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Learning Difficulty in Children




Learning Difficulty in Children

Learning Difficulty in Children

“Struggling at school does not mean a child is not intelligent”

Children learn in different ways and at different speeds. Some may struggle mainly with reading, writing or mathematics, while others may have difficulties with attention, language, memory, organisation or processing information.

A learning difficulty is not a measure of intelligence. A child may have significant academic difficulties while having many other areas of strength.

The important question is not simply “Is my child doing badly at school?” but rather “Why is my child finding learning difficult, and what support do they need?”

Common Areas of Learning Difficulty

Academic Skills

Reading, Writing & Mathematics

Some children may have persistent difficulties with reading, spelling, written expression or mathematics.

Learning Processes

Attention, Memory & Processing

Difficulties with attention, memory, organisation or processing information may also affect how a child learns.

Learning Difficulty Does Not Mean Low Intelligence

A child may struggle significantly with reading, writing or mathematics while having strengths in other areas such as creativity, problem-solving, music, sports or verbal communication.

Academic performance alone does not provide a complete picture of a child's abilities or potential.

What is Specific Learning Disorder (SLD)?

Specific Learning Disorder is a neurodevelopmental condition involving persistent difficulties learning and using academic skills such as reading, written expression or mathematics.

The difficulties significantly affect school or everyday functioning and are not better explained by other factors.

What is Dyslexia?

Dyslexia is primarily associated with difficulties in accurate and fluent word reading, decoding and spelling, with phonological processing being an important underlying difficulty.

Dyslexia is not simply a problem of seeing letters backwards.

Letter or word reversals can occur in young children, but they are not the defining feature of dyslexia.

Common Signs of Learning Difficulties

  • Persistent difficulty with reading, spelling, writing or mathematics
  • Slow completion of schoolwork
  • Difficulty remembering letter-sound relationships or sequences
  • Avoiding reading or schoolwork
  • Performance that seems lower than the child's apparent ability
  • Difficulty developing fluent reading or accurate spelling
  • Difficulty following or remembering instructions
  • Concerns about attention, memory or organisation

When Should My Child Be Assessed?

Consider an assessment when difficulties persist despite appropriate teaching and support, academic skills are significantly behind expectations, teachers have ongoing concerns, or your child's school performance does not match their apparent abilities.

Assessment is also useful when there are concerns about attention, speech and language, coordination, memory, sleep or emotional wellbeing.

What Else Can Affect Learning?

Attention difficulties, including ADHD

Speech and language difficulties

Hearing or vision problems

Coordination difficulties

Memory and processing difficulties

Sleep difficulties

Emotional wellbeing

Other developmental or health factors

Sometimes more than one difficulty occurs together, so looking at the child's overall development is important.

What to Expect During an Assessment

A paediatric assessment may consider your child's developmental and medical history, hearing and vision concerns, sleep, attention, language, school performance and other relevant factors.

Teachers and school information can also provide important information about how the child learns in the classroom.

Paediatrician

Reviews the child's overall developmental, medical and learning history.

Educational Psychologist

May assess learning abilities and academic skills in greater detail.

Speech & Language Therapist

May assess communication and language difficulties that affect learning.

Occupational Therapist

May assess coordination, functional skills and other factors affecting classroom participation.

Why Early Assessment Can Help

Early assessment can help identify what is making learning difficult and what support may help the child learn most effectively.

A learning difficulty does not define a child's intelligence or potential. Understanding the child's specific challenges and strengths can help parents and educators provide more appropriate support and learning strategies.

Frequently Asked Questions

1. Does learning difficulty mean my child is not intelligent?

No. A learning difficulty is not a measure of intelligence. A child may struggle significantly with reading, writing or mathematics while having strengths in areas such as creativity, problem-solving, music, sports or verbal communication.

2. What are common signs of learning difficulties in children?

Signs may include persistent difficulty with reading, spelling, writing or mathematics, slow completion of schoolwork, difficulty remembering letter-sound relationships or sequences, avoiding reading or schoolwork, and performance that seems lower than the child's apparent ability.

3. What is Specific Learning Disorder (SLD)?

Specific Learning Disorder is a neurodevelopmental condition involving persistent difficulties learning and using academic skills such as reading, written expression or mathematics. The difficulties significantly affect school or everyday functioning and are not better explained by other factors.

4. Is dyslexia the same as seeing letters backwards?

No. Letter or word reversals can occur in young children, but they are not the defining feature of dyslexia. Dyslexia is primarily associated with difficulties in accurate and fluent word reading, decoding and spelling, with phonological processing being an important underlying difficulty.

5. How can I tell if my child's reading difficulty may be dyslexia?

Look for a persistent pattern rather than one poor test result. Children with dyslexia may have difficulty recognising and manipulating sounds, connecting letters with sounds, blending sounds to read words, reading unfamiliar words, developing fluent word recognition and spelling accurately.

6. When should my child be assessed for learning difficulties?

Consider an assessment when difficulties persist despite appropriate teaching and support, academic skills are significantly behind expectations, teachers have ongoing concerns, or your child's school performance does not match their apparent abilities. Assessment is also useful when there are concerns about attention, speech and language, coordination, memory, sleep or emotional wellbeing.

7. Can ADHD or speech and language difficulties affect learning?

Yes. Attention difficulties, speech and language problems, hearing or vision problems and other developmental or health factors can affect how a child learns. Sometimes more than one difficulty occurs together, so looking at the child's overall development is important.

8. Who can assess learning difficulties in children?

Assessment may involve a paediatrician, educational psychologist, speech and language therapist or occupational therapist, depending on the child's difficulties. Teachers and school information can also provide important information about how the child learns in the classroom.

Key Takeaways

  • Learning difficulty does not mean a child has low intelligence.
  • Children can have significant academic difficulties while having strengths in other areas.
  • Specific Learning Disorder (SLD) can affect reading, written expression, mathematics, or more than one area.
  • Dyslexia is primarily associated with difficulties in accurate and fluent word reading, decoding and spelling.
  • Dyslexia is not simply a problem of seeing letters backwards.
  • Phonological processing plays an important role in learning to read and spell.
  • Look for persistent patterns of difficulty rather than relying on one poor test result.
  • Hearing, vision, attention, language, sleep, emotional wellbeing and other developmental factors can also affect learning.
  • A child's strengths are just as important as their academic difficulties.
  • Early assessment can help identify what is making learning difficult and what support may help the child learn most effectively.
  • Assessment may require collaboration between parents, teachers, paediatricians and other professionals.
  • The goal is not simply to give a label, but to understand the child's difficulties, strengths and individual learning needs.

A child who struggles at school may not be struggling because they are less capable — the key is understanding how they learn and what support they need.

Need a Paediatric Assessment?

Learning Difficulty & Developmental Assessment in Children in Johor Bahru

If your child is struggling with reading, writing, mathematics, attention or schoolwork, Southern Child Specialist Clinic in Johor Bahru can provide a paediatric assessment to better understand the factors affecting your child's learning.

The paediatric team can review your child's developmental and medical history, hearing and vision concerns, sleep, attention, language, school performance and other relevant factors. Where appropriate, further assessment or collaboration with educational psychology, speech and language therapy, occupational therapy or developmental specialists may be recommended.

Book a Paediatric Appointment

Speak with our paediatric team about your child's learning and development.

Evidence & Guidelines

  • American Psychiatric Association – DSM-5-TR: Specific Learning Disorder and its domains of impairment.
  • International Dyslexia Association – Definition of Dyslexia : dyslexia is characterised primarily by difficulties with accurate/fluent word recognition, spelling and decoding, with phonological processing difficulties being an important underlying feature.
  • AAP Developmental Surveillance and Screening : developmental and learning concerns should be assessed within the child's broader developmental, medical and educational context.
Medically reviewed by:
Dr. Derreck Ng Yang Jein
Consultant Paediatrician
Southern Child Specialist Clinic Johor Bahru


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