Child & adolescent

Dyslexia and learning difficulties: early signs in school

Bright child struggling with reading, spelling or maths? Signs of specific learning disorders, assessment and support including exam accommodations.

Dr. Kuldeep Budania, MBBS, MD Psychiatry

Updated 11 October 2026 · 3 min read

Specific learning disorders affect reading (dyslexia), writing or maths despite normal intelligence and teaching.

They are often mistaken for laziness. Early identification protects self-esteem.

Key concepts

  • Intelligence is usually normal
  • Specialised teaching helps
  • Certification can allow exam accommodations

Symptoms and signs

  • Difficulty linking letters and sounds; slow reading
  • Frequent spelling errors, letter reversals beyond age 7–8
  • Trouble with number facts despite effort

Causes

  • Differences in how the brain processes language or numbers
  • Often runs in families
  • Not caused by poor teaching or laziness

Risk factors

  • Family history
  • ADHD
  • Speech and language delay in early years

Evidence-based management

  • Eye and hearing tests; psycho-educational assessment
  • Remedial education with a special educator
  • School accommodations: extra time, reader or writer as per board rules
  • Treat co-existing ADHD or anxiety

When to seek professional help

  • Reading or writing far behind classmates
  • Child avoiding homework, low confidence
  • Parents can book a consultation first to discuss concerns before involving the child

Frequently asked questions

Can dyslexia be cured?

It is lifelong, but with the right teaching most children learn to read and succeed.

Which certificate is needed for exam help?

Requirements vary by board; an assessment report from an authorised centre is usually needed.

Medical references

Guidelines and official sources used for this article.

  1. ICD-11 for Mortality and Morbidity Statistics. World Health Organization.
  2. The Rights of Persons with Disabilities Act, 2016. Government of India.
Author
Dr. Kuldeep Budania, MBBS, MD Psychiatry
Medical reviewer
Dr. Kuldeep Budania, MD Psychiatry
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This article is for general information and is not a substitute for personal medical advice.

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