Contents
- 0.1 Can you develop a stutter for no reason?
- 0.2 Is it OK to stutter sometimes?
- 0.3 Why can’t I speak properly all of a sudden?
- 0.4 Is stuttering linked to ADHD?
- 1 Can lack of sleep cause stuttering?
- 2 Will a stutter go away?
- 3 What are the three types of stuttering?
- 4 Does stuttering affect the brain?
- 5 Why do I feel like I can’t talk sometimes?
- 6 Can depression cause stuttering?
Why have I suddenly started stuttering?
Acquired or late-onset stammering – is relatively rare and happens in older children and adults as a result of a head injury, stroke or progressive neurological condition. It can also be caused by certain drugs, medicines, or psychological or emotional trauma.
Can you develop a stutter for no reason?
In most cases, stuttering that occurs later in life is due to psychological or neurological stress Although uncommon, adults can suddenly develop a stutter seemingly out of nowhere. In most cases, stuttering that occurs later in life is due to psychological or neurological stress,
Can stuttering be caused by anxiety?
Stuttering is a complex speech issue that affects about 1% of adults. People who stutter may become socially anxious, fear public speaking, or worry their stuttering will undermine their performance at work or school. Research shows that stuttering is not a mental health diagnosis, and anxiety is not the root cause of stuttering.
Is it OK to stutter sometimes?
What Are Some Ways to Support People Who Stutter? – You can support your friend or classmate who stutters by being kind, respectful, and patient. Here are a few other examples of how you can be supportive of people who stutter:
Ask your classmate or friend who stutters about specific ways you can support them. Most kids who stutter probably do not want you to finish their sentences. On a hard speech day, they may be okay with you ordering their school lunch so they can take a break from talking. Sometimes, however, it may be important to them that they order their own lunch. Each situation is different and each person who stutters is different in how they want support. Understand that people who stutter are just like everyone else, but they sometimes need a little extra time to say what they want to say. Stuttering is only one part of who they are. Build your friendships with them in the same way you would with any other kid based on common interests like sports, art, videogames, or music. Recognize that it is okay to stutter. Kids who stutter may or may not be in speech therapy, and that is okay. Your friend may be comfortable stuttering in front of you or may choose to use speech strategies when talking with you. Support people who stutter in whatever they choose.
Why can’t I speak properly all of a sudden?
Dysarthria means difficulty speaking. It can be caused by brain damage or by brain changes occurring in some conditions affecting the nervous system, or related to ageing. It can affect people of all ages. If dysarthria occurs suddenly, call 999, it may be being caused by a stroke.
Is stuttering linked to ADHD?
Research suggests that there may be a link between stuttering and attention deficit hyperactivity disorder (ADHD), a neurodevelopmental disorder that affects both children and adults. About 3–7% of children in the United States live with ADHD, which affects twice as many males as females.
- The three primary symptoms of ADHD are a short attention span, impulsive behavior, and hyperactivity.
- However, individuals with ADHD may also experience stuttering, which some refer to as stammering or childhood-onset fluency disorder.
- Individuals who stutter know what they want to say but have issues with the normal flow of communication.
The condition presents as prolongation of sounds, repetition of syllables or words, and disruption or blocks in speech. Keep reading to learn more about the link between ADHD and stuttering and the treatment options. ADHD may cause stuttering due to physical differences in the brain.
Individuals with ADHD may have smaller structures in the brain’s frontal lobe, which may mature later. This area helps with language, organization, planning, attention span, and decision-making. Some research indicates that in addition to physical differences in the brain, individuals with ADHD may have functional abnormalities in the Broca’s area.
This area of the frontal lobe contributes to speech production and processing. Therefore, any disturbances in its function could cause speech issues and communication difficulties. Learn more about the differences between an ADHD brain and a neurotypical brain.
Experts estimate that about 45% of children with ADHD have a form of speech and language impairment. Approximately 3–6% of school-aged children have ADHD. However, the prevalence is much higher among those who stutter, with 4–26% having ADHD. Doctors do not know much about stuttering in children with ADHD specifically, except that the language patterns are similar to those in children who do not have ADHD.
Stuttering and ADHD may arise due to anomalies in certain parts of the brain. Various areas of the brain are involved in the production and processing of speech, including:
Broca’s area helps people articulate ideas, use words accurately, and produce speech. Wernicke’s area connects with Broca’s area and helps with comprehension and language processing.The angular gyrus helps with complex language function, number processing, memory, reasoning, and the association of words with images and ideas.
Individuals with ADHD may have a smaller Broca’s area and experience functional differences. Research has identified a correlation between reduced blood flow to this part of the brain and stuttering. Learn more about stuttering. There is no single test that doctors can use to diagnose ADHD.
- A 2017 study reviewed the potential of a new test for ADHD in adults, but there is not yet an option for children.
- Doctors assess an individual’s symptoms and follow guidelines in the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) to help them make a diagnosis.
They may also ask parents, teachers, and other caregivers about the child’s behavior while at home or school or during other activities. As other issues can cause similar symptoms to ADHD, doctors may also perform physical exams and other tests to rule out other health problems.
Someone with ADHD who stutters may need to see a speech-language pathologist (SLP) who has specialist training in testing and treating people with language difficulties. When making a diagnosis, an SLP will consider when a person began stuttering and the circumstances. They will also analyze the person’s stuttering behaviors and evaluate their speech and language abilities.
There is currently no cure for stuttering, but various treatment options are available depending on an individual’s age and other factors. A person should work with an SLP to determine the best option for them. A treatment plan may include:
Stuttering therapy: During therapy, people learn ways to minimize stuttering, such as speaking slowly, controlling their breathing, and starting with single syllable responses before gradually progressing to longer words and sentences. They may also perform exercises to strengthen muscles in the face and throat. Therapy also helps with anxiety associated with stuttering. Medications: Currently, there are no approved medications for stuttering. However, medications for epilepsy, anxiety, or depression may help with the symptoms. Electronic devices: These devices may help control fluency relatively quickly. One example is a device that resembles a hearing aid and fits in the ear canal. It replays a slightly different version of the person’s voice so that it sounds as though they are speaking in unison with someone else. Support groups: Individuals with speech disorders may experience emotional difficulties. A support group helps people face their daily challenges, and it may improve their outlook.
Doctors often use stimulant medications for ADHD treatment, including methylphenidate (Ritalin), amphetamine/dextroamphetamine (Adderall), and dextroamphetamine (Dexedrine), These options are effective in up to 80% of cases but may increase stuttering.
Therefore, doctors may opt for nonstimulant options, such as atomoxetine (Strattera), if an individual with ADHD is experiencing stuttering. Research suggests that these medications may reduce stuttering if a person receives them alongside speech therapy. However, they may not be as effective as stimulant medications for other ADHD symptoms.
An individual should work with a doctor to find the best combinations of treatments for them. Children with ADHD may have articulation disorders that affect how they produce letter sounds. They may also have trouble with the fluency of speech and vocal quality.
- Sometimes, doctors can detect that an individual has ADHD through their speech symptoms.
- Louder speech, pitch variability, and unusual speech patterns, such as an increased number of pauses, may also occur in children with ADHD.
- They may also use words repetitively or as fillers while organizing their thoughts, which can present as a stutter.
Research shows that some individuals with ADHD who stutter may respond to treatment and overcome their challenges. However, those with more intense ADHD symptoms may have a more severe stutter than others. As a result, these individuals may require more clinical intervention and therapy to achieve speech fluency.
It is important to note that although ADHD may present some challenges, there are also potential positives to having the condition. Learn about these benefits. ADHD awareness is also extremely important, as it could help more people seek a diagnosis and receive treatment or accommodations. It could also help create more welcoming and accessible schools for those with ADHD.
Learn more about ADHD awareness. Researchers have identified an association between ADHD and stuttering. Individuals with ADHD may have difficulty concentrating, behave impulsively, and exhibit hyperactive behavior. Some individuals with ADHD may also experience speech disorders, such as stuttering.
It is possible that changes in the brain cause both ADHD and stuttering. In individuals with ADHD, the structures in the brain’s frontal lobe may be smaller. These areas are involved in language, attention span, and decision-making. People with ADHD may also have functional abnormalities in Broca’s area in the frontal lobe, which controls speech production and processing.
Currently, there is no cure for stuttering, but many individuals overcome the challenges through a combination of stuttering therapy, medications for emotional difficulties, and electrical devices. Support groups can also help people navigate the daily difficulties of living with ADHD and stuttering.
Can lack of sleep cause stuttering?
Alaska Sleep Education Center – When it comes to sleeping habits, there’s a great divide. Some people hit the pillow and, within minutes, they’re asleep. Others lie awake for hours trying to find ways to switch off, though fewer people probably turn to the traditional practice of counting sheep.
Some people believe they can live normal busy lives on just four hours’ sleep, as some political leaders have claimed. Others swear by nothing less than eight hours a night. Medical opinion generally recommends regular sleeping habits — going to bed at the same time every day and getting the requisite eight hours.
However, that scenario can prove difficult for people like shift workers who have to change their sleeping habits regularly. Poor sleep poses health risks With the emphasis on a ‘good night’s sleep’ for a healthy life, are there risks in bad sleeping habits or sleep deprivation? There are no simple answers, but plenty of popular beliefs as well as scientific studies on the subject, including a recent focus on the potential link between sleep or sleep apnea and stuttering.
- The studies – and the popular beliefs – take in every stage of life from the impact of infant sleep patterns to sleeping habits formed in later life.
- An article in the Huffington Post examined the impact of poor sleep on aspects of our daily lives with a mix of popular beliefs and scientific study.
- For example, the article counters a popular belief that falling asleep immediately is a good sign by referencing a study by the National Institute of Neurological Disorders and Stroke.
That, says the study, may actually indicate a sleep disorder or severe sleep deprivation. The article goes on to relate poor sleep to habits like falling asleep watching a movie, acting impulsively or forgetting an important task. Sleep also affects the ability to concentrate and slows reaction times, for example, when driving or making other split second decisions.
- Good sleep habits on the other hand, such as creating regular bedtime rituals, a consistent sleep schedule, limiting caffeine, using chamomile tea etc, allow you to feel more energetic and productive, positively impacting mental and physical health.
- Poor sleep and speech problems Experts in behavioral sleep medicine at New York’s Montefiore Medical Center point out that the frontal lobe of the brain, which is associated with our ability to speak clearly, can be affected by sleep deprivation.
This association has sparked a number of studies looking at speech problems and their potential relationship to sleep deprivation. One study by Benjamin C. Holding, Tina Sundelin, Mats Lekander and John Axelsson compared the performance of sleep-deprived volunteers in building models and describing the model-building process.
The researchers found that sleep deprivation did have an effect on the speed and efficiency of building models with bricks. However, the group tasked with describing the process showed no impairment on the word-description task, suggesting that lack of sleep had no significant impact on speech accuracy.
Sleep deprivation linked to stuttering Looking at the specific issue of stuttering and sleep, Sandra Merlo, a Brazilian speech therapist, found that her patients reported a worsening in stuttering when they slept badly. However, she found no consistent pattern of improvement when different groups of patients followed sleep hygiene programs.
- With children, she observed many cases of complete recovery from stuttering, but was unsure if the improvement was due to ‘growing out of it’ or greater confidence.
- Two groups of adults with persistent stuttering problems responded in completely different ways.
- One group completely recovered; the other showed no signs of improvement following better sleeping habits.
To try to identify the reasons for the link with stuttering, Dr. Merlo described a number of symptoms of poor sleeping habits: Sleeping fewer hours than necessary, which she recommended as 14 hours for pre-school children, 10-11 hours for school children and 8 hours for teenagers and adults.
- Sleeping out of phase, for example, going to bed later or sleeping in on weekends.
- Irregular sleep patterns, particularly affecting shift workers.
- Taking a long time to fall asleep or waking up several times during the night.
- Broken sleep because of health problems.
- She drew a number of conclusions from her experience with sleep-deprived patients suffering from stuttering: Sleep deprivation can lead to mental problems such as anxiety which could cause stuttering through lack of confidence.
Poor sleep can increase tension in the muscles that enable speech – lips, tongue and vocal chords. Sleep deprivation can affect cognitive functions in the brain and may impair speech fluency. We asked speech therapy expert, Michelle Lachman from Better Speech for her view and an overall recommendation, and she said that patients with stuttering problems should follow sleep hygiene measures as an integral part of a wider speech therapy problem. Sleep and stuttering problems linked to early brain damage A study by scientists at the University of California looked more deeply at the brain for links with stuttering related to sleep apnea. The team used MRI scanning to compare the brains of two groups – one with stuttering problems and one with no problems.
The scientists found that areas of the brain linked to speech production were smaller in the group that stuttered. This was due to brain damage and the severity of stuttering correlated with the extent of brain damage. They also found that 38 percent of patients had suffered stuttering as children, Better sleep, better health Although scientific studies have reached different conclusions about the links between sleep and stuttering, overall recommendations are that good sleeping patterns, good sleep hygiene and a supported sleep environment are fundamental to healthy living and recovery from physical and mental health problems.
At Alaska Sleep Clinic, we are constantly educating ourselves and our communities about the links between sleep and so many other health issues. Out motto is: “Improve Your Sleep. Improve Your Life” because we know that is true. Call us today @ 907-770-9104, Previous slide Next slide
Can depression cause stuttering?
Stuttering in adults People may also develop a psychogenic stutter later in life due to psychological conditions, such as anxiety or depression. The perception of someone listening to them, either real or imagined, may play a role in stuttering in adult life.
Will a stutter go away?
Treatment – There is no one best treatment for stuttering. Most early cases are short-term and resolve on their own. Speech therapy may be helpful if:
Stuttering has lasted more than 3 to 6 months, or the “blocked” speech lasts several seconds The child appears to be struggling when stuttering, or is embarrassed There is a family history of stuttering
Speech therapy can help make the speech more fluent or smooth. Parents are encouraged to:
Avoid expressing too much concern about the stuttering, which can actually make matters worse by making the child more self-conscious.Avoid stressful social situations whenever possible.Listen patiently to the child, make eye contact, don’t interrupt, and show love and acceptance. Avoid finishing sentences for them.Set aside time for talking.Talk openly about stuttering when the child brings it up to you. Let them know you understand their frustration.Talk with the speech therapist about when to gently correct the stuttering.
Taking medicine has not been shown to be helpful for stuttering. It is not clear whether electronic devices help with stuttering. Self-help groups are often helpful for both the child and family.
What’s the difference between stammering and stuttering?
The medical condition, “disfluent speech” or “dysfluent speech” is commonly referred to as “stuttering” in American English. In British English, the condition is called “stammering.” The terms “stuttering,” “stammering,” “disfluent speech”, and “dysfluent speech” all refer to the same group of symptoms.
- Whether you call it a stutter or a stammer, the condition affects somewhere between 5 and 10 percent of children at some point, and over 3 million adults, according to the National Institutes of Health,
- In this article, we’ll take a look at the symptoms of stuttering (or stammering), and resources you can explore if you or your child have this condition.
Since stammering and stuttering are the same conditions, they have the same symptoms. These symptoms can include one or more of the following:
repeating one syllable of a word as you say it prolonging certain sounds of words long stops or “blocks” as you are speaking a sentence getting frustrated as you try to speak in sentences lip tremors or tension in your face when you try to speak having difficulty speaking in social or public settings
While stuttering is more common in childhood, it’s not unusual for some symptoms to continue into adulthood. A family history of stuttering may make you more likely to have the condition, and males are more likely to have the condition than females. Stuttering and stammering are the same condition, and they have the same symptoms.
What are the three types of stuttering?
Key points about stuttering in children –
Stuttering is a speech problem where the normal flow of speech is disrupted. The 3 types of stuttering are developmental stuttering, neurogenic stuttering, and psychogenic stuttering. The exact cause of stuttering is unknown. A speech-language pathologist diagnoses stuttering by evaluating your child’s speech and language abilities. School personnel are important resources for school-age children who stutter and their families There is no cure for stuttering. But early treatment may keep stuttering from continuing into adulthood. It is critical that children who stutter feel accepted and supported by the important adults and peers in their lives.
Does stuttering affect the brain?
People who stutter often appear to have slightly weaker connections between the brain areas responsible for hearing and for the movements that generate speech – The problem isn’t confined to one part of the brain. Rather, it’s all about connections between different parts, according to speech-language pathologist and neuroscientist Soo-Eun Chang of the University of Michigan in Ann Arbor.
For example, in the brain’s left hemisphere, people who stutter often appear to have slightly weaker connections between the areas responsible for hearing and for the movements that generate speech. Chang has also observed structural differences in the corpus callosum, the big bundle of nerve fibres that links the left and right hemispheres of the brain.
These findings hint that stuttering might result from slight delays in communication between parts of the brain. Speech, Chang suggests, would be particularly susceptible to such delays because it must be coordinated at lightning speed. Chang has been trying to understand why about 80% of kids who stutter grow up to have normal speech patterns, while the other 20% continue to stutter into adulthood.
- Stuttering typically begins when children first start stringing words together into simple sentences, around the age of two.
- Chang studies children for up to four years, starting as early as possible, looking for changing patterns in brain scans.
- It’s no easy feat to convince such young children to hold still in a giant, thumping, brain-imaging machine.
The team has embellished the scanner with decorations that hide all the scary parts. “It looks like an ocean adventure,” Chang says. In kids who lose their stutter, Chang’s team has observed that the connections between areas involved in hearing and ones involved in speech movements get stronger over time.
But that doesn’t happen in children who continue to stutter, In another study, Chang’s group looked at how the different parts of the brain work simultaneously, or don’t, using blood flow as a proxy for activity. They found a link between stuttering and a brain circuit called the default mode network, which has roles in ruminating over one’s past or future activities, as well as daydreaming.
In children who stutter, the default mode network seems to insert itself – like a third person butting in on a romantic date – into the conversation between networks responsible for focusing attention and creating movements, That could also slow speech production, she says.
- These changes to brain development or structure might be rooted in a person’s genes, but an understanding of this part of the problem has also taken time to mature.
- All in the family In early 2001, geneticist Dennis Drayna received a surprising email: “I am from Cameroon, West Africa.
- My father was a chief.
He had three wives and I have 21 full and half siblings. Almost all of us stutter,” Drayna recalls it saying. “Do you suppose there could be something genetic in my family?”
Why do I stutter when I talk?
What causes stuttering? – Experts don’t fully understand why stuttering happens. However, they suspect that several factors can contribute to it.
Family history, You’re three times more likely to stutter if you have a first-degree relative (a parent or sibling) who stutters. Genetics, DNA mutations may contribute to stuttering. Genetics also seem to influence whether this condition improves or goes away over time. Brain structure differences, People who stutter are more likely to have differences in certain brain areas. These are usually areas that control speaking muscles or muscle coordination.
Is stuttering caused by trauma?
What is stuttering in children? – Stuttering is a speech problem. The normal flow of speech is disrupted. A child who stutters repeats or prolongs sounds, syllables, or words. Stuttering is different from repeating words when learning to speak. Stuttering may make it difficult for a child to communicate with others. There are several types of stuttering:
Developmental stuttering. This is the most common type of stuttering in children. It usually happens when a child is between ages 2 and 5. It may happen when a child’s speech and language development lags behind what he or she needs or wants to say. Neurogenic stuttering. Neurogenic stuttering may happen after a stroke or brain injury. It happens when there are signal problems between the brain and nerves and muscles involved in speech. Psychogenic stuttering. Psychogenic stuttering is not common. It may happen after emotional trauma. Or it can happen along with problems thinking or reasoning.
Is a stutter mental or physical?
Is It Possible for Stuttering to have Psychological as well as Physiological bases? – As Luc F. De Nil, an associate professor and chair of the graduate department of speech-language pathology at the University of Toronto precisely put it – stuttering has biological as well as psychological etiologies.
4 males for every 1 female stutter,The male predominance is similar to several genetic (biological) disorders including Tourette’s syndrome, and Down Syndrome.1% of the world’s population stutters.Acquired stuttering highlights the importance of neural systems in speech fluency.Several psychoactive compounds such as Ecopipam can treat stuttering in children and adults.Psychoanalytic therapy is effective in treating stuttering in both adults and children.
How does stuttering feel?
Facts About Stuttering | Stuttering Facts & Statistics People who stutter experience a loss of control in the forward flow of speech. The more we understand stuttering, the better we can educate others about it. The NSA ® has partnered with leading stuttering specialists and researchers to provide accurate information about stuttering.
- Here are a few facts about stuttering: Stuttering usually begins in childhood, between the ages of 2 and 5 years.
- Stuttering is a speech pattern involving disruptions, or “disfluencies,” in a person’s speech.
- Stuttering can begin gradually and develop over time, or it can appear suddenly.
- When people stutter, they feel like they have lost control of their speech mechanism.
This sensation of loss of control can be disconcerting and uncomfortable, and it can lead to embarrassment, anxiety about speaking, and a fear of stuttering again. Stuttering is a genetically-influenced condition: most of the time, if there is one person in a family who stutters, there will be another person in the family who also stutters.
- Stuttering is associated with differences in the brain; it is not just a behavior that children learn or pick up from listening to other people who stutter.
- Stuttering is more common among males than females.
- In adults, the male-to-female ratio is about 4 to 1; in children, it is closer to 2 to 1.
- It’s estimated about 1% of the world’s population stutters, though about 5% of children go through a period of stuttering.
As many as 80% of young children who begin to stutter ultimately stop stuttering. Those who continue to stutter into the school-age years are likely to continue stuttering in some fashion throughout their lives. Stuttering varies significantly over time: Sometimes, people will have periods in which the stuttering appears to go away, only to have it return.
- This variability is normal.
- People who stutter often try to avoid stuttering, perhaps by trying to speak quickly, by forcing through moments of stuttering, or by not speaking at all when they fear that they might stutter.
- These behaviors can actually increase the likelihood that more stuttering will result, and they lead to a greater impact of stuttering on the person’s life.
Stuttering also varies across situations: sometimes people stutter a lot, and sometimes they stutter a little. Again, this variability is normal. For people who stutter, the observable disfluencies are not the most important part of the condition. Instead, it is the impact on their lives that causes the most concern.
What counts as a stutter?
What is stuttering? – Stuttering is a speech disorder characterized by repetition of sounds, syllables, or words; prolongation of sounds; and interruptions in speech known as blocks. An individual who stutters exactly knows what he or she would like to say but has trouble producing a normal flow of speech.
- These speech disruptions may be accompanied by struggle behaviors, such as rapid eye blinks or tremors of the lips.
- Stuttering can make it difficult to communicate with other people, which often affects a person’s quality of life and interpersonal relationships.
- Stuttering can also negatively influence job performance and opportunities, and treatment can come at a high financial cost.
Symptoms of stuttering can vary significantly throughout a person’s day. In general, speaking before a group or talking on the telephone may make a person’s stuttering more severe, while singing, reading, or speaking in unison may temporarily reduce stuttering.
Why can’t I think of the words I want to say?
What is Normal vs. Aphasia – Everyone can experience word-finding difficulty or that “tip-of-the-tongue” sensation. This is normal and becomes more prominent with age. It can worsen when people feel anxious, excited, depressed or even sleep deprived. Those situations are not classified as aphasia.
Why do I feel like I can’t talk sometimes?
Aphasia is a communication disorder that makes it hard to use words. It can affect your speech, writing, and ability to understand language. Aphasia results from damage or injury to language parts of the brain. It’s more common in older adults, particularly those who have had a stroke.
- Aphasia gets in the way of a person’s ability to communicate, but it doesn’t impair intelligence.
- People who have aphasia may have a hard time speaking and finding the “right” words to complete their thoughts.
- They may also have problems understanding conversation, reading and comprehending written words, writing words, and using numbers.
People with aphasia may also repeat words or phrases. The main symptoms of aphasia include:
Trouble speaking Struggling with finding the right term or wordUsing strange or wrong words in conversationTrouble understanding what other people say or following conversationsWriting sentences that don’t make sense or trouble expressing yourself in writingSpeaking in short sentences or phrasesUsing unrecognizable words
Aphasia may be mild or severe. With mild aphasia, the person may be able to converse yet have trouble finding the right word or understanding complex conversations. Serious aphasia makes the person less able to communicate. The person may say little and may not take part in or understand any conversation.
Some people with aphasia have problems understanding what others are saying. The problems occur particularly when the person is tired or in a crowded or loud environment. Aphasia does not affect thinking skills. But the person may have problems understanding written material and a hard time with handwriting.
Some people have trouble using numbers or even doing simple calculations. There are different types of aphasia. Each can cause language issues that range from mild to serious. But the verbal expressions can mostly be categorized as fluent or nonfluent aphasia.
Fluent vs. nonfluent aphasia Fluent aphasia. You may be able to produce speech that contains connected sentences. But the sentences, while linked, may lack proper meaning. Nonfluent aphasia. With this type, your speech may have halts. You may need a lot of effort to string a sentence together, and it may not be grammatically correct.
But you may still be able to preserve the meaning of the words enough to get the point across. Common types of fluent aphasia include: Anomic aphasia. With anomic aphasia, you have a hard time finding words. This is called anomia. Because of the difficulties, you may struggle to find the right words for speaking and writing.
- Conduction aphasia.
- This is also called associative aphasia.
- It’s a form where you may have trouble finding words or repeating phrases.
- Transcortical sensory aphasia.
- With this type, you’re fairly good at repeating words and phrases.
- But you’re more likely to repeat questions that someone may ask you rather than answer them.
This phenomenon is called echolalia, Wernicke’s aphasia. It’s also known as receptive aphasia. You can hear a voice or read print but may not understand the meaning of the message. Often, someone with receptive aphasia takes language literally. Their own speech may be disturbed because they do not understand their own language.
The common types of nonfluent aphasia are: Broca’s aphasia. This is also called expressive aphasia. If you have this this, you know what you want to say, but you’ll have a hard time communicating it to others. It doesn’t matter whether you’re trying to speak or write what you’re trying to communicate. Global aphasia.
This is the most severe type of aphasia. It is often seen right after someone has a stroke, With global aphasia, you have a hard time speaking and understanding words. You also can’t read or write. With a stroke, aphasia may improve with proper therapy.
Transcortical motor aphasia. You may have strong repetition skills, but you may find it hard to answer questions without having to give them a lot of thought. Exceptional aphasias These types usually don’t fit well under fluent or nonfluent aphasia. They can include: Crossed aphasia. You may get this type of aphasia after you have an injury to the brain that controls the dominant side of your body.
But it happens on the opposite side. For example, if you’re right-handed, usually the left hemisphere of your brain is dominant. But in this case, a stroke in the right hemisphere causes language problems in right-handed people. Subcortical aphasia. This type of aphasia may develop if you’ve injured the subcortical region of the brain.
- Primary progressive aphasia.
- Primary progressive aphasia is a type of dementia,
- It’s a rare disorder where people slowly lose their ability to talk, read, write, and comprehend what they hear in conversation over a period of time.
- There’s no treatment to reverse primary progressive aphasia.
- People with primary progressive aphasia are able to communicate in ways other than speech.
For instance, they might use gestures. And many benefit from a combination of speech therapy and medications. Aphasia is usually caused by a stroke or brain injury with damage to one or more parts of the brain that deal with language. According to the National Aphasia Association, about 25% to 40% of people who survive a stroke get aphasia.
Head injury Brain tumor InfectionDementia
In some cases, aphasia is a symptom of epilepsy or another neurological disorder. As of today, experts aren’t sure if aphasia can cause you to completely lose language structure, or if it only affects your ability to access language and use it. Usually, a doctor diagnoses aphasia when treating you for a stroke, brain injury, or tumor.
CT scanMRIPET scan
If the doctor suspects aphasia, they may also refer you to a speech-language pathologist for a detailed exam. These medical professionals are trained to identify and improve language and communications skills. During the exam, they may test to observe language skills such as:
GrammarAbility to form sounds and lettersAbility to understand words and sentencesObject knowledgeDescribing picturesUsing single words to name objects and picturesMatching spoken words to picturesAnswering yes-or-no questionsFollowing directions
Treatment for someone with aphasia depends on things such as:
AgeCause of brain injuryType of aphasiaPosition and size of the brain lesion
For instance, a person with aphasia may have a brain tumor that’s affecting the language center of the brain. Surgery to treat the brain tumor may also improve the aphasia. A person with aphasia who has had a stroke may benefit from sessions with a speech-language pathologist.
Use props to help get the message across.Draw words or pictures on paper when trying to communicate.Speak slowly, and stay calm when talking.Carry a card to let strangers know you have aphasia and what aphasia means.
Speech and language therapy. If you have aphasia and have had a stroke, you may benefit from sessions with a speech-language pathologist. It’s best to start as early as possible. The therapist will meet regularly with you to help you speak and communicate better.
The therapist will also teach you ways to communicate that don’t involve speech. This will help you compensate for language problems, This type of therapy may also be done in group settings to start and practice conversations. The interaction may also help you relearn and correct mispronunciations. Therapy may also involve computer and tech devices to relearn words and phrases.
Nonverbal communication therapies. If aphasia limits how well you communicate properly using words and phrases, you may benefit from nonverbal communication therapy. Your treatment plan may include:
A picture-based communication systemUsing a communication book to drawA drawing programWorking on using gesturesWorking directly to improve function in areas that affect verbal communication
Medication. Certain drugs may help improve blood flow to the brain that can help it recover or replace some of the chemicals that may have been reduced after aphasia. Drugs like memantine (Namenda) and piracetam have shown some success in small studies.
But more research needs to be done before they can be recommended for treatment. Group therapy. This can be helpful for both someone affected by aphasia and their loved one. Licensed professionals can help you build tools to communicate well and adjust expectations through the recovery process. Other treatments.
Experts are studying brain simulation treatments like transcranial magnetic stimulation and transcranial direct current stimulation. These are noninvasive options that stimulate damaged brain cells. But more research needs to be done. The outlook for people with aphasia may depend on several things, such as:
Cause of brain injuryExtent of injuryArea of injuryAgeHealth
If a stroke caused your aphasia, you’re likely to recover language skills within hours or days. For others, language problems may be a lifelong issue. And the aphasia may range from mild to severe. If a neurodegenerative condition like dementia was the cause of aphasia, you may lose language skills over time. Possible complications depend on the cause of the aphasia. This may include:
DepressionLoss of mobilityLoss of bladder or bowel controlHigher risk of infectionPressure ulcers Untreated pain
Aphasia is used to describe the total loss of language and speech from a brain injury. Dysphasia refers to the partial loss of language. But the term “aphasia” is usually used to refer to both conditions. Unlike aphasia that happens because of a brain injury, dysarthria is a speech disorder.
- It may happen if the muscles used to speak become weak, injured, or paralyzed.
- Causes can include damage to the nervous system or neuromuscular conditions like ALS or Lou Gehrig’s disease, cerebral palsy, or multiple sclerosis.
- If you have aphasia, there are things you can do to improve your communication with others.
You can:
Make gestures with your hands.Use facial expressions.Try using devices like a phone, computer, or communication apps for a video call.Use communication aids like pictures.Pantomime or act it out.Combine reading, writing, and speaking to drive the point home.Point to keywords.
If someone you know has aphasia, these tips can help you communicate better:
Get their attention before you say something.Keep eye contact.Pay attention to their body language.Talk where it’s quiet.Use simple words, but don’t use childish language.Use shorter sentences and repeat important words.Talk slowly.Give them time to say something.Try drawings, gestures, writing, or facial expressions if words aren’t working.Ask them to draw, write, or point if they are having trouble.Ask yes-or-no questions.Let them make mistakes and try.Don’t talk louder. People with aphasia hear normally.Don’t finish their thoughts for them.
Aphasia can often be a sign of a serious medical problem like a stroke. Tell your doctor right away If you notice that you suddenly have issues like:
A hard time speakingTrouble understanding speechUnable or finding it hard to recall wordsProblems with reading or writing
If it’s a medical emergency, call 911 or head to the nearest hospital. Feeling tired or stressed Simply being tired or fatigued can make it hard to think of the right words. And when you’re worried about being judged by others or feel embarrassed, you may freeze up or struggle to talk.
- Anxiety, especially if it crops up when you’re in front of a lot of people, can lead to dry mouth, stumbling over your words, and more troubles that can get in the way of speaking.
- It’s OK to be nervous.
- Don’t worry so much about being perfect.
- Taking that pressure off of yourself might get your words flowing again.
Better self-care, therapy, and support groups may help when you’re feeling wound up or worn out. Depending on the situation, your doctor may be able to prescribe medication, too. Get helpful tips on living with social anxiety, Too much to drink Alcohol is widely known to cause slurred speech because it slows down how the brain communicates with the body.
Your liver can only break down a little alcohol at a time, leaving the rest in your bloodstream. The more you drink, the more intense the effects and the longer they last. If you’re concerned about your drinking, ask your doctor for advice. Learn more about how drinking too much alcohol regularly can damage your body.
Stroke Trouble speaking, along with having a numb or drooping face and feeling weak in one arm or a leg, is one of the major signs of stroke. When the oxygen supply has been cut off to your brain by a blood clot or you have bleeding in the brain, you could have slurred speech, be hard to understand, or be unable to talk at all.
- Permanent language problems, called aphasia, are often the result of a stroke.
- Call 911 as soon as stroke symptoms appear so that trained emergency workers can get you to the right hospital quickly.
- Don’t wait or try to get there on your own.
- Now the warning signs of stroke,
- Migraine A severe migraine headache can also mess with your words.
This is called transient aphasia because it will go away. Migraines are known for being very painful and sometimes leading to changes in the senses, too. Up to one-fourth of people who have migraines say they get an aura ahead of time, where they see flashing lights or have blind spots.
- Other symptoms you could have with an aura or during the migraine are numbness, dizziness, confusion, or trouble speaking.
- You can even feel these symptoms without having a painful headache.
- The exact causes of migraine aren’t fully clear, but some can be prevented by watching your diet and lifestyle, using prescription medications, and taking certain vitamins.
Treatment for the headaches may include over-the-counter painkillers and nausea medicines as well as prescription drugs. If you find migraines are getting in the way of your daily life, your regular doctor may refer you to a specialist called a neurologist.
- Find out more about common migraine headache symptoms.
- Neurological disorders Multiple sclerosis (MS) is a disease that changes how the brain sends information between its cells and with the rest of the body.
- People with MS who have lesions in areas of the brain responsible for speech can have speech issues that range from mild to severe.
A common pattern in MS is “scanning speech”: the rhythm of how you talk has extra-long pauses between words and syllables. Weak muscles and trouble coordinating the muscles in your mouth and cheeks can make it hard for someone with MS to say words, too.
Brain cancer, if the tumor is in the part of the brain that handles language, could also affect your speech. Other common symptoms of brain cancer are headaches, seizures, changes in personality or memory, nausea, unusual sleepiness, and struggling to do daily activities. One type of seizure, a sudden burst of brain activity that people with epilepsy have, affects specific muscles depending on where in the brain it happens.
Another type can make people look awake but actually unaware of what’s going on around them. They may also make strange noises, gag, or smack their lips and not realize they’ve done it. Seizures could be caused by strokes or brain tumors that affect the language zones, too.
Read more information on various diseases of the brain. Medications A wide range of medications and supplements – from allergy medications to blood pressure drugs and even high doses vitamin C – can affect your voice by drying out the mucus that protects your vocal cords. They also can thin your blood, which means your vocal cords would be easier to injure.
They can make your body retain fluid, which enlarges your vocal cords and could make you hoarse. Some narcotics and sedatives can slow or slur speech by making it hard for you to control your mouth muscles. Not being able to speak normally is a side effect of the antidepressant bupropion.
- Topiramate, a medicine for controlling seizures, might lead to speech problems like finding the right words, though these typically go away when your doctor lowers the doses or you stop taking the drug.
- If you’ve just begun taking a new medicine, check its label, the package insert, or ask your pharmacist if that could be related to your speech problems.
Learn more about common side effects of medications,
Why can’t I put my thoughts into words?
Dysgraphia vs. Expressive Language Disorder: Compare the Difference By Expert reviewed by and expressive language disorder both affect language use and learning. Dysgraphia can make it hard to put thoughts in writing. Expressive language disorder can make it hard to express thoughts and ideas when speaking and writing.
Dysgraphia | Expressive language disorder | |
---|---|---|
What is it? | An issue that involves difficulty with the physical act of writing. Kids may find it hard to express their ideas in written form. | An issue that makes it hard to express thoughts and ideas through spoken language. Kids with this issue typically understand what they hear, but they can have trouble forming and producing a spoken response. |
Signs you may notice |
Has trouble expressing thoughts in writing.Uses simpler sentences when writing than when speaking.Uses poor spelling and incorrect grammar or punctuation.Writes run-on sentences and doesn’t use paragraph breaks.Seems frustrated by the act of writing on paper.Has trouble holding a pencil.Has trouble forming letters and words or spaces them oddly.Mixes capital and lowercase letters or print and cursive letters.Has slow, labored, and sloppy writing. |
Is late to start talking.Uses short phrases or sentences.Has a limited vocabulary compared to kids the same age.May talk very little, but understands what is said.Uses unspecific words like “thing” or “stuff.”Has trouble finding words.Has trouble using complex sentences. Uses certain phrases over and over again.Leaves out words and confuses verb tenses.Pronounces words well, but what is said doesn’t always make sense.Finds it hard to learn new vocabulary words.Appears frustrated by inability to express thoughts out loud.Has trouble telling about experiences in a way that makes sense to others. Stories can lack detail or be told in the wrong order.Uses poor grammar and run-on sentences when writing because so much effort is going into simply coming up with sentences. This happens mostly with younger writers. |
Possible emotional and social impact | Kids with dysgraphia may freeze up when they try to put thoughts on paper. This can cause them to be frustrated and anxious and to avoid taking risks. They may worry about being seen as “sloppy” or not trying hard enough. This can lead to low self-esteem. | Kids with expressive language disorder might not be able to communicate what they’re thinking, or that they’re understanding what others are saying. This can cause trouble with making friends. |
What can help |
Using organizers to break writing assignments into smaller chunks.Providing a checklist of what to look for when editing and proofreading, such as spelling, neatness, grammar, syntax, etc.Taking a short break before proofreading or editing work.Doing occupational (OT) to help build fine motor skills and dexterity. |
Using pictures, symbols, or photos to help with communication.Providing explicit feedback when a child is vague or not clear. For example: “Can you tell me where ‘there’ is?”Being patient and allowing kids to speak at their own pace.Speech and language therapy to help build vocabulary and improve grammar. |
Accommodations |
Allowing for extra time on tests that involve writing.Allowing kids to respond in ways other than writing.Breaking writing assignments into steps.Allowing kids to use a word processor in school.Grading based on what the student knows, so spelling and handwriting are taken out of the equation.Providing a “proofreading buddy.”Talking out a story or ideas first and helping to create an outline.Using assistive technology, such as speech-to-text software. |
Using labeled pictures or other visual supports to help kids access vocabulary during certain situations or activities.Using a herringbone diagram (a type of graphic organizer) to help with sentence structure.Providing a thesaurus, word wall or vocabulary journal to expand vocabulary.Using visualization techniques to expand details in writing.Providing choices of correct grammar, word choice, or sentence structure. For example: “Is that a car or a bicycle?” or “You’re talking about a boy — should that be he or she ?” |
What families can do at home |
Use speech-to-text tools that allow kids to speak and have it be translated to text.Play writing games, like Mad Libs.Find apps and games that encourage interest in writing.Work on keyboarding skills.Try other tools to help with dysgraphia. |
Play word games like Pictionary or Apples to Apples to teach new vocabulary.Repeat what your child says to you, modeling the correct sentence structure, grammar, or pronunciation.Find apps and games that encourage vocabulary building.Read together and look at pictures. Have your child try to tell you “what’s happening” in familiar stories.Plan new experiences and involve your child in daily activities to learn new vocabulary.Practice sequencing. For instance, you can say, “Can you tell me how we made mac and cheese for dinner? What did we do first, second, third?”Expand their short sentences. For example, if your child says, “See car!” You might expand by saying “You see a fast car!” Gradually, you might cue your child to tell you “the whole thing.” |
When kids are having trouble expressing thoughts, there are steps you can take. If they’re having difficulty with other aspects of writing other than just the physical act of writing, it may also be a learning difference known as, You can learn more about what else can cause and,
- A can help pinpoint what’s causing challenges.
- And families and teachers should talk about what they’re each seeing and develop a plan together.
- Amanda Morin is the author of “The Everything Parent’s Guide to Special Education” and the former director of thought leadership at Understood.
- As an expert and writer, she helped build Understood from its earliest days.
Kelli Johnson, MA is an educational speech-language pathologist, working with students from early childhood through 12th grade. We’ll email you our most helpful stories and resources. Copyright © 2014-2023 Understood For All Inc. : Dysgraphia vs. Expressive Language Disorder: Compare the Difference
Can depression cause stuttering?
Stuttering in adults People may also develop a psychogenic stutter later in life due to psychological conditions, such as anxiety or depression. The perception of someone listening to them, either real or imagined, may play a role in stuttering in adult life.
Can lack of sleep cause stuttering?
Alaska Sleep Education Center – When it comes to sleeping habits, there’s a great divide. Some people hit the pillow and, within minutes, they’re asleep. Others lie awake for hours trying to find ways to switch off, though fewer people probably turn to the traditional practice of counting sheep.
- Some people believe they can live normal busy lives on just four hours’ sleep, as some political leaders have claimed.
- Others swear by nothing less than eight hours a night.
- Medical opinion generally recommends regular sleeping habits — going to bed at the same time every day and getting the requisite eight hours.
However, that scenario can prove difficult for people like shift workers who have to change their sleeping habits regularly. Poor sleep poses health risks With the emphasis on a ‘good night’s sleep’ for a healthy life, are there risks in bad sleeping habits or sleep deprivation? There are no simple answers, but plenty of popular beliefs as well as scientific studies on the subject, including a recent focus on the potential link between sleep or sleep apnea and stuttering.
The studies – and the popular beliefs – take in every stage of life from the impact of infant sleep patterns to sleeping habits formed in later life. An article in the Huffington Post examined the impact of poor sleep on aspects of our daily lives with a mix of popular beliefs and scientific study. For example, the article counters a popular belief that falling asleep immediately is a good sign by referencing a study by the National Institute of Neurological Disorders and Stroke.
That, says the study, may actually indicate a sleep disorder or severe sleep deprivation. The article goes on to relate poor sleep to habits like falling asleep watching a movie, acting impulsively or forgetting an important task. Sleep also affects the ability to concentrate and slows reaction times, for example, when driving or making other split second decisions.
- Good sleep habits on the other hand, such as creating regular bedtime rituals, a consistent sleep schedule, limiting caffeine, using chamomile tea etc, allow you to feel more energetic and productive, positively impacting mental and physical health.
- Poor sleep and speech problems Experts in behavioral sleep medicine at New York’s Montefiore Medical Center point out that the frontal lobe of the brain, which is associated with our ability to speak clearly, can be affected by sleep deprivation.
This association has sparked a number of studies looking at speech problems and their potential relationship to sleep deprivation. One study by Benjamin C. Holding, Tina Sundelin, Mats Lekander and John Axelsson compared the performance of sleep-deprived volunteers in building models and describing the model-building process.
- The researchers found that sleep deprivation did have an effect on the speed and efficiency of building models with bricks.
- However, the group tasked with describing the process showed no impairment on the word-description task, suggesting that lack of sleep had no significant impact on speech accuracy.
Sleep deprivation linked to stuttering Looking at the specific issue of stuttering and sleep, Sandra Merlo, a Brazilian speech therapist, found that her patients reported a worsening in stuttering when they slept badly. However, she found no consistent pattern of improvement when different groups of patients followed sleep hygiene programs.
With children, she observed many cases of complete recovery from stuttering, but was unsure if the improvement was due to ‘growing out of it’ or greater confidence. Two groups of adults with persistent stuttering problems responded in completely different ways. One group completely recovered; the other showed no signs of improvement following better sleeping habits.
To try to identify the reasons for the link with stuttering, Dr. Merlo described a number of symptoms of poor sleeping habits: Sleeping fewer hours than necessary, which she recommended as 14 hours for pre-school children, 10-11 hours for school children and 8 hours for teenagers and adults.
Sleeping out of phase, for example, going to bed later or sleeping in on weekends. Irregular sleep patterns, particularly affecting shift workers. Taking a long time to fall asleep or waking up several times during the night. Broken sleep because of health problems. She drew a number of conclusions from her experience with sleep-deprived patients suffering from stuttering: Sleep deprivation can lead to mental problems such as anxiety which could cause stuttering through lack of confidence.
Poor sleep can increase tension in the muscles that enable speech – lips, tongue and vocal chords. Sleep deprivation can affect cognitive functions in the brain and may impair speech fluency. We asked speech therapy expert, Michelle Lachman from Better Speech for her view and an overall recommendation, and she said that patients with stuttering problems should follow sleep hygiene measures as an integral part of a wider speech therapy problem. Sleep and stuttering problems linked to early brain damage A study by scientists at the University of California looked more deeply at the brain for links with stuttering related to sleep apnea. The team used MRI scanning to compare the brains of two groups – one with stuttering problems and one with no problems.
The scientists found that areas of the brain linked to speech production were smaller in the group that stuttered. This was due to brain damage and the severity of stuttering correlated with the extent of brain damage. They also found that 38 percent of patients had suffered stuttering as children, Better sleep, better health Although scientific studies have reached different conclusions about the links between sleep and stuttering, overall recommendations are that good sleeping patterns, good sleep hygiene and a supported sleep environment are fundamental to healthy living and recovery from physical and mental health problems.
At Alaska Sleep Clinic, we are constantly educating ourselves and our communities about the links between sleep and so many other health issues. Out motto is: “Improve Your Sleep. Improve Your Life” because we know that is true. Call us today @ 907-770-9104, Previous slide Next slide
What’s the difference between stammering and stuttering?
The medical condition, “disfluent speech” or “dysfluent speech” is commonly referred to as “stuttering” in American English. In British English, the condition is called “stammering.” The terms “stuttering,” “stammering,” “disfluent speech”, and “dysfluent speech” all refer to the same group of symptoms.
- Whether you call it a stutter or a stammer, the condition affects somewhere between 5 and 10 percent of children at some point, and over 3 million adults, according to the National Institutes of Health,
- In this article, we’ll take a look at the symptoms of stuttering (or stammering), and resources you can explore if you or your child have this condition.
Since stammering and stuttering are the same conditions, they have the same symptoms. These symptoms can include one or more of the following:
repeating one syllable of a word as you say it prolonging certain sounds of words long stops or “blocks” as you are speaking a sentence getting frustrated as you try to speak in sentences lip tremors or tension in your face when you try to speak having difficulty speaking in social or public settings
While stuttering is more common in childhood, it’s not unusual for some symptoms to continue into adulthood. A family history of stuttering may make you more likely to have the condition, and males are more likely to have the condition than females. Stuttering and stammering are the same condition, and they have the same symptoms.
Do stutters get worse with age?
Causes – Stuttering usually affects children ages 2 to 5 years and is more common in boys. It may last for several weeks to several years. For a small number of children, stuttering does not go away and may get worse. This is called developmental stuttering and it is the most common type of stuttering.