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Read ‘Overcoming Dyslexia’ by Dr. Sally Shaywitz.
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My child had a speech delay due to multiple ear infections causing prolonged intermittent hearing loss. He was in speech therapy and could not blend or rhyme at age 4. Reading research I knew he was at a huge risk of having trouble learning how to read.
The most important thing I learned was he needed daily intervention. It wasn’t going to be enough 1-2 a week or even three times a week of intervention. And because we couldn’t afford to pay for hundreds of hours of tutoring AND there is a limit of how much a 4-5 year old can sit there and do work. We ended up buying several reading/spelling programs. Then I sat down and worked with him every day -7 days a week for a year. I wrote it down on a calendar and it was 360 out of 365 days. Even if it was only 5-10 minutes it became like brushing teeth something you do every day. And to motivate him because it was hard work he got stickers and earned prizes every Friday. We went to target and looked and Amazon so he was always working towards something. Days that were really hard for him he got candy/smoothie after reading (I put a gummy or mm chocolate on the periods so as soon as he read a sentence he got the candy. I bought 100 easy lessons to start because they have some great say it fast say it slow Exercises to work on blending. I bought All About Reading and All About Spelling which is an OG program (I just tweaked it so we skipped the short e words because 100 easy lessons works on long e first) After 360 days he was 5 and reading. He had no problem blending orally when a year before he could not orally blend words or do any phonemic awareness activities. I continued buying different curriculum throughout early elementary. The one to one really made the difference., |
No, I'm not. For background, I am a psychologist and diagnose learning disabilities. First, just because something is neurobiological does not mean it can be identified at any age with brain scans. While there are certain neurological differences that we can see on scans, these differences are not diagnostic. This is true for many diagnoses (e.g., autism, depression). Second, phonological processing is core to dyslexia. However, early deficits in phonological processing may indicate children who are at risk for dyslexia, but are not enough to diagnose dyslexia. Dyslexia is a specific learning disability in reading. If someone is not yet at an age where they can be developmentally expected to read (and have also not been in school yet), they cannot be reliably or validly diagnosed with dyslexia. |
| What are your child's goals/services for speech? That may also address some of the phonological processing issues. |
This surprises me, too. I've been told that first grade is the earliest it makes sense to evaluate. I was concerned about my daughter's reading in kindergarten and part of first and she began getting pulled for reading intervention. I asked about an evaluation and they chose to wait - I'm glad they did. Reading "clicked" for her partway through first grade with the reading interventions. I'm glad I didn't get a private evaluation because she may have been misdiagnosed because it really was just too early to tell. |
I believe there may be new research you aren’t familiar with. Age appropriate phonological awareness (and there is a skill set that is developmentally appropriate for every age) isn’t just correlated with dyslexia, it is predictive of struggle acquiring reading. And improving phonological awareness at age 5-6 is preventative - it makes reading failure less likely. This child does not need phonics yet. That isn’t age appropriate. She needs explicit phonological awareness training, and moving into linking speech sounds to letter shapes. I know many professionals prefer a watch and wait approach. It is risky, though, because kids with dyslexia can get turned off school and internalize reading failure very early. By first grade many dyslexic kids already have experienced repeated failure and are starting to have negative behaviors and coping strategies. When they do begin to read they rely on guessing and rote memory. It is unnecessary suffering. I truly say this with respect for you and what you do for kids every day. Consider whether the research supports early diagnosis and referral to services. I believe it does, as do the dyslexia professional associations I belong to. |
NP here. I wish more school psychologists were familiar with this research so that more kids could be identified and get help earlier. |
I am aware, and fully support screening and early intervention. The great thing is that we don't need diagnoses to provide phonological processing and reading interventions, either in schools or privately. There are many options between diagnosing pre-kindergarteners with dyslexia and "watch and wait." Most (if not all) public schools in this area have reading intervention groups for kids who are identified as being at risk for reading difficulties. Also, how familiar are you with phonics-based reading curriculums? Kindergarten level instruction includes phonological awareness (segmentation, blending, etc.) without a connection to written letters. |
Which dyslexia professional associations recommend diagnosing pre-kindergarteners with dyslexia? I'm eager to do more reading if this is true. |
I’m not familiar with every curriculum area schools use, for sure. What I do know is that no school, public or private, has a curriculum that has the level of intensity and explicitness that a dyslexic kid needs to build their phonological awareness skills to catch up to peers. That is why there are kids who go to great schools with excellent instruction aligned with the science of reading/structured literacy who still come out of 1st grade without the phonological skills they need. These kids would have a much more successful entry to schooling if they were provided what they need early. It’s giving the antibiotic early, rather than waiting for sepsis. We may actually be aligned with what we both know these little kids need. You believe that the schools will provide it, I think. I know from sad experience (personal and professional) that they will not, however well intentioned and passionate they are. |
I’m not at my desk now, but I’ll find the links and post when I can. |
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5 is very young. Where I live they do provisional diagnosis at 7 (age expected to read) but won't fully diagnose until about 3rd grade as some kids are just on a different developmental trajectory and reading develops in bursts. They won't even test until 7 - they just recommend additional support until then.
I don't know of many programs that will take 5 year olds who developmentally are not yet reading or expected to read in most of the world. Orton Gillingham is a great resource for dyslexia. |
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Thank you! I look forward to reading. I do think we agree about the importance of early intervention. The disagreement is if it is appropriate/accurate to diagnose a SLD in reading in a child who is too young to have started reading instruction. |
Yes, we are on the same page with early intervention. And I'm sure we agree that to intervene you need to identify kids who have phonological deficits, and you can do that at age 5. All kids should be screened at that age in school. The definitive text book for dyslexia intervention by Birsh and Carreker recommends screening, identification, and intervention in pre-k, k, and 1st (sorry, I don't have a link for that - its page 230, though). The International Dyslexia Association recommends screening and identification in K with immediate intervention. My professional association, the Academic Language Therapy Association, recommends the same with the information that a formal diagnosis is useful and must be made by a psychologist, but doesn't specify age. As these are all educational resources they stay in their lane and don't discuss age for formal psycho educational assessment. So our difference is between the words "identification" and "diagnosis." And important difference for you and me, but probably semantics for most families. So I will stay in my lane, too, which is intervention when a child is identified as having deficits consistent with a later diagnosis of dyslexia. I will defer to you on when a proper psychological assessment can be considered valid. Maybe we could agree that if a child has been identified has having poor phonological skills in pre-k or k, parents should know their child is at risk of dyslexia and they should take action to help them catch up? You may have seen this, but the results from Harvard's Nadine Gabb's new publication are important, I think. A description is in this article in the Harvard Gazette, and there is a link to the publication for anyone who wants to read it. The Gazette article is here: https://news.harvard.edu/gazette/story/2025/06/reading-skills-and-struggles-manifest-earlier-than-thought/ . I am not sure whether your concern about diagnosis at age 5 is that the assessment can't be conducted with fidelity that young, or that those with identified deficits consistent with dyslexia might just be slower developing and will catch up. Regardless, I think this study does suggest that we can identify kids really early with a combo of phonological assessment and maybe family history. Maybe our tools aren't there yet? I have no desire to label kids prematurely, or worry parents, or have families spend oodles of money they don't need to spend. I don't even care if we use the word dyslexia until kids actually struggle with reading. I just want kids to get help early so they can succeed, however we achieve that. |