“I want to be like him!”

 

Bryce wants to be like his friend who is excellent at soccer, can memorize anything quickly and always has a witty comment to share. So he asked me to explain how his brain works and what he can do to be more like his friend. We discussed his strengths and weaknesses and how they affect his processing of information. In my explanation to Bryce I realized that he is not as worried about his academic levels as he is about his ability to interact with his friends. The same processing difficulties he is having learning new information in the classroom are hindering him in his social interactions.

Helping Bryce process information quickly will make all learning and social interactions easier for him. Once the brain is smoothly processing new input; social interactions along with reading, writing, and math skills will be mastered more easily.

Many students come to the K&M Center with diagnoses of a processing disorder, a developmental delay, dyslexia, processing speed issues, ADHD, executive functioning disorder, dysgraphia, language processing issues, and auditory processing issues. Each diagnosis identifies a difficulty in absorbing new information, effectively storing information and/or retrieving the desired information efficiently. The question changes from, “ How do I teach a child to read?” to “What neuro-pathways need to be developed so this child can read fluently?”

How do we build new neuro-pathways? Memory and learning are related but different and it is important to understand their relationship. Memory is dependent on learning because memory takes learned information and stores it so it can be retrieved at a later time. Learning is dependent on memory because the stored information in memory provides the framework used to create associations and inferences to further learning and strengthen memory.

The Process of Creating New Neuro-pathways:

  • The memory/learning process starts with perception and attention, which cause neurons to fire.
  • Once the neurons fire a trace memory is created and the consolidation or stabilizing of a memory begins.
    • This is considered the encoding or storage of information.
    • During this process synapses increase in strength and number.
  • When a group of neurons frequently fire together they form a pathway and the brain “re-wires” itself rearranging its organization.
    • These neural pathways are what make learning possible.

The brain is designed to process information along the path of least resistance. Pathways that are frequently used become stronger and faster, so information that is learned and practiced allows that information to be retrieved more quickly.

Frequent use of neurons builds quick, strong neural pathways. Educating students with learning disabilities requires finding activities that stimulate the desired neurons to develop new pathways. Finding the right activities for each student is the key to successful learning.

How frequently the pathways need to be stimulated is not clear. Most research indicates that intensive intervention requires 60 hours, with daily sessions.

Bryce has a unique and wonderful brain. In our discussion we talked about how every person has strengths and weaknesses that make them valuable. Bryce wants to learn and he is willing to do the work, therefore his brain will continue to build new neural pathways that will help him in his social interactions. We also discussed that he will most likely never be exactly like his friend and that is not necessarily a bad thing. Learning to accept ourselves, while continuing to improve ourselves is what makes life interesting.

Slow Processing Speed…is it due to weak motor skills, weak auditory processing skills or weak executive function skills?


 

Slow processing speed can be due to more than just weak motor skills. Sarah’s experience highlights some of the more complex factors that should be considered for a child with slow processing speed.

Sarah is a diligent, athletic and caring 15-year-old girl. Sarah has always done well in school, but not without support. When Sarah entered ninth grade at her new high school her study skills deteriorated and she began to have trouble completing her homework and turning it in. In spite of Sarah’s best intentions she was not able to pull up her grades and complete her work. Based on recommendations from her school Sarah was evaluated to see if any learning issues were hindering her progress. The results of the evaluation demonstrated that while Sarah has an overall cognitive potential in the average range, her Processing Speed Index was significantly below her Verbal Comprehension and Working Memory Index scores.

The findings from Sarah’s evaluation indicate that her processing speed deficit is due to her difficulty with visual discrimination, auditory processing, and weak executive functioning skills. While inattentive ADHD was not completely ruled out, the examiners felt that Sarah’s main area of challenge was in the area of executive functioning rather than ADHD. Observation of Sarah during testing demonstrated her difficulty with task initiation. Sarah’s auditory processing weakness resulted in a difficulty understanding directions. Without a complete understanding of directions Sarah often did not know what she was expected to do on the tasks presented. Sarah’s response to not fully understanding the directions given to her, was to stop and try to figure out what she was supposed to do before she began working. This delay significantly impacted the time that it took her to complete the tasks. In addition, without a full understanding of directions Sara often did not complete the tasks fully.

 Sarah’s challenge with executive functioning skills was evident in her difficulty starting tasks, as well as her difficulty organizing her thoughts and language as she listened to instructions. The combination of weak auditory processing skills along with weak organization and problem solving skills made it extremely difficult for Sarah to begin a new task.

 Sarah’s fine motor skills, reading skills and language skills were in the average range. Her slow processing speed affected her performance on writing and math tasks. In addition, Sarah needed extra time for reading comprehension tasks due to the complex language and organization processing required to comprehend the material.

 Recommendations to help students like Sarah

Classroom Recommendations and Accommodations

  • The following recommendations are suggested for use in the classroom:
    • Students will benefit from cueing so they know what to expect – check in with them periodically and preview what is to come.
    • Help students organize the information they hear in meaningful ways, including chunking the information into shorter steps or connecting new information with previously learned information.
    • Preview new concepts with students so they know what to expect – this will decrease stress and help with attention and engagement in the classroom.

 

Executive Function/Memory Skills

  • Build strategies to help students analyze, prioritize, and execute specific steps in a given assignment.
  • Encourage students to think through responses and take their time; many students with processing speed issues develop a compensatory strategy to rush through in order to finish work in time; these students would benefit from slowing down to process the information more deeply.
  • Teach students to stop and read directions carefully prior to starting a task.
  • Break down tasks and follow the order-checking work along the way.
  • Build memory skills by building associations to preexisting knowledge.
  • Rehearse new information to help encode it.
  • Encourage students to visualize what they are going to do before they begin a task.
  • Teach students strategies to increase engagement such as use of reminders (which can be set on devices such as the iPhone) to help build attention, awareness, structure and independent work habits.
  • Teach students to use self-talk to organize learning and performance strategies and to focus attention on tasks.
  • Teach students strategies to help recall information, such as PAR:

P= Picture it.
A= Associate it
R= Review it.

 

  • Teach students study and memory strategies such as:

o   “Chunking” information into more manageable units

o   Rehearse new information to help encode it

o   Use notecards to review information

 

Visual-Perceptual Strategies

  • Use of graphic organizers to depict information visually and increase retention of ideas.
  • Note-taking techniques that will present and summarize heard information visually.
  • Exercises to sharpen the ability to attend to visual detail and to express similarities and differences between images.

 

Processing Speed/ fine motor skills

  • Allow extra time for tests, usually time and a half.
  • Provide extra time for students to complete in-class assignments.
  • Train students in time management techniques to become aware of the time that tasks take.
  • Teach typing skills to enable students to type as fast as they think.
  • Allow students to use the computer for all writing tasks.

 

Organization of language

  • Students may have excellent ideas but have difficulty organizing their thoughts. Building pre-writing will help them express their ideas more clearly.
  • Review of writing formats (Narrative, Expository, Descriptive, Compare/Contrast, Persuasive) would facilitate and structure written expression.
  • Reinforce the writing process for students in a systematic manner (Brainstorming or clustering, writing, editing). The Inspiration Program is a creative computer tool that helps students brainstorm and organize their ideas before writing.
  • Build students expressive lanuage skills by:

o   Building language categorization skills

o   Building rapid naming skills

o   Teaching them how to organize new information as they learn it to create associations they can use later to recall the information

o   Building flexible thinking skills

 

Increase reading comprehension

o   The SQ3R approach is recommended as an approach to studying information from text books

o   Teach students to preview reading material prior to class to ensure they are able to follow along during class time

o   Teach students to take notes at the end of each chapter of books they read. This will not only aid comprehension but assist in studying or finding information quickly when writing an essay

o   Pull out keywords and main ideas while reading to help put what students are learning into context

 

Hopefully Sarah’s academic achievement will improve as she builds strategies to help her overcome her areas of challenge. Building Sarah’s ability, and helping her develop strategies, to understand directions is the first step to helping her start tasks. Teaching Sarah how to break down and organize the steps to complete tasks will allow her to finish the tasks she starts. As Sarah develops these skills, it is hoped that she will be able to complete tasks in a timely manner, thereby increasing her processing speed.

 

 

Language Organization Skills Blend Executive Functioning and Language Skills To Help Us Communicate Clearly

Language serves many purposes. We use language to share our needs, our wants, our feelings and our thoughts. We use language to become apart of our shared community and socially interact with others. Weak language skills can make a person feel isolated and disconnected from those around him. In addition, he may miss out on learning opportunities. Language skills help build strong social connections and friendships as well as allow us to absorb information from teachers and the world around us.

Most people learn language organically as they develop from an infant to a toddler and beyond into adulthood. Steven Pinker, a professor of psychology at Harvard University, breaks language into two parts. The first part involves creating a relationship between meaning and sound. What this refers to is that when we hear the sound “d-o-g” we think of a dog, an animal that has four legs and a tail. The average person performs this task quickly and automatically. Most people have learned 50,000 to 100,000 words, which they can quickly and efficiently process from sound to meaning.

The second part of language, according to Pinker, is ability to follow rules and combine words to communicate the thought we have to another person. We learn that “Sarah sat on a hat” has a different meaning than “ A hat sat on Sarah”. We learn that the order of the words is important and that we can get different meanings from the same words.

There is a growing population of students who are struggling with the organizational component of language. Many of these students have acquired the sound to meaning portion of language, but they get overwhelmed when they are required to organize their thoughts to effectively communicate their idea to others. I have begun to call this a “Language Organization Deficit.”

Many of the students who experience this difficulty have a background history of dyslexia, ADHD or language processing difficulty. Some students with Language Organization issues experience word-finding issues, but more commonly they have trouble quickly and clearly conveying information. They may talk around an idea without ever stating what they are trying to communicate. Students with Language organization issues can have trouble keeping up with the pace of the conversation, leading to difficulty in social situations. They also struggle with organizing their ideas to write a paper.

Students with a Language Organization weakness need to build both their language skills and their executive functioning skills.

  • Strengthening the phonological loop with rapid naming exercises can help speed up the word finding component of language.
  • Teaching the Executive Functioning skills of Stop, Think, Plan, Do can allow the student to slow down to organize his ideas.
  • Building a strong vocabulary base, learning antonyms and synonyms, will increase the choices a student has to express his ideas.
  • Learning to breakdown ideas into parts and then organize them can help a student start a task without feeling overwhelmed.
  • Building flexible thinking skills can help a child with language organization issues find new ways of thinking and organizing ideas.

Language and the ability to share thoughts is a basic skill. Those who struggle in this area miss many opportunities for development and friendships. I hope that looking at and considering the organizational component of language can help more students effectively and fluently communicate their thoughts and feelings.

 

 

 

 

 

 

Building Executive Functioning Skills May Be The Best Intervention For Increasing Processing Speed.

 

Processing speed is becoming a stumbling block for many students. The number of students who are requesting extra time on tests has increased tremendously over the years. What does it mean to have a processing speed dysfunction?  The case studies below are examples of how processing speed issues can vary from student to student.

  • Don is a quiet shy boy who loves skateboarding and hanging out with his family. He is sweet and everyone likes him, however he has no close friends. Don does not initiate conversations or join in conversations with friends at school, which keeps him from being part of the “group”.  Don moves at his own pace and cannot be rushed. Don’s slow processing is global. He is slow moving (except on a skateboard!), slow reading and writing, slow to take in verbal information and to respond verbally to questions.  Don can now read and write at grade level, but his reading and writing fluency are slow. Don continues to have difficulty finding the right words to express his ideas and still would rather sit back and watch a group than join in. Don needs extra time to take in, process and organize his ideas before responding regardless of the type of task presented. 
  • Sara is 8 years year old and quick as quick can be to let you know her opinions. She is highly social and very verbal. Her reading and reading comprehension skills are strong. Sara struggles with slowing down when she is writing. Her handwriting skills are poor and her spelling is weak. She makes careless errors on math problems, which causes her to lose points and get low grades. When asked to write for school Sara quickly becomes upset. Homework is a stressful and prolonged activity. Sara’s fine motor skills are weak and she hates writing. Her weakness in handwriting and organizing her thoughts cause her to avoid writing and she often turns in incomplete work. Sara needs extra time to allow her to stop and think, organize her thoughts and narrow them down in to a manageable amount of information to write down. She also needs extra time to allow her to slowly and carefully write the words on paper.
  • Alex has been diagnosed with a Nonverbal Learning Disability (NLD). One of the main components of NLD is a lack of organizational skills. This means that Alex has a hard time putting all the pieces of information he gathers together to allow him to come to a meaningful conclusion. Breaking down instructions in order to follow them is a challenge, so Alex often just guesses at what he is supposed to do based on pictures or looking at what other are doing. Alex needs extra time to circle and highlight the important information in texts and worksheets so that he can focus on the most important part. He also needs extra time to contemplate the information and come to meaningful conclusion.

Each of these children struggle with processing speed, but the cause of their struggle is different. Weak fine motor skills and/or organizational skills are common factors in processing speed issues. While for many students the fine motor skills are a chief cause of frustration, I am beginning to consider weak executive functioning skills a key factor affecting processing speed.

Young children can work to improve their fine motor skills and therefore increase their processing speed, if that is the main cause of the processing speed deficit. However, for older children and those whose processing speed deficit is cognitively based, building executive functioning skills will be the best intervention for increasing processing speed.

I invite you to take our free executive functioning quiz and find out what skills are strong, and which are weak for you or your child.

Here is a list of Executive Functioning skills:

Initiation

•

starting work

Inhibition

•

stopping off-task behavior

Shift

•

moving from one activity to another

Working Memory

•

remembering information for immediate use

Planning

•

setting goals and the steps to accomplish them

Organizing Materials

•

tracking items in work spaces

Time Management

•

allotting appropriate time for each task

Monitoring

•

judging the quality and pace of work

Emotional Control

•

regulating stress and distractibility

For many of the students I see with a processing speed issue, the executive functioning skills of initiate, shift, plan, time management and emotional control are difficult for them. I consider the ability to shift as the most important skill to develop. If a child gets stuck on an idea and can’t let go of it to consider a new idea, nothing can change. If a child gets frustrated and shuts down he can’t find solution to the problem, rather he becomes overwhelmed and defeated. Many students with this profile need to learn new ways to approach tasks so that they can hone in on the most important part. To help them save time and therefore speed up, these students can learn new organization skills that will help them start and finish work in a timely manner. However, they need to be flexible thinkers to do this.

For students with this profile I suggest they build flexible thinking skills first and then organization skills. You can read my blog article on building flexible thinking skills to learn more. I also created The Flexible Thinking Workbook to help students build these very important skills.

Do visual learners have more difficulty with language organization than verbal learners?

Visual-spatial learners think in images. Verbal learners think primarily in words. Visual learners see the whole picture all at once allowing them to see things from many perspectives. Verbal learners learn step by step and have a tendency towards analytical thinking. These two types of learning may also impact a child’s organization of language. 

What do I mean by language organization? I am referring to the executive functioning skill of organizing your thoughts, attaching those thoughts to words and sharing those words with others so that they can understand your idea. Therefore when I am talking about language organization I am referring to the relationship between thought and language. 

What is the relationship between language and thought? Aristotle taught that speech symbolized thought. Chomsky believed that the language environment is a key component to language development. Piaget and Vygotsky believed that a complex interaction exists between the child and the environment that is influenced by the child’s social and cognitive development. They believed that as children develop language they are building a symbol system that helps them understand the world. However, while Piaget believed that cognitive development leads to language development, Vygotsky believed language drives the development of thought.

How do these theories of language development impact students who are either visual or verbal learners? Do verbal and visual learners actually have different thought processes? If you think in pictures rather than thinking in words, are your thoughts different? Most importantly, how do these two learning styles affect a child’s ability to express himself both verbally and on written assignments?

Our educational system has embraced a verbal communication curriculum. Most teachers give verbal directions, assign books that are written in text (words) and they require most assessments be completed in written text (words). Take a minute to consider this. If you think in words, then both your input of information from the teacher and books, along with your output (what you write down) are all in your native processing mode (verbal).  If, however, your learning style is visual, when the teacher is talking or you are reading, you must translate those verbal words into pictures; and in order to write an essay you must translate your visual images into words and sequence them to communicate your ideas.

See the chart below to get a better understanding of how visual and verbal (auditory sequential) learners differ.

 Visual-Spatial Learner Chart

Copyright held by Linda Kreger Silverman, August, 1999. From Upside-Down Brilliance: The Visual-Spatial Learner. Denver: DeLeon Publishing. This chart may be reproduced.

The Auditory-Sequential Learner
   The Visual-Spatial Learner
·      Thinks primarily in words
·      Thinks primarily in images
·      Has auditory strengths
·      Has visual strengths
·      Relates well to time
·      Relates well to space
·      Is a step-by-step learner
·      Is a whole-part learner
·      Learns by trial and error
·      Learns concepts all at once
·      Progresses sequentially from easy to difficult material
·      Learns complex concepts easily; Struggles with easy skills
·      Is an analytical thinker
·      Is a good synthesizer
·      Attends well to details
·      Sees the big picture; may miss details
·      Follows oral directions well
·      Reads maps well
·      Does well at arithmetic
·      Is better at math reasoning than computation
·      Learns phonics easily
·      Learns whole words easily
·      Can sound out spelling words
·      Must visualize words to spell them
·      Can write quickly and neatly
·      Much better at keyboarding than handwriting
·      Is well organized
·      Creates unique methods of organization
·      Can show steps of work easily
·      Arrives at correct solutions intuitively
·      Excels at rote memorization
·      Learns best by seeing relationships
·      Has good auditory short-term memory
·      Has good long-term visual memory
·      May need some repetition to reinforce learning
·      Learns concepts permanently; does not learn by drill and repetition
·      Learns well from instructions
·      Develops own methods of problem solving
·      Learns in spite of emotional reactions
·      Is very sensitive to teachers’ attitudes
·      Is comfortable with one right answer
·      Generates unusual solutions to problems
·      Develops fairly evenly
·      Develops quite asynchronously (unevenly)
·      Usually maintains high grades
·      May have very uneven grades
·      Enjoys algebra and chemistry
·      Enjoys geometry and physics
·      Masters other languages in classes
·      Masters other languages through immersion
·      Is academically talented
·      Is creatively, technologically, mechanically, emotionally or spiritually gifted
·      Is an early bloomer
·      Is a late bloomer

Clearly, verbal learners have an easier time in an educational environment built on verbal communication. The issue of language organization, as I’m referring to it, involves the executive functioning skills of organizing and sequencing thoughts. In the chart above, the auditory learner’s skill set assumes that there are no other learning deficits, especially any deficits with executive functioning skills. There are verbal learners who experience difficulty with organization, and therefore may have difficulty with organizing complex verbal language.

The students who are highly visual-spatial learners will need exceptional executive functioning skills to enable them to break down and sequence their ideas in a timely manner. The visual-spatial learner has to both translate pictures to words and sequence words into meaningful sentences, paragraphs and essays.

There is a relationship between visual learners and learning differences such as dyslexia, nonverbal learning disability, attention issues and language processing disorders. Looking at the chart above, you can see how language-based assessments will be more challenging for a visual learner than a verbal learner.

STRATEGIES FOR TEACHING VISUAL LEARNERS

When creating strategies for visual learners it is important for parents and teachers to understand that students with a visual-spatial learning style may take longer than other students to process new verbal information. When you consider the fact that they are translating words to images when taking in new information and translating images to words to share their ideas, it becomes easier to understand why the students need extra time in the classroom. In addition to extra time, teachers can consider ways in which they can modify or enhance their lessons with visual information. When teachers present visual information to the classroom the visual learners will quickly absorb it, while the verbal learners will be busy translating those images into words. Any form of visual support will be helpful to the visual learner. Here are some additional ideas a teacher can incorporate to help students learn better in the classroom.

  •  Before a lecture, provide students with a general outline of the material to be covered.
  •  Write directions with more than two steps on the board.
  • Use flip boards, photos, diagrams, laminated pictures, power point presentations, charts, maps, movies, filmstrips, timelines, mnemonics.
  • Provide access to computer programs that come with your textbook to provide greater visual exposure and practice.
  • Use the computer in the classroom to construct mind maps or webbing of the material.
  • Use concepts maps with key points, boxes, circles, and arrows showing the connections of information. Webbing provides the connections that visual learners must have.
  •  When doing questions and answers in the classroom, allow adequate wait time before calling on students.

It is important to remember that we need diversity in our thinking styles. Each of us has our own strengths and weaknesses that helped create who we are as human beings. As students grow and develop it is important for them to understand themselves, how their brain works and how valuable their type of thinking is.

How Does A Low Processing Speed Score Affect My Child?

Question: My 16 year old son has just had an evaluation and he was given the following scores on the test: 
 PRI 132, VCI 130, WMI 110, PSI 76
. I don’t understand how exactly this affects him, though I do notice he is a bit slow on some activities. How does the combination of the factors above translate into his abilities?

My son also can be difficult to deal with. He often does not like to work on any work assigned to him (It’s difficult to get him to do homework), which causes him to sometimes not hand in homework assignments. He is also quite disorganized, and procrastinates often. Socially, he is withdrawn and shy, even with people he knows.  He does have a few friends, and he can be lively around them. I wouldn’t say he has any deficits in communication, as he can still communicate well, and I think he just does not prefer to communicate or is shy.

 Answer: Your child has developed a strong vocabulary and is easily able to explain his understanding of socially based concepts. Your child’ ability to quickly and efficiently process auditory information, especially verbal information, is excellent. His ability to perform visual spatial problem solving is also very strong.

However, while your child demonstrates well-developed cognitive skills his ability to process information at the level his reasoning skills suggest is compromised by several factors present in testing. First, your child’s ability to read and synthesize material in a timely manner may be affected by his weakness in visual-discrimination and processing speed. His weak processing speed impacts his ability to process visual information as quickly as his strong cognitive skills suggest. This can impact his ability to read, write and perform math problem quickly.

Taken together, the significant discrepancy  between your child’ Verbal Comprehension and his Processing Speed Indexes; along with the differences between Perceptual Organization and Working Memory Indexes and Processing Speed Index, reflects a need for extended time on academic tasks and tests. Therefore, it is recommended that your child be granted extended time on all assignments and tests, including standardized testing such as the SAT and ACT. Furthermore, Your child’s current profile confirms he has  a visual perceptual and visual motor processing deficit and accommodations are warranted to allow your child additional time, or a reduction in work on all academic tasks.

The issue of your son’s lack of desire to communicate could be due to many reasons. There is a great book out called Quiet: The Power of Introverts in a World That Can’t Stop Talking 
by Susan Cain. This might be a good book for you to read to determine if your son is an introvert, which may explain his lack of interaction with people around him.

The issue of his disorganization and difficulty completing homework may be due to weak executive functioning skills. You can learn more about executive functioning at http://executivefunctioning.com.

RECOMMENDATIONS & ACCOMMODATIONS

• It is recommended that the results of his evaluation be shared with your child so he may understand his profile of strengths and weaknesses and can adjust his learning and study strategies accordingly.

• Based upon your child’s status as a student with a Learning Disability, he should be provided the following accommodations:

  • Extra time on tests (at least 50%)
  • Extended time (at least 50%) on all standardized tests including ACT, SAT and AP tests

Improve your child’s Working Memory, Attention and Executive Functioning Skills

• The CogMed program is recommended to build your child’s working memory, which will help support his attention processing.

• A program designed to improve your child’s executive functioning skills (such as the K & M Center Executive Functioning Program) is recommended.

• A program designed to increase your child’s cognitive flexibility is also recommended (such as the K & M Flexible Thinking Program)

• Teach your child to use self-talk to organize his learning and performance strategies and to focus his attention on tasks

• Build strategies to help your child analyze, prioritize, and execute specific steps in a given assignment

• Break down tasks and follows the order checking work along the way

• Teach strategies to increase engagement

Writing


• Encourage pre-writing activities such as brainstorming and outlining

• Use of Inspiration (Inspriation.com) and Dragon Speak Naturally (http://www.nuance.com/dragon/index.htm) to help him organize his thoughts and share them.

• Re-Train the Brain (Retrainthebrain.com) can help fine motor skills to make writing easier.

Visual-Perceptual Strategies

• Use graphic organizers to depict information visually and increase his retention of ideas.

• Note-taking techniques that will present and summarize heard information visually.

• Practice exercises to sharpen his ability to attend to visual detail and to express similarities and differences between images.

Processing Speed

• Allow extra time for tests, usually time and a half

• Provide extra time for your child to complete in-class assignments

• Train your child in time management techniques to become aware of the time that tasks take.

Processing speed issues are challenging at all ages

Sara is now 22 years old and still struggling with processing speed issues.  Here is Sara’s story:

When I was 12 years old, I was diagnosed with slow processing speed, given a 504 plan, and told this was a part of my life that 1) would not go away and 2) I would have to get used to. I thought I was mentally handicapped. My mom is a special education teacher, and she explained to me that this did not mean I lacked intelligence, but that it took longer for me to process information. This proved true when, in seventh grade, with an influx in work and sport activity, I stayed up until 1 or 2 every night finishing my homework.

I have always been motivated to not only complete assignments, but to do the best I can on them. However, this diagnosis became an excuse for any mistakes I made – so if ever I did not understand something right away, I laughed it off to slow processing. But, inside I was an emotional wreck questioning myself and my abilities. I know you’ve worked with a lot of children who have this, so I’m sure you see when they first come in your office that their confidence is very low. Confidence has always been a struggle for me, and it wasn’t until I really pursued writing (I wrote a 250 page novel when I was 14, still hidden away on my bookshelf) that I gained a little confidence in myself. But my confidence level is a roller coaster ride, and varies all the time.

 Now that I have given you a bit of background, I would like to ask you a question. I am 22 years old, and very unhappy with my processing abilities. I recently read a book by Joshua Foer titled Moonwalking with Einstein about Foer’s yearlong journey to improve his memory that concluded in his winning the United States Memory Championship. This book was an inspiration to me because it made me finally realize that the brain can change – something no one had educated me on when I was a 12-year-old, scared, recently diagnosed kid.

I graduated from college a little less than a year ago now with a degree in English and minor in Psychology. I currently work at a publishing company in New York, and am incredibly happy with how my life has gone. I have “compensated” for my disability – as my mom always said I would, but I want more than that. I want to be able to change my processing abilities. I want to have intelligent, abstract conversations with people that don’t end with me saying, “let me think about that a little more.”

 So, finally my question is, what do you recommend I do to improve my processing abilities? I know the process will be difficult, but I also know how beneficial it will be for the rest of my life. It has taken me a lot to get to the point I am at now, admitting that I am faulted in my processing abilities, but there is hope on the horizon if there is something I can do about it. Please let me know if you have any advice for me. I would much appreciate it.

 Thank you for your time and consideration. I admire what you are doing for children and parents, and only hope that one day I can share my experiences and help out someone just like me.

Sara’s story is inspirational. While she still struggles to think quickly on her feet, she has dealt with her slow processing speed, graduated from college and landed a great job that makes her happy. What more do we want for our children? It shows that with support and guidance the diagnoses of a processing speed issue is not a reason to despair.

Sara’s mother believed in Sara and was practical and realistic in her advice. I think this is a key factor in Sara’s success. Her mother explained that being slow is not the same as being dumb. If you are reading this because your child is slow, please find out about your child’s intellectual strengths and highlight those strengths when you talk to your child. Remind him often of what he is good at. The strengths you pick need to real; children know the truth about themselves even if they can’t articulate it. So, be real and encouraging.

Now to Sara’s question, what can she do to continue to increase her processing speed? Sara is referring to cognitive processing speed, how fast she can take in and process information, organize it and then respond. This is different than visual-motor processing speed that refers to how quickly you can take in visual information and then draw or write it. Sara wants to be an active participant in a fast paced, intellectual conversation.

Processing speed (PS) training has been found to be effective in adults.  One study, Effects of Training of Processing Speed on Neural Systems investigated the effects of PS training on the PS of young adults and on neural mechanisms. The results demonstrate that PS training increased brain plasticity (the brain’s ability to change).  The results of the study also found that a wide range of cognitive interventions involving speeded training tasks led to an improvement in cognitive functioning.

It is worthwhile to note that the PS training improved PS but not working memory, reasoning, or creativity. To achieve Sara’s goal of participating in fluid conversation, she may need to build her processing speed as well as her working memory. There are programs that are designed to do just that. At the K&M Center we use:

  • Cogmed to build working memory skills
  • PACE (Processing and Cognitive Enhancement) to build visual and auditory processing
  • Flexible Thinking Program to build cognitive flexibility

Other Programs I have not used but are available and look effective, include:

  • Brain HQ:  exercises your memory, attention, and more
  • Lumosity:  trains a range of cognitive functions, from working memory to fluid intelligence
  • Brain Training 101 Program: training exposes each student to a customized series of intense mental workouts

These training programs are designed to build neuro-pathways that help information flow around the brain faster. Studies show beneficial results. Research continues to investigate the methods, amount of time and results of processing speed interventions. It can be presumed that actively engaging the part of the brain you want to develop will strengthen it. The term “build the brain” refers to the brain as a mental muscle and we know exercising muscles makes them stronger and more effective.

Dysgraphia: Difficulty writing

Dysgraphia refers to difficulty writing.  Most people with dysgraphia have a hard time holding a pencil or pen. The awkward pencil grip can make forming letters on a page challenging.  When a student with dysgraphia is asked to copy from the board, line up math problems, or write an essay he is at a real disadvantage compared to his peers who can easily write down information on a page.

Many parents and teachers don’t realize that dysgraphia is a learning disability that does not get better as the student gets older. Here are some of the signs to watch for:

  • Awkward pencil grip
  • Messy writing
  • Letter size is inconsistent
  • Presses hard on paper
  • Spacing is inconsistent
  • Letters are not anchored on the line
  • Tires easily
  • Omits words in sentence
  • Has trouble keeping track of an idea while writing
  • A large gap exists between verbal ability to communicate and written ability to communicate.

What can be done to help a dysgraphic student?

Build fine motor skills for writing

    • The amount of effort it takes students to write makes the whole writing process laborious. The frustrating part for the students is that they have the ideas but it’s too much work to communicate them
    • I recommend the Retrain the Brain program along with Handwriting Without Tears.
    • An occupational therapist has additional tools that can be used to build the hand muscles needed for fluent writing.
    • Vision Therapy, if visual tracking is an issue.

Organize language and writing skills.

      • Educational specialists or tutors can help with this
      • The writing skills that a student with this profile needs to learn includes: pre-writing skills to help him organize his ideas before he writes and editing skills.
      • Use Speech to Text software like Dragon 

Use mind maps or advanced organizers

    • Graphic organizers  are great tools.
 In other words, we want to take the grand ideas that the student has and get them onto paper.
 This process alone will alleviate a lot of stress on the student.
    • Once the ideas are on paper, they can be numbered in the order the student wants to present them in his final paper.

Here is a great video that explains dysgraphia

504 Accommodations: Extra Time on Tests

Brad was a third grader who has struggled with reading since first grade.  His teacher shared with his parents that he is easily distracted and although he was performing at grade level he may have an attention issue. Brad was a quiet boy who did not cause problems in class but was more of a “daydreamer”.  When interrupted during class he had a hard time refocusing quickly and often missed important information such as directions or learning facts. Most children when interrupted or distracted are able to refocus quickly thus only missing moments of instruction.

Brad’s parents took him for a Psychoeducational Evaluation that showed that Brad did indeed have ADHD inattentive type. His testing also identified areas of strengths and weakness. Brad’s main weaknesses were in auditory and visual processing and executive functioning skills. In other words, he had trouble listening, processing the information then integrating the information he had heard.

Brad’s parents took the report from the psychologist to his school and worked with the special education team to create a 504.  A 504 is part of the 1973 Federal Rehabilitation Act and is a legal document between the parents and their child’s school, which protects and provides accommodations for their child with disabilities. The laws states that a person with a documented disability is entitled to accommodations.

Some of the accommodations that Brad is entitled to are:

  •  Extra time on tests
  • extra homework support
  • tutoring
  • written directions
  • use of a computer and tape recorder in class
  • extra time for long term assignments
  • a seat in the front of the class

Brad’s progress has improved due the accommodations put in place to help him. He still struggles and requires some extra tutoring and support.  He is learning how to compensate for his weakness while taking advantage of his strengths.

How to get covered under Section 504? http://www.help4adhd.org/en-us/education/rights/504

First, your child must be determined to have a disability that substantially limits one or more major life functions, including education, learning, and behavior.  Only the school can determine if your child qualifies for accommodations.  Parents seeking to have their child receive services under Section 504 should take the following steps:

1. Submit a written request to the school asking for an evaluation to determine if there is a significant impact on your child’s learning or behavior.

2. Request a copy of your School District’s Policies and Procedures on Section 504.  This document may be referred to by various names, including Procedural Safeguards, Parental Rights or something similar. This document will inform you of your and the school’s rights and responsibilities in helping your child receive the accommodations she or he needs.

Will My Child Always Be Dyslexic?


Research is ongoing regarding the neuro-pathways of our brains and how they can change with time and intervention, so you will get different answers to this question depending on whom you ask. Can a dyslexic student learn to read… YES!  As someone who has remediated learning differences for over 20 years, I can confidently tell you that dyslexic children can be taught to read and spell. To provide the right assistance to your child you need to discover your child’s cognitive strengths and weaknesses.  Then you can more easily find the correct intervention that taps into the part of the brain that needs to be developed.

Brain imaging is being used to highlight the parts of the brain that are active when we do certain types of activities. Research has shown that different areas are active in the “dyslexic” brain than in the typical brain when reading.  What does this mean for “fixing” the dyslexic brain? The theory is that we should help the dyslexic readers build the same brain pathways as the typical reader, so that when reading, the two types of brains use the same pathways.

The most widely accepted definition of dyslexia as accepted by the National Institute of Child Health and Human Development, as well as the International Dyslexia Association, states that:

  • Dyslexia is a specific learning disability that is neurological in origin.
  • It is characterized by difficulties with accurate and/or fluent word recognition and by poor spelling and decoding abilities.
  • These difficulties typically result from a deficit in the phonological component of language that is often unexpected in relation to other cognitive abilities and the provision of effective classroom instruction.
  • Secondary consequences may include problems in reading comprehension and reduced reading experience that can impede growth of vocabulary and background knowledge.

What this means is that a dyslexic child’s intelligence is above his reading level and that the reason for the difference is due to difficulty sounding out and manipulating sounds. What I know from my years of teaching reading is that there can be more than a phonological deficit making reading challenging for children. Therefore to teach a child to read you need to step back to get a bigger picture of the child’s learning profile.

If we are going to use the term dyslexia to define all students who have a reading disorder it is helpful to consider the “types” of dyslexia. The goal of understanding “types” of dyslexia is identifying the underlying issues that are making reading difficult for your child.

  • Phonological/ Auditory Dyslexia:  These students can’t sound out nonsense words, they have weak sound/symbol associations. It is difficult for this student to “hear”, or discriminate, the difference in sounds. “Hat” and “bat” may sound the same. If not identified early, this type of student will learn to read by building a large sight word vocabulary.
  • Visual Dyslexia: Visual processing issues make it hard for this type of student to  discriminate between visual symbols (letters and numbers) quickly and accurately.  Letter reversals are common as are substituting one word for another. “Home” can be read as “House”.
  • Double-Deficit Dyslexia: The connection between the verbal (auditory) portion of the brain and the visual portion of the brain is weak. Tests of rapid naming pick up this visual/language loop.

Once you know the areas of weakness your child has you can select an intervention program that is designed to build the neuro-pathways your child needs to develop in order to activate the parts of the brain that make reading easy. I believe that the unusual brain pattern of dyslexics may offer more benefits and advantages than we previously believed and more conversation is taking place about the benefits of dyslexia.

So perhaps the real issue isn’t whether your child will always be dyslexic, but rather how you can help your dyslexic child to flourish in his or her educational environment and learn to appreciate his/her own learning style. Learning to view dyslexia not as a negative challenge, but rather as a predisposed mental wiring can help teachers, parents and children relax into the realization that different doesn’t mean wrong. As research continues to investigate the brain and how we learn, I am sure we will continue to develop new attitudes and teaching methods to help all types of learners access information easily.

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