Showing posts with label speech and language therapist. Show all posts
Showing posts with label speech and language therapist. Show all posts

Friday, 24 April 2015

Dyslexia Diagnosis .. the first steps


In France, reading is taught in CP, when a child is 6.  During maternelle they will start pre-reading skills which may include sight reading certain words – their names, colours, and days of the week.  They will start to make the link between spoken words that they know and the written word.  I remember clearly one exercise that my eldest did was to match “le, un, la, une” to words that they knew  - “maison, banana, garcon, fille”.  My son found it really hard as he did not yet have the right article for these common, basic words.  However, he learnt them by learning to read the article.

Most schools use a syllabic method to reading – that is, they break down the word into easy chunks of recognisable syllables.  We learnt a whole host of these – the “ai” de balai; the “en” de dent, “ille” de fille.  And it works, by leaving reading until later and chunking it down most children are reading within weeks and certainly by Christmas.  In  fact, I started to teach my eldest to read in English, despite the books saying leave it 2 years, as he took his Charlie and the Chocolate Factory book and tried to read it with his French reading skills.  He was amazing.

But what do you do when it goes wrong?  With my youngest by the “Toussaint” holidays I was talking to his teacher – was everything ok or was it because my eldest had found reading so easy that I had unrealistic expectations?  The reply was slow but not catastrophic.  However, by January it was a different story – a note came home with his everyday work book highlighted, filled with sound inversions, letters back to front….

Not knowing anything, the first thing I did was to google “sound reversal” and surprise surprise got back dyslexia.  Thereafter there was a conversation with his teacher to see what she thought.  She said it was a possibility and that perhaps we should get him tested.

As dyslexia is treated as a medical condition in France, our first step was to go to our doctor who, as he knows us really well did not hesitate to give us the prescription for his assessment and any further sessions that he may have required.



 

The hard part is to find an “Orthophoniste” (speech and language therapist) – they are relatively few and far between and as their remedial work is often of a long term nature they have a long waiting list.  It is common for the waiting time for the assessment to be in the region of 3-4 months.  Normally, they won’t see the child until they have an available place for them if they require further help.  We were fortunate that a new Orthophoniste had just arrived in the next village and were able to get him assessed and his sessions started within 2 weeks.  This is rare.  We decided that her relative inexperience was outweighed by the fact that our son would receive support straight away just as problems were emerging  and would not have to struggle on.  It helped that she worked in the same medical centre as another othorphoniste and we felt that she would be able to ask questions if need be. We also felt that her youth may make her more open to our son’s bilingualism.

The initial assessment (bilan) was scheduled for one hour but in fact as speed is one of my son’s problems it took nearly 2.  At the end of it we discovered that he did not recognise the entire alphabet and that he had phonological problems – consistent with dyslexia but too early to say definitively. He also had problems with his short term memory but had greater than average working memory – probably due to his bilingualism – however one does not compensate for the other.  Ask his to simply repeat a series of numbers, he can’t ; ask him to repeat a series of numbers backwards he can.

He began weekly ½ hour session of remedial work straight away. We also talked to his teacher regarding the alphabet and she agreed to take him into “soutien” – small group support after school with some children from the year under him to work on this.  Which he loved and really helped.

We are in it for the long haul and I feel really fortunate that he has managed to get regular, professional help from very early on and feel confident that he will succeed in French – I now have to work out how to tackle his English.

Thursday, 31 January 2013

it could only happen to him ....

Well after a couple of months when mini-twinks reading was slow, but not dramatically bad it has all come to a head and action has been called for.  His teacher put a note in his homework book about some of the written mistakes he had made that day including some dramatic sound and letter reversals.  Not one to sit doing nothing I googled "sound reversal" and not surprisingly (but was to me at the time) stumbled on sites for dyslexia, which threw my world upside down in the blink of an eye.



Like most people I thought dyslexia was purely a problem with reading and writing - not so.  The more I read up on the symptoms the more I saw a portrait of my son.  A creative, fun-loving, "meme pas peur" (fearless) and funny boy that makes everyone laugh with his mispronunciations.  I've posted on FB some of his more memorable ones (muffins for puffins and meringue airplane).  A boy that at 6.5 doesn't know his left form his right and has no real notion of time  "mummy is it today?" is still a common question in our house.

I cried.  And then I cried some more - as all I can see is a momental journey ahead, dealing with literacy in not one, but two languages.

Then I told myself off and got down to some action.  First a chat with his teacher who agreed to take him into "soutien" (after-school help) after the holidays to provide extra phonic help.  In under a week he had an appointment with a speech and language therapist and the optician to get his eyes tested (although the waiting list is 3 months for that).  I removed my head from the sand and have now bought a daily calendar for him to change and he is fed up of "Simon Says" with integrated left and right!  I have researched colourimetry and experimented with different colours of paper for his reading.  He seems receptive so next week we are off to the UK for the day to get his eyes tested both for prescription lenses and coloured lenses if they may help.  His french eye test will be maintained to see if he would benefit from eye retraining exercises, and to register him with an opthalmalogue so that future visits do not take 3 months to come through.

His speech and language therapist remains non-committal, and whilst not ruling out dyslexia does say that such a diagnosis can only be made over time while working with him.  This work starts next week.  We feel  a little fustrated as we would like to know, but pleased that he has been able to get started with a therapist a couple of weeks after his teacher raised the alarm.  This is rare - normally it takes about 3 months to have the first evaluation carried out.  We feel lucky.

Who knows what the future is going to hold for him and I expect to become and expert on dyslexia, but at least he is getting the support  and understanding he needs straight away and for that I am grateful......

to be continued....