Why would a child diagnosed with ADHD have trouble retaining letter sounds?
My 7-year-old son has ADHD and an IEP in class at his school. He is very good in math, but when it comes too letter sounds, he cannot retain them so he can't read or write. How do I, as his mom, help him too remember from one day to the next? And why is it he can retain all the things to do with math and not reading? I am confused?
Vickie
About 50 percent of children with ADHD also have Learning Disabilities. Your son sounds like this might be true for him. If not yet done, a comprehensive psycho-educational evaluation will clarify why he is having difficulties and clarify how best to help him.
(May 2008)
How can I help my preschool son with a complicated diagnosis?
My four-year-old son is considered twice exceptional. Academically, he is above age appropriate (reading at a third grade level) and shows a great interest in math (addition and subtraction). Socially, he has no trouble making friends but not great at keeping them. He is impulsive in his actions, which makes most children shy away from him.
He has a medical history of open heart surgery and was hospitalized for ten weeks at birth. He was recently diagnosed with ADHD, but his pediatrician and cardiologist disagree with this diagnosis. We struggle to find the right academic setting for him (his two previous schools say they are not for him and that he needs more structure and academic). It has also been suggested that we check him for Sensory Integration Dysfunction, which we are in the process of researching. Resources are available for LD and for gifted, but we struggle to find someone that can help us with both issues. Any suggestions?
Andrea
Your description of your four-year-old son is complex. I recommend that you meet with the preschool evaluation service of your neighborhood public school. Every public school system must have an age three to five assessment team. These professionals should help to clarify what is happening.
(April 2008)
My third grade daughter struggles to read. What should we do?
My daughter is in third grade now and still struggles to read at an early first grade level. Her cognitive skills are fine. If I read the work to her from school, she can answer the questions. Reading for her is a new struggle every day. It seems like she will recognize a word one minute and the next, have no idea what it is.
She struggles with school at all reading-based subjects. She is getting learning assistance, but her progress is extremely slow. Her self esteem is starting to suffer and she is beginning to refer to herself as stupid. I am so worried about her state of mind as she sits in class with children who can do the work and she simply can't read the words.
She is very gifted in drawing and is very perceptive in understanding emotions, she is simply unable to read. I have told the school I believe her to be dyslexic, but there is little information available as to practical solutions to help her learn and be diagnosed. Where can I get affordable help for her? What techniques can I use to help her? How can I get a diagnosis?
KerryYour daughter certainly sounds as if she has a learning disability. Only formal testing will clarify if this is correct and, if so, what to do. Unfortunately, many school systems will not test a child until they are significantly behind. This often means that they must have completed third grade and still be at first or second grade level with skills. I see this as a wait to fail model. Push harder for the school to do the testing. Maybe you could get a parent advocate to help you with this effort.
If you cannot find someone, contact the Learning Disabilities Association of America. Click on your state. Contact this state chapter of this organization to get possible names.)
(April 2008)
If my third grade son continues to be frustrated trying to read, should the school do more?
My son was diagnosed at the end of first grade with short term memory problems and some phonics problems after falling behind in reading. His school is working hard with him, but it is a struggle at home to get him to read.
As soon as we say its time to read for a few minutes he is annoyed (he is now in the third grade) and gets quickly frustrated even with our help. He also seems to start to yawn soon after starting to read, even though he goes to bed at 8:00 p.m. and gets up at 7:00 a.m.) We let him pick what he wants to read and take breaks, but it is still a struggle. Are there issues we and the school could have missed and are there any suggestions on how to make reading less of a struggle?
If your child is in the third grade and continues to have problems with reading, despite what the school is doing, I would be worried. First, clarify what the school is really doing. You might find that he gets 30 minutes once or twice a week in a small group or that the interventions are not appropriate.
Yes, I would push to get him tested. Start by requesting a meeting of the special education team at your school along with the principal. Express your concerns and note that whatever is being done is not adequate. Request formal studies to clarify why he is not making progress. Please persist. Your son needs you to do this.
(April 2008)
Can our daughter be both gifted and learning disabled at the same time?
My daughter is in a Gifted and Talented program in our school corporation and is in the fourth grade. Since starting the program last year, we (along with her teachers) have noted a difficulty in spelling. She excels in everything, except reading aloud, retaining what she reads and spelling. Her state tests came back and confirmed she belongs in the gifted program. All her scores were well above average, especially Math. Her spelling score was in the 39th percentile, still in the average range but on the low end. It has also been noted, whenever she works on her own in class, she is not able to sit still (she rocks or shifts back and forth) and has even been seen to flex her hands so bad she is not able to type on a computer, hold a pencil or even write.
Whenever we look over our daughter's work, we have to ask her for clarification on several of her words because her words are not spelled anywhere close phonetically. Her teacher suggested that an evaluation be done to determine what kind of learning disability our daughter has. This teacher has been working with the gifted program for over ten years so we feel very confident in her opinion of the situation. We were told testing would not be granted because she does not have the scores or classroom grades to support her difficulties.
How is it that our daughter can read through her entire state tests, score well above average, do well in all her subjects and not be able to spell or restate what she just read? Is this a simple case of needing to learn phonics or could there be a disability that needs diagnosed? Your help and any suggestions would be greatly appreciated.
Meredith
Meredith,
I strongly support her teacher's suggestion that an evaluation be done to clarify why she is having these difficulties. You can be bright and gifted and still have learning disabilities. In my mind, contradictions are clues. The testing should help to clarify the reasons for her difficulties. If, with the support of this teacher, you still cannot get your school system to do formal testing, you might have to seek a private professional to do these studies.
(March 2008)
Could the long hours it has taken me to do well at my studies be due to an undiagnosed learning disability?
Throughout school, I have always tried to be a good student and would constantly put in a tremendous amount of effort to keep up with the material of my classes. I'm 20 years old and recently had to withdraw from my classes at University of Wisconsin-Madison due to my frustration with school. I've been put on medication for depression and General Anxiety Disorder although I'm not certain it is helping.
Ever since this has happened, I've been re-examining my past as a student from grade school all the way to high school. I would get good grades but I would have to put in many extra hours to keep up. It seems like I would memorize the information required of me through constant repetition, take the test on the information from the class, and then forget all the material after. I could never remember details from books and would constantly have to highlight almost every sentence and then return to it through repetition until what was read was ready to be spit back out on an exam.
My social life suffered because I always seemed to be studying and never found very much time to discover what actually interested me in life because my nose was hidden in a book.
Here are some of the problems I'm discovering about myself: inability to do mental math; difficulty understanding percentages, decimals, fractions, measuring, and financing; difficulty remembering numbers; difficulty retaining information that I've read; difficulty concentrating in a noisy environment; inability to understand abstract concepts; poor vocabulary; difficulty with writing and expression; difficulty reading maps and poor sense of direction; difficulty trying to navigate and remember directions/street signs while driving; and the list goes on. Is it possible that I may have an undiagnosed learning disability?
Emily Whitlock
Emily,
Yes, yes, yes. Sadly, you describe someone (yourself) who has had to struggle with unrecognized and untreated learning disabilities. Find a way to be evaluated. Then, find out how to get help. Should you return to college, these studies will open the door for better services and accommodations. Don't give up. Find out what the problem is and act.
(March 2008)
Would it help to have a 7 year old with LD repeat second grade so they can mature and become a better reader?
My son and daughter both have IEPs for speech and reading and have received special services since age three. Neither spoke until age three-and-a-half. Both are behind in reading and are just learning to sound out words. Both have solid average to slightly above average intelligence, according to standardized tests. Both do fine with math.
Our son has been labeled LD for reading, though our daughter is not much better at reading. This summer they will work with a reading teacher who uses the Reading Reflex program. In addition, both seem to us developmentally immature. Repeating won't solve problems, but it might buy us some time for them to mature and become better readers. What are your thoughts?
Howard
Howard,
Repeating second grade might make sense ONLY IF they receive intensive special education services during this repeated year to address their disabilities. Otherwise, you may be in the same situation at the end of their second time through second.
(March 2008)
Why would a nine-year-old boy get overly distracted by sounds?
I have a 9-year-old boy who gets good grades, is intelligent, great sense of humor, and well-mannered. For the past three years, I have been hearing that he is distracted easily in class, as in if he hears a tapping pencil, fire siren, or noise outside of his class, he gets distracted too easily, and doesn't focus on his work sometimes because he starts to talk in class at times.
I have been very patient, and tried explaining the importance of cooperating with his teacher and the school rules, but I'm getting very worried. Especially, now that his teacher thought it would be a good idea for me to sign a 504 form so he can concentrate or focus better because she believes he can get a top score. Only now after signing, the principal is saying he should see and talk to a school professional, and now I am very concerned and don't know what to do. I am up to my wit's with this situation. Please help. He understands his work in school. I am lost.
You describe auditory distractibility that has been noted since he started school (first grade). I suspect that you see the same behaviors at home and in activities. I would discuss the possibility that he has Attention-Deficit/Hyperactivity Disorder, Inattentive Type with your family physician. Prior to this, you might ask his school professionals to do rating scales on ADHD.
(January 2008)
Can an ADD child get addicted to video games?
I have an 11-year-old son with ADD. A doctor has stated that there is research showing that a) kids can become addicted to violent video games and that b) gaming raises cortisol levels in people who play video games. A counselor says that ALL electronics can cause the above two situations. What is your take on this? What about active video games such as Dance Revolution or the wii games? How should a parent address this? Take them off all games, etc? Permanently or just take a break?... HELP!
This doctor is providing part of the research. May I refer you to a website that will provide more facts: notMYkid (then click on Internet addiction). Another site is MediaWise (then click on game addiction).
(January 2008)
How do you distinguish between ADHD and the inattention and impulsivity that can come up as people age?
Do you have any knowledge or experience in diagnosing the elderly (80+) with ADHD? What is the best way to differentiate between undiagnosed ADHD symptoms, which appear to have become more acute with age, and Alzheimer's disease in the elderly?
ADHD is a neurological disorder present at birth. Thus, the history of hyperactivity, inattention, or impulsivity has been noted since at least age seven. If the inattention is due to Alzheimer’s or a related disorder, the behaviors noted would not have been present in the person’s life until the time of onset of the problems noted.
(January 2008)
How can we get our procrastinating child to finish her projects?
Our 16-year-old daughter was diagnosed in 3rd grade with a learning disability. Her full scale IQ is 105, with her verbal being 25 points higher then her performance scores. She uses a ritalin patch for ADD. Our frustration with her is that she often procrastinates to the point where she gets totally overwhelmed. Her work ethic is not good at all. She hates school and honestly could be doing much better.
One example of this: she has a 23% in her photography elective class. The teacher said she takes amazing photos, but never finishes her projects! Any suggestions? We are having to nag her constantly, and she often tells us her work is all caught up when it isn't.
I hear that your daughter has a learning disability and that this disability was noted since third grade. Has she received special education services? These problems do not go away but change over time. Has she been tested recently? She might have problems now with reading and retaining what she has read or with organizing her thoughts when she has to write an answer or paper.
You also note the use of Ritalin. This medication is used for ADHD but will not impact on any learning disabilities. Before you continue to “blame the victim,” seeing her as lazy, unmotivated, or procrastinating, be sure that the school and you have not clarified if she continues to have learning disabilities. My bet is that current testing will show that she does and that these disabilities are what is frustrating her. Please, don’t continue to be frustrated. She is even more frustrated. Find out why she is struggling.
(January 2008)
What does a parent do when the school says the student could do the work if he wanted to?
My son is 14 years old and in the ninth grade. He was diagnosed with a language processing disorder in third grade. He struggles with completing assignments, and remembering to write his work down. Teachers in high school expect him to be able to self-advocate and ask for extended time on assignments if he can't finish them in class. He is not doing this as he has trouble asking questions of adults. To top it all off, he is also gifted, which frustrates teachers. They know he is smart and think that he could do the work if he wanted to. How can I help my son?
Heather
Oh, how easy it is to blame the victim. Your son is struggling in school and the assumed reason is that he is not trying or doesn't care. I bet he really is trying and that he cares deeply. Let's look at what you have written from a "let's figure out what the problem is?" rather than "let's assume he doesn't want to try."
He was diagnosed with a language processing disorder in third grade. These problems can be improved but they do not go away. They take different forms by high school. One might be writing fluency. He has difficulty organizing his thoughts in order to write. He struggles and looks at the page but nothing comes out. He also has difficulty organizing his materials and time.
Another way the language processing disorder might show itself now is in a receptive and expressive Language Disability. He has difficulty following what is said and gradually gets lost. He has difficulty organizing his thoughts and finding the right words to express him self.
My advice: suggest that his school do a comprehensive psycho-educational and speech language evaluation. (At best, the last one was done five years ago.) If the results confirm my suspicions, ask them to provide services and accommodations rather than complaints. If they refuse, you might want to do these studies privately and take them back to the school. Be your son's advocate and insist that his teachers stop criticizing and start to help you find out why he has problems. (You are welcome to give them your question and my response.)
(December 2007)
Is first grade too early to request an LD evaluation?
Is first grade too early to request an LD evaluation? My child is completely inept at reading and spelling. He writes letters backwards and struggles with some three letter words. He also has a speech issue that is currently being addressed.
Most school systems will not evaluate a child until the end of third grade. However, if you are concerned, and especially if there is a family history of LD, you should push for an assessment. If the school will not do it, have a psycho-educational evaluation completed privately.
(December 2007)
Would testing for ADHD help a six-year old with behavioral and academic problems?
My 6-year-old son is in first grade and is having difficulty learning his spelling words and math concepts. He has speech delays, difficulty processing and trouble following directions. He was in first steps and an early childhood program. He went through a battery of tests at age 2-and-a-half and was seen by a developmental specialist but has no specific diagnosis. He has behavioral problems and angry outbursts but is usually corrected with time out.
At school, his teacher says he has trouble focusing and staying on task. He laughs or smiles when corrected and pounds on his desk. On the bus, he changes seats while the bus is moving and sits on the back of the seat. His sleep is a concern.
He gets up in the early morning around 4:00-5:00 am and has ever since he was 18 months old. He had a sleep study and had his tonsils and adenoids taken out, but it didn't help. He has his own internal clock and he is up several hours before school starts, making him exhausted before his 8:30 pm bedtime. I wonder if testing him for attention deficit disorder would be helpful.
Terri
Your descriptions of your son suggest that he has a language-based Learning Disability and possibly a receptive/expressive Language Disability. He also sounds as if he has ADHD.
You need to start with your family physician to explore for ADHD. You need to meet with the principal of your school to discuss the need for a comprehensive assessment to explore for the other diagnoses. If your school refuses to do this (and many do until the end of third grade), you may need to have the studies done privately and then take them back to the school. I share your concerns. You do need to act now.
(December 2007)
What does a parent do when more than one of their children might have LD?
I have a three sons aged nine, six, and four. Our oldest was having difficulty keeping up with his class. Since kindergarten, he was always categorized as being a little behind. His teachers said it was due to our multi-language home environment.
His new fourth grade teacher is saying that he is reading at a second grade level and that there is a possibility he might be held back. Because of this, I started spending lot of time working on his reading, but as I was doing this, I noticed his younger brother, who is six years old, has better comprehension of the story and can respond faster and correctly to my questions. So many times he stared at me with a blank look because he didn't understand my questions and didn't know how to answer me.
I have a feeling my oldest son might have auditory processing disorder. He passed his school's hearing test. He is really a kind and gentle boy who can't seem to make friends even though he tries so hard. He can't seem to get the right words to express himself unlike his brothers. He wants to be accepted by his schoolmates and tries to join in their conversations, but it's either out of context or inappropiate, which is keeping him from making friends. This is really hurting his self esteem and is making him more aggressive towards his brothers.
How can I find out if I'm right or wrong about my feeling and how can I get the school's help? I'm learning that LD runs in the family; can my other boys have LD as well? I'm starting to notice that my six-year-old might have ADHD and my four-year-old has a speech problem. How can I get them evaluated if there is no sign of academic problems? I don't want to wait and have them be in the same position as their older brother. I am so grateful for your website because I know I'm not alone.
Janice
First, let's discuss your nine-year-old. He is in the fourth grade and reading at the second grade level. This means he is still struggling with decoding words and has not yet solidly moved to reading comprehension. You did not mention it, but I suspect he has difficulties writing his words correctly and with spelling. You also describe him as having difficulty processing what he hears and difficulty organizing his thoughts in order to respond verbally. These behaviors suggest a possible receptive/expressive language disability.
These are two excellent reasons for his school professionals to not focus on keeping him back but focus on why he is behind. Comprehensive psycho-educational and speech-language evaluations are essential. The results will help to clarify his problems and what needs to be done to help. (What Do You Do If You Suspect Your Child Has a Learning Disability?)
Now, for your other children. LD has a strong familial pattern. If LD runs in your family and we suspect that your nine-year-old has LD, it would be wise to watch the other children carefully and to seek help as soon as you become concerned. Take a look at LD Basics on LD Online to find out more.
(December 2007)
Can a child read well and still be dyslexic?
Is it possible for a child to be able to read at or slightly above grade level, but still have dyslexia? My nine-year-old son does fine in reading (he did have two years of Title 1 reading assistance), but has difficulty spelling and has handwriting that is often illegible.
Dyslexia is a name used for a specific type of learning disability, a language-based reading disability. Don’t focus on the label. If he is nine and still struggling with spelling and handwriting, you should ask your school special education specialist or a private specialist to assess and find out why.
(November 2007)
Is it dyslexia when a four-year-old reverses letters?
I have a 4-year-old that I'm afraid might have dyslexia. The other day we came to a stop sign and spelled out the letters backwards, and it's happened a few times since then. Is this normal or should I do something about it?
Most children reverse letters and numbers until about five or six, some longer. I would not be worried. Watch and see if this pattern disappears by the time she finishes kindergarten.
(November 2007)
I'm fifteen and think I have ADD. What are your ideas?
Hello! My name is Rebecca Phipps, and I'm 14 years old, almost 15. I recently got accepted into this awesome new high school, West Florida. It's a difficult new school, and most people would just die to go there. I've always had a little bit of ADD, but because of the new stresses and other components, it's gotten worse. It's really embarrassing when I am talking to the teacher and I randomly forget what I was talking about.
My mom knows about this, and my brother has ADHD. I talked to my older sister about it and I tell her a lot of things I don't tell mom. The other day we were talking about my situation, and I want to talk to my doctor about getting the medicine for it. I figured there's not very much to lose. I was wondering if you had any suggestions about opening up a conversation with my mom about really considering talking to my pediatrician. Could you please help?
Thank you for trying to understand yourself. Yes, please talk to your mother. Explain what you describe above. Ask her to set up a consultation with your family doctor. When you have this appointment, list your observations and your concerns. Best of success.
(November 2007)
How do you evaluate a learning program to see if it is best for your child?
What do you think about cognitive skills training programs for improving attention, memory, auditory and visual processing, logic and reasoning? I recently heard great things about a program called "Learning RX" (that is the newer franchise name, the original, sister program is called "Pace").
It sounds fantastic and they published pre- and post-test scores that show an average of +3 years gain in cognitive skills that were below age level, using the Woodcock- Johnson lll cog. skills test. The speech-language pathologist who owns the Learning RX franchise near me told me that she has used many programs, including Lindamood-Bell and Fast Forword and this program gives phenomenal results in a much shorter time (six months) and across a broader range of skills. I'd love to know if this kind of training is recognized as valid by experts in the field of learning disorders. Thanks so much.
There are so many well-meaning and probably well-trained individuals who what to help our kids. My advice to parents is to do as much research on what is known vs what is claimed before using any, much as you would if you needed the best specialist for a serious medical problem.
Step One: Fully clarify what learning, language, and motor disabilities currently exist. This data would be found in the formal psycho-educational, speech-language, or occupational therapy evaluations. Then, discuss the needs clarified in these studies with someone who can integrate the full picture and develop the best interventions. Your speech therapist might be excellent. However, much as you would if you family doctor told you that your son needs an operation, you might want to get a second opinion.
(November 2007)
Does my son have non-verbal learning disabilities?
My son, who is now 15, has just been diagnosed with non-verbal learning disabilities (NVLD). He has been on an IEP since the age of three, due to speech apraxia, and later for LD, which affected his math, reading, and writing skills. He also has a diagnosis of ADHD and is on Concerta 54 mg a day.
I have read up on the NVLD and he does exhibit most of the signs of this disorder, as well as for his other diagnosis. My question is can he have learning disabilities that are both verbal and nonverbal and what can I do to help him? About two years ago, he made some very poor choices and as a result, charges were made against him. At this point, he is on probation, seeing a therapist and attending group sessions.
Due to his legal situation and his inability to understand the seriousness of his actions, my husband and I decided to homeschool him, basically out of fear that he may get into more trouble. We, however, are faced to with the dilemma of him not having any friends and don't know how to solve this situation either since he has never done well with making friends. I would appreciate any input or help you could give us. Our greatest fear is that he will never be able to fit into mainstream society and will end up getting into more and more trouble.
A non-verbal learning disability can be part of a larger picture of learning disabilities or can be part of other psychiatric disorders. Given the difficulties he has had, it would be important for you to have both an educational consultant who could clarify if there are remaining learning disabilities and a mental health professional who understands such problems. If your school professionals cannot help with the learning/learning disabilities aspects of your question, you could seek a private consultant. Since he is on medication, the best mental health professional would be a Child and Adolescent Psychiatrist.
(November 2007)













