Annie Watson with her son Henry, 11, before track practice. Henry has dyslexia and went through intensive tutoring to help him learn to read well after his original school didn’t provide the services he needed. (Vaughn Wheat/The Beacon)

There’s a kid with dyslexia — maybe more than one — in the average classroom. But the disability, which makes it harder to learn to read and write, is often misunderstood. 

This story is part of a series

Part 1: Parents push for dyslexia to be taken seriously

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Part 2: Horizon Academy

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Louise Spear-Swerling, vice president of the board with the Center for Effective Reading Instruction, estimates that 5-10% of people have dyslexia. Another commonly cited number is 20%. In either case, practically every teacher encounters a student with it every single year. 

Yet Spear-Swerling — also a professor emerita in Southern Connecticut State University’s special education department — said there’s still a myth that dyslexia involves seeing letters backwards. It’s actually a language-based disorder that can’t be fixed with vision training. 

Parents can also be uncertain about when and how to push for more support. 

But there’s growing awareness that dyslexia is widespread and that there are proven ways to help children who have it. 

“I’ve been doing these evaluations for over 20 years, and I will say this is the best time to be dyslexic, because things are changing,” said Chris Scranton, a speech-language pathologist at Children’s Mercy Kansas City. “Maybe not as fast as we would have hoped.” 

Scranton used to see about two referrals for dyslexia per month at Children’s Mercy. Now the hospital sees about 60. New laws address dyslexia identification and support. Helpful technology exists. 

Still, access to services can be tricky. The Beacon reported in May that some families have to push for schools to take their children’s dyslexia seriously.

So we asked experts what dyslexia is, signs to look out for and where to find resources if your child struggles to read. 

What is dyslexia? 

Dyslexia is a disability that makes it more difficult to learn how to read, write and spell. 

Reading struggles that stem from dyslexia are often unexpected given a child’s IQ or other skills, Scranton said. It’s rooted in how the brain is wired and often runs in families. 

People with dyslexia struggle to process, remember and manipulate the sounds of language. Because letters represent sounds, that’s a serious problem for reading and writing. 

How is dyslexia identified? 

Cindy Daniels, another speech-language pathologist at Children’s Mercy, said medically diagnosing dyslexia can involve about four hours of testing. 

During dyslexia testing, speech pathologists assess various areas of language ability, attempt to rule out other causes of reading struggles and examine the child’s personal and family history. 

Schools have their own criteria when evaluating eligibility for special education services. 

Spear-Swerling said state guidelines can’t contradict the federal guidelines under the Individuals with Disabilities Education Act. The IDEA guidelines say the student should have low achievement in reading, specifically struggling to decode printed words and read text “with reasonable ease and speed,” she said. 

Those struggles shouldn’t primarily be caused by another factor such as poor instruction, lack of exposure to English or low income, she said, but students experiencing those challenges can also be dyslexic. 

What are some common misconceptions about dyslexia? 

People sometimes conflate poor reading with low intelligence, Spear-Swerling said. 

But instead of reducing their expectations for dyslexic students, teachers should “find another avenue for the student to comprehend,” she said, such as presenting content orally. 

It can also be hard to explain to a layperson how dyslexic children may excel in some areas of language — such as understanding someone speak — but still have a language-based disorder, she said. 

There’s a perception that dyslexia has to do with reading letters backwards and can be solved by eye training, Spear-Swerling said, but that isn’t true. 

Scranton said dyslexic children sometimes do reverse or scramble letters in words, but not because they can’t see correctly. Rather, it’s hard to remember the order of letters without a good grasp of how spelling connects to sounds. 

Special fonts or overlays marketed as dyslexia fixes miss the underlying issue, she said. 

“If a kid is more attentive to a green sheet being placed over their words … go ahead and use it,” she said. But “it’s not a visual disorder. It’s not going to make their sounding out and spelling better.”

What are some early signs of dyslexia?

Young children with dyslexia may struggle to “play with sounds,” such as rhyming or following instructions like “say alphabet without ‘al,’” said Colleen Zink, a Kansas educator and board member with the International Dyslexia Association Kansas-Missouri branch. 

“Realizing, ‘Oh, (words are) made up of these individual sounds, and I can manipulate them,’” is key for reading and writing, Zink said. 

Other early risk factors can include speech delays, a family history of reading trouble and difficulty remembering the alphabet, letter sounds or phone numbers. 

Sometimes, dyslexic children also have trouble distinguishing left and right, learning how to tie shoes or understanding the concepts of before and after, Scranton said. 

Spear-Swerling said teachers should recognize when a student is struggling “even with the kinds of feedback and help that work for more typical kids,” and seek specialized help. 

For older children, signs include difficulty with reading, spelling and handwriting. They may struggle more broadly as subjects become more dependent on reading. 

Kids may lose motivation to read, choose smaller or familiar words when writing and fall behind on picking up vocabulary and knowledge that they would normally get from reading. 

What do people with dyslexia need to help them learn how to read well?  

Children with dyslexia are particularly harmed by poor reading instruction, Spear-Swerling said, and most also need help beyond high-quality classroom instruction. 

“If they’re identified early, usually the need (for intervention) is not as severe,” she said. 

Spear-Swerling said successful programs have certain features in common, including:  

  • Explicit, systematic teaching of phonics, phonemic awareness and spelling. 
  • Text reading beginning with “decodeable” books, meaning they use spelling patterns students have studied, becoming more complex as they advance. 
  • Plenty of teacher-student interaction one-on-one or in small groups. 
  • Attention to comprehension and vocabulary. 

Scranton said she tells parents to seek out a structured literacy program, whether that’s through their child’s existing school, a tutor or private school. 

A vowel sound chart at Ingels Elementary School in the Hickman Mills School District. (Vaughn Wheat/The Beacon)

In the Kansas City area, the private school Horizon Academy focuses on students with dyslexia and similar disabilities.

Gabi Guillory Welsh, Horizon’s director of therapeutic language and literacy, said students spend some time every day getting intensive instruction either one-on-one or in a small group of students at the same skill level. Lessons are customized and paced to build confidence while introducing new material in controlled doses. 

Lots of repetition and multisensory techniques — like incorporating movement or using mirrors to focus on how certain letter sounds feel and look in your mouth — help reinforce lessons. 

All teachers are trained in Orton-Gillingham, a method specifically designed for dyslexic students that is the basis for many structured literacy programs. 

Students also explicitly learn the complex patterns of the English language that many adult readers may intuit without being able to explain them. 

“Yes, there are rules,” Guillory Welsh said. “You have to be taught them if you are a person who it doesn’t come naturally to.”

What should I do if I suspect my child has dyslexia? 

A good first step is to reach out to your child’s teacher to ask whether they’re concerned. But you might need to be persistent. 

Schools generally have processes in place to flag when students need extra help and provide it. But some can misunderstand how serious a child’s struggles are, and not all have staff members trained to work with dyslexic kids. 

If teachers aren’t knowledgeable about dyslexia or don’t have context about a specific child’s background, they can end up dismissing problems that require specific support. 

Teachers might say, “‘She’ll grow out of it,’” said Zink, the Kansas-Missouri IDA board member. “That’s not true. Dyslexia starts at birth and goes your entire life. You can get help for it, but you’re never going to be cured.”

Lisa Salazar Tingey, the parent of a dyslexic student in the North Kansas City School District, said she’s learned parents may need to speak up even if teachers tell them not to worry. 

“We are our child’s best advocate,” she said. “If you have that gut instinct that there’s something that you need to bring up, you just can’t be afraid of being the annoying parent.” 

Parents should also know what kind of support to ask for rather than pushing for special education services more broadly, Scranton said. 

“I’ve had families come and say, ‘I’m gonna get an IEP (individualized education program) no matter what, and I’m like, ‘Well, let’s wait a minute. Let’s find out what you’re fighting for,’” she said. “Does the school have somebody trained in that type of intervention?”

If a school doesn’t have staff members trained in structured literacy, she recommends parents look for those services elsewhere — which can be quite expensive. 

Trying to get proper services from a school can sometimes be “maddening,” said Pamela Taylor, a dyslexia specialist who founded LexiAbility and an online structured literacy program called LexiaHeroes. She believes parents often have to turn to services outside of schools for adequate help. 

“Instead of spending all the time on what a school can’t do for you, focus on what a school can do for you,” she said. “Maybe they can formalize accommodation plans and make sure that they’re implemented, not just for your kiddo, but for the other kiddos in the classroom too.”

Accommodations for dyslexic students can include extra time on tests and being able to use voice-to-text or ebooks in certain situations. 

Should I get an official diagnosis?

Typically, schools don’t give a formal diagnosis of dyslexia. But they can do their own testing to decide if students receive extra help or a formalized support plan. 

Schools might use the term “specific learning disability in the area of reading” instead of “dyslexia,” Scranton said. 

Seeking a formal dyslexia diagnosis from a medical provider can be helpful if it’s financially feasible, she said. Children’s Mercy bills insurance between $1,500 and $2,100 for dyslexia testing, and the amount families pay varies widely based on their insurance. 

Parents who turn to Children’s Mercy have often struggled to get enough help from their school, Scranton said. Dyslexia testing results can prompt schools to take concerns more seriously, and having answers about how their brain works can also be good for a child’s self-esteem. 

“It explains to the child what kind of a learner they are,” she said. “It gives them answers to why this is hard.”

But an official diagnosis of dyslexia doesn’t automatically qualify a student for a formal special education or accommodations plan such as an individualized education program (IEP) or 504 plan. In general, it’s easier to qualify for 504 plans but they are less intensive, providing accommodations but not special education services.

Why isn’t it easier to get proper support, and how can I help make things better? 

A lot of components have to line up to create a system where dyslexic kids are being identified and offered the instruction and accommodations they need. 

Advocacy can happen on multiple levels, from educating a specific teacher or school administrator on what dyslexic kids need, to encouraging a school board to adjust its policies or budget, to promoting state law changes. 

Many states have passed laws related to reading instruction or dyslexia — including a recent law from Missouri requiring reading instruction to be primarily based in phonics. 

But for laws to be effective, schools need resources and teachers need to implement them on a day-to-day basis in every classroom. That can require additional education and funding.  

For example, Taylor said she’s seen schools claim teachers are certified when they only had a brief training. Schools can also strictly limit who qualifies for services when they have limited funding. 

“I see a lot of really great legislation in place that has very little effect because we don’t have the resources,” she said. 

Decoding Dyslexia, a national parent-led group with chapters in Missouri and Kansas, advocates for mandatory teacher training, early screening, remediation programs available to all and access to appropriate technology. 

Spear-Swerling said that helpful laws include universal screening and early intervention. Laws should also cover teacher preparation, she said, such as creating licensure exams that gauge understanding of effective reading instruction. 

Type of Story: Explainer

Provides context or background, definition and detail on a specific topic.

Maria Benevento is The Beacon’s education reporter. She joined The Beacon as a Report for America corps member. In addition to her work at The Beacon, she’s reported for the National Catholic Reporter,...