Explore developmental disorders & learning disabilities and their impact on education and daily life for individuals of all ages.
Table of Contents
Introduction To Developmental Disorders
When talking about disabilities, whether from health conditions or diseases, many healthcare professionals have to think about two languages crucial to the individual they are assessing. One is person-first language, and the other is identity language. In person-first language, it pertains to how a person places more importance on the individual and their uniqueness. This involves individuals young and old with ADHD or Down syndrome. This is compared to the identity-first language, which often highlights the disorder or disease more than the individual (e.g., autistic child). The goal that many healthcare professionals aim for when treating individuals with disabilities or developmental disorders is to use respectful terminology to reduce social stigma, prejudice, and discrimination.
Many young individuals have their cognitive and social skills evaluated when entering and progressing through school. These evaluations sometimes indicate that a young individual or children might need special assistance with either language or learning to interact with others. Evaluation and diagnosis are the first steps in providing many people with the tools and resources needed to function. However, there are also significant social implications regarding diagnosis and labeling. Many healthcare providers must consider that anyone, young or old, can be misdiagnosed. Once the person receives the diagnosis label, the individual and whoever is in the person’s life have to interpret the person’s actions through that label. For instance, if a child has been misdiagnosed as having a learning disability, it can influence the child’s self-concept. It may be due to difficulties in school that cause children to have trouble at their academic level. This self-fulfilling prophecy causes them to act this way, causing people to predict what will happen come true. Healthcare professionals must pay attention to the power of labels and apply them accurately when assessing patients.
It is also important to consider that people’s difficulties can change over time. An example would be a child who has problems in school that may improve later or grow up to be an adult where these problems are no longer relevant. That person, however, will still have a label for having a learning disability. Even though it is fairly common for children and young individuals to have abnormal behaviors, healthcare providers should recognize that the distinction between abnormal/atypical and normal/typical behavior is not always clear. When evaluating learning disabilities, misdiagnosis may be more of a concern.
When it comes to the diagnosis of developmental disabilities, it is required that a pediatrician, psychologist, psychiatrist, or other accredited professional should assess a child for a developmental disability, as there are many factors to consider. Many common behaviors in children, like temper tantrums, being overly active, being shy, etc., might be misinterpreted as a behavioral disorder like ADHD (attention-deficit/hyperactivity disorder). Therefore, trained professionals use multiple assessments or questionnaires completed by the parent(s) and teacher(s) in conjunction with in-person observations and case history before diagnosing.
Autism Spectrum Disorders
As a common developmental disorder, autism spectrum disorder (ASD) can affect various areas of development, such as communication and behavior, in many individuals. The spectrum is wide and varies from person to person. In the United States, it is estimated that about 1 out of every 36 children or individuals has been diagnosed with autism, covering a wide variety of abilities and symptom expression between high and low functioning. ASD is characterized by age-inappropriate, impaired social communication and may have a complex interaction between genetics, epigenetic, and environmental factors associated with cerebral dysfunction. (Mukherjee, 2017) When it comes to social skills and communication, ASD can impact a person’s language skills as it can become difficult. A person within the autism spectrum may respond to a question by repeating the question, may not respond appropriately, or may not communicate in response at all. Some symptoms for an individual within the autism spectrum may be sensitivity to touch, sound, or visual stimulation. Individuals with autism often view the world differently and learn in unique ways while preferring routines and can become upset when routines are altered. For example, moving furniture or changing the daily schedule can be very upsetting.
There is no single known cause of autism, though research has indicated a possible genetic link. This could be due to the intricate neurobiological mechanisms that correlate with the immune system and neuroinflammation, causing atypical functional connectivity and neurotransmitter alterations. (Rajabi et al., 2024) Luckily, there are holistic approaches to reducing autism symptoms to help improve a person’s quality of life within the spectrum.
Holistic Treatments For Individuals Within The Autism Spectrum
When it comes to holistic treatment approaches for individuals with autism, they can vary for the individual while not affecting their sensory issues. Physical activities and motor skill training can help their mobility and improve movement performance. (Shahane et al., 2024) Additionally, individuals within the autism spectrum could be dealing with abnormal sensitivity and gastrointestinal difficulties that can cause numerous pain-like symptoms in the body. Incorporating and allowing autistic individuals to try out anti-inflammatory foods and prebiotics can help improve the symptoms associated with ASD while reducing the inflammatory effects on their bodies. (Sivamaruthi et al., 2020)
What Are Learning Disabilities?
When a person, both young and old, has an intellectual disability or an intellectual development disability, they could have significant impairment in intellectual and adaptive functioning. This, in turn, generally results in an IQ (intelligence quotient) under 70, which is two standards below the median. This causes deficits within two or more adaptive behaviors that affect everyday general living, causing them to learn slowly in all areas of learning. This is known as learning disabilities.
A learning disability (LD) is a specific impairment of academic learning that interferes with a particular aspect of schoolwork and significantly reduces a person’s educational performance. It can be shown as a major discrepancy between a person’s ability and some achievement features, causing them to be delayed in various academic areas. Many people often confuse the difference between a learning problem and a learning disability, as a learning problem stems from physical, sensory, or motor handicaps or generalized intellectual impairment.
Dyslexia
Reading difficulties are a prominent symptom of dyslexia, one of the most prevalent learning disorders. Essentially, dyslexics struggle to learn how to decode and spell words and to be fluent via phonological representation. (Snowling and others, 2020) This is because the brain’s capacity to integrate information across many RSNs (resting state networks) is impacted by a number of anatomical changes, which lessens the brain’s neuroplasticity. Munzer and colleagues, 2020 To assist address the person’s troublesome regions, several therapies use reading experts.
Dysgraphia
The writing problem known as dysgraphia is often linked to dyslexia. All abnormalities of written expression are often referred to by this general phrase. Phonetic dysgraphia and orthographic dysgraphia are the two forms of dysgraphia present. A person with phonological dysgraphia is unable to write words phonetically and hear them out. Those who can spell words that are routinely spelled but not irregularly spelled, however, are said to have orthographic dysgraphia. Some people with dysgraphia may have issues controlling their motor skills and creating letters with a pen or pencil.
Dyscalculia
Learning math-related concepts (including amount, place value, and time), remembering math-related information, and comprehending how problems are structured on paper are all challenges associated with dyscalculia, a kind of math-related impairment. As a result, many students have bad school experiences and consistently fail at arithmetic assignments, which undermines their self-esteem and makes them fearful of failing. Schulte-Korne and Haberstroh (2019) This leads to problems with working memory while working with numbers. This may suggest abnormal patterns of mathematical cognitive performance because the parietal lobes are smaller and less active. In 2024, Dowker
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Attention-Deficit/Hyperactivity Disorder (ADHD)
One neurodevelopmental illness that causes problems with cognitive and motor function is attention-deficit/hyperactivity disorder (ADHD). These patterns of inattention, hyperactivity, and impulsive behaviors might be caused by smaller brain structures, which can alter neurotransmitters and disrupt regular brain function. The Brain and ADHD, 2017
Among the symptoms of inattention are the following:
Having trouble with duties and avoidance of them
disregarding directions
Disarray
Ignorance of details and a propensity toward distraction
forgetfulness.
The exaggerated movements associated with hyperactivity in ADHD include:
A restless feeling
Sitting still is difficult for you
Unsuitable running and climbing on objects
Answers that are blurred out
Having trouble waiting
interfering with and disturbing other people.
Children and adults with hyperactivity can come across as noisy. This leads them to struggle academically and socially throughout their lives. In comparison to their peers without ADHD, people with ADHD are more likely to get bad grades, perform poorly on standardized tests, be expelled more often, and drop out of school during the academic year.
Causes of ADHD
Numerous research involving twins and families have shown that heredity significantly contributes to the development of ADHD. Numerous studies suggested that gender, exposure to environmental variables, and the diagnosis of an ADHD subtype might all operate as modifiers of the disorder’s development. (2009) Gizer et al. It is believed that the particular gene implicated in ADHD involves dopamine modulation. Studies on brain imaging have shown that people with ADHD have anomalies in the frontal lobes, a part of the brain where dopamine is abundant. People with ADHD will have decreased frontal lobe activity while completing mental activities since the frontal lobe regulates behavior. The hyperactive, uncontrollable behavior associated with ADHD may thus be largely explained by anomalies in this area.
Some environmental elements, such as chemical colors and sweets, have been suggested to increase people’s hyperactivity. Thus, many choose to cut them in order to alleviate the symptoms of ADHD. However, a number of studies have compared the effects of tobacco smoke exposure on the development of severe prenatal ADHD symptoms. In 2003, Linnet et al.
ADHD Treatment
In terms of ADHD therapies, stimulant medication is the most widely used therapy. Non-surgical treatments and lifestyle modifications may also help lessen ADHD symptoms. Although many people believe that using stimulant medicine is paradoxical, it may help persons with ADHD concentrate by activating regions of the brain that are undeveloped, notably the frontal and prefrontal lobes. Thus, the adverse consequences of ADHD are lessened.
Enhancing cognitive and motor performance may be achieved via physical exercise and non-pharmaceutical therapy. Jansen & Ziereis, 2015 Simultaneously, cognitive behavioral therapy is a popular non-surgical treatment that may assist individuals in being conscious of their thinking patterns and changing them from negative to constructive. A patient’s treatment strategy may include both medicine and cognitive behavioral therapy, according to several medical practitioners. It is especially helpful because the drug speeds up behavior change, which enables the patient to learn via cognitive behavioral therapy (CBT) more rapidly and make long-lasting behavioral changes. People with developmental disorders and learning impairments may make minor adjustments and use a variety of therapy choices to create a personalized treatment plan that will enhance their quality of life as they go through their health and wellness journey.
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References
ADHD & The Brain. (2017). American Academy of Child & Adolescent Psychiatry. www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/ADHD_and_the_Brain-121.aspx
Dowker, A. (2024). Developmental Dyscalculia in Relation to Individual Differences in Mathematical Abilities. Children (Basel), 11(6). doi.org/10.3390/children11060623
Gizer, I. R., Ficks, C., & Waldman, I. D. (2009). Candidate gene studies of ADHD: a meta-analytic review. Hum Genet, 126(1), 51-90. doi.org/10.1007/s00439-009-0694-x
Haberstroh, S., & Schulte-Korne, G. (2019). The Diagnosis and Treatment of Dyscalculia. Dtsch Arztebl Int, 116(7), 107-114. doi.org/10.3238/arztebl.2019.0107
Linnet, K. M., Dalsgaard, S., Obel, C., Wisborg, K., Henriksen, T. B., Rodriguez, A., Kotimaa, A., Moilanen, I., Thomsen, P. H., Olsen, J., & Jarvelin, M. R. (2003). Maternal lifestyle factors in pregnancy risk of attention deficit hyperactivity disorder and associated behaviors: review of the current evidence. Am J Psychiatry, 160(6), 1028-1040. doi.org/10.1176/appi.ajp.160.6.1028
Mukherjee, S. B. (2017). Autism Spectrum Disorders – Diagnosis and Management. Indian J Pediatr, 84(4), 307-314. doi.org/10.1007/s12098-016-2272-2
Munzer, T., Hussain, K., & Soares, N. (2020). Dyslexia: neurobiology, clinical features, evaluation and management. Transl Pediatr, 9(Suppl 1), S36-S45. doi.org/10.21037/tp.2019.09.07
Rajabi, P., Noori, A. S., & Sargolzaei, J. (2024). Autism spectrum disorder and various mechanisms behind it. Pharmacol Biochem Behav, 245, 173887. doi.org/10.1016/j.pbb.2024.173887
Shahane, V., Kilyk, A., & Srinivasan, S. M. (2024). Effects of physical activity and exercise-based interventions in young adults with autism spectrum disorder: A systematic review. Autism, 28(2), 276-300. doi.org/10.1177/13623613231169058
Sivamaruthi, B. S., Suganthy, N., Kesika, P., & Chaiyasut, C. (2020). The Role of Microbiome, Dietary Supplements, and Probiotics in Autism Spectrum Disorder. Int J Environ Res Public Health, 17(8). doi.org/10.3390/ijerph17082647
Snowling, M. J., Hulme, C., & Nation, K. (2020). Defining and understanding dyslexia: past, present and future. Oxf Rev Educ, 46(4), 501-513. doi.org/10.1080/03054985.2020.1765756
Ziereis, S., & Jansen, P. (2015). Effects of physical activity on executive function and motor performance in children with ADHD. Res Dev Disabil, 38, 181-191. doi.org/10.1016/j.ridd.2014.12.005
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