Posts

Specific Learning Disorders in Children

Learning disorders are some of the most common neurodevelopmental LearningDisorders-Main-Landscapeconditions that children face. The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), which is the guidebook on classification of diagnoses published by the American Psychiatric Association indicated that the prevalence of specific learning disorders across academic domains of reading, mathematics, and written expression is between 5%-15% in school aged children.

There is significant discussion both in the literature, and among clinicians and researchers, regarding how to appropriately classify and subsequently diagnose a specific learning disorder. Traditionally, it was assumed that a specific learning disorder existed when there was a significant discrepancy between a child’s cognitive ability and achievement in reading, mathematics, or written expression. However, within the US, changes have occurred over the past decade regarding the criteria used for determining a specific learning disorder which is now based on a multi-tier process involving early identification and intervention and the child’s response to the intervention.

Where children might exhibit learning disorders:

According to the DSM-5, there are three specifications of learning disorders that children might exhibit: Specific Learning Disorder With Impairment in Reading, Specific Learning Disorder With Impairment in Written Expression, and Specific Learning Disorder with Impairment in Mathematics. It is quite common for children to exhibit multiple learning disorders.

Potential related deficits:

There are definite concerns with a child’s social, emotional, and behavioral regulation if they have a documented learning disorder. Prior studies have indicated that up to 75% of children with a diagnosed learning disorder demonstrate significant social skill deficits expressed by peer rejection and social isolation.

What can be done:

It is our strong recommendation that in order to most effectively address a child’s specific learning disorder, it is important that the child undergo a comprehensive evaluation in order to effectively classify and make sense of the patterns of difficulty that the child presents with as well as to rule out additional existing factors of concern, and to best determine what specific interventions are warranted. Recommended interventions are specifically based on the area of weakness a child exhibits both across the testing as well as within the child’s academic environment.

NSPT offers services in BucktownEvanstonHighland ParkLincolnwoodGlenview, Lake Bluff and Des Plaines. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates today!

Neuropsychology Posts

Neuropsychological Testing Day

Neuropsychological Testing Day at NSPT

We’ve put together a brief guide to what the day of a pediatric neuropsychological evaluation looks like at NSPT. Below you will find important details from what to bring to how to prepare. As always, if you have any questions simply get in touch.

What does the testing day look like?

  • The testing lasts approximately 4-5 hours.
  • Parents submit the parent and teacher rating scales that are provided during the intake.
  • Each testing battery is individually designed by the doctor based on your child’s specific needs.
  • Testing tasks include answering questions about various topics and requiring different skills including vocabulary, similarities between words, math, doing paper and pencil work, and doing work on a computer.
  • Lunch, snack, bathroom, and other breaks are given when needed, as well as at regularly planned intervals.
  • Note: Testing results are not available on the testing day, rather provided during the feedback appointment.

What to Bring on the Day of Testing:

  • Plenty of snacks and lunch
  • Rating forms and any paperwork that still needed to be completed
  • Any prior evaluations that were not brought to the intake

After testing is complete, you will return for a one-hour feedback session approximately two weeks later with the psychologist to review the testing data, any diagnoses determined based on your child’s profile, recommendations for home and school, and any intervention services to foster your child’s development.

How can I prepare for the evaluation day?

  • Please bring snacks and a lunch for your child.
  • Complete the parent/teacher rating scales that were provided during the intake.
  • If your child is under 4 years of age or not potty trained, we will ask you to stay in the clinic for the duration of the testing.

Q&A

Q: What if my child is sick the day of testing?
A: The appointment will need to be rescheduled as we want your child to test at optimal levels. Please contact us as soon as possible.

Q: Should my child take his or her regular medication(s) on the day of testing?
A: Yes, unless otherwise instructed.

Q; Should my child wear his or her glasses?
A: Yes.

What happens at the feedback appointment?

  • This is a parent-only session.
  • You will be given an explanation of your child’s testing results and, if warranted, a diagnosis. At this time, your doctor will identify the most appropriate interventions and accommodations for your child for the home and school settings.
  • A final copy of your child’s report will be mailed to you within two weeks of your feedback appointment. Should you need the report sooner, please let your doctor know and we will do our best to accommodate you.
  • Note: You will not receive a final report during the feedback appointment, because your doctor may need to add additional information from the feedback session to the report.
  • With parental consent, a copy will be sent to your child’s pediatrician.
  • We do not share reports with schools. Should you choose to share it, you will need to provide a copy to the school.

Send us mail