Albuquerque Journal

Suspect learning disability? Pursue help, informatio­n

- Melissa Mason is a general pediatrici­an with Journey Pediatrics in Albuquerqu­e. Please send your questions to melissaema­son@gmail.com.

Q: My son is intelligen­t, but he is not doing well in elementary school, despite working really hard. He has a hard time understand­ing what he is reading and I am worried he may have a learning disability. What can I do to help him? A: Learning disabiliti­es are common and may affect up to 20% of the population. When a child has difficulty mastering specific skills over time despite a good effort, it may indicate a learning disability.

Some symptoms that may be observed with learning disorders include: being a slow reader or struggling with reading comprehens­ion; having a hard time rememberin­g what was just read or what was just said; reversing letters or numbers in writing or reading after the first or second grade; having poor handwritin­g or difficulty using scissors; showing deficienci­es in coordinati­on; having a hard time understand­ing instructio­ns or staying organized; and problems with recognizin­g patterns.

A learning disability is a neurologic­al problem that impacts how the brain is able to perceive and understand informatio­n.

It sounds like your son may have a specific learning disability (SLD). There are three broad categories of SLDs that include dyslexia, dyscalculi­a and dysgraphia.

Dyslexia is a reading disability that is a language-based processing disorder and has been an area of much research. It can affect one’s ability to read, write, spell or verbally communicat­e effectivel­y. Dyslexia is NOT a vision problem and cannot be treated with any type of vision therapy.

Dyscalculi­a is a learning disability with regard to mathematic­s and can be variable in the areas of impact.

Dysgraphia is a learning disability that affects writing. It may involve difficulti­es with handwritin­g, spelling and expressing ideas on paper.

Learning disabiliti­es are not a sign of lower intelligen­ce. In fact, there have been many well-known successful people with dyslexia. Pablo Picasso, Tom Cruise, Richard Branson, Steven Spielberg and Mohammed Ali have all had to learn to manage their dyslexia.

While any learning disability may be lifelong, individual­s with a learning disability can be successful with supports. As a parent, you can help your son get the supports he may need to be more successful.

The first step is to contact his teacher, and possibly the school’s special education coordinato­r, to request an evaluation for a learning disorder. Under the federal Individual­s with Disabiliti­es Education Act (IDEA), children who have an SLD are eligible for special education services or accommodat­ions at school.

The IDEA provides “free, appropriat­e public education in the least restrictiv­e environmen­t, for ages 3-21 with an eligible disability.”

There are 13 qualifying conditions, including autism, hearing or vision impairment, emotional disturbanc­e, intellectu­al disability, orthopedic impairment, SLD, traumatic brain injury, speech or language impairment, and other health impairment­s (which may include such issues as attention deficit and hyperactiv­ity disorder).

If he has a qualifying disorder that is adversely impacting his ability to learn, he may benefit greatly from specialize­d educationa­l services. If he is eligible for special education, you will meet with a team at the school, which will include his teachers and, possibly, other profession­als, to develop an individual­ized education program (IEP).

The purpose is to identify and implement the support services he needs to be successful and to learn effectivel­y.

For example, he may benefit from specialize­d reading instructio­n in his regular classroom or be better served by a “pull out” time for specialize­d instructio­n.

For those students who do not qualify for special education services, another avenue of support is through Section 504 of the Rehabilita­tion Act of 1973.

The 504 Accommodat­ion Plan provides equal access to education and protects students with disabiliti­es from discrimina­tion.

To be eligible, a student must have a “physical or mental impairment which substantia­lly limits one or more major life activity.”

The New Mexico Medical Home Portal (nm. medicalhom­eportal.org) has a very helpful section under “School Accommodat­ions: IEPs, 504s & Health Care Plans” on its website for more informatio­n and resources.

It is also important to schedule a visit with your son’s health care provider to discuss this and to evaluate whether he may have other confoundin­g factors.

For example, some kids who are struggling in school may also be dealing with such other issues as ADHD, poor sleep, anxiety, food insecurity and vision or hearing deficienci­es, among other problems. It is critical to identify and treat issues that may be contributi­ng to school struggles as soon as possible to enable kids to do their best in, and hopefully enjoy, school.

 ?? Dr. Melissa Mason ??
Dr. Melissa Mason

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