How Do We Identify and Support Children with Dyslexia?

Dyslexia is a type of Reading Disability. It is diagnosed when a person has difficulties with recognizing, spelling, or decoding (sounding out) unfamiliar words. As you might expect, early struggles can have a ripple effect, leading to reading confusion and reduced vocabulary words as the child matures.

So how is a child with dyslexia identified, and how do we support them? First, parents or teachers may notice that the child struggles to sound out words or is not recognizing words they’ve seen before. The child may avoid reading altogether or become upset when they are asked to read. The child may work harder than peers to get through reading tasks, exerting a lot of mental energy with mixed levels of success. Unfortunately, this leads  to increased frustration, fatigue, and overwhelm.

When To Seek An Evaluation

When these challenges are observed, an evaluation is the appropriate next step. Early intervention is key to enhancing success, as the faster supports are put in place, the faster the child can catch up to peers. The transition in third to fourth grade is when a child moves from “learning to read” to “reading to learn.” Thus, intervention before third grade is optimal. However, it is not uncommon to see the “fourth grade slump,” when children who are not as strong in reading begin to show more difficulties keeping up with peers. Intervention at any stage of learning promotes skill building, but the earlier the child has tools to add to their reading toolbox, the more they will benefit long term.

An evaluation for dyslexia should include measures looking at fundamental skills needed for reading, including two core prerequisites of reading success: (1) phonological awareness and (2) rapid automatized naming. Both skills are strongly predictive of reading ability. A child is diagnosed with dyslexia when they struggle with one of these skills. Double dyslexia is diagnosed when a child struggles with both phonological awareness and rapid automatized naming. Any observed difficulties are considered within the context of the child’s developmental, familial, medical, cultural and educational histories, and a formal diagnosis is best made by a neuropsychologist or related professional.

The Neuropsychological Evaluation

Neuropsychological evaluations assess reading skills, as well as all core domains of functioning. This is because often weaknesses in other skill areas may look like dyslexia but are not dyslexia after all. For example, a child with an attention disorder such as ADHD may look like they are struggling to read, but in fact are struggling to pay attention. Their reading skills may be great, but they can’t focus long enough to demonstrate them! A child with a slower processing speed may look like they are struggling to read, when in fact they simply require more time to demonstrate what they know. Thus, a comprehensive neuropsychological evaluation looks across all domains of functioning, in order to understand the unique abilities of the child.  In fact, between 25 and 40% of children with ADHD also have dyslexia, and thus knowing a child’s specific areas of strengths and weaknesses allows the neuropsychologist to provide targeted, child-specific supports.

Evidence-Based Interventions

Research-based, highly successful interventions for children with dyslexia include the Orton-Gillingham Approach or the Wilson Reading System, among others. Neuropsychologists also provide tailored strategies for ongoing reading support across home, school, and community-based settings. Given the plethora of programs advertised on the internet or social media, it is helpful to work with a neuropsychologist to identify what specific programs work best based on the child’s areas of difficulty. Unfortunately, many programs tout success, but do not have any evidence to back their claims. These programs waste time, money, and resources with no improvement of the child’s reading skills in the end. A neuropsychologist helps to connect families with programs that translate strategies into success!