This document discusses speech impairment and bipolar disorder. It defines speech impairment as a condition that affects the production of speech sounds and can interfere with communication. Common speech disorders are articulation disorders, voice problems, and fluency disorders. The document also defines bipolar disorder as a brain disorder that causes unusual changes in mood, including manic and depressive episodes. It lists some potential causes of speech impairment such as brain damage, autism, or physical problems. Assessments and interventions for both conditions are also mentioned, including speech therapy and medication or therapy for bipolar disorder.

1. Speech
Impairment
Tricia Vaivao
Christina Finau
ED215
Intro. To Exceptional Children
Ms. Teresita Almendras
July 09, 2015
Bipolar Disorder
&

3. Introduction
What is speech Impairment?
Three Common Speech Disorders
Articulation
Voice
Fluency

4. Bipolar Disorder
 Manic-depressive illness
 Brain disorder
 Causes unusual changes in mood

5. Definition
Speech Impairment
condition in producing speech sounds
 miss pronouncing of words
 interferes with communication
unusual speech

6. Causes
 Brain damage
 Autism
 Malfunction of the respiratory or speech
mechanisms
 Malformation of the articulators
 Physical or organic problem (cleft
palate, cleft lip)
 Stuttering
 Voice problems (abuse, arthritis)

7.  Genetics
 Brain Structure and Functioning

8.  Structured Clinical Interview
 Schedule for Affective Disorders – Lifetime Version
 General Behavior Inventory
 Mood Disorder Questionnaire

9. Assessments
Denver Articulation Screening
Exam
Denver II
Peabody Picture Vocabulary
Test Revised
Early Language Milestone Scale

10. Manic Episodes
 Easily distracted
 Poor judgment
 Poor temper control
 Very involved in activities
Depressive Episodes
 Daily low mood or sadness
 Difficulty concentrating, remembering, or making decisions
 Eating problems. Weight loss, or gain
 Thoughts of death or suicide

11. Symptoms
repeating sounds
adding extra sounds and words
making jerky movements while talking
blinking several times while talking
visible frustration when trying to
communicate
taking frequent pauses when talking
Distorting sounds when talking

12. Schema-focused Therapy
Cognitive-Behavioral Therapy
Family Interventions
Bipolar people are easy, if you don’t like their current mood, just
wait a few minutes, it will change.

13. Interventions
Early intervention
Speech Therapy
Apply IEP

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Kirk, Samuel A., et al. Education Exceptional Children, 11th Ed.
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Costello, Janis M. Speech Disorders in Children. College-Hill
Press. California, 1984.
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http://health.nytimes.com/health/guides/disease/speech-
disorders/overview.html