (wpm) is a moderate pace for an audience to comprehend information. [7] A varying speaking rate can engage the interest and attention of the audience.