Definition

Dyslexia is a learning disability that can hinder a person’s ability to read, write, and spell. It is the most common learning disability in children and persists throughout life. The severity of dyslexia can vary from mild to severe.

Causes

The causes of dyslexia are neurobiological (having to do with the way the brain is formed and how it functions) and genetic (passed down through families). Dyslexia may also be acquired due to other conditions, such as stroke.

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Risk Factors

Because dyslexia can run in families, tell your doctor if you have family members that have dyslexia.

Symptoms

If you or your child has any of the following symptoms, do not assume it is due to dyslexia. These symptoms may be caused by other conditions. Tell your doctor if you have any of these:

  • Difficulty in the following areas
    • Learning to speak
    • Reading and writing at grade level
    • Organizing written and spoken language
    • Learning letters and their sounds
    • Learning number facts
    • Spelling
    • Learning a foreign language
    • Correctly doing math problems

Diagnosis

Your doctor will ask about your or your child’s symptoms and medical history, and do a physical exam (including hearing and vision tests). You may then be referred to an expert in learning disabilities, such as a school psychologist, learning specialist, or neurologist (doctor who specializes in the nervous system) for additional testing.

Tests given by the specialist may include the following:

  • Cognitive processing tests (measure of thinking ability)
  • IQ test (measure of intellectual functioning)
  • Tests to measure speaking, reading, spelling, and writing skills
  • Imaging studies (eg, CT or MRI)

Treatment

Most people with dyslexia need help from a teacher, tutor, or other trained professional. Talk with the doctor and learning specialist about the best treatment plan for you or your child. Treatment options include:

Remediation

Remediation is a way of teaching that helps people with dyslexia to learn language skills. It uses the following concepts:

  • Teach small amounts of information at a time
  • Teach the same concepts many times (“over-teaching”)
  • Use all the senses—hearing, vision, voice, and touch—to enhance learning (multisensory reinforcement)

Compensatory Strategies

Compensatory strategies are ways to work-around the effects of dyslexia. They include:

  • Audio taping classroom lessons, homework assignments, and texts
  • Using flashcards
  • Sitting in the front of the classroom
  • Using a computer with spelling and grammar checks
  • Receiving more time to complete homework or tests

Prevention

There is little that can be done to prevent dyslexia, especially if it runs in your family. However, early identification and treatment can reduce its effects. The sooner children with dyslexia get special education services, the fewer problems they will have learning to read and write at grade level. Under US federal law, free testing and special education services are available for children in the public school system.