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Speech & Language

Language and Communication

IMPACT is providing a platform for helping childrento enhancetheir communication skills,we provide help to deal with Autism, Aspergers’ Stammering and other Language delays.


Language therapy is used to help people who have language and communication difficulties. At an early age, it is helpful for those children who are facing difficulties with eating, swallowing, or drinking. Language therapy can be described as ‘speech’, ‘language’ and ‘communication’. ’Speech’ is an ability to pronounce words clearly. ‘Language’ is an understanding of words and when combined into sentences and communication’ is a use of language in a constructive way, and helps individuals to interact with others.

We are dealing with language and communication difficulties; especially for those children who:

  • Fail to express their feelings
  • Lack of the development of spoken language
  • Inability to initiate or sustain conversation with others
  • Cant utter a single word
  • Stammering
  • Language difficulties
  • production of sounds
  • Unable to maintain reciprocal conversation
  • Having difficulty understanding or putting words together to communicate ideas.
  • Difficulties producing sounds in syllables or saying words incorrectly to the point that listeners can’t understand what’s being said (Articulation disorders)
  • Problems with the pitch, volume, or quality of the voice that distract listeners from what’s being said. These types of disorders may also cause pain or discomfort for a child when speaking (Resonance or voice disorders)
    • Difficulty understanding or processing language (Receptive disorders)
    • Absence of communication or even no eye-contact (Autism)

What does IMPACT do?

We begin our work by formally assessing a child and coming with a clear diagnosis. On the basis of these findings, we develop a plan according to the severity of problem and age of the child, their strength and weakness is considered while making a plan. We conduct session’s one on one basis, in a quiet and conducive environment, which facilitates learning and also encourage parents (mothers) to observe the session and allow them to do it at home on their own. This is done to strengthen the child’s learning and enhance progress. Moreover, IMPACT is open to train SNA’s (special need assistant) simultaneously to enhance children’s progress.

Language and communication disorder affects work and schooling in many ways. It is usually treated by related therapy, and usually cannot be expected to go away on its own. IMPACT is dealing with following language and communications difficulties;

1. Expressive language disorder is a communication disorder with difficultiesin verbal and written expression. It is a specific language difficulty characterized by an inability to use expressive spoken language age appropriately. The level of spoken language seems below the mental age of the child,whereas, the language comprehension falls within normal range. The disturbance may be manifested clinically by symptoms that include having a markedly limited vocabulary, making errors in tense, or having difficulty recalling words or producing sentences with developmentally appropriate length or complexity.

According to ICD-10 Expressive language disorder is now classified as a specific language impairment or SLI, where a child has failed to acquire normal expressive language even though they have been adequately exposed to language and there is an absence of notable medical or genetic cause.

Expressive language disorder is different from other communication disorders, sensory-motor disturbances, intellectual disability and/or environmental deprivation.Due to this condition, a person’s speech and writing may be affected to a certain extent. One has to be cautious in order to determine that “atypical language development can be a secondary characteristic of other physical and developmental problems (autism spectrum disorder) that may first manifest as a language problem.

2. Receptive Language Disorder

Receptive Language delay is seen as a ‘mixed receptive and expressive language disorder’. According to DSM IV TR, both receptive and expressive language development is substantially below those obtained from standardized measures of nonverbal intellectual capacity. The symptoms include those for Expressive Language Disorder as well as difficulty in understanding words, sentences, or specific types of words, such as spatial terms.

3. Autism Spectrum Disorder

According to American Speech-Language-Hearing Association;Autism is a developmental disability that causes problems with social skills, communication and reaction to the world around them. Autism can be mild or severe. It is different for every person.

Possible signs and symptoms are outlined below.


  • Delay or total lack of spoken language
  • Loss of words the child was previously able to say
  • Difficulty in initiating and sustaining conversation with others
  • Difficulty expressing basic wants and needs
  • Poor vocabulary development
  • Problems following directions or finding objects that are named
  • Repeating what is said (echolalia)
  • Problems answering questions
  • Speech that sounds different (e.g., “robotic” speech or speech that is high-pitched)

Social skills

  • Poor eye contact with people or objects
  • Poor facial expression, body posture and gesture to initiate and sustain social interaction
  • Poor play skills (pretend or social play)
  • Being overly focused on a topic or objects that interest them
  • Problems making friends
  • Crying, becoming angry, giggling, or laughing for no known reason or at the wrong time
  • Disliking being touched or held

Reacting to the world around them

  • Rocking, hand flapping or other movements (self-stimulating movements)
  • Not paying attention to things the child sees or hears
  • Problems dealing with changes in routine
  • Using objects in unusual ways
  • Unusual attachments to objects
  • No fear of real dangers
  • Being either very sensitive or not sensitive enough to touch, light, or sounds (e.g., disliking loud sounds or only responding when sounds are very loud; also called a sensory integration disorder)
  • Feeding difficulties (accepting only select foods, refusing certain food textures)
  • Sleep problems

4. Aspergers’ Disorder

It is also seen as the mildest form of autism, Asperger’s syndrome affects boys three times more often than girls. Like Autism, children having Asperger’s syndrome are obsessed with a single object or topic.  Their social skills are markedly impaired. They are often awkward and uncoordinated physically.

Because Asperger’s syndrome is mild compared to other autism spectrum disorders, some specialists refer to it as “high-functioning autism.” As children with Asperger’s syndrome enter young adulthood, they are at high risk for anxiety and depression.