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Nonverbal learning disabilities

Read answers to some of the most common questions about this well-publicized -- but somewhat controversial -- disorder.

By Anastasia Hubbard, M.S., Brenda Smith Myles, Ph.D.
 

Locating consistent, reliable information about nonverbal learning disabilities (often referred to as NLD or NVLD) is a challenge for parents because it has yet to be clearly defined and accepted by many educators and other professionals as a distinct disorder. Nevertheless, parents often seek information about this often-publicized and somewhat controversial disorder. In this article, we will answer some of the most common questions parents ask about nonverbal learning disabilities.

What is nonverbal learning disability (NLD)? Is it a distinct diagnostic category?

Nonverbal learning disability (NLD) is believed by some to be a neuropsychological disability. Although it has been studied for the past 30 years (by Byron Rourke, Ph.D. and others), it has not yet been included as a diagnostic category in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV TR). Many characteristics associated with NLD are similar to those that describe other, more "established" disorders, such as Asperger's Syndrome and specific learning disabilities.

For a professional's perspective on NLD, we turned to Brenda Smith Myles, Ph.D., an associate professor at the University of Kansas and editor of Intervention in School and Clinic, a practitioner-oriented journal designed to provide practical, research-based ideas to educators who work with students with severe learning disabilities and emotional/behavior problems. Dr. Smith Myles says, "Additional research and better diagnostic tools are required to clearly define the characteristics of NLD and determine whether or not it can be considered a distinct disorder."

For the time being, let's review how this disorder is defined - and how it might apply to your child.

What characteristics are associated with NLD?

NLD is usually defined by a distinct pattern of specific strengths and difficulties.

Individuals thought to have NLD typically demonstrate strengths in the following areas:

  • Intelligence quotient (IQ) which is typically in the average to above-average range. Children with NLD tend to have verbal IQ scores that are higher than their performance scores, a factor that distinguishes them from kids with language-based learning disabilities such as dyslexia.
  • Rote verbal and expressive and receptive language skills, such as the ability to memorize and repeat a great deal of information presented to them in spoken form. They also exhibit early language development.
  • Auditory processing skills, which entail learning better through hearing information, rather than seeing it (visual processing)

Individuals thought to have NLD generally experience difficulties in several broad categories:

  • Motor skills, such as graphomotor skills (related to printing and cursive writing), physical coordination, and balance
  • Complex conceptual skills involved in problem-solving, understanding cause-effect relationships, and seeing the "big picture" versus focusing on details
  • Visual-spatial-organizational skills, such as visualizing information and understanding spatial relations
  • Social skills, such as using and understanding nonverbal communication (e.g., gestures, facial expressions), dealing with new information and situations, transitioning between situations, conversation skills, and understanding the nuances of spoken language (e.g., hidden meanings, figurative language)
  • Activity level: hyperactivity (when younger), and hypoactivity (as they grow older)1
 
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Comments from GreatSchools.net readers

11/17/2009:
"My advice concerning self-esteem in children and adults with NLD is to try different extra-curricular activities or hobbies in a class setting until the NLDer finds something he/she enjoys. I have NLD and being allowed to try different things is very important in helping relieve stress and figuring out who we are. This, in turn, helps us find a future career and improves self-esteem because we've found something we're good at doing."
11/10/2009:
"My son wasn't diagnosed until he had to repeat the 8th grade. For years, I thought he had a behavioral problem--but that was his cover up for feeling dumb. I complained to my doctor that I suspected my son had a learning disability, but that his school was no help. She referred me to a University of Illinois' Neuropscychologist who was simply fantastic. Not only was she able to diagnose him through a series of tests, her report was so thorough that the school district didn't bother having him re-tested. It also helped that U of I is a reputable institution. He was able to get an IEP which is good for 3 years at which time he will be re-evaluated and the IEP will be adjusted to fit him academically as needed. A huge burden has been lifted. This doctor even explained to my son that none of this is his fault and that it's just how he is wired. He is doing much better."
10/27/2009:
"I have a son who was diagnosed with NLD this year. I could really use some help with his self esteem. Any suggestions?"
10/27/2009:
"My son was diagnosed as having Dyspraxia by a neurologist at the age of 9, a LD diagnosis more commonly used in the UK. At the age of 12 we were told that NLD would fit if needed for IEP. Does any one know the difference, is based on diagnostic criteria or is one a medical term and the other psycho/educational ? "
10/20/2009:
"my daug. is 15 n the 8th grade and is still failing i hav tried everything she has all the systoms of a NLD child ineed 2 no how 2 get her the proper help she needs before its 2 late. we live n cincinnati ohio please help."
09/1/2009:
"Well since I have NVLD and have lived with it for 15 years i do know a bit about my problem albeit it is mild , i live in the UK so it may be a little different to USA Education Authorities , What I find is disgraceful is that teachers cannot pick up on a kid having NVLD because it is invisible until they are older , you did not mention that... .and plus trouble with lighting change and worrying too much !! "
08/10/2009:
"I liked the article above, a great work book for parents, teachers and therapist is 'The Source Book for Non Verbal Learning Disorders' author is Sue Thompson. The author was a special education teacher and I believe (I might be wrong here) she had a child who had this. Any rate this book will prove to be an invaluable resource. I kept one at home, made many copies of selected sections for teachers, therapist and used it as a resource during IEP meetings. I purchased copies for selected therapist and doctors who were trying to understand the dynamics of it. The book is spot on and is a wonderful resource. It will help you help your child. This book will help you educate the educators. If this site will allow it my web site is www.OhioHealthHelp.com is is an outgrowth of having to deal with this issue in particular in my family. I hope this information helps someone. That book was like a Bible to me. As you can see I highly recommend it. Can't say enough good things about it."
07/7/2009:
"I feel like I am screaming and nobody hears me. My son has NLD and he is 8. It hurts so bad as he cannot make friends. He wants to and tries to but it never works out. He is very shy and sweet, stinks at sports and kids don't want to include him. I hate it, I have always taught my kids to be kind to everyone even if they are different from you. It seems like kids don't get taught that and it hurts me. Why don't parents and kids get it that everyone wants and needs a friend, they might just have trouble getting there. I just wish kids would give him a chance. Does anyone know what I mean? Sad Mom"
04/29/2009:
"Hello I am students of exceptional children. I want to know information more about Rote verbal and expressive and receptive language skills of nonverbal learning disabilities. Can I have your catalog or brochure about it? Best regards. Sisterly setare "
04/21/2009:
"NLD is a distinct disorder, just ask me, I have had problems all my life and it wasn't my fault."
03/19/2009:
"Our son was diagnosed NLD last summer. And I have been researching ever since. I appears that all the experts and schools are either on the West or East Coast. I, unfortunately, am just South of Cleveland, Ohio. I have been attempting to educate the educators on NLD. 98% has never heard of NLD. Our school system has one other child (elementary) that is NLD. I am sure there are others but like our son are told they are ADHD, ADD, AS.... What is the best way to obtain information on the number of NLD children in my area? This info is confidential so schools and doctors will not be a source of help. Do I put an ad in the newspaper? All help and suggestions/direction is appreciated. Thank you Nancy A. Motl a/k/a Mom on a Mission!"
02/11/2009:
"I am in the due process stage with my 15 year old son and our SD. I found a school in CT that he was accepted to and that we love, but can't afford. Because we are from Long Island NY and it is an out of state school and on the pricy side, our counsil is telling us that that school is probably out of our reach. The school is also arguing that our son does not require residential. My problem is that I can not find a day school anywhere near us unless he sits on a bus for at least 4 hours a day-and I am not having that. Please help with an idea for me. Thank you"
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