Definition
Typical learning disorders refer to a group of conditions marked by difficulties in one or more areas of learning, such as reading, writing, or arithmetic.
Dysgraphia
Dysgraphia is a learning disorder that affects writing skills. It can impact both children and adults. Individuals with dysgraphia often struggle with producing legible writing and may frequently use incorrect words when communicating. These challenges can make writing difficult to read and harder to understand.
Dyslexia
Dyslexia is a learning disorder characterized by difficulties with reading. People with dyslexia struggle to identify speech sounds and have trouble learning letters and words, making reading a challenging task.
Dyscalculia
Dyscalculia refers to a condition where individuals face difficulty in understanding and learning mathematical concepts. Those affected by dyscalculia find it hard to grasp arithmetic operations and mathematical principles.
Causes
Dysgraphia
The causes of dysgraphia vary between children and adults:
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In children: Dysgraphia may result from issues in specific areas of the brain responsible for storing written words and coordinating hand and finger movements necessary for writing.
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In adults: It is often linked to past traumatic events, such as a stroke or brain injury. Particularly, injuries to the left parietal lobe of the brain, located at the back and upper left side of the brain, are a common cause of dysgraphia.
Dyslexia
Dyslexia can be caused by various factors, including:
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Hereditary factors.
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Brain-related abnormalities.
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Environmental factors.
Dyscalculia
Dyscalculia can be caused by a variety of factors, including:
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When mathematics is introduced without practical examples or concrete methods, the neural pathways responsible for understanding mathematical concepts may fail to develop adequately.
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Hereditary factors.
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Family culture and learning patterns.
Risk Factor
Learning disorders often have a genetic component and can be related to developmental factors present from birth. Children with dysgraphia are frequently at a higher risk of experiencing other learning disorders, such as attention-deficit hyperactivity disorder (ADHD). ADHD, due to its impact on attention, can contribute to the development of dysgraphia, which relies heavily on sustained focus for writing and reading tasks.
Dyslexia, too, has risk factors that overlap with dysgraphia, including:
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A family history of dyslexia or other learning disorders
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Premature birth or low birth weight
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Exposure to harmful substances during pregnancy, such as nicotine, drugs, or alcohol, which can disrupt brain development
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Variations in the brain areas involved in reading
Dyscalculia may occur independently or alongside other developmental delays or neurological conditions. Both children and adults with dyslexia, ADHD, depression, or anxiety are at a higher risk for dyscalculia.
Symptoms
Illegible handwriting is a hallmark of dysgraphia. However, not everyone who struggles with handwriting has dysgraphia. Some individuals with dysgraphia may have handwriting that appears neat but requires excessive time and effort to achieve.
Dysgraphia
Some common characteristics of dysgraphia include:
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Frequent spelling and capitalization errors
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Mixing cursive and print writing styles
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Inconsistent letter sizes and spacing
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Difficulty copying words
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Slow and laborious writing
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Difficulty visualizing words before writing them down
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Unusual body or hand positioning while writing
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Excessive pressure when holding a pen or pencil, often leading to hand cramps
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Unusual hand movements while writing
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Speaking words aloud while writing
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Missing letters and words in sentences
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Struggling to organize and execute words, sentences, or even individual letters
Dyslexia
Dyslexia can be harder to detect before a child starts school. However, teachers are typically the first to observe symptoms once a child reaches school age. The severity of the disorder varies, and the symptoms become more evident as the child begins learning to read.
Despite these challenges, individuals with dyslexia generally have normal intelligence and do not have visual impairments. Most children with dyslexia can succeed academically with appropriate special education interventions. Emotional support from parents and teachers is also crucial in helping children manage the effects of dyslexia.
Dyslexia is characterized by several signs and symptoms, which can vary in severity. Common signs and symptoms include:
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Late onset of speech development
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Slow acquisition of new vocabulary
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Difficulty forming words accurately
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Problems remembering or naming letters, numbers, and colors
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Trouble learning nursery rhymes or participating in rhyming games
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Reading ability below the expected level for their age
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Difficulty understanding spoken words
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Struggles to find the right words or respond to questions
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Trouble remembering the order of events or following a sequence
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Difficulty recognizing similarities and differences in letters or words
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Inability to pronounce unfamiliar words correctly
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Frequent spelling errors
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Avoidance of reading-related activities
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Difficulty reading aloud or comprehending text
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Mispronouncing names or words, and trouble selecting the correct word
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Trouble understanding idioms or figurative language
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Difficulty summarizing stories or texts
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Challenges in learning a foreign language
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Difficulty memorizing information
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Taking an unusually long time to complete tasks involving reading or writing
Dyscalculia
The symptoms of dyscalculia can differ based on the individual’s age and developmental stage. Some of the most common signs of dyscalculia include:
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Difficulty grasping or remembering fundamental mathematical concepts like multiplication, division, fractions, borrowing, and owning
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Trouble understanding and writing mathematical symbols or signs, such as the number 2
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Challenges in explaining math processes or reluctance to show the work behind solving math problems
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Difficulty explaining the sequence of steps in a mathematical process
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Trouble remembering or describing the sequence of events in a math problem
Diagnosis
Dysgraphia
In children, diagnosing dysgraphia typically involves IQ testing and an evaluation of academic work. For adults, writing samples or written assessments are used to evaluate the condition. The doctor observes the patient’s writing and fine motor skills, checking for any issues. To further assess the condition, the doctor may ask the individual to copy words from one source to another, looking for any potential language processing difficulties.
Dyslexia
Diagnosing dyslexia often requires a combination of tests to accurately assess the condition. Some common methods of diagnosing dyslexia include:
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The doctor will inquire about the child’s developmental history, medical background, education, and any family history of learning disabilities.
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Questions may also be asked regarding family and home life to understand any possible external factors influencing the child’s learning.
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Teachers, family members, or others involved with the child may be asked to complete questionnaires to provide additional insights.
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The child will undergo reading and language skill assessments, conducted by the doctor or a specialist.
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Vision, hearing, and brain function tests will be performed to rule out other potential causes of the reading disability.
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Psychological testing: The doctor may ask both you and your child questions to evaluate mental health and assess whether factors like anxiety or depression are affecting your child’s ability to learn.
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Academic assessments, including reading and other subject-related tests, will also be conducted.
Dyscalculia
Diagnosing dyscalculia involves several steps. First, the doctor will gather the patient’s medical and family history to rule out other possible medical conditions and determine if there are any immediate concerns requiring treatment. If necessary, adult patients may be referred to a psychologist, and children may be referred to a team of developmental learning specialists, which could include psychologists and special education professionals, to confirm the diagnosis.
Management
Dysgraphia
Occupational therapy can significantly help improve writing skills. Specific strategies include:
- Teaching different ways to hold a pen or pencil to make writing easier.
- Engaging in hands-on activities like making clay models.
- Practicing letter formation on a textured surface like a cream-covered table.
- Drawing lines in a maze or participating in connect-the-dot puzzles to enhance fine motor control.
If the individual has a learning disability or other health issues, additional treatment may be needed to address the underlying conditions.
Dyslexia
Currently, there is no known cure for dyslexia. The challenges faced by individuals with dyslexia can vary greatly, but most people will find ways to manage their difficulties and succeed in life.
Managing dyslexia effectively in children involves several key steps:
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Assessment of the child’s needs, special education programs designed for children with dyslexia are often recommended to address specific challenges.
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Adapted learning tools include methods that engage the senses, such as touch, sight, and hearing, to enhance the learning experience.
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Support and guidance can help minimize feelings of inferiority and foster a more positive self-image.
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It’s important to continuously monitor progress, teach healthy coping mechanisms, and provide information about where additional support can be accessed.
For those managing dyslexia, here are some helpful study tips:
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Break assignments into manageable sections and outline them before beginning work.
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Make notes visually appealing by using highlighters or different colored pens to emphasize key points.
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Work in a quiet, clean space, and use noise-canceling earplugs if necessary to minimize distractions.
Dyscalculia
For managing dyscalculia, both at home and at school, special education professionals suggest the following approaches:
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Practice basic math concepts repeatedly, like counting and addition, they should be revisited often to ensure they are understood thoroughly.
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Break lessons into smaller sections can make complex topics more manageable for those with dyscalculia.
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Repetition of explanations, coupled with hands-on practice, can help reinforce understanding.
Complications
Learning disorders, such as dysgraphia and dyslexia, often result in complications that go beyond just academic challenges. For instance, dysgraphia can lead to difficulties in learning, social problems, and low self-esteem. Similarly, dyslexia can cause learning difficulties, behavioral problems, and social withdrawal, which may affect a child’s emotional and social well-being.
Moreover, the inability to read and understand texts can significantly hinder a child’s potential for growth and development. Over time, this can negatively affect their educational, social, and even economic opportunities.
Children with dyslexia are also at a higher risk of developing ADHD. ADHD, which causes attention deficits, hyperactivity, and impulsivity, can make managing dyslexia more challenging, complicating treatment and progress.
Dyscalculia can cause further difficulties in areas such as time management, measurement, and spatial awareness. It may affect a child's ability to distinguish between horizontal and vertical lines or understand basic geometric shapes.
Prevention
There is no surefire way to prevent learning disorders like dyslexia, dysgraphia, or dyscalculia. However, since these disorders are often linked to neurodevelopmental factors that occur during pregnancy, and because children born prematurely or with low birth weight are at higher risk, regular prenatal checkups are essential. These checkups can help identify potential risks early, ensuring timely intervention.
In addition, parents and educators should work closely to identify learning difficulties as early as possible. Early identification is key to providing the necessary treatment and support. Parents should provide emotional and social support to help their child feel understood and comfortable. It’s also important to avoid comparing your child to others, as every child’s development is unique.
To promote learning, parents can incorporate writing, reading, and arithmetic into everyday activities, making these tasks feel more natural and less academic, so children don't feel overwhelmed by formal learning.
When to See a Doctor?
If your child’s reading, writing, or arithmetic skills are not developing at an age-appropriate rate, or if you notice other signs of a learning disability, it’s important to consult a doctor. Untreated learning disabilities can persist into adulthood, affecting a person’s ability to succeed later in life.
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- dr Anita Larasati Priyono
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