Advice from the experts
Edublox - Reading & Learning Clinic

Is our knowledge about dyslexia dated? What is the contemporary view?

“According to popular belief, dyslexia is a brain disorder which causes otherwise smart and intelligent children to struggle with reading, spelling and writing,” explains Susan du Plessis, Director of Educational Programmes at Edublox. “The problem is that a lack of education about dyslexia has caused many myths that discourage parents the moment they hear of the dreaded word.” The term ‘dyslexia’ originated in 1884 and was coined by the German ophthalmologist, Rudolf Berlin. It comes from the Greek words ‘dys’ meaning ill or difficult and ‘lexis’ meaning word. Since then, researchers across a variety of disciplines have tried to understand the causes and possible solutions for the problem. “Instead of viewing the collective research in its entirety, we tend to catch bits and pieces. Some of our beliefs about it date back to times before modern-day technology and research revealed the good news about dyslexia,” Susan continues. In a nutshell, some of these misguided beliefs include: The brain of dyslexics differs from poor readers with low IQs; These brain differences are the cause of dyslexia; A host of famous individuals such as Albert Einstein, Walt Disney and Hans Christian Andersen were dyslexic; There is no remedy for dyslexia. One source states it quite bluntly: “Dyslexia is like alcoholism, it can never be cured.” * Susan explains that contemporary research sheds doubt on some of these old beliefs. With the rise of modern fMRI-scanning technology which allowed neuroscientists to explore the human brain in more depth than ever before, old myths about dyslexia have been debunked. Neuroplasticity is a field of study that is significantly influencing the grasp that we have on dyslexia. According to research conducted in this field, the human brain has the ability reorganise itself by forming new connections throughout a person’s life. The findings from a variety of recent studies contradict earlier beliefs in the following ways: Using brain imaging scans, neuroscientist John D. E. Gabrieli at the Massachusetts Institute of Technology found that there was no difference between the way poor readers with or without dyslexia think while reading. ** In a study, published online in the Journal of Neuroscience, researchers analysed the brains of children with dyslexia and compared them with two other groups of children: an age-matched group without dyslexia and a group of younger children who had the same reading level as the children with dyslexia. Although the children with dyslexia had less grey matter than age-matched children without dyslexia, they had the same amount of grey matter as the younger children at the same reading level. Lead author Anthony Krafnick said this suggests that the brain differences appear to be a consequence of reading experience and not a cause of dyslexia. *** Studies of the biographies of Einstein, Disney and Andersen and many other “famous dyslexics” reveal little resemblance with individuals who are currently labelled dyslexic. For example, Einstein was reading Darwin’s writings at age thirteen. “The myth of these ‘famous dyslexics’ has been perpetuated by advocacy groups over many years to keep dyslexia in the lime light,” says Susan.“The problem is that myths like these distract from the scientific study of the field and subtly hints that it can only be okay to have dyslexia if a string of famous people also struggled with it, while that is not the case.” The belief that dyslexia cannot be overcome is deeply rooted in the theory that the brain cannot change. Today we know that the human brain is a powerhouse. New connections can form and the internal structure of the existing connection can change. Susan has been extensively involved in research on the subject of reading difficulties over the last 25 years, and has made a few observations that may give South African parents hope. “At Edublox, we believe that dyslexia is not a DISability but simply an INability. While there are other causes, the most common cause of dyslexia is that the foundational skills of reading and spelling have not been mastered properly. Massive strides can be made when children’s cognitive deficits are addressed, and have seen we have seen amazing results with this approach.” Javier Guardiola, author of the research paper, ‘The evolution of research on dyslexia’ applauds contemporary research and how it has contributed to our understanding of the subject. “Dyslexia is currently an interdisciplinary field of study, involving disciplines as varied as education and neurobiology. Researchers hope that the answers to this complex learning disability lie in the intersection of all these disciplines,” he writes. **** “To create awareness about dyslexia, we need to keep abreast of the latest research and what this means for our children. As parents, we need to keep looking for solutions and support systems that will help us tackle the symptoms associated with dyslexia. And the good news is there has never been a better time in the history of the field,” concludes Susan.

November 3, 2017
Carla Grobler

So what does dyslexia really mean?

(All information was obtained from Stark – Griffin’s book Dyslexia) Definition of dyslexia – A neurological-functional problem manifesting as a deficit in word decoding (reading), encoding (spelling) and nemkinesia (writing) due to a minimal brain dysfunction and/or differential brain function. More use full information regrading dyslexia Eidetic: give meaning to text in general and recognising words from previous experience. Phonetic: allocating a sound to each letter and using these sounds in groups to produce words. People suffering from dyslexia usually have an average to above average intelligence. 10% – 20% of all children suffer from dyslexia. Children suffering from dyslexia feel confusion, frustration, anxiety, withdrawl and compensating behavioural patterns. These children are often teased and humiliated by their classmates.Dyslexia may lead to poor self image and even depression. These feelings may manifest in behavioural problems which inlcude aggression, vandalism, disruption of class and a hostile attitude. Types of dyslexia Dysnemkinesia Deficit in the ability to develop motor engrams (memory trace) for written symbols Child wil revers letters A child should have no letter reversals by Gr. 4 When writing the alphabet 1 reversal is acceptable in Gr. 3 When writing the alphabet 3 reversals are acceptable in Gr. 2 When writing the alphabet 5 reversals are acceptable in Gr. 1 Dysphonesia Deficit in visual-symbol and sound integrations Child will struggle to read unknows words as he cannot decode them / will have difficulty spelling e.g. slow/solw, does/dose Dyseidesia This type of dyslexia is genetic Deficit in the ability to perceive whole words and to recognise words from previous experience. Child will struggle to read words that he cannot relate to a picture e.g. did / will struggle to read sight words / will struggle to read word that cannot be divided /will spell word the way they sound e.g. does/duz Dysphoneidesia Mix between dysphonesia and dyseidesia Dysnemkinphonesia Mix between dynemkinesia and dysphonesia Dysnemkineidesia Mix between dysnemkinesia and dyseidesia Dynmemkinphoneidesia Mix between dysnemkinesia, dysphonesia an dyseidetia One has to rule out the following deficits before a diagnosis of dyslexia can be made: Problematic vision and/or eye muscle functioning Impaired visual perceptual skills Impaired auditive perceptual skills Cognitive impairment Emotional problems/psychological factors Attention deficit disorder Health factors: e.g. nutrition, infections, allergies, trauma Environmental factors Treatment The child needs to be evaluated by a professional (usually an occupational therapist/speech therapist/educational psychologist/optometrist) that is registered with RADA (Red Apple Dyslexia Association). The test used is called the Dyslexia Test developed by Stark-Griffin. If dyslexia is identified it needs to be specified which type of dyslexia as each one has a different treatment approach. All types of dyslexia can be improved although the percentage differs from person to person. Dyseidesia cannot be 100% cured as it is genetic. Dysphoneidesia is the most difficult type of dyslexia to treat. Dysnemkinesia is easily treated. Build on the child’s strengths and later give attention to the weaknesses. Work around the problem to improve reading/writing and spelling. Famous dyslexics No matter what your dissability – you can still be successful !!! Just look at these famous dyslexic people: Pable picasso Tom cruise Richard Branson Leonard daVinci Thomas Edison Whoopi Goldberg Development of the child checklist The Developmental checklist will assist you in determining whether you child is functioning according to his/her age level. Download your order form Here It is divided into 29 categories namely: Movement (Activities of daily living) Communication skills (Cognitive skills) Personality traits / temperament (Playing) Ball skills  (Coordination) Perception (Grasps & hand function) Basic concepts (Body concept) Number concept (Form concept) Colour concept (Size concept) Building with blocks (Working with beads) Cutting with scissors (Drawing / painting) Drawing a person (Picture-reading) Story-time (Writing) Eating / feeding (Sleeping) Prepositions  (Senses) Teeth When determining if your child is developing according to his/her age level it is important to remember that each child is unique. Each child develops at his/her own pace; therefore no 2 children’s milestones will be achieved at exactly the same time. Please give a 2 – 3 month leeway to either side of the time frame given (e.g. if it says that a child has to walk when he is 1 year old it can mean that the child may start walking when he is 9 months old or 15 months old). When you see that your child has a delay in more than 2 important areas, please consult your developmental paediatrician and take him/her for an occupational therapy assessment. A child that has a developmental delay usually reaches a plato when 12 years old. Thus it is so important that a child receives therapy from as early an age as possible.

November 28, 2016
Edublox - Reading & Learning Clinic

Developing reading skills to help children triumph against dyslexia

There were two important educational issues in the local and international spotlight during September and October 2016: Literacy Day, observed on 8 September 2016, and Dyslexia Awareness Month, which is observed annually during October. In support of Dyslexia Awareness Month, Edublox reading, maths and learning clinic examines the surprising root cause of dyslexia and shares tips on how parents can address their child’s reading difficulties. ‘The importance of literacy to prosperity and democracy in South Africa’ was a topic discussed at a Literacy Day breakfast event and panel discussion, hosted by the educational development programme, help2read. Panellists highlighted some of the key issues and challenges faced by the South African early education sector. According to Dr Nick Taylor, former CEO and current head of Education Evaluation and Research at the Joint Education Trust, the country’s most urgent educational priority is to promote reading and schooling from an early age, as brain sensitivity for the development of children’s foundational language skills is the greatest in the first few years of life. A study by Van der Berg supports this statement in concluding that potential access to university is already largely predetermined by Grade 4*. Susan du Plessis, Director of Educational Programmes at Edublox, explains that the issues around the promotion of basic literacy skills and creating awareness around dyslexia are more intertwined than many might think. “Reading difficulties are a major culprit when children experience learning difficulties. Often, a variety of symptoms are simply grouped together, diagnosed and labelled under the umbrella term ‘dyslexia’ – a word feared and dreaded by many parents. We believe that a strong focus on the development of foundational reading skills can be the key to unlocking learning potential in all children – including those diagnosed with the problem,” she adds. “An understanding of the causes of dyslexia can help parents support their children in overcoming it,” says Du Plessis. “Two important facts are especially relevant: firstly, that reading is not a natural or instinctive process, but an acquired skill that must be taught. Secondly, parents must remember that learning is a stratified process, during which one skill has to be acquired first, before it becomes possible to acquire subsequent skills. At the heart of this process and as the bottom rung of the ‘reading ladder’, is language. Skills, like visual processing, auditory processing and auditory memory form the second rung of this ladder, and must be taught first,” she explains. Du Plessis shares some tips on how parents can help children prevent and overcome reading difficulties: Since language plays a vital role in reading, it is important to provide children with enough opportunities to hear language from infancy. If your child is experiencing problems like letter reversals, difficulties with letter order, poor comprehension, mispronunciations and poor recall, the best approach is to take immediate action. Approach a professional reading clinic specialising in cognitive development that focuses on aspects like concentration, perceptual skills, memory, and logical thinking. Before setting up a meeting with an educational practitioner, it often helps to list your observations and your concerns. Be sensitive toward a dyslexic child or a slow reader’s feelings. Most children look forward to learning to read and do so relatively quickly. For these children, however, the experience is very different. For them, reading, which seems to come effortlessly for everyone else, appears to be beyond their grasp. Parents can breathe a sigh of relief as children’s academic performance can improve despite dyslexia. Abigail de Robillard, a mom from Durban, enrolled her dyslexic son at a reputable reading clinic and noted a change. De Robillard highlighted improvements in his overall self-confidence, his ability to manage schoolwork on his own, and his overall reading and concentration after just one term. “Dyslexia is a learning barrier – and I now truly believe that through hard work, the clinic will break these barriers and allow my son to harness all his real gifts, talents and abilities to be all that he can be, and above all, happy,” she says. Edublox is a leading specialist in cognitive development with 26 reading and learning clinics across Southern Africa. Edublox offers multisensory cognitive training, aimed at developing and automatising the foundational skills of reading, spelling and Mathematics. For more information about Edublox, visit www.edublox.co.za or contact 0861-EDUBLOX / 0861 338 256.

November 24, 2016
Parenting Hub

ADD/ ADHD And Alternative Treatments

Over the past years there have been many debates and controversy discussions around what Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD) is? Furthermore how it is diagnosed and what are all the options to treating the disorder? The definition of attention-deficit/hyperactivity disorder (ADHD) has been updated in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This revision is based on nearly two decades of research showing that ADHD, although a disorder that begins in childhood, can continue through adulthood for some people. Changes to the Disorder ADHD is characterized by a pattern of behaviour, present in multiple settings (e.g., school and home), that can result in performance issues in social, educational, or work settings. As in DSM-IV, symptoms will be divided into two categories of inattention and hyperactivity and impulsivity that include behaviours like failure to pay close attention to details, difficulty organizing tasks and activities, excessive talking, fidgeting, or an inability to remain seated in appropriate situations. Children must have at least six symptoms from either (or both) the inattention group of criteria and the hyperactivity and impulsivity criteria, while older adolescents and adults (over age 17 years) must present with five. Treatment options There are a number of treatment plans that are available to parents when making the appropriate decision when treating their child for ADD/ADHD. Nutritious meals, play, exercise, and learning better social skills are all part of a balanced treatment plan that can improve performance at school, improve your child’s relationships with others, and decrease stress and frustration. Pharmacological Treatment Stimulants such as Ritalin, Concerta and Adderall are often prescribed for attention deficit disorder. Such medications may help your child concentrate better or sit still, however there is a general debate as to whether or not medication is a ‘quick fix’ and what about the long term affects as well as immediate side effects of appetite suppression, insomnia and an overall change in the child’s personality? For some parents they have found medication to be the best result for their child, while others look for alternative treatments and see pharmacological treatment as the last resort. Homeopathy There are many other effective treatments that can help children as well as adults with ADD/ADHD to improve their ability to pay attention, control impulsive behaviour, and curb hyperactivity. According to Dr Raakhee Mistry who is a Homeopath, commented that Homoeopathy has often been used to assist with ADD and ADHD and has been effective. But unlike conventional medicine, there is no one particular homoeopathic medicine for these conditions. The ADD and ADHD symptoms for that particular child and factors that aggravate or ameliorate the symptoms, are taken into account when selecting the remedy for the child. Homoeopathic medicines do not numb or block symptoms, instead they work with the body to re-establish a state of equilibrium. When the patient is in this equilibrium state, the symptoms ease and the patient is able to function better. The aim of homoeopathic treatment is not to keep a patient dependent on medicine, but rather to bring the patient to the space where he/she can maintain this equilibrium state. Many homoeopaths also incorporate other modalities to their treatment such as supplements, herbs and probiotics. A child’s restlessness and ability to concentrate has also been linked to the state of the child’s gut Nutrition Good nutrition can help reduce ADD / ADHD symptoms. Studies show that what, and when, you eat makes a difference when it comes to managing ADD/ADHD. The following tips can be seen below By scheduling regular meals or snacks no more than three hours apart is a useful tip, which will help keep your child’s blood sugar level, minimizing irritability and supporting concentration and focus. Try to include a little protein and complex carbohydrates at each meal or snack. These foods will help your child feel more alert while decreasing hyperactivity. Check your child’s zinc, iron, and magnesium levels. Many children with ADD/ADHD are low in these important minerals. Boosting their levels may help control ADD/ADHD symptoms. Increasing iron may be particularly helpful. One study found that an iron supplement improved symptoms almost as much as taking stimulant medication. Add more omega-3 fatty acids to your child’s diet. Studies show that omega-3s improve hyperactivity, impulsivity, and concentration in kids (and adults) with ADD/ADHD. Omega-3s are found in salmon, tuna, sardines, and some fortified eggs and milk products. However, the easiest way to boost your child’s intake is through fish oil supplements Tips for supporting your child’s treatment In order to encourage positive change in all settings, children with ADD / ADHD need consistency. It is important that parents of children with ADD / ADHD learn how to apply behavioural therapy techniques at home. Children with ADD/ADHD are more likely to succeed in completing tasks when the tasks occur in predictable patterns and in predictable places, so that they know what to expect and what they are supposed to do. Follow a routine. It is important to set a time and a place for everything to help a child with ADD/ADHD understand and meet expectations. Establish simple and predictable rituals for meals, homework, play and bed. Use clocks and timers. Consider placing clocks throughout the house, with a big one in your child’s bedroom. Allow plenty of time for what your child needs to do, such as homework or getting ready in the morning. Simplify your child’s schedule. Avoiding idle time is a good idea, but a child with ADD/ADHD may become even more distracted and “wound up” if there are too many after-school activities. Create a quiet place. Make sure your child has a quiet, private space of his or her own. A porch or bedroom can work well too as long as it’s not the same place as the child goes for a time-out. Set an example for good organisation. Set up your home in an organised way. Make sure your child knows that everything has its place. Role model neatness

October 28, 2016
Carla Grobler

Is Your Child Suffering From ADHD or ADD?

Do you have a busy child who is always running around, struggles to fall asleep before 10 at night, shouts out answers in the class, has difficulty concentrating and sitting still? Your child may be suffering from ADHD or ADD. But what is ADHD/ADD? Does my child need medication? Is the medication dangerous? Medical professionals use the DSM criteria to diagnose Attention deficit-hyperactivity disorder (ADHD) and Attention deficit disorder (ADD). The following signs and symptoms were taken from Kaplan and Saddock (IV edition): Either (1) or (2): (1)        Inattention: Six (or more) of the following symptoms of inattention have persisted for at least six months to a degree that is maladaptive and inconsistent with developmental level: (a) Often fails to give close attention to details or makes careless mistakes in schoolwork, work, or other activities (b) Often has difficulty sustaining attention in tasks or play activities (c)  Often does not seem to listen when spoken to directly (d)  Often does not follow through on instructions and fails to finish schoolwork, chores or duties in the workplace (not due to oppositional behaviour or failure to understand instructions) (e)  Often has difficulties organizing tasks and activities (f)    Often avoids, dislikes or is reluctant to engage in tasks that require sustained mental effort (such as schoolwork or homework) (g)  Often loses things necessary for tasks or activities (e.g. school assignments, pencils, books or tools) (h)  Is often easily distracted by extraneous stimuli (i)    Is often forgetful in daily activities (2)       Hyperactivity-impulsivity: Six (or more) of the following symptoms of hyperactivity-impulsivity have persisted for at least six months to a degree that is maladaptive and inconsistent with developmental level: Hyperactivity (a)  Often fidgets with hands or feet or squirms in seat (b)  Often leaves seat in classroom or in other situations in which remaining seated is expected (c)  Often runs about or climbs excessively in situations in which it is inappropriate (in adolescents or adults, may be limited to subjective feeling of restlessness) (d)  Often has difficulty playing or engaging in leisure activities quietly (e)  Is often ‘on the go’ or often acts as if ‘driven by a motor’ (f)    Often talks excessively Impulsivity (g)  Often blurts out answers to questions before the questions have been completed (h)  Often has difficulty awaiting turn (i)    Often interrupts or intrudes on others (e.g. butts into conversations or games) Some hyperactive-impulsive or inattentive symptoms that caused impairment were present before age 7 years. Some impairment from the symptoms is present in two or more settings (e.g. at school, work and at home) There must be clear evidence of clinically significant impairment in social, academic or occupational functioning. The symptoms do not occur exclusively during the course of a pervasive developmental disorder, schizophrenia or other psychotic disorder, and are not better accounted for by another mental disorder. Your child may only have Attention Deficit Disorder; this is all the above symptoms except the hyperactivity-impulsivity symptoms. So what should I do if I think my child may be suffering form ADD/ADHD? Take your child to an occupational therapist to determine the possibility of ADD/ADHD and the effect it has had on development and skills. If the therapist suspects that your child is suffering from ADD/ADHD you will be referred to a paediatric neurologist for an evaluation. It is important not to take your child to a GP for medication as a specialist needs to be consulted as medication for ADD/ADHD is schedule 5/6 and works on the neurological system. Your child’s neurological system is still developing and damage can occur if the dosage of the medication is too high. Is medication always necessary? Sometimes medication is necessary – this will help your child to focus her attention; this will improve her concentration and thus learning can take place. Usually children with ADD or ADHD cannot concentrate for sufficient periods in class and thus they lose learning-time – that is why some children with ADD or ADHD fail their grade or fall behind in class. It will not help to hit/punish your child if they suffer from ADD or ADHD because although they try their best to sit still/work/pay attention, they are incapable of doing so – that is why medication is sometimes a blessing for both the child and the parents. It is sometimes difficult for parents to admit that their child needs medication but this is an issue that the parents need to deal with – don’t take valuable learning-time away from your child by not taking him/her to see a trusted paediatric neurologist. Usually the neurologist will start on a minimum prescription of Ritalin (for attention) and Risperdal for hyperactivity/restlessness. These medications will vary according to the age of the child and the severity of symptoms. Remember that it will take some time for your child’s body to adapt to the medication – don’t give up too soon. If unacceptable side-effects persist for more than 2 – 6 weeks, please talk to your doctor. Remember that not all medications work for all children and that the doctor may have to try a variety of medication until he/she finds the combination of medication that works for your child. Helpful hints Children with ADD or ADHD need a structured/disciplined environment to function optimally. Using the same handling approach at school, therapy and at home gives the child clear guidelines of what is expected of him/her. The golden rule to follow with a child with ADHD is a low GI diet. Find out if your child is allergic to any food e.g. dairy products, yellow food (corn, squash), junk food, fruit juice, sugar, chocolate, NutraSweet/Canderal/etc., processed meat, MSG’s, fried food, food colouring or fish as this may cause temper outbursts! Avoid processed foods. These contain additives and preservatives e.g. certain cheeses, certain cold meats Avoid junk food/take-aways Avoid sodas/fizzy drinks Avoid candy Avoid cookies No energy drinks e.g. Play/Red Bull Avoid fried foods E.g. chips, crisps, KFC Avoid additives and preservatives. Fruit juice should be diluted and not given

July 25, 2016
Edublox - Reading & Learning Clinic

Dyslexia: Fact or Fiction?

Megan struggles to read. She is eight years old and everyone in her class seems to read better than her. Megan tries really hard but it never gets easier. She feels silly. Mom thinks Megan has dyslexia. According to popular belief, dyslexia is a disorder which causes kids to struggle with reading, spelling, writing and studying. Many believe that dyslexia is a neurological disorder in the brain that causes information to be processed and interpreted differently. Some people even believe that dyslexia is genetic. Road to Reading Susan du Plessis, director of Edublox Reading and Learning Clinic, says that if the term ‘dyslexia’ is only used to indicate a reading problem, it’s used correctly, but she doesn’t subscribe to the theory that it’s a neurological disorder. Susan shares this view with many others in both the fields of medicine and education. Many kids are labeled dyslexic from a very early age, long before they’ve even mastered the basic foundations required for reading. Can any child be labeled a ‘poor reader’ if he hasn’t been taught correctly or mastered specific steps on the road to reading? Let’s look at the sport of ice hockey. Before you kit your child out with the protective gear required by the sport and expect him to make the team, he first needs to learn how to ice skate, both forward and backward. He must also learn to turn and stop. Once he has mastered this step, he can move on to learning to control the puck with the stick, to pass and receive a pass, and to shoot. Only when these skills are well practiced and achieved, and he also knows the rules of the game, can he possibly make the team. “It’s exactly the same with reading,” explains Susan. “Without a good foundation and mastering the individual steps, children simply don’t learn to read well.” Steps to Reading Learning to read is a process. In order for a child to master this complex task, he or she needs to master the following skills: Language This vital first step begins at birth. Before any child can learn to read, he or she must have a good grasp of language. It’s the step that fits in at the same level as the ‘learning to skate’ section in our analogy on playing ice hockey. Before any child can learn to read, he must have a good command of language. Cognitive skills The next step on the road to reading starts when your child is two or three years old. Cognitive skills are mental skills that are used to acquire knowledge. Learning difficulties, like dyslexia, are often linked to weak cognitive skills. Concentration, perception, memory and logical thinking are four important cognitive skills needed for reading. Concentration: Children need to be taught to focus their attention and keep it focused for a period of time. Concentration is both an ‘act of will’ and a skill. Skills need to be taught and like other skills, concentration can be improved with regular practice. Perception: Perception is the ability to identify, recognise and interpret something, usually through the senses of sight or hearing. Two important perceptual skills for reading are directionality and form discrimination. Directionality relates to the direction of objects ‘in relation to self’ while form discrimination is the ability to perceive differences in the shape of objects. In reading, both these skills are essential — from learning the letters of the alphabet to syllables and then recognising whole words. Memory: There are many different kinds of memory and each is an important foundational skill for reading and spelling. Visual memory is particularly important, because a child must remember the visual appearance of words and letter sequence in order to read them. Logical thinking: Logical thinking is the ability ‘think head’ in sequence or steps in a way that makes sense or logically follows the previous step. This is an important skill for reading comprehension, because by using logical thinking skills, a child can anticipate what happens next. Susan says that weak cognitive skills can be strengthened and normal cognitive skills can be enhanced to increase ease and performance in learning. “Specific brain-training exercises can strengthen these weaknesses leading to increased performance in reading, spelling and learning,” she states. Just like the ice hockey player who is proud of his achievement when he finally makes the team, so your child, with some extra help in the right areas, can be a great reader — and proud of it too.

July 4, 2016
Parenting Hub

ADD / ADHD and Alternative Treatments

Over the past years there have been many debates and controversy discussions around what Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD) is? Furthermore how it is diagnosed and what are all the options to treating the disorder? The definition of attention-deficit/hyperactivity disorder (ADHD) has been updated in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This revision is based on nearly two decades of research showing that ADHD, although a disorder that begins in childhood, can continue through adulthood for some people. Changes to the Disorder ADHD is characterized by a pattern of behaviour, present in multiple settings (e.g., school and home), that can result in performance issues in social, educational, or work settings. As in DSM-IV, symptoms will be divided into two categories of inattention and hyperactivity and impulsivity that include behaviours like failure to pay close attention to details, difficulty organizing tasks and activities, excessive talking, fidgeting, or an inability to remain seated in appropriate situations. Children must have at least six symptoms from either (or both) the inattention group of criteria and the hyperactivity and impulsivity criteria, while older adolescents and adults (over age 17 years) must present with five. Treatment options There are a number of treatment plans that are available to parents when making the appropriate decision when treating their child for ADD/ADHD. Nutritious meals, play, exercise, and learning better social skills are all part of a balanced treatment plan that can improve performance at school, improve your child’s relationships with others, and decrease stress and frustration. Pharmacological Treatment Stimulants such as Ritalin, Concerta and Adderall are often prescribed for attention deficit disorder. Such medications may help your child concentrate better or sit still, however there is a general debate as to whether or not medication is a ‘quick fix’ and what about the long term affects as well as immediate side effects of appetite suppression, insomnia and an overall change in the child’s personality? For some parents they have found medication to be the best result for their child, while others look for alternative treatments and see pharmacological treatment as the last resort. Homeopathy There are many other effective treatments that can help children as well as adults with ADD/ADHD to improve their ability to pay attention, control impulsive behaviour, and curb hyperactivity. According to Dr Raakhee Mistry who is a Homeopath, commented that Homoeopathy has often been used to assist with ADD and ADHD and has been effective. But unlike conventional medicine, there is no one particular homoeopathic medicine for these conditions. The ADD and ADHD symptoms for that particular child and factors that aggravate or ameliorate the symptoms, are taken into account when selecting the remedy for the child. Homoeopathic medicines do not numb or block symptoms, instead they work with the body to re-establish a state of equilibrium. When the patient is in this equilibrium state, the symptoms ease and the patient is able to function better. The aim of homoeopathic treatment is not to keep a patient dependent on medicine, but rather to bring the patient to the space where he/she can maintain this equilibrium state. Many homoeopaths also incorporate other modalities to their treatment such as supplements, herbs and probiotics. A child’s restlessness and ability to concentrate has also been linked to the state of the child’s gut Nutrition Good nutrition can help reduce ADD / ADHD symptoms. Studies show that what, and when, you eat makes a difference when it comes to managing ADD/ADHD. The following tips can be seen below   By scheduling regular meals or snacks no more than three hours apart is a useful tip, which will help keep your child’s blood sugar level, minimizing irritability and supporting concentration and focus.   Try to include a little protein and complex carbohydrates at each meal or snack. These foods will help your child feel more alert while decreasing hyperactivity.   Check your child’s zinc, iron, and magnesium levels. Many children with ADD/ADHD are low in these important minerals. Boosting their levels may help control ADD/ADHD symptoms. Increasing iron may be particularly helpful. One study found that an iron supplement improved symptoms almost as much as taking stimulant medication.   Add more omega-3 fatty acids to your child’s diet. Studies show that omega-3s improve hyperactivity, impulsivity, and concentration in kids (and adults) with ADD/ADHD. Omega-3s are found in salmon, tuna, sardines, and some fortified eggs and milk products. However, the easiest way to boost your child’s intake is through fish oil supplementsTips for supporting your child’s treatmentIn order to encourage positive change in all settings, children with ADD / ADHD need consistency. It is important that parents of children with ADD / ADHD learn how to apply behavioural therapy techniques at home. Children with ADD/ADHD are more likely to succeed in completing tasks when the tasks occur in predictable patterns and in predictable places, so that they know what to expect and what they are supposed to do.  Follow a routine. It is important to set a time and a place for everything to help a child with ADD/ADHD understand and meet expectations. Establish simple and predictable rituals for meals, homework, play and bed.   Use clocks and timers. Consider placing clocks throughout the house, with a big one in your child’s bedroom. Allow plenty of time for what your child needs to do, such as homework or getting ready in the morning.   Simplify your child’s schedule. Avoiding idle time is a good idea, but a child with ADD/ADHD may become even more distracted and “wound up” if there are too many after-school activities.   Create a quiet place. Make sure your child has a quiet, private space of his or her own. A porch or bedroom can work well too as long as it’s not the same place as the child goes for a time-out.Set an example for good organization. Set up your home in an organized way. Make sure your child knows that everything

March 29, 2016
Parenting Hub

Meal planning for the child with ADHD

Ask ten nutrition experts what you should eat and you will get ten, often-conflicting diet plans. Add Attention Deficit Hyperactivity Disorder (ADHD) to the mix and you will be even more confused. Firstly ADHD is not caused by diet. There have been numerous studies over the years to support this statement. Does diet affect ADHD children? Of course, Diet, as in “what we eat”, affects each one of us whether we have ADHD or not. If you feel unsteady on a stairway, you grab the banister to steady yourself. Likewise, if your child’s (or your) brain chemistry is off kilter with ADHD, favouring healthy foods engenders equilibrium. By providing a healthy diet and environment is the most pleasurable – and the least invasive – way to care for your loved ones and yourself. The information given in this article need not be exclusively for the use of the ADHD child but all members of the family will benefit from making this subtle yet effective change to their daily eating schedule. The diet for the ADHD child is the bedrock on which you need to build all other therapies. It is no use adding a handful of supplements to your child’s diet if their actual daily intake is not even meeting the basic recommended dietary intakes (RDI’s) for their age. Supplements added to a balanced healthy diet will be much more effective if taken with good food than as an isolated tablet. The ADHD child’s response to therapies like Occupational therapy, physiotherapy etc. will be much better if the child has the necessary energy resources to draw from during a therapy session. If your child requires medication to treat her ADHD symptoms then starting off with a sound, healthy dietary platform will only enhance the effectiveness of the medication. Likewise attentiveness, concentration and participation in class is a lot more probable if your child has eaten a healthy, well balanced breakfast and this is true for all children, not just children with ADHD. Allergies have also been studied extensively with their link to ADHD so let’s just briefly unpack this before we go into the details of some healthy diet tips. Children and adults, who have allergies, be they to foods, additives or the environment are not generally happy people while their allergies are aggravating them. A child who has rhinitis (runny nose) and is constantly sniffing and coughing due to the aggravation of a post nasal drip will struggle to sit still and focus on what the teacher is saying or the work he should be doing. The distinction needs to be made between ‘food allergies causing ADHD versus the symptoms of the allergy exacerbating the symptoms of ADHD. If you suspect your child has allergic tendencies to certain foods then you must get that seen to by taking your child to a specialist or undertaking an elimination diet under the advice of a trained professional. Having said all of this, changing diet is a process and not like taking a pill. It takes time, commitment and patience and more importantly ‘buy-in’ from the family members. When changing eating habits, it is important to involve the family members and give explanations. Children respond well when they understand. Children are also extremely trusting and if the change can make sense they will generally give it a good try. When making changes to the diet it is important to observe the context of the whole change process. For example if you cut out all chicken from your child’s diet, it may not be the lack of chicken that is causing irritability and discontent. It might be that you took away all her favourite meals in one shot and she’s a little upset about it. Looking at the whole picture is a good idea and moderation is always good. Wanting your child to eat well is one thing. Getting him to do so is another. As already mentioned the best way to get your child to eat well is to eat well yourself. That is having good food at hand and minimizing the less healthful choices. Letting your child help prepare food magically whets her appetite. Creating something yummy is empowering no matter what your age. Daily foods to include: Good Starches If you take in a lot of sugary treats such as sweets, fizzy and sugary cool drinks, cakes and biscuits it will cause your blood sugar levels to rise and fall due to the insulin (hormone to break down sugar) levels that will rise and fall. This constant up and down will result in mood changes and irritability. When children get a blood sugar drop, unlike us, they will try and feel better by getting busier and will do what ever it takes to stay alert which often results in over compensation. Offer low glycaemic carbohydrate foods as often as possible, like seed bread, rice, pasta, provitas etc. Foods are well labelled with Low Glycaemic Index labels and these should be foods of choice for your ADHD child. Limit fruit juices to 1 glass diluted fruit juice per day. Eat whole fruits instead. Aim to include 2 – 3 fruits per day. Offer water for thirst. Iced rooibos tea mixed with a little pure fruit juice is also a refreshing option. Remember however that it is the glycaemic (sugar) load of the whole meal that is important so including a protein with the carbohydrate will be an advantage to stabilizing blood sugar levels. This also helps when you offer starches that are a little higher on the glycaemic index, like a white hot dog roll or a tortilla. Good proteins Have a serving of protein rich food at every meal and snack, including breakfast. Sources of protein include eggs, fish, meat, cheese and soybeans, nuts, peanut butter. Eat snacks like cheese sticks and biltong slices. Good veggies For the good of your health, use a wide variety of vegetables and prepare them in diverse ways. Aim daily to include 3

February 4, 2016
Parenting Hub

When should a child be referred to an occupational therapist?

  Following is a few easy questions that could help you to determine if a child should be referred to an O.T.  What is fine eye-hand coordination? This is the ability to use eyes and hands together to perform a task.  We all use this skill every day in all different kinds of situation:  tying shoe-laces, writing, cutting, dressing, the list is endless. How will I know if a child has a problem? Drawing shows poor orientation on the page and the child is unable to stay within the lines when colouring/writing. Your child will struggle with activities that kids the same age finds easy e.g. buttoning small buttons when dressing, picking up small objects Your child will rather get involved in gross motor activities e.g. swinging than doing colouring, pegboard tasks, etc. Threading activities will be difficult or avoided Child will find it difficult to cut neatly on a line Handwriting won’t be neat. Muscle tone  Muscle tone refers to the natural stress in the muscle when at rest. It is not the same as muscle strength. A child with a natural lower tone in his muscle will use his muscles with more effort than a child with a natural higher muscle tone. How will I know if a child has a problem? Tires easily / or moves around the whole time to maintain muscle tone Appear clumsy / uncoordinated Child will over emphasize movement / use exaggerated movement patterns Lean on to objects Find it difficult to maintain one position for a long time Slouch in chair Use broad base of support when sitting Drool Fidgety – uses this to build up tone when sitting for long periods of time Usually doesn’t part-take in endurance sport What are visual perceptual skills? These skills are necessary to interpret seen information in the brain. These skills are the building blocks for reading, writing and maths. How will I know if a child has a problem? Kids who struggle with foreground-background will ‘steals’ words/letters from other sentences/words and add it to the word/sentence they are busy reading.  They also find it difficult to find specific words/numbers on a page. Kids with a limitation in position in space and/or spatial-relationships will confuse p/b/d, switching of words in a sentence or switching of syllables. Kids with a limitation in form-constancy will struggle to read different types of fonts/hand writing and to copy writing from the black board. Kids with closure impairment will confuse letters with each another when different fonts of writing are used e.g. a/d; u/a; c/e. Kids with impairment in discrimination will for example struggle to find words/numbers that is the same. Kids that struggle with analysis and synthesis finds it difficult to read words that they have to spell Kids with a limitation in memory will for example struggle to copy work from the black board Kids that struggle with consecutive memory will for example find it problematic to copy words/sentences/numbers correctly from the black board. What is bilateral integration? That is the ability of both sides of the body to work together to perform a task. How will I know if a child has a problem? Appears to be uncoordinated when doing tasks Difficulty in performing gross motor tasks e.g. skipping, galloping, jumping-jacks, etc. Prefers not to cross the imaginary midline of the body Not choosing a dominant hand to write/draw/colour (after age 5) Swapping hands when doing tasks What is dyspraxia? Praxis (a.k.a motor planning) is the ability of the brain to conceive, organize, and carry out a sequence of tasks/actions. Praxis is the ability to self-organize. Praxis includes motor planning, cognitive events and communication. The child may present with the following: Appear clumsy Poor balance Difficulty with riding a bike Poor handwriting Difficulty with remembering instructions and copying from the blackboard May have difficulty with speech and the ability to express themselves Bumping into objects Late establishment of laterality (right- or left-handedness) Poor sense of direction Difficulty in learning new motor skills (crawling, using utensils and tools, catching a ball, penmanship) Difficulty in completing tasks with multiple steps (playing board games, sports,  solving puzzles and learning math skills) Difficulty in doing tasks in the proper sequence (dressing, or following directions with multiple steps, putting together words and sentences in the right order) Difficulty copying designs, imitating sounds, whistling, imitating movements Difficulty in adjusting to new situations or new routines Difficulty in judging distance in activities (riding bicycles, placing objects) or with others (standing too close or too far away) Present with delayed skills – remaining in the early stages of skill acquisition Poor at holding a pencil Forgetful and disorganized Have a poor attention span Need to go right back and begin again at the very beginning of the task when experiencing difficulty, instead of just ‘getting on with it’ Have difficulty using tools – cutlery, scissors, pencils – lots of handwriting problems (although not all handwriting difficulties are the result of motor Dyspraxia) poor balance; Have poor fine and gross motor co-ordination Have poor awareness of body position in space Have difficulty with reading, writing, speech and maths Other signs/symptoms Child acts immature (cries easily, separation anxiety, etc.). Concentration difficulties / easily distracted by things/people/sounds around himself/herself. If a child is struggling with reading, writing, spelling, maths. If a child’s school progress is behind the other kids in the class. If a child has a physical impairment that is influencing his/her playing, walking, running, etc. Hurts himself or other children / appear to be aggressive  –  when children struggle with certain developmental skills they may become angry easily because of frustration.  Kids who have poor self-control/impulsivity often cannot control themselves physically when angry. Hyperactive child / child who fidgets / cannot sit still / talks non-stop – this child may have ADD or ADHD Children who turn the paper when drawing/colouring/writing – this may be because the child is avoiding to cross the imaginary midline of the body A complete occupational therapy assessment will be

June 12, 2015
Parenting Hub

Alternative Therapy For ADD / ADHD?

Neurofeedback is a non-invasive learning strategy that works to improve the brains ability to produce certain brainwaves without the need for medication. You can think of it as “exercise for the brain”. By creating awareness about your own brainwave characteristics, you can learn to change them. Neurofeedback instruments show the kind of waves a person is producing, making it possible for the individual to learn to change in ways that improve attention and facilitate learning. It is essentially self-regulation training ideally suited to those with ADHD, ADD and specific learning disabilities. What are brainwaves? Brainwaves are the electrical wave patterns found in every person’s brain. Through EEG technology we can determine the strength and frequency of brainwave activity as it flows through the different areas of the brain. Beta is the fastest brainwave and is produced during focused activities and is essential for attentiveness and learning. Alpha is a slightly slower brainwave and is associated with a relaxed yet alert state of mind. Theta is an even slower brainwave and is associated with dreaminess, relaxation and sleep. Research indicates that children with ADHD are less able to produce Beta activity and experience excessive slow wave activity. In fact, when challenged with academic tasks, such children show greater increases in Theta activity and a decrease in Beta readings. In order for your brain to concentrate and learn, your brain needs to emit a high level of Beta waves, which the ADHD child is unable to do. No wonder children with ADHD have trouble concentrating! Other children become increasingly anxious in exam situations, generating too much Beta activity which also interferes with the learning and retrieval process, creating increased levels of anxiety. Assessment & Treatment The assessment procedure begins when a teacher / parent becomes concerned about a child’s ability to concentrate and learn. A thorough evaluation must be carried out in order to determine whether the clinical picture is consistent with ADHD. A useful tool for Neurofeedback practitioners is the involvement of a QEEG (quantitative electroencephalogram – computerized EEG evaluation). If the pattern of ADHD brainwave activity is detected, and fits in with the clinical picture, Neurofeedback training can commence. Through Neurofeedback training it is possible to increase Beta and decrease Theta, allowing for more focused learning in most children. How does one “train your brain”? Much like a clinical EEG sensors / electrodes are placed on the child’s scalp and fed through an amplifier into a computer programme. The child then proceeds to play computer games or watch a movie, the only difference is that the child must use their own brainwaves to control the game / show. When the child is focused in the correct way i.e. producing the perfect amount of Beta and Theta brainwave activity, the game / movie will play, if not, the screen will fade and the brain will know to readjust. The treatment is non-invasive and does not involve any medication. Individuals learn to voluntarily control their brainwave activity through operant conditioning. Is this a cure for ADHD? Neurofeedback never claims to “cure” any diagnosis. The goals of Neurofeedback are to teach the child to become increasingly self-aware and to train the brain to be more flexible. The goal of Neurofeedback training is not to change the child, but to make the child more self-aware and provide tools for the brain to re-organise itself and quickly shift into a more focused mode when required. It is important to remember that as humans we operate within a system and, as with more traditional therapies, additional support and guidance will be needed to treat the person as a whole. With Neurofeedback the child can still be the person they are, but with increased focus and awareness and an ability to “change gears” without relying on medication, thereby learning valuable and lasting skills. What are the results? • Finishing tasks • Listening better • Less impulsivity • Greater motivation and focus • Higher self-esteem  

June 10, 2015
Parenting Hub

Understanding Your Child’s Concentration Problems

As the mid-year exams loom, children will write tests to measure how much they remember what they have learnt. Being able to concentrate in class is a critical step in the learning process and is fundamental for success at school. When a child struggles to concentrate, a worried teacher may approach parents to discuss types of intervention.  “When it comes to lack of concentration in the classroom, there are various options available to help learners to focus their attention better. The difficulty however, is knowing which one will really help your child,” says Susan du Plessis, Director of Educational Programmes at Edublox. A research study to test treatment of Attention Deficit Hyperactivity Disorder (ADHD) with prescription medication showed that “only 56% of the patients in the medication group met the definition of success at the end of treatment.”* Researchers list concerns about the use of such medication in children: side effects have been reported, for some serious and life-threatening; insufficient evidence of long-term efficacy of medication; and “symptoms of ADHD reappear after discontinuing drug treatment.” There are a variety of neurofeedback approaches offered for children with attention problems which claim to enhance concentration and optimise brain performance after multiple consultation sessions. In some cases devices like headbands are worn to measure blood oxygen levels in the brain; if these levels decrease below optimal performance when watching a DVD, the volume or brightness of the screen is reduced, sending feedback to the viewer that their concentration is waning. In 2013 the Journal of Clinical Psychiatry published the results of a clinical trial** that tested the efficacy of electroencephalographic (EEG) neurofeedback in reducing ADHD symptoms. Forty-one children between the ages of 8 and 15 years who were diagnosed with ADHD participated; one group received EEG neurofeedback treatment while a placebo group were given treatment with random feedback. If the results achieved in the placebo group are similar to the results achieved with the group who had proper treatment, it means that it was not the treatment that made them better. This was the result in the research study, and the researchers concluded that “EEG-neurofeedback was not superior to placebo-neurofeedback in improving ADHD.” Du Plessis explains that there are three types of attention: “When a child is easily distracted by a pencil falling off their desk or sounds outside the classroom window, they lack focused attention. Sustained attention is required to focus for long periods of time. Then there is divided attention,” says du Plessis, “which is quite similar to multi-tasking. It’s a higher-level skill where you have to perform two of more tasks at the same time. If the task is to write a story, a learner must be able to think about their characters and plot, as well as spelling and punctuation rules that apply.” Lack of concentration is often linked to poor memory, says du Plessis. Parents may think that their child has a concentration problem, du Plessis however cautions that the root cause is often a memory problem. Working memory is the cognitive system responsible for the temporary storage and manipulation of information. Du Plessis describes three other types of memory: “If a child struggles to copy work from the board into their workbook, they struggle with visual memory. If they find it difficult to remember a number of verbal instructions, their auditory memory may be weak.” Sequential memory, says du Plessis, is remembering the order in which events take place. There are practical cognitive development exercises that can be introduced in the context of a learning environment, which can help improve one’s memory and ability to concentrate with long-term results, says du Plessis. A research study conducted last year, sponsored by natural medicines company Flordis SA, and analysed by the Centre for Evaluation and Assessment at the University of Pretoria, showed a significant increase in focused attention among children who had participated in a five day cognitive development training course. The effect of such training on visual memory has also been examined in an unpublished study by Dr Jaiden May from the University of Johannesburg where children’s visual memory increased by 1.3 years after 22 hours of cognitive training. Du Plessis offers tips for parents looking for intervention programmes for their child: “Solve the cause of the concentration problem. Avoid programmes that operate in a secluded environment. Rather choose a programme that replicates a classroom because it is at school that your child’s concentration will eventually be tested.” In-house measures that track intervention performance are not sufficient, says du Plessis. “Intervention programmes should be based upon scientific research with proven results. Improved grades on a school report card are an excellent, unbiased indicator to show that an intervention programme is working.” There are a variety of ways to help your child improve their attention and memory at home, says du Plessis. “Parents can help their child improve sequential memory by asking them to re-tell a story that they have just listened to.” The Stroop Test helps improve divided attention. Du Plessis explains, “The test is to look at the words and say the colour of each word. You will struggle at first because you’re more likely to read the word.” Images for the ‘Stroop Test’ can be found by conducting an online search, an example of one is illustrated below. Edublox are leading specialists in cognitive development with 22 reading and learning clinics across the country. Edublox offers multisensory cognitive training, aimed at developing and automatising the foundational skills of reading, spelling and Mathematics. For more information about Edublox visit www.edublox.co.za.   * http://repository.ubn.ru.nl/bitstream/handle/2066/125153/125153.pdf ** http://www.ncbi.nlm.nih.gov/m/pubmed/24021501/  

June 9, 2015
Parenting Hub

ADHD And The Foods We Eat

ADHD: The most common childhood disease ADHD is the most commonly diagnosed childhood disease and is said to affect approximately 10% of the South African population. It could be present from birth (often not recognised) or early childhood and usually persists into adulthood. It is often undiagnosed in adult, which is an unfortunate oversight, since appropriate treatment helps control symptoms and improves quality of life. The term ADHD denotes Attention Deficit Disorder with &/or without hyperactivity & has been used to describe both ADD and ADHD as well as all aspects of the condition more accurately. ADHD is a chronic condition of the brain that makes it hard for those affected to control their behaviour. According to the American National Institute of Mental Health, two to three times more boys than girls are affected by the disorder and the reason for this is uncertain. Problems generally associated with ADHD include inattention, hyperactivity and impulsive behaviour. This can affects nearly all aspects of life. How can I tell if my child has ADHD? Most specialists believe that a child shouldn’t receive a diagnosis of ADHD unless the core symptoms of ADHD appear early in life and create significant problems at home and at school on an ongoing basis. Ideally ADHD should be assessed and diagnosed by a multi-disciplinary team. As there is no proven diagnostic test for ADHD at this time, a clinical diagnosis is usually made by a paediatrician based on specific criteria. It is a process that involves several steps and it requires information on behaviour. Information is required form parents, teachers, carers, health professionals for an official diagnosis to be made. In most children with ADHD, a diagnosis are made from the age of 5 – 7 years (formative school-going age), although some of the symptoms could be present from birth. These symptoms must significantly affect a child’s ability to function in at least two areas of life – typically at school and at home. It is important that the symptoms, be present for a period of more than six months in all situations. This helps ensure that the problem isn’t with only a particular teacher or with their parents. Most children with ADHD don’t have all the signs and symptoms of the disorder, and they may be different in boys and girls. Boys are often more likely to be hyperactive and girls tend to be inattentive. In addition, girls who have trouble paying attention often daydream, but inattentive boys are more likely to play or fiddle aimlessly. Boys also tend to be less compliant with teachers and other adults, so their behaviour is often more conspicuous. What causes ADHD? Parents often blame themselves when a child has been diagnosed with ADHD. However, the cause of ADHD is at present still unknown. Experts are investigating a number of genetic and environmental causative factors – some of these theories have led to dead ends, some to exciting new avenues: Altered brain function & anatomy: There is an imbalance of certain neurotransmitters or poor nerve communication and transport in certain parts of the brain. Genetics (70-80% of cases): There is great deal of evidence that ADHD runs in families and if one person in a family is diagnosed with ADHD there is a 25-35% probability that another family member also has ADHD. Exposure to toxins such as cigarettes and alcohol during pregnancy, high levels of lead in the bodies of children. Brain injury: only small percentage of children with ADHD has been found to have suffered from traumatic brain injury. There is no clear answer! What we do know is that ADHD is a condition of the brain, likely caused by unknown factors which influence nerve communication and transport in certain parts of the brain, which has a strong genetic basis. Common misconceptions:  Food additives and sugar has long been controversial. Some research suggests that artificial colourings and preservatives may be associated with hyperactivity in children. But an association is not the same as a proven “cause-effect” relationship. There is no proof that food additives cause ADHD. Poor parenting, family problems, excessive TV watching, poor teachers and schools, food allergies or excessive sugar intake are not thought to cause ADHD. These environmental factors may contribute and worsen ADHD symptoms though but are not the cause. How is ADHD treated? Optimal treatment is still a matter of debate and every family wants to determine what treatments will be the most effective. It is thought that lifestyle can either reduce or strongly exaggerate symptoms of ADHD. Clinical experience has shown that the most effective treatment for ADHD is a combination of: Medication, when necessary Dietary intervention The correct supplementation of vitamins and minerals Exercise Therapy and counselling to learn coping skills and adaptive behaviours Medication  There is a wide range of medications available, the most common being Ritalin, Dexedrine, Adderall, Concerta. Medication does not cure ADHD. The role of medication is to control the symptoms when taken and works effectively in 70% of ADHD cases. Each medication has its negatives. The most likely side-effects include reduced appetite, corresponding weight loss, headaches, nervousness, irritability, tummy aches, nausea & vomiting, sleep disturbances. It is found that 30% of cases don’t respond or do not tolerate prescribed medication for ADHD. In these cases there is no other option then to opt for dietary treatment. Diet and ADHD Each child requires an individual approach. Helping a child with ADHD is like trying to solve a jigsaw puzzle. Puzzle pieces might include low iron status, poor diet, essential fatty acid deficiencies, magnesium deficiency, zinc deficiency, sensitivity to food stuffs such as artificial colourants, flavourants and preservatives. Remember each child is a unique puzzle with different puzzle pieces. It is therefore essential to consult a dietitian specialising in the field. Diet in itself does not cause ADHD but can worsen the symptoms. Diet modification however does play a major role in the management of ADHD and the associated symptoms. When dietary changes are made the results could

March 26, 2015
Parenting Hub

ADD And ADHD In Adolescence

Adolescence is the period in a child’s life which is filled with much turmoil and changes. Not only are there physical changes (including hormonal) but an emotional shift where the youngster has to grapple with several of the following: Acquiring a feeling of identity (self-identity such as “who am I”; social identity such as “which group/s do I belong” and certainty about his/her own values and ideals “where am I going with my life”). In establishing an identity for themselves, the adolescent phase is characterised by experimentation and rebelliousness, which leads to conflict with parents mostly about authority and decision-making. Being acknowledged by peers as well as being accepted by them (fitting in). Concerns and worries about school, exams and careers after school. Foray into romantic relationships with accompanying insecurities etc. During a youngster’s development from childhood to adolescence it becomes common for the symptom pattern of ADD/ADHD to change, most notably by a decrease in hyperactivity. Nevertheless, difficulties with attention and impulsivity remain. It was thought that ADHD tends to “burn out” by the time children reach adolescence and rarely continues into adulthood, however research suggests that this is not the case. Other difficulties that can appear for an adolescent suffering from ADD/ADHD over and above the usual teen concerns are: Adolescents with ADHD often feel “different” from others and they may become socially isolated, especially if they are impulsive and act before they think without due consideration for the feelings of others. They may also still carry the remnants of a lowered self-esteem developed in childhood as a consequence of ADHD. Remember that children and adolescents that have been diagnosed with ADD/ADHD would have experienced the gamut of difficulties on an academic, social and personal front. Low self-esteem may lead to a teenager refusing medication, avoiding educational or other activities and be more vulnerable to peer pressure in order to fit in. They may also lack motivation as they could have internalised that they are not as competent as their peers. Difficulties with focusing, organizing and long-term planning usually pose a difficulty for the ADHD adolescent as the workload at school increases and becomes more complex. As a result adolescents may have difficulty completing tasks, taking good notes, being able to prioritize important tasks and apply adequate study methods for tests and examinations. Adolescents with ADD/ADHD are to some extent more likely to experiment with undesirable behaviours at an earlier age because of their impulsivity and not considering the consequences of their actions. Usually teenagers tend to develop new strengths that help them with decision making, consequently, their ability to think long term, resist instant gratification and regulate their own behaviour does improve. The teenagers with ADHD, however, are simply likely to lag behind in these areas. Therefore, teenagers with ADHD have much more of a harder time regulating their impulses, even when they know their behaviour is destructive. As such, impulsiveness can potentially lead to substance abuse, aggressive acting out, unprotected sex, promiscuity, reckless driving or any other high-risk activity. Like all teenagers, the need for acceptance and to “fit in” is substantial. Some teenagers with ADHD will be more at risk of becoming the “class clown” or becoming the “most rebellious” or the “outrageous” one to get some attention and acknowledgement from their peers. On the whole, ADD/ADHD is a complex disorder and usually there are accompanying conditions such as depression, learning difficulties, anger and anxiety which can affect adolescents with ADD/ADHD in widely contrasting ways. Sandton Psychology Centre has psychologists that work with adolescent difficulties and issues. It may become necessary for a parent to seek professional assistance for their teenager during this period. Adolescents will likely benefit from psychological intervention that will teach them how to deal with impulsive behaviour, difficulty with remaining focused and/or organisational skills, long-term planning and low self-esteem which are all aspects related to ADHD

March 2, 2015
Edublox - Reading & Learning Clinic

What Is Dyslexia Really? Part 2

Di dunia kini kita, tiap orang harus dapat membaca…. Unless one has FIRST learned to speak Bahasa Indonesia, there is no way that one would be able to read the above Indonesian sentence. This shows that language is at the very bottom of the reading ladder. Its role in reading can be compared to the role of running in the game of soccer, or ice-skating in the game of ice hockey. One cannot play soccer if one cannot run, and one cannot play ice hockey if one cannot skate. One cannot read a book in a language – and least of all write – unless one knows the particular language. If a child’s knowledge of English is poor, then his reading will also be poor. Evidence that links reading problems and language problems has been extensively presented in the literature. Research has, for example, shown that about 60 percent of dyslexics were late talkers. In order to prevent later reading problems, parents must therefore ensure that a child is exposed to sufficient opportunities to learn language. The second rung consists of cognitive skills While language skills comprise the first rung of the reading ladder, cognitive skills comprise the second. There is a whole conglomeration of cognitive skills that are foundational to reading and spelling. Attention “Everyone knows what attention is,” wrote William James in his Principles of Psychology (1890). “It is the taking of possession by the mind in clear and vivid form, of one out of what seem several simultaneously possible objects or trains of thought… It implies withdrawal from some things in order to deal effectively with others, and is a condition which has a real opposite in the confused, dazed, scatterbrained state.” Needless to say, attention or concentration (the words attention and concentration are used synonymously) plays a critical role in learning. Focussed attention is the behavioural and cognitive process of selectively concentrating on one aspect of the environment while ignoring other things, while sustained attention refers to the state in which attention must be maintained over time. Both are important foundational skills of reading. Because attention is so important for reading, ADHD and dyslexia commonly co-occur. Approximately 25 percent of children who are diagnosed with ADHD, a learning difficulty known to affect concentration, are also dyslexic. Visual perception Visual perception plays a significant role in school learning, particularly in reading. Visual perceptual deficit refers to a reduced ability to make sense of information taken in through the eyes. This is different from problems involving sight or sharpness of vision. Difficulties with visual perception affect how visual information is interpreted or processed. The person may have a difficulty to discriminate in terms of foreground-background, forms, size, and position in space. He may also be unable to synthesise and analyse. Foreground-background differentiation involves the ability to focus on selected objects and screen out or ignore the irrelevant ones. The child experiencing a difficulty in this area is unable to recognise an object which is surrounded by others. For example, the child cannot locate a ball in a picture of several toys, or a word in a word-find puzzle. Form discrimination: Whether it is to differentiate a circle from a square, or the letter B from P, the ability to perceive the shapes of objects and pictures is an important skill for the developing child to acquire. There is hardly an academic activity that does not require the child to engage in form discrimination. The most obvious classroom activity requiring the child to discriminate forms is that of reading. The learning of the letters of the alphabet, syllables, and words will undoubtedly be impeded if there is difficulty in perceiving the form of the letters, syllables, and words. That the discrimination of letters is a crucial skill in the early stages of reading is evidenced by an extensive literature review conducted by Chall (1967). She concluded that the letter knowledge of young children is a better predictor of early reading ability than the various tests of intelligence and language ability. Size discrimination: Capital letters, being used at the start of a sentence, sometimes look exactly the same as their lowercase counterparts, and must therefore be discriminated mainly with regard to size. A person who is unable to interpret size may, for example, find it difficult to distinguish between a capital letter C and a lowercase c. Spatial relations refer to the position of objects in space. It also refers to the ability to accurately perceive objects in space with reference to other objects. A person with a spatial problem may find it difficult to distinguish letters like b, d, p, and q. Synthesis and analysis: Synthesis refers to the ability to perceive individual parts as a whole, while analysis refers to perceiving the whole in its individual parts. Synthesis plays an important role in reading, whereas analysis is of special importance in spelling. Auditory perception Myklebust defines auditory perception as the ability to “structure the auditory world and select those sounds which are immediately pertinent to adjustment.” Berry and Eisenson state that children with auditory perceptual deficits can hear sounds but are unable to recognise them for meaning. Defined as the ability to recognise or interpret what is heard, auditory perception plays as important a role as visual perception in reading. Problems with auditory perception generally correspond to those in the visual area and are presented under the following components: Auditory foreground-background differentiation refers to the ability to select and attend to relevant auditory stimuli and ignore the irrelevant. The child who has a difficulty in this area is unable to make such differentiation. As a consequence, everything heard is attended to equally. Thus, the teacher’s voice is lost in the background noises of other children’s whispers, or the voices in the corridor, or the traffic sounds coming from the street. Auditory discrimination refers to the ability to hear similarities and differences between sounds. The child who has a problem in this area is unable to identify gross

November 18, 2014
Parenting Hub

What Is Dyslexia Really? Part 1

The term dyslexia was coined from the Greek words dys, meaning ill or difficult, and lexis, meaning word. Spelling and writing, due to their close relationship with reading, are usually also included. According to popular belief dyslexia is a neurological disorder in the brain that causes information to be processed and interpreted differently, resulting in reading difficulties. Historically, the dyslexia label has been assigned to learners who are bright, even verbally articulate, but who struggle with reading; in short, whose high IQs mismatch their low reading scores. When children are not as bright, their reading troubles have been chalked up to their general intellectual limitations. What does it look and sound like? One of the most obvious tell-tale signs is reversals. People with this kind of problem often confuse letters like b and d, either when reading or when writing, or they sometimes read (or write) words like “rat” for “tar,” or “won” for “now.” Another sure sign is elisions – that is when a person sometimes reads or writes “cat” when the word is actually “cart.” The person may read very slowly and hesitantly, read without fluency, word by word, or may constantly lose his place, thereby leaving out whole chunks or reading the same passage twice. The person may try to sound out the letters of the word, but then be unable to say the correct word. For example, he may sound the letters “c-a-t” but then say “cold.” He may read or write the letters of a word in the wrong order, like “left” for “felt,” or the syllables in the wrong order, like “emeny” for “enemy,” or words in the wrong order, like “are there” for “there are.” He may spell words as they sound, for example “rite” for “right.” He may read with poor comprehension, or it may be that he remembers little of what he reads. The person may have a poor and/or slow handwriting. Some misconceptions Because of the erroneous belief that the brain cannot change, it was historically believed that dyslexia is “incurable”: “Dyslexia is like alcoholism … it can never be cured” (Clark, M., & Gosnell, M., “Dealing with dyslexia,” Newsweek, 22 March 1982, 55-56.) Advocacy groups, in the rush to generate public awareness for the condition of dyslexia, with the cooperation of a compliant media, have perpetuated the belief that a host of famous individuals such as Albert Einstein, Leonardo da Vinci, Thomas Edison, Walt Disney, Winston Churchill and Hans Christian Andersen were dyslexic. The folk myth – the “affliction of the geniuses” – continues to be spread despite the fact that knowledge of the definition of dyslexia and the reading of any standard biographies would immediately reveal the inaccuracy of many such claims. For example, as educational psychologist Dr Coles points out, Einstein’s reading of Kant and Darwin at age thirteen is hardly representative of individuals who are currently labelled dyslexic. New technology sheds new light By the turn of this century, the advancement in technology has made it possible for scientists to see inside the brain, resulting in the knowledge that the brain is plastic. New connections can form and the internal structure of the existing synapses can change. New neurons, also called nerve cells, are constantly being born, particularly in the learning and memory centres. A person who becomes an expert in a specific domain, will have growth in the areas of the brain that are involved with their particular skill. Even if the left hemisphere of a person’s brain is severely injured (in 95% of people the left hemisphere controls the capacity to understand and generate language), the right side of the brain can take over some language functions. With fMRI-scans et cetera it has now been confirmed that – as was always suspected – there are indeed differences between the brains of dyslexic persons and good readers. More and more research studies, however, suggest that the cause-effect relationship should be reversed, i.e. that these differences might not be the cause, but the effect of the reading difficulty. Using brain imaging scans, neuroscientist John D. E. Gabrieli at the Massachusetts Institute of Technology have found that there was no difference between the way poor readers with or without dyslexia think while reading. The study conducted by Dr Gabrieli involved 131 children, aged 7 to 16. Following a simple reading test and an IQ measure, each child was assigned to one of three groups: typical readers with typical IQs, poor readers with typical IQs, and poor readers with low IQs. During the test, researchers used functional magnetic resonance imaging (fMRI) to observe the activity in six brain regions identified as being important in connecting print and sound. The results indicated that poor readers of all IQ levels showed significantly less brain activity in the six observed areas than typical readers. But there was no difference in the brains of the poor readers, regardless of their IQs. Another study, published online in the Journal of Neuroscience, researchers analysed the brains of children with dyslexia and compared them with two other groups of children: an age-matched group without dyslexia and a group of younger children who had the same reading level as the children with dyslexia. Although the children with dyslexia had less grey matter than age-matched children without dyslexia, they had the same amount of grey matter as the younger children at the same reading level. Lead author Anthony Krafnick said this suggests that the anatomical differences reported in left-hemisphere language-processing regions of the brain appear to be a consequence of reading experience as opposed to a cause of dyslexia. One must also consider that neurological differences do not equal neurological disorders and disabilities. We now also know that there are differences between the brains of people who can juggle and people who cannot juggle, between the brains of people who can play a musical instrument and people who cannot play a musical instrument. Then logically there will be differences between the brains of people who read

November 13, 2014
Parenting Hub

ADHD and Diet – is there a link and what should parents of a child with ADHD consider?

What is ADHD? Attention-deficit/hyperactivity disorder (ADHD) is a syndrome diagnosed in many children. The exact percentage of children with ADHD is not known but figures are estimated at about 3-5% of school age children¸ with the incidence being slightly higher in boys. The main symptoms of ADHD are reduced attentiveness and concentration, excessive levels of activity, distractibility and impulsiveness. Some children may be affected by other behavioural problems. Sometimes children outgrow the symptoms or learn to control them; in some cases symptoms may persist into adulthood. ADHD can have a significant effect on families particularly when a child’s ability to learn is compromised. This can have a knock on effect on the child’s self-esteem and put stress on the rest of the family particularly when the child has difficulty focussing on essential activities or controlling impulsive behaviour. Is there a link with diet? For some time there has been much controversy regarding whether or not diet can trigger symptoms of ADHD. It was first suggested by Feingold in the mid-1970s that there was a possibility that food additives and natural food constituents could affect children’s behaviour, particularly those with ADHD. Scientists began to look into the theory with further research being conducted. Unfortunately many of the studies are small or flawed, and thus there is little consensus about how such additives might contribute to ADHD symptoms. Artificial additives… Recently the link between diet and additives has been explored in a study in Britain. The results of this study led the UK’s Food Standards Agency to urge food manufacturers to remove six artificial colouring agents from food marketed to children in Britain.  They looked at the effects of the preservative sodium benzoate (E211) and six artificial food colourings on hyperactivity in 153 preschoolers (3 years old) and 144 students (8 or 9 years old). For six weeks, the children consumed foods and drinks free of sodium benzoate and the six colouring agents. At certain intervals, the children consumed plain juice or juice containing one of two additive mixes every day for a week. Mix A contained the preservative plus the colourings sunset yellow (E110), carmoisine (E122), tartrazine (E102), and ponceau 4R (E124); mix B contained the preservative plus sunset yellow(e110), carmoisine (E122), quinoline yellow (E104), and allura red AC (E129).  The investigators found a mild but significant increase in hyperactivity in both age groups of children, regardless of baseline hyperactivity levels during the weeks when they consumed drinks containing artificial colours. Sugar… With the belief by some parents and health professionals that refined sugars trigger hyper-activity, the evidence for this has also been reviewed; however assessing the effect of “sugars” on behaviour can be tricky as there are several different types of sugar added to foods, for example: sucrose, glucose and fructose. Unfortunately there are only a few reliable studies that have been conducted. The studies show that sugars may affect a small number of children. We do know that these days in some cases children are having well over double the recommended daily added sugar intake and so to avoid excess empty calories if for no other reason, families should be aiming for a reduced added sugar intake. Omega-3’s… Because fatty acids perform a number of functions in the brain, including helping brain cells to communicate, researchers have explored whether a deficiency of omega-3 fats might contribute to symptoms of ADHD. There are some studies which do show an improvement, none have definitively resolved the question of whether omega-3 or omega-6 supplements might help children with ADHD. Further studies are being conducted to explore this. Where does this leave the parent of a child with ADHD? Getting to the bottom of whether you child’s behaviour is affected by diet, can be tricky but not impossible. One of the most important principles to remember is to choose a balanced diet with the correct proportion of macronutrients and micronutrients from meats, wholegrain starches, dairy, fresh fruit & vegetables and the good oils like olive and canola. This will ensure that your child’s diet is providing an optimal source of all the important nutrients and prevent any deficiencies which might exacerbate symptoms of ADHD. Choose wholegrain cereals as the basis for meals. These will provide slow release energy and prevent any peaks and troughs in sugar levels which can also affect moods and behaviour. Whole-grains are also rich in b-complex vitamin and minerals Choose wholegrain and rye breads, cereals, pastas and rice instead of sugary cereals and refined breads Have meat or meat alternatives twice per day, a portion roughly size of your child’s palm Try to serve oily fish twice a week to optimise intake of omega-3’s Try homemade salmon fish cakes or a sardine pate Opt for fresh fruits fruit, milk or yoghurt and nuts as snacks between meals These provide slow release energy and are a great source of good fats and minerals Try fruit kebabs or a homemade fruit smoothie Avoid excess sugar Excess refined carbs in the form of excess sugar leads to excess energy which will need to be expended or stored somewhere!!! Avoid carbonated beverages, fruit juices, cordials, sweets, chocolates, cakes and biscuits – have as a treats on special occasions or a day of the week rather than every day Consider an exclusion diet if necessary Preferably do with dietetic and/or medical supervision Look at avoiding additives particularly in the form of artificial E-numbers (E102, 104, 110, 122, 124, E129) & sodium benzoate (E211) as well as other more specific foods like chocolate if necessary. In certain cases an appropriate option might be a few foods diet with gradual re-introduction of foods to determine if any are causing symptoms. REFERENCES: McCann et al (2007) The Lancet DOI:10.1016/S0140-6736(07)61306-3 : Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children in the community: a randomised, double-blinded, placebo-controlled trial Diet & ADHD Behaviour CSPI Review (1999)

October 13, 2014
Parenting Hub

ADHD?

“There was a little girl who had a little curl Right in the middle of her forehead. When she was good she was very, very good, And when she was bad She was diagnosed with Attention Deficit Hyperactivity Disorder.” This is quote from the British Satirical Magazine, Private Eye. Amusing maybe but also very sad, and makes me wonder how often a perfectly normal child is diagnosed with ADHD. Ritalin Deficiency? ADHD is characterized by impulsive behavior, inability to concentrate, short attention span, ease of distraction, and hyperactivity. The number-one drug used to treat ADHD is Ritalin, a central nervous system stimulant. Is it possible we are breeding a new generation of children who are Ritalin deficient? Highly unlikely. Try this theory rather: ADHD is caused by the food that children of this generation are putting into their mouths. How do we expect a child to have normal behaviour if he is fed refined grains, sugars, processed foods loaded with chemicals, juices and fizzy drinks? Then add to that 90 percent fewer vegetables than required along with an overabundance of omega-6 fats and a virtual lack of omega-3 fats. Fish oil does it again A study by the University of Adelaide in Australia found that fish oil improves the symptoms of ADHD more effectively than drugs like Ritalin and Concerta and without any of the side effects. When 130 children between the ages of 7 and 12 with ADHD were given fish oil capsules daily, behaviour dramatically improved within three months. Furthermore, after seven months, the children were not as restless and showed improvements at school in concentration and attention, reading abilities and vocabulary. When the researchers compared their results to studies of Ritalin and Concerta for ADHD, they found that fish oils were more effective. This poses the question: “Why treat millions of ADHD kids with drugs more powerful than cocaine when a simple food change is far more effective?” – I leave that one for you to think about. The Cleverness Capsule The Daily Mail reported the following on 10 May 2005: “Jamie Oliver may be responsible for revolutionising school dinners, but now it seems one simple change to children’s diet could not only boost their brain power but also make them better behaved.  A major new study found that adaily dose of fish oil supplements had a dramatic effect on the abilities of underachieving children in Durham.” Apart from the fact that parents reported a significant improvement in their behaviour, after just three months on the fish oils, they were reading at18 monthsabove their age.In addition, most of the pupils showed a 10 – 20% improvement in memory. The supplement was also given to children without behavioural or learning difficulties and in some of these cases a dramatic and even immediate effect was reported. Numerous studies Numerous studies conducted in all parts of the world on the effect of supplementing with Omega-3 from fish oils have shown similar results leaving a strong suggestion that some children with developmental problems, including ADHD and dyslexia, can benefit from taking omega-3 supplements. And no adverse effects have been reported to date. Researchers believe that fish oil works via effects on brain function. You simply cannot have a healthy functioning brain in a child that is not given the proper ingredients to develop optimal brain function. What else is needed? If you have a child with learning or behavioural difficulties, before you allow him or her to be labeled ADHD and placed on Ritalin, it may be worth giving fish oil a chance. However this will need to go hand-in–hand with a healthy diet and a good multivitamin and mineral supplement. All the fish oil in the world is not going to help a child who is still being fed junk food.

July 14, 2014
Parenting Hub

Dyslexia Symptoms and Signs: How to Recognize Dyslexia

“Deer momee and dadee I bo not wont to do to shool eny more becouse the children ar lafing at me. I canot reed pleese help me your sun david” David is not a dunce. In fact, according to the evaluations of a few professionals, he is rather intelligent. Yet he certainly has a problem, and he shares his problem with millions of other children and adults. David is dyslexic. The term “dyslexia” was introduced in 1884 by the German ophthalmologist, R. Berlin. He coined it from the Greek words dys meaning ill or difficult and lexis meaning word, and used it to describe a specific disturbance of reading in the absence of pathological conditions in the visual organs. In a later publication, in 1887, Berlin stated that dyslexia, “presuming right handedness,” is caused by a left-sided cerebral lesion. He spoke of “word-blindness” and detailed his observations with six patients with brain lesions who had full command over verbal communications but had lost the ability to read. In the century to follow the narrow definition Berlin attached to the term dyslexia would broaden. Today the term dyslexia is frequently used to refer to a “normal” child — or adult — who seems much brighter than what his reading and written work suggest. While the term is mostly used to describe a severe reading problem, there has been little agreement in the literature or in practice concerning the definition of severe or the specific distinguishing characteristics that differentiate dyslexia from other reading problems. Instead of getting involved in the wrangling over a definition, one could simply use the “symptoms” below as an indication that a child has a reading problem and therefore needs help. DIRECTIONAL CONFUSION Directional confusion may take a number of forms, from being uncertain of which is left and right to being unable to read a map accurately, says Dr. Beve Hornsby in her book Overcoming Dyslexia. A child should know his left and right by the age of five, and be able to distinguish someone else’s by the age of seven. Directional confusion affects other concepts such as up and down, top and bottom, compass directions, keeping one’s place when playing games, being able to copy the gym teacher’s movements when he is facing you, and so on. As many as eight out of ten severely dyslexic children have directional confusion. The percentage is lower for those with a mild condition, she says. Directional confusion is the reason for reversing of letters, whole words or numbers, or for so-called mirror writing. The following symptoms indicate directional confusion: The dyslexic may reverse letters like b and d, or p and q, either when reading or writing. He may invert letters, reading or writing n as u, m as w, d as q, p as b, f as t. He may read or write words like no for on, rat for tar, won for now, saw for was. He may read or write 17 for 71. He may mirror write letters, numbers and words. SEQUENCING DIFFICULTIES Many dyslexics have trouble with sequencing, i.e. perceiving something in sequence and also remembering the sequence. Naturally this will affect their ability to read and spell correctly. After all, every word consists of letters in a specific sequence. In order to read one has to perceive the letters in sequence, and also remember what word is represented by the sequence of letters in question. By simply changing the sequence of the letters in name, it can become mean or amen. The following are a few of the dyslexia symptoms that indicate sequencing difficulties: When reading, the dyslexic may put letters in the wrong order, reading felt as left, act as cat, reserve as reverse, expect as except. He may put syllables in the wrong order, reading animal as ‘aminal’, enemy as ’emeny’. He may put words in the wrong order, reading are there for there are. The dyslexic may write letters in the wrong order, spelling Simon as ‘Siomn’, time as ‘tiem’, child as ‘chidl’. He may omit letters, i.e. reading or writing cat for cart, wet for went, sing for string. Dyslexics may also have trouble remembering the order of the alphabet, strings of numbers, for example telephone numbers, the months of a year, the seasons, and events in the day. Younger children may also find it hard to remember the days of the week. Some are unable to repeat longer words orally without getting the syllables in the wrong order, for example words like preliminary and statistical. DIFFICULTIES WITH THE LITTLE WORDS A frequent comment made by parents of children struggling with their reading is, “He is so careless, he gets the big difficult words, but keeps making silly mistakes on all the little ones.” Certainly, the poor reader gets stuck on difficult words, but many do seem to make things worse by making mistakes on simple words they should be able to manage — like ‘if’, ‘to’, ‘and’. The following are indications of problems with the little words: Misreads little words, such as a for and, the for a, from for for, then for there, were for with. Omits or reads twice little words like the, and, but, in. Adds little words which do not appear in the text. It is important to note that this is extremely common, and not a sign that a child is particularly careless or lazy. LATE TALKING Research has revealed a dramatic link between the abnormal development of spoken language and learning disabilities such as dyslexia. The following are just a few examples: A study in 1970 of Doctor Renate Valtin of Germany, based on one hundred pairs of dyslexic and normal children, found indications of backwardness in speech development and a greater frequency of speech disturbances among dyslexics than among normal children. According to Doctor Beve Hornsby, author of Overcoming Dyslexia, about 60 percent of dyslexics were late talkers. In her book Learning Disabilities, author Janet Lerner states, “language problems of one

April 27, 2014
Parenting Hub

Is Dyslexia a Brain Dysfunction? An Alternative Interpretation of the Facts

Research indicates that the dyslexic’s brain differs from that of a “normal” reader. Does this mean that dyslexia is caused by a neurological dysfunction or is there an alternative interpretation that explains these differences? Many methods and measuring instruments have so far been employed to either prove or disprove that dyslexia has a biological basis, ranging from autopsies on the brains of deceased dyslexics, to advanced technological tools such as the computerized axial tomography (CAT) scan, magnetic resonance (MR) imaging, functional magnetic resonance imaging (fMRI), positron emission tomography (PET), and single photon emission computerized tomography (SPECT). While researchers still differ in opinion about the affected brain area(s), the majority nowadays agrees that the dyslexic’s brain differs from that of a “normal” reader. Booth and Burman found that people with dyslexia have less gray matter in the left parietotemporal area than nondyslexic individuals. Deutsch et al. found that many people with dyslexia also have less white matter in this same area than average readers, which is important because more white matter is correlated with increased reading skill. Having less white matter could lessen the ability or efficiency of the regions of the brain to communicate with one another. Using functional magnetic resonance imaging (fMRI), NIH scientists Guinevere Eden, D.Phil., and colleagues demonstrated in a small controlled study of adult males that people with dyslexia showed no activation in the V5/MT brain area, which specializes in movement perception. Dr. Eden’s research confirms that people with dyslexia, hobbled by problems with reading, writing, and spelling, have trouble processing specific visual information. “We found that maps of brain activity measured while subjects were given a visual task of looking at moving dots were very different in individuals with dyslexia compared to normal control subjects,” said Dr. Eden. The control subjects showed robust activity in brain region V5/MT when viewing a moving dot pattern. Almost no activity was present in those areas in people with dyslexia. The problem is that such observations have to be interpreted, especially in relation to the question of cause and effect. Which of the two, the brain differences or the reading disability, is the cause and which one is the effect? Because of the biological determinists’ reluctance to recognize that the environment can affect brain function and structure, they assume that these differences must be the cause and the reading disability the result. Some maintain that the brain develops in definite stages. They call these stages “critical periods” in brain development: if you haven’t learned the skill by then, you never will. They maintain that this is because as the brain develops, certain circuits are set up which cannot be changed. We, however, hypothesize that dyslexia causes differences in brain function and structure, and that the brain structure and function will change if the dyslexic person is taught to read properly. A logical point of departure for such an argument would be to first establish if brain function and structure could be altered. There is ample confirmation in the literature that indeed it can. The Brain CAN Change, Experts Say In 1979 already, in an article in the Journal of Learning Disabilities, Doctors Marianne Frostig and Phyllis Maslow stated, “Neuropsychological research has demonstrated that environmental conditions, including education, affect brain structure and functioning.” In their book Brain, Mind, and Behavior Floyd E. Bloom, a neuropharmacologist, and Arlyne Lazerson, a professional writer specializing in psychology, state, “Experience [learning] can cause physical modifications in the brain.” This is confirmed by Michael Merzenich of the University of San Francisco. His work on brain plasticity shows that, while areas of the brain are designated for specific purposes, brain cells and cortical maps do change in response to experience (learning). Recently, German researchers found that juggling increases the size of your brain. Arne May, neurologist at the University of Regensburg, and colleagues asked 12 people in their early 20s, most of them women, to learn a classic three-ball juggling trick over three months until they could sustain a performance for at least a minute. Another 12 were a control group who did not juggle. All the volunteers were given a brain scan with magnetic resonance imaging at the start of the program, and a second after three months. After this, the juggling group was told not to practice their skills at all for three months, and then a third scan was taken of all 24 volunteers. The scans found that learning to juggle increased by about three percent the volume of gray matter in the mid-temporal area and left posterior intra-parietal sulcus, which are parts of the left hemisphere of the brain that process data from visual motion. Students who had not undergone juggling training showed no such change. After the third scan, by which time many recruits had forgotten how to juggle, the increases in gray matter had partly subsided. “Our results contradict the traditionally held view that the anatomical structure of the adult human brain does not alter, except for changes in morphology caused by aging or pathological conditions,” their study says. Researchers at University College London studied the brains of 105 people, 80 of whom were bilingual, and found that learning a new language altered gray matter the same way exercise builds muscles. Gaser and Schlaug found gray matter volume differences in motor, auditory, and visual-spatial brain regions when comparing professional musicians with a matched group of amateur musicians and non-musicians. Gray matter (cortex) volume was highest in professional musicians, intermediate in amateur musicians, and lowest in non-musicians. It seems that, while stimulation causes brain growth on the one hand, the lack of stimulation, on the other hand, causes a lack of brain growth. Doctors Bruce D. Perry and Ronnie Pollard, two researchers at Baylor College of Medicine, found that children raised in severely isolated conditions, where they had minimal exposure to language, touch and social interactions, developed brains 20 to 30 percent smaller than normal for their age. Let us now theorize on these findings and compare the development of

March 6, 2014
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