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Published on: 2/24/2026

Is it Dyslexia? Why Your Brain Struggles + Medically Approved Next Steps

Dyslexia is a common neurodevelopmental reading difference affecting about 1 in 5 people, causing difficulties with accurate or fluent word recognition, spelling, and decoding due to phonological processing differences, not vision problems or low intelligence.

There are several factors to consider in choosing next steps; see below for medically approved guidance on proper evaluation and support, including talking with a doctor to rule out hearing or vision issues, requesting a school evaluation for IEP or 504 services, using structured literacy programs, assessing coexisting issues like ADHD or anxiety, and knowing when symptoms need urgent care.

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Explanation

Is It Dyslexia? Why Your Brain Struggles + Medically Approved Next Steps

If you or your child struggles with reading, spelling, or keeping up in school despite trying hard, you may be wondering: Is it dyslexia?

Dyslexia is common. It affects about 1 in 5 people to some degree. It is not a sign of low intelligence, laziness, or poor parenting. It is a neurodevelopmental difference — meaning the brain processes written language differently.

Understanding what dyslexia really is (and what it is not) can help you take the right next steps without unnecessary fear.


What Is Dyslexia?

Dyslexia is a specific learning disorder that affects reading. It primarily involves difficulty with:

  • Accurate or fluent word recognition
  • Spelling
  • Decoding (sounding out words)
  • Connecting letters to sounds

The issue is not vision. It is not motivation. It is not intelligence.

Brain imaging research shows that people with dyslexia use different neural pathways for reading. The brain areas that link letters to sounds may be less efficient, which makes reading slow and effortful.


Common Signs of Dyslexia

Symptoms vary by age, but common patterns include:

In Preschool or Early Childhood:

  • Trouble learning letter names
  • Difficulty recognizing rhyming words
  • Delayed speech development
  • Mixing up similar-sounding words
  • Family history of dyslexia or reading difficulties

In School-Age Children:

  • Reading below grade level
  • Slow or effortful reading
  • Guessing words instead of sounding them out
  • Trouble spelling even common words
  • Avoiding reading aloud
  • Difficulty remembering sequences (days of the week, multiplication tables)

In Teens and Adults:

  • Slow reading speed
  • Trouble summarizing written text
  • Difficulty learning a foreign language
  • Avoiding reading-heavy tasks
  • Strong verbal skills but weak written output

Many people with dyslexia are bright, creative, and strong problem-solvers. They may excel in big-picture thinking, storytelling, art, design, or hands-on learning.


Why Does the Brain Struggle?

Dyslexia is linked to differences in how the brain processes phonological information — the ability to break words into sounds.

For example, the word "cat" requires the brain to:

  1. Recognize letters (c-a-t)
  2. Match each letter to a sound
  3. Blend those sounds together

In dyslexia, that sound-mapping system works less efficiently. Reading becomes slow and tiring, like trying to solve a puzzle for every word.

This is not something a child "outgrows." However, early intervention significantly improves outcomes.


What Dyslexia Is NOT

To reduce confusion and stigma, it's important to clarify:

  • ❌ It is not caused by poor eyesight.
  • ❌ It is not due to laziness.
  • ❌ It is not a sign of low intelligence.
  • ❌ It is not the same as ADHD (though they can occur together).
  • ❌ It is not caused by screen time.

That said, attention issues can make reading even harder. If you or your child can't focus and you're unsure whether concentration problems are compounding the reading difficulties, a free symptom checker can help you understand what might be happening.


Could It Be Something Else?

Reading difficulties are not always dyslexia. Other possible causes include:

  • ADHD
  • Hearing problems
  • Vision tracking disorders
  • Anxiety
  • Depression
  • Inadequate instruction
  • Intellectual disability (less common)

That's why proper evaluation matters.


How Is Dyslexia Diagnosed?

Dyslexia is diagnosed through a comprehensive educational and psychological evaluation. This may include:

  • Reading and spelling tests
  • Phonological processing assessments
  • Cognitive testing
  • Review of academic history
  • Family history discussion

A pediatrician, psychologist, neuropsychologist, or school specialist may conduct testing.

There is no blood test or brain scan to diagnose dyslexia. Diagnosis is based on standardized assessments and clinical evaluation.


Medically Approved Next Steps

If you suspect dyslexia, here's what to do:

1. Speak to a Doctor or Pediatrician

Start with your primary care provider. They can:

  • Rule out hearing or vision issues
  • Screen for ADHD or other conditions
  • Refer you for formal testing

If symptoms are severe, worsening, or affecting mental health, do not delay seeking medical care.

If there are signs of serious emotional distress — such as depression, self-harm thoughts, or severe anxiety — speak to a doctor immediately.


2. Request a School Evaluation

Public schools (in many countries) are required to evaluate students suspected of having learning disabilities.

This may lead to:

  • An Individualized Education Program (IEP)
  • A 504 plan
  • Reading intervention services

Early support makes a measurable difference.


3. Use Structured Literacy Interventions

Evidence-based reading programs are highly effective. These typically:

  • Teach phonics explicitly
  • Use step-by-step sound instruction
  • Include repetition and practice
  • Build decoding skills systematically

Programs based on structured literacy principles are considered best practice for dyslexia.


4. Consider Testing for Coexisting Conditions

Up to 40% of individuals with dyslexia also have ADHD. Anxiety is also common, often due to repeated academic frustration.

Treating coexisting issues can significantly improve overall functioning.


5. Support Emotional Health

Children and adults with dyslexia may experience:

  • Low self-esteem
  • School avoidance
  • Frustration
  • Anxiety

Clear communication helps:

  • Emphasize strengths.
  • Explain that the brain learns differently.
  • Reinforce that dyslexia does not define intelligence.

Mental health support can be extremely helpful if confidence has been affected.


Can Dyslexia Be Cured?

There is no "cure" for dyslexia. It is a lifelong difference in how the brain processes language.

However:

  • Reading skills can improve dramatically with intervention.
  • Many people with dyslexia become strong, capable readers.
  • Adults often develop effective coping strategies.

The earlier the intervention, the better the outcome.


When to Seek Immediate Medical Care

While dyslexia itself is not life-threatening, seek urgent medical attention if reading or concentration problems are accompanied by:

  • Sudden neurological changes
  • Severe headaches
  • Vision loss
  • Confusion
  • Personality changes
  • Thoughts of self-harm

These symptoms require immediate medical evaluation.


Strengths Often Associated With Dyslexia

Research shows that many individuals with dyslexia demonstrate strengths such as:

  • Creative thinking
  • Strong spatial reasoning
  • Big-picture problem solving
  • Entrepreneurial ability
  • Strong interpersonal communication

Recognizing strengths is not about ignoring challenges — it's about seeing the whole person.


Key Takeaways

  • Dyslexia is common and neurological.
  • It primarily affects reading and spelling.
  • It is not related to intelligence.
  • Early evaluation and structured literacy support improve outcomes.
  • Coexisting ADHD or anxiety should be assessed.
  • Emotional support matters as much as academic intervention.

If you suspect dyslexia in yourself or your child, do not wait. Speak to a doctor or qualified specialist. Early action leads to better results.

And if difficulty staying on task is making things worse, find out if you can't focus using a quick, free symptom assessment that helps clarify whether attention issues may be contributing to the challenges you're experiencing.

With the right support, people with dyslexia can thrive academically, professionally, and personally. The brain may process language differently — but different does not mean broken.

(References)

  • * Snowling, M. J. (2019). Developmental dyslexia: a neurobiological perspective. *The Lancet. Child & Adolescent Health*, *3*(9), 650–657.

  • * Katusic, S. K., Colligan, R. C., Weaver, A. L., & Mrazek, D. A. (2020). Dyslexia: a comprehensive and current review. *Pediatric Clinics of North America*, *67*(3), 543–558.

  • * Shaywitz, S. E., & Shaywitz, B. A. (2018). The neurobiology of dyslexia. *Clinical Reviews in Allergy & Immunology*, *55*(2), 269–277.

  • * Mather, K. G., & Snowling, M. J. (2023). Interventions for dyslexia: a review of the evidence. *Current Opinion in Behavioral Sciences*, *50*, 101267.

  • * Gaab, N., & Gabrieli, J. D. E. (2022). Current approaches to the identification and intervention of dyslexia. *Current Opinion in Psychology*, *46*, 101340.

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