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Brain Station Tutoring Services
11704 SW 102 Ct
Miami, FL  33176
 
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FAQs about Research Based Treatments for Learning Disabilities or ADHD/ADD

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What do Albert Einstein, Winston Churchill,  Leonard de Vinci, Mark Twain, Thomas Edison, and  Walt Disney have in common?

They all had a learning disability or ADHD.

What do Albert Einstein, Winston Churchill,  Leonard de Vinci, Mark Twain, Thomas Edison, and  Walt Disney have in common?

They all had a learning disability or ADHD.

 

 

What is a learning disability?

Children with learning disabilities constitute between 7 and 15% of the school population (Gaddes & Edgell, 1993) and comprise one of the largest childhood groups referred for neuropsychological services (Culbertson & Edmonds, 1996).  Yet, not every child who struggles at school has a learning disability. All of the following are necessary symptoms of an official learning disability:  The academic performance of learning disabled people, as measured by standardized tests, is below what one would expect of someone of their intelligence, age, and grade level. They do not have low intelligence; in fact, learning disabled children often have average or above average intelligence. Thus, a person with a learning disability may score poorly on tests, but the low scores are due to a problem with learning, not to low intelligence. People with learning disabilities often also demonstrate a uneven pattern of cognitive development throughout life. School is often the setting where a child’s learning disability first becomes apparent as the disparity between the child’s intelligence and the child’s school performance highlights the learning disability.

Importantly, in order for us to be able to diagnose a learning disability in a student these learning disabilities cannot be due to sensory or motor deficit, mental retardation, emotional disturbances (Hooper, Willis & grant, 1996). Unfortunately, learning disability persists despite instruction in standard classroom situations, and while a learning disability naturally creates a challenge to learn specific material, it can also cause severe social and psychological problems if left untreated. These include depression, poor social skills, low self-esteem, and drug or alcohol abuse. Sadly, almost 40% of individuals with a learning disability drop out of school. Thus, it is of importance to seek a professional diagnosis and treatment if you suspect a learning disability.

What are the different types of learning disabilities?

There are several kinds of learning disabilities:

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Dyslexia – problems with reading, spelling and writing (e.g., transposing letters or numbers)

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Aphasia – problems with processing, speaking, or understanding language

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Dysgraphia – problems with handwriting, spelling, and fine motor tasks

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Dyspraxia – problems with gross motor tasks (e.g., walking) or fine motor tasks (e.g., handling a pencil for writing or drawing)

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Dyscalculia – problems with mathematical computations and concepts

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Visual Processing – problems with understanding information through visual mediums

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Auditory Processing – problems with understanding information through auditory (i.e., hearing) mediums

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Short-term and Long-term Memory – problems with encoding and retrieving memories

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Social emotional learning disability –cognitive deficits directly produce socioemotional disturbance.

What are the typical signs and symptoms of a learning disability?

The following checklist provides a range of characteristics that could indicate the presence of learning disabilities in a student. No child or adults with a learning disability exhibits all of these characteristics, and some of these problems are also common among people who do not have learning disabilities. In order for a student to have a learning disability several of these problems should be present. Please remember that this list is only intended to help you to get started if you suspect that you or your child might have a learning disability. Official diagnostic tests that tell us whether the student has a learning disability or not can only be given by a clinical psychologist. Our trained PhDs are skilled at identifying the root of the academic problem and such testing also offers the possibility to target the intervention more precisely to student’s week areas More information on such assessment here.

Reading

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May have poor reading ability or poor comprehension

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May show slow reading rate and/or difficulty adjusting speed to the nature of the reading task

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May often misread information

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May have problems with syntax or grammar

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May confuse similar letters or numbers, reverse them, or confuse their order

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May have difficulties using phonics, problems reading multi-syllable words

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May have difficulties finding important points or main ideas

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May have difficulty with comprehension and retention of material that is read, but not with materials presented orally

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May have difficulty reading addresses, small print and/or columns

Writing

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May have difficulty writing ideas and/or organizing thoughts on paper

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May have difficulties with sentence structure, writing mechanics and organization

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May frequently spell the same word differently in a single document

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May read well but not write well (or vice versa)

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May have frequent spelling errors, inconsistent spelling, letter reversals or letter omitting

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May have difficulties copying from chalkboard

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May have poorly formed handwriting. Might,  print instead of using script, might write with an inconsistent slant, might have difficulty with certain letters, might  space words unevenly

Oral Language

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May be able to explain things orally, but not in writing

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May have difficulty telling or understanding jokes or stories

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May have difficulties describing events or stories in proper sequence

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May misinterpret language or have poor comprehension of what is said

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May respond in an inappropriate manner, unrelated to what is said, or only respond partially to what is said

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May have difficulty with grammar

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May use similar sounding word in place of the appropriate

Math

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May have difficulty with arithmetic, math language, and math concepts

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May have problems with column aligning, place values, and operant adherence

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May confuse or  reverse numbers, or symbols

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May have difficulty with time sequencing, and problem solving

Auditory

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May not respond to sounds of spoken language, or may consistently misunderstand what is being said

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May be overly sensitive to sounds such as music, or vacuums

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May have difficulty in differentiating sounds that occur simultaneously

Cognitive

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May acquire new skills slowly

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May have difficulty following directions, especially multiple directions

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May get lost in large buildings

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May seem unaware of time or sequence of events

Motor

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May perform similar tasks differently from day to day

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May have trouble dialing phone numbers or holding a pen/pencil

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May have poor coordination, be clumsy, unaware of physical surroundings, or have a tendency to hurt his/her self

Memory

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May be able to learn information presented in one way, but not in another

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May find it difficult to memorize

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May be unable to repeat what has just been said

Organization

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May have difficulty following a schedule or being on time

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May have trouble learning about time

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May have difficulty organizing belongs

Attention

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May have short attention span or be impulsive

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May have difficulty conforming to routines

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May be easily distracted

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May experience stress on extended mental effort

Listening

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May have difficulty paying attention when spoken to

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May have difficulty listening to a lecture and taking notes at the same time

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May be easily distracted by background noise or visual stimulation

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Might appear to be hurried in one-to-one meetings

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May have inconsistent concentration

Study Skills

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May have problems with reasoning and abstract concepts

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May exhibits an inability to stick to simple schedules, repeatedly forgets things, loses or leaves possessions, and generally seems "personally disorganized"

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May show poor organization and time management 

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Social Skills

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May misinterpret non-verbal social cues

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May experience social isolation

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May have difficulties "reading" facial expressions, or body language

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May not use appropriate eye contact

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May have problems interpreting subtle messages, such as sarcasm or humor

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May get disorganized in space -- confuses up and down, right and left; gets lost in a building, is disoriented when familiar environment is rearranged

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May be disoriented in time, i.e. is often late to class, unusually early for appointments or unable to finish assignments in the standard time period.

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May displays excessive anxiety, anger, or depression because of the inability to cope with school or social situations

What causes a Learning Disability?

True learning disabilities are caused by abnormal brain structures or functions. Since learning disabilities are very different also their underlying neurological footprints are different. For example, it has been shown that that brains of subjects with reading disabilities have no asymmetry in brain structures where there should be asymmetry.  Familial risk for learning disabilities is clearly significant and substantial in many learning disabilities (Gilger, Pennington, and DeFries 1991).  Mother’s smoking, alcohol- or drug-use during pregnancy can put child into a greater risk just like premature birth or toxics in the environment. Also poor nutrition, chemotherapy or some chronic illnesses can increase the risk. 

Is ADHD a learning disability?

Many individuals with ADHD also have one or more learning disabilities, and individuals with learning disabilities sometimes also have ADHD. Yet, ADHD is not a learning disability but both of these conditions have separate diagnosis and treatments. Children with ADHD are more likely to have written language disorders than other types of learning disabilities but also reading and/or math problems are common. 40%-90% of children with ADHD also display disruptive behavioral disorders.

What are the typical signs and symptoms of ADHD?

It is estimated that between 3 and 5 percent of children in the US have ADHD. Most of us are absent-minded or restless every now and then. In ADHD students this kind of behavior happens so often than it can be regarded as the rule and not the exception.  ADHD is not the result of laziness, poor motivation, low intelligence, disobedience, or poor upbringing.

There are three ADHD subtypes and their symptoms vary considerably. Some children have symptoms in three areas but most have problems in only one. These subtypes are:

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Predominantly inattentive type

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Predominantly hyperactive-impulsive type

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Combined type (inattention, hyperactivity-impulsivity)

Inattention type

People with inattentive symptoms of ADD have difficulty keeping their mind on any one thing. They may get bored easily with a task and bounce to the next task. Organizing and completing a task is difficult.

Symptoms include:

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May have difficulties sustaining attention or listening when directly addressed

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May have difficulties following instructions

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May have difficulties finishing tasks

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May pay attention to activities he really enjoy, however

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May have difficulties following instructions

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May ignore details and makes careless mistakes

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May appear forgetful, disorganized, distracted

 Hyperactive/impulsive Type

People with hyperactive or impulsive symptoms of ADHD seem to be always in motion. Sitting have difficulties sitting still, and when forced to do so they may they may squirm in their seats. It is typical for these children to talk incessantly, or try to do several things at once.

Symptoms include:

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fidgety, squirmy

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difficulty staying seated

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in constant motion, often running or climbing inappropriately

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physical restlessness; difficulty with quiet, sedentary activities

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excessive talking; blurts out answers before questions are completed

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difficulty waiting; interrupts or intrudes on others

Because hyperactivity and inattention are expected behaviors at some ages in childhood, it is the impulsive behaviors that often stand out in very young children with ADHD. By age 4-5, though, most children have become more selectively attentive and less active, so those with ADHD stand out in all three behaviors: inattentiveness, hyperactivity, and impulsivity.

Inattention type

People with inattentive symptoms of ADD have difficulty keeping their mind on any one thing. They may get bored easily with a task and bounce to the next task. Organizing and completing a task is difficult.

Symptoms include:

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May have difficulties sustaining attention or listening when directly addressed

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May have difficulties following instructions

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May have difficulties finishing tasks

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May pay attention to activities he really enjoy, however

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May have difficulties following instructions

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May ignore details and makes careless mistakes

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May appear forgetful, disorganized, distracted

Hyperactive/impulsive Type

People with hyperactive or impulsive symptoms of ADHD seem to be always in motion. Sitting have difficulties sitting still, and when forced to do so they may they may squirm in their seats. It is typical for these children to talk incessantly, or try to do several things at once.

Symptoms include:

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fidgety, squirmy

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difficulty staying seated

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in constant motion, often running or climbing inappropriately

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physical restlessness; difficulty with quiet, sedentary activities

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excessive talking; blurts out answers before questions are completed

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difficulty waiting; interrupts or intrudes on others

Because hyperactivity and inattention are expected behaviors at some ages in childhood, it is the impulsive behaviors that often stand out in very young children with ADHD. By age 4-5, though, most children have become more selectively attentive and less active, so those with ADHD stand out in all three behaviors: inattentiveness, hyperactivity, and impulsivity.

How are working memory and executive functions related to ADHD?

Those who have ADD / ADHD tend to have a low working memory capacity. This memory structure is responsible for holding information in memory while we are making decisions. Working memory also helps us to guide our  behavior. Working memory and executive functioning are closely tied. Executive functioning includes the abilities to plan, prioritize, organize, multi-task,  delay gratification, and self-monitor. Executive functioning often involves inhibition and waiting.  In ADHD, the brain areas responsible for executive function and inhibition are impaired. In addition to symptoms of inattention, impulsivity, and hyperactivity, you may also see these types of executive function problems:

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weak problem solving

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poor sense of time and timing

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inconsistency

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difficulty resisting distraction

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difficulty delaying gratification

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problems working toward long-term goals

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low "boiling point" for frustration

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emotional over-reactivity

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changeable mood

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poor judgment

What causes ADHD?

Just like learning disabilities ADHD is due to abnormal brain structures or functions and strong genetic predisposition. Current research indicates that certain brain areas have less activity and blood flow and that some brain structures are slightly smaller in people with ADHD. These differences in brain activity and structure are mainly evident in the prefrontal cortex, basal ganglia, and cerebellum, thus, in the areas that regulate behavior (Teeter, 1998). These higher order processes are referred to as executive functions. Executive functions include such processes as inhibition, working memory, planning, self-monitoring, verbal regulation, motor control, maintaining and changing mental set and emotional regulation

 

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