A neurodevelopmental condition affecting academic skills despite normal intelligence
1. Definition (DSM-5 Criteria)
Specific Learning Disorder (SLD) is characterized by:
- Persistent difficulties in reading, writing, or math
- Skills significantly below age expectations (with normal IQ)
- Onset during school years
- Not caused by intellectual disability, vision/hearing problems, or inadequate teaching
Subtypes:
- Dyslexia (Reading disorder)
- Dyscalculia (Math disorder)
- Dysgraphia (Writing disorder)
2. Dyslexia (Reading SLD)
Core Symptoms:
- Slow, inaccurate reading (e.g., skipping words)
- Difficulty decoding words (“cat” read as “tac”)
- Poor spelling (phonetic errors like “fone” for “phone”)
Brain Basis:
- Reduced activity in left temporoparietal cortex (phonemic processing)
Support Strategies:
- Structured literacy programs (Orton-Gillingham)
- Audiobooks + text-to-speech tools
- Multisensory learning (sand writing, letter blocks)
3. Dyscalculia (Math SLD)
Core Symptoms:
- Trouble with number sense (e.g., judging quantities)
- Errors in calculations (7+5=13)
- Difficulty memorizing math facts (times tables)
Brain Basis:
- Underactivation in intraparietal sulcus (number processing)
Support Strategies:
- Concrete manipulatives (counting beads)
- Graph paper for column alignment
- Visual aids (number lines, fraction pies)
4. Dysgraphia (Writing SLD)
Core Symptoms:
- Illegible handwriting
- Slow, labored writing
- Poor grammar/punctuation despite verbal skills
Support Strategies:
- Keyboarding instead of handwriting
- Speech-to-text software
- Occupational therapy for fine motor skills
5. Diagnosis Process
- Cognitive Testing (IQ ≥85 with academic skill deficits)
- Standardized Assessments:
- Reading: WIAT, Woodcock-Johnson
- Math: KeyMath-3
- Writing: TOWL-4
- Rule Out: ADHD, vision/hearing issues, anxiety
6. Evidence-Based Interventions
A. School Accommodations (IEP/504 Plan)
- Extra time on tests
- Oral exams for dyslexic students
- Calculator use for dyscalculia
B. Therapies:
- Phonological training (dyslexia)
- Number sense games (dyscalculia)
- Occupational therapy (dysgraphia)
C. Assistive Technology:
- Grammarly (dysgraphia)
- ModMath app (dyscalculia)
- Learning Ally audiobooks (dyslexia)
7. Key Statistics
- Prevalence: 5-15% of schoolchildren (NIH)
- Dyslexia: Most common (80% of SLD cases)
- Gender: Boys diagnosed 2-3x more often (likely due to referral bias)
8. Adult Implications
- Dyslexia: Avoids reading-heavy jobs
- Dyscalculia: Struggles with budgeting/tips
- Strengths: Often excel in creativity, big-picture thinking
9. Neurodiversity Perspective
- Reframe: Not a “disability” but a different learning style
- Famous Figures:
- Dyslexia: Agatha Christie, Steven Spielberg
- Dyscalculia: Cher, Benjamin Franklin
10. Parent/Teacher Resources
- International Dyslexia Association
- Understood.org (SLD toolkits)
- Dyscalculia.org (Math LD guides)