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Learning Disorder
Aka: Learning Disorder
- See Also
- School Problem Evaluation
- Definition
- Discrepancy between IQ and achievement
- No obvious underlying neurologic Impairment
- Difficult to diagnose before second grade
- Epidemiology
- Affects 2-12% of school population
- Special education received by 10-12%
- Reading disorders are most common (8%)
- Boys affected 2-4 times more often than Girls
- Risk factors
- Prematurity
- Perinatal infections
- Prenatal exposure to drugs or Alcohol
- Postnatal lead exposure
- Symptoms
- Delay in acquiring academic skills
- Dropping grades
- Excess time to complete work or learn new material
- Homework takes too long to complete
- Excess parental involvement
- Inconsistent performance
- Does better one-to-one
- Does better on homework than tests
- Behavior problems
- Disruptive behavior
- Homework refusal
- Class clown
- Hates school
- Frequent school absences
- Hides school work, lies about assignments
- Signs
- Subtle language difficulties
- Poor processing
- Poor phonological awareness
- Secondary inattention (up to 40%)
- Retention of information is poor
- Low self-esteem
- Depression
- Aggressive behaviors
- Differential Diagnosis
- Genetic Disorders
- Deletion at 22q11.2
- Klinefelter Syndrome
- Down Syndrome
- Fragile X
- Prader-Willi
- Angelman's Syndrome
- Rett Syndrome
- Acquired Disorder
- History of prematurity
- Congenital Hydrocephalus
- Traumatic brain injury
- Prior cerebral infection (e.g. Encephalitis)
- Lead Poisoning or Mercury Poisoning
- Mental Retardation
- Attentional Disorders (e.g. Attention Deficit Disorder)
- Language or developmental disorder
- Emotional disorder
- Anxiety
- Depression
- Post-Traumatic Stress Disorder
- Psychosis
- Visual Impairment or hearing Impairment
- Seizure Disorder
- Substance Abuse