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NVLD

Submitted by an LD OnLine user on

Yesterday I posted a message but since this is all new to me, i think I gave incorrect information about my son. I am trying to understand just what NVLD is and whether the school psychologist is correct in identifying this as my son’s problem. Any help would be appreciated.

My son was tested at the end of third grade. The school psychologist at the time said the results indicated he had ADD and we should discuss with our pediatrician. Of course they recommended medication and reluctantly we gave it a go beginning in fourth grade and following through the end of the school year. They also suggested that he go to the “learning support” class to help him w/ his organizational skills. What really happened is he was put in the LS room and was doing reading and language arts that were well below grade level and more importantly well below Roberts level. He was frustrated, felt “stupid” and began to dislike school. Our final meeting with the school at the end of fourth grade indicated that Robert had made no progress with respect to his attention difficulties and still struggled to stay organized, complete assignments and keep up w/ the pace of the regular classroom. So they suggested he spend even more time in the LS room in fifth grade and that we “retest” him to see what else we can do for him.

Here we are in the third month of fifth grade and he continues to struggle. He is spending more time in the LS room and hates it. It is not what he needs. He says the work is stupid and boring. We have not resumed medication as we ( and the teacher) really did not think it helped him (although he did seem to think it helped). He has been retested and we meet w/ the psychologist and guidance counselor on Monday. But in a brief phone call w/ the psychologist, he indicated that he felt strongly what we were dealing w/ was Nonverbal LD. He indicated that verbally he scored 88% (he described as very above avg)and nonverbally he scored 45% (he described as mid range- average).

Yesterday in my posting, I thought these numbers were the VIQ and PIQ. I pulled his testing from third grade and found the following VIQ = 122 and PIQ = 97. Can anyone help me understand what we might be dealing w/ here?

When I looked into NVLD, the information indicated NVLD child is usually very uncoordinated and has social difficulties. I know he is quite the opposite with respect to coordination. And socially, other than being a chatterbox, I don’t see any real serious social deficits. He does have difficulty transitioning and he is also completely oblivious to time and getting things accomplished. I have to stay on him constantly to get him through things.

I would love to hear from anyone who has had some experience with this type of situation. I am also wondering if private testing is a good idea? When private testing is done, do they do a scan of the brain? And can the changes they see in the brain that relate to NLVD be attributed to other conditions?
Thank you
Rosemary

Submitted by Anonymous on Thu, 11/21/2002 - 5:36 PM

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Some additional information from Roberts testing in third grade :

Information - 13
Similarities - 16
Arithmetic - 10
Vocab - 15
Comprehension - 11
Digit Span - 13
Picture Completion - 8
Coding - 10
Picture Arrangement - 7
Block Design - 12
Object assembly - 11
Symbol search - 9

looks like i goofed again w/ his scores upon further review

VIQ = 118, PIQ = 98 Full Scale 109

What is the difference between these scores and the following scores which are listed alongside the above

verbal comprehension - 122
perceptual organization - 97
freedom from distractibility - 109
processing speed - 99

according to the information in his test results all of these scores are considered average. There are more scores related to reading, math and comprehension and with the exception of his listening comprehension (84) they are also within average range.

Submitted by Anonymous on Thu, 11/21/2002 - 5:38 PM

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I would def. pursue private neurological testing. You cannot make a diagnosis of NVLD on the basis of IQ scores. There also are kids who have right brain weaknesses/dysfunction who may not be severe enough for a diagnosis of NVLD. This doesn’t mean they don’t have problems but it may not be at the level of a syndrome.

Also be aware that the term NVLD can be tossed around rather causually. What you are reading on the internet refers to specific diagnosis while the psychologist most like is saying he has a type of nonverbal learning disability. I speak from experience.

My son was evaluated by a neurologist this summer for ADD-inattentive and elimination of Asbergers. The neurologist told me he has a right brain dysfunction but clearly not Asbergers. When I asked about whether he had NVLD, he told me “that is what I am telling you.” Now I had read the diagnosistic criteria for NVLD and there is no way he had the information to make that diagnosis. He had not done any testing or even asked about motor skills, for example. But what he meant was that he had a disability that was nonverbal in nature.

Also, do a search by name for Karen Randall. She has a child with NVLD and has been most successful setting up an appropriate environment for him. It is not a resource environment but rather an inclusion one with appropriate support.

Beth

Submitted by Anonymous on Thu, 11/21/2002 - 5:43 PM

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thanks!….I’ll try to locate karen for more information. I am curious, how did you go about getting private testing for your son? How do you know who to go to?

Submitted by Anonymous on Thu, 11/21/2002 - 6:03 PM

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The neurologist was recommended by the pediatrician. My son was having attention issues at school but the pediatrician was not sure that something else wasn’t going on. In other words, he didn’t present like a classic ADD case and he wanted to be sure before medicating him.

I think a neuropsychologist would be more useful though in really sorting out what is going on with your child. I started down that path this summer, feeling dissatisfied by the neurologist’s general comments. I would try to locate other parents who are satisfied. Perhaps you can find an advocacy group. I called local Chadd organizations because many kids with ADD get neuropsych exams. I also found a special education lawyer and emailed her. I called special ed type schools. I then interviewed people over the phone.

There also are some sites for NVLD and one of them (can’t remember which) has a list of places that specialize in it. There were none in my state but maybe there is in yours.

Beth

Submitted by Anonymous on Thu, 11/21/2002 - 6:16 PM

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Beth

Thanks again, I will check it out. I was reading some of Karen Randall’s posts regarding the subject of private testing and found that it could take a while to get in w/ a Neurophyscologist. Thanks for the advice, I’ll start w/ Chadd and go from there. Wish me luck!

Rosemary

Submitted by Anonymous on Thu, 11/21/2002 - 6:17 PM

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Rosemary: where are you located? I can recommend private testers in Wash. DC/Baltimore area. Not cheap but worth the info.

When my daughter was originally evaluated, the pediatrician sent us for a “full developmental workup” we had neurologist, speech eval., OT eval., psychoeducational eval., the neurologist looked at it all, figured it was NLD or Aspergers, and sent us for full neuropsych that confirmed NLD.

NLD presents in many different ways, and has many different components that can vary greatly from one person to another.

Hope that helps.

Submitted by Anonymous on Thu, 11/21/2002 - 6:22 PM

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Barbara:

We are in PA about 30 miles west of Phila. Baltimore is certainly do-able, but I hope we can find someone closer.

Curious - does your daughter exhibit the motor and social deficits? Do you know of kids that have been diagnosed NVLD without these components?

Also, are NLD and NVLD one and the same?

Rosemary

Submitted by Anonymous on Thu, 11/21/2002 - 7:19 PM

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I would consider traveling for someone really good but another idea is to call these people and ask if they would have anyone they would recommend in the Philadelphia area. You never know.

NLD and NVLD are the same thing.

Beth

Submitted by Anonymous on Thu, 11/21/2002 - 7:20 PM

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Hi Rosemary,

My son has NLD or NVLD - yes, they are the same. I had a full eval done for him by a local center that does the full range of psychosocial, psychological, educational and medical testing. It is affiliated with the State of Virginia.

My son has a range of comorbid disorders (auditory processing, inattentive ADHD, anxiety as well as the NLD), but he does exhibit the social deficits and the motor skills problems. We have testing that bears that out from the psych eval. With that eval we got the “probable” ADHD diagnosis - and were sent to a neurologist - where we got the EEG, EKG, and meds for confirmed ADHD. After more research, I discovered that all my son’s testing bore out the NLD diagnosis, and contacted the psych who did the original eval. He confirmed it based on his original testing - but said it was “less specific.” However, since my son fits so much of that profile, it was a real eye-opener for me - plus it was tied up into one neat little package, with lots of info available in book and on the web, that helped me understand my son better.

There is a very simple checklist for NLD at the nldontheweb.org site - go into “Assessment.” There are two checklists there - one is a very simple and straightforward list of questions. This site also has a lot of good information re: NLD if you haven’t visited it yet.

Lil

Submitted by Anonymous on Thu, 11/21/2002 - 8:29 PM

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Rosemary,

When you mentioned how your son is oblivious to time I thought maybe you should read the following article and see if some of it fits.

Spatial Relations and Learning
this article has been posted courtesy of the ARK Institute of Learning
by Carol Stockdale and Carol Possin, Ph.D.
http://www.newhorizons.org/spneeds/inclusion/teaching/stockdale.html

Helen

Submitted by Anonymous on Thu, 11/21/2002 - 8:51 PM

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We found our neuropschologist through word of mouth- I asked our speech therapist and some other psychologists I knew. A neuropsych eval is really the way to begin. You don’t want to go in assuming you know what the diagnosis is - there are many different reasons kids may perform or behave in a certain way.

Submitted by Anonymous on Thu, 11/21/2002 - 8:57 PM

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Also, kids who are “dyslexic” which is clearly a language disability often display many of the same fine motor/ social skills problems that NVLD kids do.

Submitted by Anonymous on Fri, 11/22/2002 - 3:24 AM

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Rosemary, I have on hand an online brochure that outlines what NLD is and consists of. Here’s the URL:

http://www.geocities.com/zorrothefox2000/nldbrochure.html

Yours truly,
Kathy G.

Submitted by Anonymous on Fri, 11/22/2002 - 3:37 AM

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Probably doesn’t have the difficulties usually associated with NLD because his nonverbal score is in the average range, therefore you may not find difficulties that stick out like a sore thumb. Often you are more apt to find relatively average verbal and nonverbal well below. Now, this does not account for the subtest scores and that can certainly change the picture.

Submitted by Anonymous on Fri, 11/22/2002 - 3:39 AM

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I do know that the block design is typically low in a more typical NLD pattern, indicating weak visual-spatial abilities. This also usually affects math and often reading comprehension. He does not have that difficulty, hence you don’t see a more classic NLD pattern.

Submitted by Anonymous on Fri, 11/22/2002 - 4:24 PM

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Look under google for articles on dual exceptionalties, twice exceptional and gifted learning disabilites.

Bring these articles to the school. Your child will fail as long as he is not challenged. They REALLY need to focus on his gifts.

My son does not have scores as high as yours but he has some real strenghts. He was also in a situation where the curriculum was dumbed down and he was doing poorly. I explained that he needed to be in a regular class which he now is. He is doing much better. They thankfully gave him a teacher who is laid back and kind. She just wants to see him progressing which he is by leaps and bounds.

In the other class he looked like a kid who couldn’t do anything. Removing him from the setting was the best thing I ever did for him.

PS. I truely believe that he would not be doing as well as he is without interactive metronome.

Submitted by Anonymous on Fri, 11/22/2002 - 6:46 PM

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Thanks for the info, checking out some articles on dual exceptionalities now. I think what we really need to do at this point is get neuropsychologist to test him.

Submitted by Anonymous on Fri, 11/22/2002 - 6:49 PM

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Beth:

Thanks, I’d love to call this Dr. you have and see if they can recommend someone in this area. I’ll probably ask the pediatrician and the psychologist we’ve taken Robert to and see if they have any recommendation.

Rosemary

Submitted by Anonymous on Fri, 11/22/2002 - 7:04 PM

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Barbara:

Would you mind passing on the names of the Drs. you went to in Baltimore/DC area? Perhaps they can refer someone in my area.

Rosemary

Submitted by Anonymous on Sat, 11/23/2002 - 1:05 AM

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That’s a great way to start. In our case everyone came up with one name - but you couldn’t get into see that person for over a year! But he had other names… and so on.

Submitted by Anonymous on Sun, 11/24/2002 - 2:33 PM

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When looking for a tester make sure it is someone who has experience testing for gifts and deficits. You need to define both. Otherwise your child will be stuck with a label which only provides the schools with an excuse for why he is failing. In other words it is not the school’s problem, it is the child’s problem.

I would bet if they remediated the basics (reading and math, writing can wait for now) and then just allowed him opportunities to showcase his gifts, you would have a different child on your hands.

Mel Levine says, “Success is a vitamin.” All kids desperately need success.

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