Friday, March 30, 2012

Signs of Dyslexia?

This week, I am going to tell you about the early signs of dyslexia, and what are normal letter reversals in written kindergarten work as opposed to reversals that indicate a problem such as dyslexia.
But before we begin with that, I feel the need to celebrate!  I finally made it to Spring Break, so yippee!  I can just about taste summer coming around the corner!  I love this time of year!!!  My students have just transitioned from our extended day schedule to our full day schedule, so we have dropped the after school tutoring group and now EVERYONE stays until 2:15.  So now we'll have lots of time for more journaling and other fun activities in the afternoon, plus more time to play!  And I have decided to go ahead and teach the children the songs from Sing and Spell Vol. 5.  I think that they are really going to enjoy the number word songs, as my classes have in the past.  The new words that we are learning will also help them in their writing as well.


Below, I have also posted some examples of my students' writing from last week, and I specifically chose writing that included what I consider to be "normal" reversals in them as examples.  I will explain more about that below, but just in case you were wondering about the writing project itself, I decided to have the children make a sticker book to try to motivate some of my reluctant writers.  The idea was that everyone would title their book, "What is it?" and then write a "This is a _____," sentence with a sticker above it.  I told the children that they would receive the sticker of their choice for their next page AFTER they wrote the sentence for the first page!   Children that finished the "What Is It?" book in a timely manner had enough time to do a "What Are They?" book as well!  In this book, the children were allowed to choose more than one sticker for each page, but then had to write a "They are _____," sentence about each set of stickers before they could get another set of stickers for the following page.  As you can imagine, the stickers were very popular with my students!  It was just a little hard to control the distribution of the stickers in general.  Next time I do this, I am going to only get out a FEW stickers and keep them in my LAP!  Then they will have to SHOW ME that they have written their sentences before I am going to give them a sticker!  My students started this project while I had a sub and when I returned, many of them had already decorated their whole book, but had written very little- and that was certainly not supposed to be the point!  It was supposed to be a trade off:  I'll trade you a sticker for each sentence that you write about the sticker.  Unfortunately, it was a sticker explosion for some of the kids, and it was pretty hard to get it back under control, once the pattern was set, unfortunately!

An example of Kindergarten student writing with NORMAL reversals.

So what are the early signs of dyslexia in Kindergarten?  And how many letter, word, or number reversals are too many?  How do you know if your child is dyslexic?  Only a qualified reading specialist can tell you for sure, but this is a commonly asked question by concerned parents regarding their children in their journey to become readers and writers.

When parents see children writing or reading reversals, they often ask me if their child could be dyslexic.  First, let me define reversals, just so we all know what I am talking about.  A reversal is when a child either reads or writes a letter backwards from the way it ought to be.  For example, a child that reads a “b” as a “d” or a “p” as a “q” just reversed both of those letters.  A child that writes “deb” instead of “bed” just wrote a reversal, in that he or she turned the direction of the d and the b around when writing them.  A child that writes "der" instead of "red" reversed the entire word, and is struggling with left to right progression.  This may be in addition to reversing the direction of the printed letters within the word!  Children often write a number twelve as a twenty-one without realizing it as well, etc.  These are things that happen normally in Pre-K, Kindergarten, and First Grade.

An example of Kindergarten student writing with NORMAL reversals.

Most adults don’t struggle with reversals, but many children do.  Reversals are usually thought of as a progression of the development of visual perception rather than of fine motor skills.  A nice, strong, coloring and printing stroke indicates good fine motor skills.  A "shaky" or wavy line, (made when a child is trying to draw a straight one,) is indicative of undeveloped fine motor skills.  A child that cannot color inside the lines when asked to do so, and who cannot cut along a straight or curved line has undeveloped fine motor skills and needs to work on that.  But then, I think that we all know that some children simply choose not to make neat work their priority, so you have to figure out what exactly is going on before making that judgement call!

An example of Kindergarten student writing with NORMAL reversals.

As children mature, their visual perception matures right along with everything else, and those reversals usually start to disappear in a normally developing child.  In a child with dyslexia, those reversals persist and continue take over the page of the child's writing on into second grade and beyond.

An example of Kindergarten student writing with NORMAL reversals.
In my kindergarten class, I typically see children start off the year with only a few reversals, and then as fluency in writing picks up and the children write more and more, I start seeing even more reversals in their writing than before!  This often concerns parents who are concerned that their child may be dyslexic.  Usually, what is happening is that the children are writing more frequently, and writing the letters completely from memory, rather than copying them from another source.  As they continue to experiment with pulling the letters from memory, they often remember them “a little off” and write them down backwards or upside down.

An example of Kindergarten student writing with NORMAL reversals.
In a normally developing child (at least in my 25 years of experience, this phase quickly passes (like in a few months) and the child only reverses a few letters on the page.  Naturally, the most commonly reversed letters are the ones that look the most alike:  the b, d, p, and q.  So, if the child has written two short sentences, we might see two or three reversed letters.  As a general rule, in a sentence like “I can ride a horse,” you might expect to see one or two reversed letters, and this is normal in Preschool, Kindergarten and first grade.  I have not taught second grade, so I cannot comment on that, but I would assume that a few normally developing children probably still have some of these issues on into second grade.  Certainly, one or two reversed letters on an entire page of writing is not a reason to panic, even in the higher grades, in my opinion!

An example of Kindergarten student writing with NORMAL reversals.
So when should the alarm bells go off?  When your child has finished Kindergarten and is STILL writing sentences with MANY reversals, and is doing this time and time again, consistently, then it’s time to first get your child’s vision checked.  Make an appointment to see your pediatrician and/or optometrist and express your concerns. Let the professionals direct you the right specialist.  Talk to your child’s teacher as well.  If you ask your child’s teacher for an evaluation, and you don’t get one, then put it in writing and submit it to the school principal or the district office.  Make sure that you date the paper, too.  Most districts respond very well to requests such as these that are submitted in writing, and are required by law to respond in 60 days.  This doesn’t necessarily mean that they MUST test your child for a learning disability, but my basic understanding is that they must respond officially somehow (at least in CA).  Just remember that funding now for all special services is very tight, so you will have to be your child’s advocate and educate yourself on your child’s rights by searching online and reading up on it.  Some parents seek and pay for outside testing by professionals, and then submit this testing to the school and ask for services to be provided by the school based on the results of these tests.  I am not sure exactly how this works, but I have heard that this can be done.  You’ll want to research it yourself, of course, before investing a lot of money in hopes that the school will then provide the educational services based on the results of the tests.

An example of Kindergarten student writing with NORMAL reversals.
 In the past, I have encountered only a few students that I thought were probably dyslexic, but it can be very hard to spot in Kindergarten because the children’s visual perception is simply not done developing at that point in time. In Kindergarten, it’s really too early to diagnose that particular learning disability, in my opinion.  But the ones that I thought had dyslexia, and who went on to receive special education services, were simply unable to copy nearly anything!  I could put a letter down in front of them on the table, and the child could not copy it correctly, even though he or she was five years old.  Some copied it backwards over and over and over again, even though I pointed it out many times.  We would trace it with our fingers, draw it in sand, form it with play dough, and still the child would just “see it differently” in their heads.  When the child drew the letter, it came out differently.  I remember a few years ago, showing one little boy how to make a lower case h five times in a row, and having him write it backwards for me- five times in a row!  And this was with me sitting right there with him, telling him, “No!  It’s the other way!  Go on the other side!”  And then I would trace it for him on the page, and he would STILL draw it backwards!  And unfortunately, there seems to be a very good chance that the parents of these children will vigorously deny that there is any problem whatsoever when you suggest that there may be an issue.  These types of learning disabilities tend to run in families, and also seem to, for some reason, bring a sense of shame upon the parents, even though it is really an accident of birth and not their fault at all.  After that, the teacher is simply “out to get their child,” or “had it in for him from the very beginning.”  This is unfortunate for the child, because without parent support, the child cannot get any extra help, and could very well grow up barely literate.  And unfortunately, our correctional system is filled with adults who are barely literate and who have learning disabilities, so if they gave this some thought, they would probably go a different direction.


My advice to any parent is that, if your child's teacher is telling you that there may be a problem, then check it out- even if you are offended and "absolutely sure" that there is nothing wrong.  It is not easy for teachers to give this news to parents because we know that we risk alienating the parents and that they may very well turn on us.  No teacher wants to give bad news to parents, because most parents would prefer to blame the teacher or school if the child is not successful.  Few parents accept responsibility for these problems as their own; placing blame on the teacher and schools is far easier.  The fact of the matter is that a learning disability is usually NOBODY'S fault!  It is an accident of birth and a malfunction of the neurons in the brain, and it does not indicate that the child is not intelligent.  In fact, in order to receive services at school, we must first show that your child does have at least normal intelligence, if not above average or beyond! So my best advice to anyone that is facing problems like this is to put your aside your own pride and feelings about your child's teacher, and remind yourself that early intervention is the key to your child's success.  Waiting to see if it will get better next year or the next is really not the best course to take, for the sake of your child.  If the teacher thinks that your child has a problem, or if you suspect a problem, then check it out!  (Don't kill the messenger!)
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As a footnote to this post, a reader left a comment below regarding her own child's diagnosis with dyslexia, and early warning signs that they missed.  Be sure to check the comment left by "Caught in the Middle" for more information.

19 comments:

Anonymous said...

Thanks for the great information! I love your blog! This is my first year teaching kindergarten and I am seeing a lot of the normal reversals. Do you recommend having the child correct their reversed letter or word? If a child reverses a letter, I will show them the correct way to make the letter, but I am not sure if I should ask them to correct the reversed letter. Thanks!

Mrs. King said...

Thank you for this posting. I knew what my kids were doing was normal but not always able to explain it so well.

Heidi Butkus said...

To Anonymous,
Thank you! I do ask the children to correct their reversed letters, if there is time to do so. But I also keep in mind that in certain writing assignments, my goal is to try to get some fluency going in their writing. So there are times when correcting reversals is not my top priority. I may have them go back through their little booklets later and see if they can find their own errors, and then they often catch them because they cannot read their own writing back! And sometimes, if a child is getting frustrated by my asking them to erase and fix too much (not just reversals), then I just have to let a few things go. Otherwise, writing becomes so negative! And I want it to be a joyful experience for them.
:)
Heidi

Heidi Butkus said...

To Mrs. King,
You are welcome! I'm glad it was helpful to you. I wasn't sure if anyone would find it interesting or useful.
Heidi

Karen said...

Thanks for a very informational blog. Have you ever encountered a child that you think may have dysgraphia? I have a kiddo that I retained last year,and he can write words, but when he writes a sentence, it's all garbled (not reversals, it completely doesn't make sense). If I have him tell me the sentence, and give it back to him one word at a time, he can write appropriately.

Anonymous said...

Looking for a little bit of information. I have a student with a late summer birthday. She started the year unable to write her name and made sticks and scribbles. She is still writing from right to left with letter reversals in her name. She spent a good portion of the year switching between left hand to write, color, draw, and cut and so I had trouble figuring out which one was her dominant hand. After watching her consistently open doorknobs with her RIGHT hand I made the decision that she should stick with her right hand, and her cutting was better with her right. I thought this could be part of her challenge with not writing her name from left to right. Do you have any tips or see any causes for concern? I would like to retain her and mom is pro retention if the girl stays with me next year (socio-emotional concerns and just a great repoire built with the child and family). However, the family has moved to a new attendance zone so that can't happen. Any helpful tips or suggestions?

Joanie said...

Heidi, thank you for your post. As always, it is timely for me. I have a little boy who is struggling in some areas. I have noticed that he consistantly writes a few of his letters upside down. The L is one of them. I've suggested an eye exam to the parents. Any other ideas?

Lisa said...

Great post!! Thank you much for this! I tried to explain this exact concept to quite a few patents at conferences last week. Many were very concerned about the reversed letters. I'll be sending a note home with the link to this post! Thanks again :)

Erica said...

This is such a helpful post. I am in K this year after being in second for many years. With the end of the year in sight, I have been feeling like I have not taught my students well enough to write correctly. I am glad to see the reversals are normal for their age. Thank you!

Erica

Sprinkles to Kindergarten

Heidi Butkus said...

To Anonymous, regarding the child with R-L confusion:
Good for you for watching to see which hand she opens the door with! That was very observant.
As far as I am concerned, though, based on the very little bit of information you have told me, I would refer the child to the Student Study Team and see if they can do any further testing, considering that she is still not choosing a dominant hand herself after a year of kindergarten, and still writing her name (I assume consistently?) from right to left, and with reversals within it.
Also, you never know what kind of support she will get in her new school next year. Obviously, she is going to truly struggle in first grade, and since she is on the young side, an extra year in K probably won't harm her if her parents are in favor of it. But I would still get the testing process started to see if she has any visual perception problems, or even dyslexia, etc.
My understanding is that children who don't choose a dominant hand are more likely to be diagnosed with dyslexia later- though I couldn't tell you where I picked up that information at this time. It's just something I remember reading. And if she is truly dyslexic, an extra year in Kindergarten won't fix it. It will help her get a more solid base in the foundation of skills, but it won't reverse her dyslexia, if she has it.
Good luck!
Heidi

Heidi Butkus said...

To Karen,
I, too have encountered children that cannot write an entire sentence, but who are fine writing single words. But I never have thought that they have had dysgraphia, since they were able to write the single words. I thought that they were overwhelmed with the size of the task!
On the other hand, I do not remember being given a single BIT of training regarding dysgraphia in my Master's program when I got my Reading Specialist Credential. So I really couldn't say for sure. The only thing that I can say is that the children that were unable to write the sentences did a little bit better when I broke the task down for them into small parts. So, just give them one word to copy, and then a spacer (a physical spacer to put in between the words which holds the space.) Then give them one more word. Praise the child lavishly when he or she does it correctly, etc. When they see that this "mountain" can be climbed, then they can be taught to slow down and do it right, I think! (Or I HOPE!)
Good luck!
Heidi

Heidi Butkus said...

To Joanie,
An eye exam is always a good place to start! I really like tactile letters for children to touch, and have them then immediately try to rebuild with blocks (or sticks, as they use in Handwriting Without Tears) or play dough, etc. One child that I had that did things like that got used to tracing the letter (not a tactile letter, just a plain letter) with her finger, and then trying to write it with her pencil. We had some success with that method, and it was easier than trying to pull out the tactile letter cards every single time. It was as though she simply couldn't SEE it, even though her vision test showed that she could see.
It's a matter of visual perception, not vision, if you know what I mean! And that's a different thing entirely! The little one that I had would hold her entire book UPSIDE DOWN! I remember spending five minutes just trying to persuade her to turn the book right side up! That child did turn out to have a learning disability, although I don't know if it was labeled as dyslexia or not.
I would tell the parents to make sure that the doctor understands exactly what is happening with the vision issues so that he or she can direct them to the correct professionals, if she passes her vision test but still "can't see."
Heidi

Lyn Goff said...

Thank you so much for this post. I teach pre-k and I've had parents come to me because they are concerned about reversals. I have assured them that it is normal but I have bookmarked this so I can refer parents to it in the future.
Lyn
ps- We have started using the sounds fun phonics cards I bought from you when I taught kindergarten. My kiddos are LOVING them!
mrsgoffskinders.blogspot.com

Katie said...

Thank you for this. I actually have a lot of parents ask me if their child might be dyslexic because of typical reversals like those you posted. I've even had them ask me about it because of backwards numbers! I appreciate you posting this. I may email it to any future parents who are concerned about their child. The photos of normal reversals are helpful! :)

-Katie
Kindergarten Simplicity

Caught in the Middle said...

Thank you for providing this information to teachers and other parents! Last year we learned that our 4th grader was actually dyslexic and even with my husband and I being teachers, we didn't realize it. Some early signs that we missed included not being able to rhyme, not being able to substitute letters in a word, skipping over "small" words when she did begin to read, having robotic fluency, and never being able to spell, even the smallest words. In her spelling, the words would be there, but jumbled in a way that wasn't at all common. By fourth grade she could verbalize how she would read. "I see the sentence in my head, or don't read through each word independently." "Sounding it out doesn't work for me since I don't see how it's connected to the whole word." She qualified in basic reading and reading comprehension with a 20 point discrepancy.

Heidi Butkus said...

To Caught in the Middle:
Thank you for sharing that with me! That's very useful information for all of us! I'm going to edit the post and include it in the body of the blog, if you don't mind, crediting it to you.
Thanks so much for passing that along to all of us that have children that are struggling with reading.
Heidi

Caught in the Middle said...

I don'd mind at all Heidi! If I didn't know these signs as a teacher, how are parents, not trained in education going to know what to look for?

Anonymous said...

Not working so far.. HELP!
I have taught Pre-k for 15 years and this is my first in kindergarten for over 15 years. I have one student, in writing, that forms most letters corectly. However, in writing her "sentences" she starts on the right and goes left. She will point the same direction. She has been taught to start on the green (go) side and can tell you that. Her name is written backwords.
She knows her letters/sounds and can read 8/10 sight words. She is beginning to read in a Level A/B guided reading book and reads left to right. We have concerns about possible ADHD with her ability to attend and sit not lasting more than a minute.
Do you have any thoughts or ideas of a direction I could go to help her?

Heidi Butkus said...

To Anonymous,
Wow, that's a tough one. I would have definite concerns on that, too. Have you referred the child to your Student Study Team, or whatever you call your committee that discusses children that may need special education referrals?
I recently found an iPad app called Letter Reflex by Binary Labs that is supposed to really help kids with reversals. I really don't have anyone in my class this year with that sort of problem, so I haven't had a chance to try it out. But I understand that it was voted something like "The App Most Likely to Make a Difference" (or something along those lines.) Sorry, I don't have a really great memory for details like that! The only thing is that it did get awesome reviews. Perhaps it will help, IF you have access to an iPad.
I'll give this topic some more thought and repost some more ideas when I have more time. Right now I have to run. Good luck!
Heidi