Pediatrics
Practical steps for screening and supporting learning differences in children including dyslexia and ADHD-related difficulties.
Understanding how to identify learning differences early, approach families with empathy, and implement practical supports across home, school, and clinical settings to improve academic and social outcomes for children.
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Published by Gregory Ward
July 29, 2025 - 3 min Read
In clinical and educational settings, recognizing learning differences begins with a calm, structured approach that invites collaboration among parents, teachers, and health professionals. Start by gathering a thorough developmental history, noting early language milestones, memory patterns, attention fluctuations, and reaction to instruction. Observations from multiple environments help distinguish dyslexia, ADHD-related challenges, or coexisting conditions such as language processing disorders. Screening should be ongoing, not a one-off event, and it benefits from standardized tools combined with informal assessments like reading aloud, handwriting tasks, math reasoning, and tasks that require sustained focus. By framing screening as a routine wellness check, you reduce stigma and empower families to participate actively in decisions.
When screening reveals potential learning differences, the next step is to formulate a clear, shared plan that respects the child’s individuality. Communicate findings in plain language, avoiding jargon, and outline concrete goals with measurable benchmarks. Include input from teachers who observe classroom behavior and from therapists who address underlying processing or executive function needs. Schedule follow-up appointments to monitor progress, adjust accommodations, and ensure services align with the child’s development. Emphasize strengths alongside weaknesses, recognizing talents in creativity, memory for stories, or pattern recognition that can be leveraged to support weaker areas. Collaboration builds trust and maintains momentum across disciplines.
Clear, concrete accommodations empower students to flourish across settings.
A practical framework for school-based screening begins with universal screening tools that flag at-risk students without singling anyone out. Pair these with brief in-class observations, such as measuring fluency, decoding efficiency, and rapid naming ability. Use teacher checklists to capture behaviors that may indicate attention challenges, working memory demands, or organizational difficulties. When potential concerns arise, refer for a comprehensive evaluation conducted by a multidisciplinary team. The evaluation should review cognitive processing, literacy and numeracy skills, language, social-emotional functioning, and sensory processing. Ensure the family understands each component, the expected timeline, and how results will guide individualized supports rather than labeling or limiting a child’s future.
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Beyond diagnosis, practical supports should be embedded in daily routines and teaching methods. Small, consistent accommodations can dramatically improve engagement: extra time for tasks, clear stepwise instructions, and explicit modeling of problem-solving processes. Encourage multi-sensory approaches to reading, such as pairing phonics with visual cues or tactile materials, to reinforce decoding and retention. Providing organized materials and predictable schedules helps children manage working memory demands. Regular feedback that highlights specific actions and progress fosters a growth mindset. Importantly, educators should collaborate with families to reinforce strategies at home, ensuring consistency across environments and reducing the likelihood of frustration or withdrawal.
Data-driven planning ensures responsive supports aligned with growth.
When ADHD-related difficulties are suspected, a comprehensive assessment should examine attention regulation, impulsivity, and the ability to sustain effort in tasks. Behavioral rating scales, direct observations, and cognitive testing together yield a detailed profile. Clinicians should differentiate between short-term bursts of focus and sustained attention, considering how motivation, fatigue, and sleep interact with performance. Pharmacological options may be part of the conversation, but behavioral interventions and environmental adjustments often drive substantial gains. Parents can support executive function by teaching planning routines, breaking tasks into manageable steps, and using visual organizers. Schools can implement behavior plans, consistent routines, and positive reinforcement strategies tied to specific goals.
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Practical management of co-occurring learning differences often requires a tiered approach. At Tier 1, promote inclusive teaching practices that meet a diverse range of learners. At Tier 2, provide targeted small-group interventions focusing on decoding, reading fluency, or math reasoning, with progress monitoring every few weeks. At Tier 3, offer individualized support plans with specific accommodations and specialized instruction when needed. Throughout these tiers, data-driven decision-making should guide adjustments. Regular communication between parents and educators ensures consistency and reinforces progress. By maintaining flexibility, educators can adapt to the child’s changing needs while preserving motivation and self-esteem.
Structured routines and self-regulation strategies support steady progress.
A child-centered approach to reading difficulties emphasizes access to engaging, appropriate texts and explicit instruction. Start with a diagnostic reading assessment to identify phonemic awareness gaps, letter-sound correspondence, and sight-word recognition. Build practice routines around short, frequent sessions that blend decoding with comprehension strategies. Encourage rereading of passages to boost fluency and confidence. Provide audiobooks or read-aloud supports for struggling readers to reduce frustration and sustain interest. Parents can reinforce these skills at home through shared reading, vocabulary games, and identifiable progress trackers. A supportive atmosphere reduces anxiety around reading tasks and helps children see reading as a pathway to new opportunities.
Supporting attention and executive function involves teaching practical strategies that children can apply independently. Incorporate environmental cues, such as visual schedules, checklists, and designated study zones free of distraction. Teach self-monitoring techniques, including brief self-assessments of focus after completing a step or task. Motivate through meaningful goals, frequent positive feedback, and rewards that are tangible and attainable. Encourage breaks that align with the child’s attention rhythm and promote movement, which can improve concentration for some learners. Clinicians should validate the child’s experience and help families normalize the process of trial, error, and gradual improvement.
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Families, schools, and clinicians should share a common language and goals.
A holistic approach to supporting learning differences also addresses social-emotional well-being. Children who struggle academically may experience frustration, low self-esteem, or peer difficulties. Integrate social skills coaching, peer modeling, and opportunities for collaborative problem solving into the school day. Emotional literacy can be fostered through simple check-ins, journaling, and guided discussions about feelings related to learning tasks. Parents and therapists should monitor mood changes, sleep quality, and stress indicators that can influence cognitive performance. When mental health concerns arise, timely referrals to pediatric psychology or counseling services can prevent longer-term difficulties and improve overall functioning.
Involving families as equal partners is essential for durable change. Provide educational resources about learning differences, including dyslexia and ADHD, in accessible language and multiple formats. Host periodic workshops where parents share strategies that work at home and in school, while clinicians clarify expectations and timelines. Create feedback loops that invite families to voice concerns, suggest modifications, and celebrate milestones. By honoring family expertise and cultural contexts, teams build trust and increase adherence to recommended supports. Accessibility, respect, and transparency should guide every interaction in the collaboration.
Technology can be a powerful ally when used thoughtfully to screen, teach, and track progress. Evidence-based educational apps can reinforce phonics, fluency, and math reasoning, provided they complement, not replace, direct instruction. Digital tools also enable real-time progress monitoring, allowing teams to adapt plans quickly. When selecting software, prioritize evidence-backed methods, user-friendly interfaces, and data privacy. Employ assistive devices such as speech-to-text, text-to-speech, or audiobooks to support access to curriculum. Technology should be introduced with clear aims, ongoing supervision, and attention to equitable access so that all children benefit.
Finally, a sustainable plan emerges from ongoing education, collaboration, and patience. Regular professional development for teachers on identifying and supporting diverse learners enhances classroom practice. Multidisciplinary teams should convene periodically to review outcomes, refine interventions, and share successful approaches. Families benefit when there is continuity across transitions—preschool to elementary, elementary to middle school, and beyond. Schools can foster a culture of inclusion by celebrating diverse thinking styles and recognizing that differences in processing abilities are not deficits but variations in human potential. With commitment, children can thrive academically while developing resilience and confidence that extends far beyond the classroom.
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