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What is Dyslexia?

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So What Is Dyslexia Anyway?  – Two “Classic” Symptoms Explored

We often wonder: Is my child dyslexic? or, Am I? and, What is Dyslexia exactly? However, in our experience, and in that of most people working in the field, not everyone who has difficulty with language or reading has “dyslexia.”

When you hear the word “cheese,” what comes to mind?
Some people picture a slice of yellow American cheese in its own individual wrapper. Others see a “wedge” of white cheese just cut from a “wheel.” Still others picture Swiss or blue cheese.
What about products with cheese – cheeseburgers, cheese danish, cheese pizza, cheese puffs. How about cheese concepts – “How Cheesy” or smile and say ‘Cheese!’”
They all contain cheese, but what exactly is cheese?

The same can be said of “dyslexia.”
Everyone has different ideas about what dyslexia means. The word “dyslexia” is actually a medical term meaning “difficulty with words.” That’s a pretty broad concept.
Let’s narrow this down just a bit.

There is current brain research indicating that people with dyslexia probably have physiological differences in the brain structure and how it processes, or thinks about, information.
At the Learning Center, we look at dyslexia from an educational standpoint. In other words, what can we do to overcome any limitations dyslexia might place on students’ ability to learn. We have worked with students with reading disabilities for over 13 years, and in that time we have come to recognize a couple of major symptoms that we would call “classic dyslexic symptoms.” These are: A significant phonemic awareness deficit, and a strong visual spatial thinking style.

What Is Phonemic Awareness and How Does It Affect Reading?
Phonemic awareness is a person’s ability to think about the number, order, and identity of individual sounds within words. It is the underlying thinking process that allows a person to make sense out of phonics, the sound system of our language.

The basic reading process is made up of three parts: Auditory (phonics), Visual (sight word recognition), and Language (the ability to use context clues and learn and apply new vocabulary).
In order to be an automatic, comfortable reader, all three of these processes need to be working efficiently together. If they are not, reading can be a frustrating struggle.
Current research and our clinical experience strongly indicate that weaknesses in the auditory part of the basic reading process, or inability to easily understand and use the phonetic code of the language, is a key factor in reading and spelling disorders.

A phonemic awareness deficit almost always keeps a person from being an efficient reader and speller. It usually causes individuals to be “disabled readers” in spite of the best efforts of parents and teachers.

For the second grader, it can mean being diagnosed as “developmentally delayed.” For the bright and creative seventh grader, it can mean spending countless frustrating hours doing homework and still failing. For the adult professional, it can mean making a “career” out of hiding the inability to read and write on the job.
Individuals with a phonemic awareness deficit find it terribly difficult to use phonics for reading and spelling. It has been said that these people simply cannot ever learn phonics. However, ongoing research in the field of auditory processing has shown us that this is not true. These individuals can be trained to develop their phonemic awareness and become effective readers.People with phonemic awareness deficit may experience the following:

  • Not accurate beyond their memorized vocabulary
  • Low level of sight vocabulary
  • Virtually no ability to sound out and/or blend words
  • Many times bright and motivated
  • Having to work “too hard” to read, spell, etc.
  • Poor grades
  • Written work is inaccurate
  • Confuse words in reading that look similar (such as quietly and quality)
  • Confuse words that sound similar (such as consonant and continent)

The Visual Spatial Thinking Style
The second “classic dyslexic symptom” is a strong visual spatial thinking style. People who have an auditory conceptualization deficit may or may not have the visual spatial thinking style.
Generally, these people tend to be bright, creative, “right-brained” thinkers, who think in concepts and pictures. They have the unique ability to see “in dimension,” or mentally “see” objects from all sideswithout actually moving their eyes or the objects . This talent lends itself to drawing, building, putting things together, and recalling concrete or visual information.

Many times, when “right-brained” children try to learn with the traditional “left-brain modes,” they are labeled as “attention deficit” because they mentally “leave” the classroom and create highly entertaining “movies” in their heads that are far more fulfilling and less disorienting than the symbolic ABCs and 123s.  Many times these individuals suffer from episodes that have come to be labeled simply “disorientation.” It is the uncontrolled loss of focus triggered by confusion, and it almost always occurs when working with symbols or when listening.

When the person experiences confusion about symbols (such as numbers and letters) his or her brain tries to understand. However, these individuals will usually go to their most comfortable thinking style, which is “seeing” in dimension. This can cause them to perceive the letter or word from different angles, recording different images of the word or letter in their mind. This makes it very hard to retrieve the symbols and often results in number and letter reversals or words “moving” on the page.

Small pieces of the language such as punctuation marks and small non-conceptual sight words such as the, of , and if may also be difficult for the visual-spatial thinker to pay attention to because it is hard to attach a concept or mental image to them. Disorientation may occur when the individual is overwhelmed with too much information, particularly with language.  When disoriented, the person often loses track of what’s going on around him as well as losing track of time.

We don’t ever want to take away a person’s thinking style. It is a wonderful creative style that was and is shared by important individuals in our society such as Albert Einstein, Leonardo da Vinci, Walt Disney, Thomas Edison, Bruce Jenner, Greg Louganis and many more.

Our goal is to help students develop other learning styles in addition to their own so they don’t have to suffer from confusion with language. “Dyslexic” symptoms, triggered by confusion about flat, linear symbols and small pieces of the language do not have to become a way of life.

There is help!
At the Therapeutic Literacy Center we help clients to develop control over their thinking processes to make sense out of reading, spelling, written language and math.  Through carefully researched and consistently effective methods, both of these most common and classic dyslexic symptoms can be overcome so that children and adults with average or above intellectual ability can become efficient learners.  Dyslexia and other learning disabilities are not diseases. They are simply differences in thinking or processing information that can be changed permanently . For some learners, the traditional methods of reading have not been successful. These individuals must be taught in a different way.

*Note: There are many other centers. Lindamood Bell and Banyan Tree are some of them in our area. Yet, once you enter our office, you will FEEL the difference. Our clinicians are all college graduates with degrees in psychology. They aren’t part time people working a “job” while they look for something else. They are all full-time clinicians dedicated to all of our clients. Working full-time allows us to go deeper in training and expertise in your child. We promise that there will never be “only two eyes” on your child. The level of collaboration and team work in studying your child along their growth accelerates their progress. That is our commitment to you.

Pediatricians help identify learning disabilities in children

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As many as 20% of people in the United States have a learning disability and in 2007, an estimated 2.7 million children aged 6 to 11 years were affected. Learning disabilities often prevent children from reaching their full potential. They can have difficulty learning to listen, speak, read, spell, write, reason, concentrate, solve mathematical problems, and organize information. They may also experience difficulty mastering social skills or motor coordination.

Learning difficulties are frequently associated with and complicated by attention-deficit/hyperactivity disorder (ADHD). For affected children, learning difficulties are not merely a source of frustration. Left untreated, these children may develop low self-confidence, poor self-esteem, and have increased risk of developing psychological and emotional problems.

Learning disabilities are complex problems with complex etiologies that are not yet fully understood. Attention-deficit/hyperactivity disorder (ADHD) and learning disabilities, including reading disabilities and dyslexia, frequently go undetected, misdiagnosed, or mistreated in children. Sadly, even in cases where learning disabilities are recognized, most children have already been experiencing years of academic difficulty in elementary school.

However research in brain function and learning has shown that learning and attention challenges can be permanently corrected. The American Academy of Pediatrics policy states that “early recognition and referral to qualified professionals for evidence-based evaluations and treatments are necessary to achieve the best possible outcome.”
Family Physicians identify learning disabilities
The role of the child’s physician in identifying and managing a learning disability is one of vigilance and support. The child’s parents and educators may not fully recognize the symptoms of a learning disability in their children and it may be the child’s pediatrician that is first to suspect and inform parents of available resources for assistance. Some parents may already suspect that their child may harbor a learning disability and turn to the child’s physician for guidance. In any case, the child’s physician is an important partner with the family and educators in the diagnosis, evaluation and treatment for the child.

It is not the role of the pediatrician to diagnose learning disabilities but instead to inquire about the child’s educational progress and be vigilant for early signs of learning disabilities. Even if there is no apparent delay in speech or language development, a family history of learning difficulties should alert parents and physicians to this possibility in the child. With enhanced awareness of the pediatric community on early detection and referral we can do away with the traditional scenario in which the child must show persistent poor academic achievement for years before referral, assessment, and remediation. Early recognition and referral to qualified professionals means more effective treatment for more children.

Therapeutic Literacy Center:
Current neuroscience shows that learning “disabilities” do not have to be permanent. The brain exhibits enormous plasticity so the cognitive skills involved in reading and writing can be improved. (More about Plasticity)  At the Therapeutic Literacy Center we specialize in the cognitive processes behind learning to read, write and spell. Auditory and language processing, phonological awareness, visual memory and critical thinking can be strengthened, often significantly, in a relatively short time given intensive targeted instruction. Our network of clinicians, psychologists, and neuropsychologists have studied how children learn, and applied that research to Therapeutic Literacy Center programs and instruction. Through carefully researched and consistently effective methods, we help clients to develop control over their thinking processes to make sense out of reading, spelling, written language and math.

Expanding our office

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Expanding to meet the needs….

Young people are masters at hiding their struggles in school.  They mask their difficulties in so many ways that sometimes it takes adults time to realize what it really going on.

Many times these are just below the surface of other behaviors such as these:

Attention Difficulties
High Energy
Low Energy
Aggression
Acting out / Getting in Trouble
Depression/Anxiety
Withdraw
Impatience
Spacing out
Being too social in class
Low self esteem
Resistance to homework
Lack of desire to read or write

These are just a few of the initial outside behaviors that we might notice.  Part of what makes it difficult is that each child is individual in the behaviors they use to mask their difficulties.

We are all born with a natural inquisitiveness and desire to learn, perform and achieve.  A lack of desire to learn at school is usually a symptom of a struggle to learn.

When our children are showing struggles in school, a well-known approach to help them is to find a tutor or sometimes use the “wait and see” approach and see if they will “grow out of it.”

But when children with at least average intellectual ability struggle to learn, there is likely something in the way that they are processing information that is underdeveloped, different, or inefficient.  Tutoring isn’t the answer.

The Therapeutic Literacy Center recognizes that if we are going to effectively impact academic learning problems, we must prepare the brain for learning by strengthening or developing the underlying thinking processes that support academic skills.

We might find ourselves saying such things as “He just needs to pay attention,” “She needs to put her head in school” or “When it’s something he’s interested in, he can do it!”  Yet, they really need help now to change the way they experience learning in school.

“These things can be FIXED – permanently. We are seeing lives change every day.”

The work at the Therapeutic Literacy Center is done one-to-one with students and focuses on teaching, strengthening, and developing those skills that lead to independent, academic success.

Meeting the Need

The Therapeutic Literacy Center is expanding to meet the needs of more students in North County. We are seeing changes happening every day.  Kids that have been working harder than their peers are finding confidence and success and independence.

These kids are not resisting homework anymore because they have confidence in their skills as an independent learner. They feel their success and they are interested in learning again.

TLC provides free screening and evaluations to help identify what the issue is behind struggles in school 1st grade through college.  These can be scheduled by calling (858) 481-2200.

-September 20, 2013

Assistive Listening Devices in Classrooms for Children with Dyslexia

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Two reports from the Auditory Neuroscience Laboratory, Northwestern University show that Bluetooth-style listening devices in the classroom can treat dyslexia.  Sounds suspicious I know, but if nothing else, trust the source enough to read on and you’ll be suitably impressed and hopefully inspired. Their research also uncovers a biological explanation which could lead to earlier diagnosis for this language disorder. The studies were published in Journal of Neuroscience and in Proceedings of the National Academy of Sciences (links provided below).   These important findings further support an already large body of research pointing to a neural explanation for auditory processing in children with language learning problems, including dyslexia.

Assistive Listening Devices in Classrooms for Children with Dyslexia
Dyslexia is the most prevalent learning disability among children. Contrary to widespread public teaching, it is not only an affliction of the visual system; merely causing the eyes to rearrange written words.  Dyslexia stems from problems with auditory processing, a skill necessary to accurately interpret speech. Dyslexics typically have poor “phonological awareness”.  This means they struggle assigning the right sounds to the right letters. For example, they might confuse the words “bean” and “dean” because they cannot clearly distinguish the “b” and “d” sounds. Moreover, many children with poor phonological awareness suffer distractions from background noise, making it even harder to pay attention and focus on what a teacher is saying.

In the J. Neuroscience report, the authors show that poor readers have less stable auditory nervous system function than do good readers.  In the children with inconsistency in response to sound the data point to a biological mechanism and it may contribute to their reading impairment.  The authors proposed that assistive listening devices (classroom FM systems) may enhance acoustic clarity and thus reduce the auditory processing variability so elegantly described in the J.Neuroscience paper.

In the PNAS classroom study, they assessed the impact of classroom FM system use for 1 year on auditory neurophysiology and reading skills in children with dyslexia.  The results were clear and dramatic. Children with dyslexia who used classroom assistive listening devices (FM systems) had more consistent auditory brainstem responses to speech after 1 year.  This improvement was linked to increases in reading and phonological awareness. These changes were not seen for children in the same classrooms who did not use the assistive listening devices. The thinking here is that the enhanced signal-to-noise ratio provided by the FM system improved auditory brainstem function by providing the nervous system with a clearer acoustic signal. This would be particularly true for children with dyslexia who are more adversely affected by background noise than their classmates. It is important to note that the FM systems were not used during testing. The brainstem function had undergone a lasting change by enhancing signal-to-noise ratio over the course of the school year.  (Read more on Brain Plasticity)

Aside from the obvious practical implications of these findings for the home and classroom, they have provoked many questions and lines of inquiries for the research community.  Stay tuned!  Both articles are available as free full text for a closer look at the study set up and data.

J. Hornickel et al., “Assistive listening devices drive neuroplasticity in children with dyslexia,”Proceedings of the National Academy of Sciences, 32:14156-64, 2012.

J. Hornickel, N. Kraus, “Unstable representation of sound: a biological marker of dyslexia,”Journal of Neuroscience, 33:3500–04, 2013.

Helping Children Learn To Love Reading

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In a follow-up to our introductory blog which shed some light on who we are, the Therapeutic Literacy Center would now like to tell you a little bit about where we are and what we do: TLC is located in Solana Beach, California and our clients include those who have been diagnosed with autism, dyslexia, ADHD or a learning disability as well as others who may simply struggle within a traditional school system.

In a warm and comfortable setting high above the Pacific Ocean, we offer specialized programming which is short-term and individually based on an evaluation of specific areas of need. Your child may require 2 weeks or up to 12 weeks depending on progress that is monitored regularly.

When learning styles are de-mystified in a supportive setting, students gain the tools to become confident learners. This, combined with goal setting and descriptive feedback, fosters self esteem and independence in our students.

One of the areas we specialize in is dyslexia. Dyslexia can be difficult to diagnose and is frequently mislabeled as an auditory processing disorder. To further complicate the problem, reports on testing may do an excellent job of describing the reading and writing issues but then fall short in their recommendations. Children often have difficulties with decoding, spelling and fluency. Tests can show a clear deficit in phonological awareness, but what are the recommendations? “Student needs to improve reading.” Ok, so now what?

At Therapeutic Literacy Center we use a program called Fast For Word which applies the principles of brain science to help your child become a more efficient learner. Fast For Word is a proven reading and learning intervention that applies neuroscience principles of brain plasticity to help children, adolescents and adults achieve their full potential. Your child will simultaneously develop cognitive and language skills in a safe environment where they can learn to take risks.

This program, in conjunction with everything else we offer at TLC, is an effective tool to develop and improve fundamental cognitive and reading skills. We help our students by improving their memory, attention and ability to follow instructions, plus language and reading skills including phonological awareness, decoding, vocabulary, spelling and comprehension. Our program has been designed from extensive neuroscience research and is specifically designed for various ages and ability levels to maximize your child’s potential for learning.

Your child will not only be more confident in classroom participation but they will learn to enjoy reading.

Stay tuned for our weekly blog which will cover a wide range of topics ranging from autism, dyslexia and ADHD to the latest innovations in educational technology and so much more. Thank you for reading!

“The whole world opened to me when I learned to read.” ~ Mary McLeod Bethune

The Upside of Dyslexia?

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My son is Dyslexic and I admit that I all too often fall into the mode of lamenting that he (and my family) must ‘deal’ with his condition.  I wallow and worry about how he struggles in school and at home.  Together we suffer through the standard approaches to learning and doing things, and we spend time and money for targeted therapy and remediation.  I muse to myself that it sure would be nice to spend time and money on other endeavors instead.

People are always talking about the need to find the upside of situations, of pointing out strengths instead of weaknesses, of celebrating achievements instead of noting shortcomings.  This is supposed to be the ‘new age’ of appreciating differences and lauding what the differences bring to the table, right? At the smorgasbord of humanity should we really be complaining that all the burgers don’t have the same shape and taste?  That someone is ‘doing it wrong’?  Most of us ‘get’ this but we still fall into societal expectations (limitations?) about performance and achievement.  We keep finding ourselves spending too much time lamenting the inability to measure up.

Consider the situation of the dyslexic child who is having academic difficulties in school.  You know they’re not lazy so you get help and do everything you can to help them struggle less and feel good more often.  So What’s the Upside of Dyslexia? Is there anything else besides waiting for results to celebrate?  Waiting to say “Hooray, you’re fixed.â€

In all that waiting, I forget to remind him and myself of his unusual strengths and gifts. I KNOW Dyslexics experience the world differently and I need to find a way to appreciate that – and believe it.  But I always end up immersing myself in literature and other venues to figure out how to ‘fix’ that.  I gotta step out of that kind of thinking more often.  We all do and maybe what I found can give you a boost as well.

I recently came across the work of Dr. Matthew H. Schneps, a founding member of the Science Education Department at the Harvard-Smithsonian Center for Astrophysics.

Astrophysics?  Yes. But wait, it gets better.

Schneps founded the Laboratory for Visual Learning (LVL) to carry out research on how individual differences in neurology such as those associated with dyslexia, ADHD, and autism spectrum disorders, affect how people learn science.  His work has led to a number of spinoffs such as the development of an innovative technique for reading for people with dyslexia using mobile devices, but what I found most rewarding were the descriptions of visual advantages that dyslexics have in our world.

Dyslexics get the whole pictureFor example did you know that that many people with dyslexia have sharper peripheral vision than others?  The brain processes separately the information from the central versus the peripheral areas of the visual field.  And the brain seems to trade off on these capacities. The key to reading is being adept focusing on details located in the center of the visual field while being less proficient at recognizing features and patterns in the periphery.  As it turns out, people with dyslexia have a bias in favor of the periphery and so can quickly take in a scene as a whole; they get the “visual gist†more readily.

As an astrophysicist, Schneps and other scientists in his line of work must make sense of vast quantities of visual data and accurately detect patterns or anomalies.  He suggested that a condition of dyslexia may actually enhance the ability to carry out just such a task.  Indeed, one study he conducted showed that astrophysicists with dyslexia outperformed their non-dyslexic colleagues in assessing visual data (radiographs) to identify distinctive characteristics of black holes.  In another simple experiment, he blurred regular photographs to the extent that they resembled astronomical images.  Dyslexics easily caught on whereas typical readers failed to do so.  Still more studies demonstrate enhanced peripheral capture and whole scene capture by dyslexics as compared to non-dyslexics .

I’m only scratching the surface here and I certainly don’t want to leave anyone with the impression that we should simply ‘celebrate’ the gift of dyslexia and leave it at that.  Reading and other academic pursuits remain a real challenge for those with dyslexia and other related disabilities.  We have lifetimes of work ahead of us as we work to remediate weaknesses. But identifying the distinctive aptitudes of those with dyslexia helps us understand the condition more completely.  I plan on keeping an eye on Schneps’ work and LVL to increase my understanding and help me appreciate my son and other dyslexics for their unique abilities – not just their ability to overcome certain learning challenges.

Happy New Year!