The Silent Struggle: Inside the NVLD Controversy and What It Means for Your Child

The Silent Struggle: Inside the NVLD Controversy and What It Means for Your Child
Picture of Dr. Roseann Capanna-Hodge

Dr. Roseann Capanna-Hodge

Navigating the world of neurodivergent diagnoses can often feel like exploring uncharted territory, especially when it comes to Nonverbal Learning Disability (NVLD). As parents of children with social challenges, understanding ASD and NVLD are crucial—not only for your child’s educational journey but also for their social interactions and overall well-being.

While most understand what autism is, a parent typically has never heard of NVLD nor its impact on learning in the social realm. Understanding what it is can help get a child identified and the proper support they need. 

What is NVLD (Nonverbal Learning Disability)?

What Is NVLD?

Nonverbal Learning Disability (NVLD) is a unique condition that presents a fascinating paradox. While children with NVLD often excel in verbal skills—like reading, writing, and vocabulary—they may struggle significantly with visual-spatial tasks, fine motor coordination, and social interactions. Picture a child who can recite the entire plot of a book but struggles to tie their shoelaces or read the emotions on a peer's face. This disparity can lead to considerable challenges in both academic and social settings, making it essential for parents to understand NVLD to support their children effectively.

Agreed-Upon Definition of NVLD

The term Nonverbal Learning Disability first emerged from early research aimed at understanding why certain individuals displayed noticeable gaps between their verbal and nonverbal proficiencies. For many parents, this historical context can provide a sense of comfort; your child is not alone in their struggles, and there is a rich body of research dedicated to understanding these unique challenges. However, it’s essential to note that the definition remains somewhat controversial, which can lead to confusion and frustration.

Today, NVLD falls under the neurodivergent umbrella and is typically associated with a range of difficulties, including visual-spatial deficits, which may manifest as trouble navigating environments, interpreting charts or diagrams, or aligning numbers in math. 

Despite having strong verbal skills, children might struggle with social cues, such as understanding when a friend is upset or misreading a sarcastic comment, indicating a verbal learning disability. Fine motor difficulties, such as issues with handwriting, using scissors, or participating in sports that require coordination, are also common. Many children with NVLD find social interactions challenging, from making eye contact to understanding the nuances of friendship dynamics.

Parents should be aware that there is still no consensus among medical and educational professionals regarding these characteristics, which can sometimes complicate your child’s support journey. The conversation around NVLD is ongoing, with various experts presenting differing opinions on its classification. Some professionals believe NVLD overlaps with other learning disabilities such as ADHD and Autism Spectrum Disorder (ASD). 

The American Psychiatric Association (APA) has yet to officially recognize NVLD as a distinct diagnosis, which further fuels the debate. As parents, it’s important to stay informed and seek out professionals who respect and understand your child's unique needs.

Diagnosis of NVLD

Diagnosing NVLD can be a complex process. It often involves a combination of assessments and observations to identify common symptoms. However, the lack of a universally accepted definition can complicate matters. Be prepared for your child to undergo various evaluations, as professionals attempt to pinpoint the specific challenges they face. Symptoms generally include visual-spatial deficits, fine motor skill challenges, and social skill difficulties.

There are strong arguments both for and against the idea of NVLD being a distinct diagnosis. Some professionals feel it should be categorized within a broader spectrum of learning disabilities, while others advocate for its recognition as a separate condition, distinct from ADHD and ASD. As parents, it's crucial to advocate for your child's needs—whether that means pushing for a unique diagnosis or seeking tailored support within existing frameworks.

Special education services can play a vital role in supporting children with NVLD. Early intervention is key; addressing the challenges associated with NVLD can lead to significant improvements in academic outcomes and social development. Collaborating with teachers and special education professionals can ensure that your child receives the targeted support they need to thrive.

Characteristics Involving Visual-Spatial Deficits

Visual-spatial deficits are common hurdles for individuals with Nonverbal Learning Disability (NVLD). These challenges can show up in various ways, such as struggling to interpret maps, graphs, and even visual instructions like diagrams. Imagine trying to follow a recipe that relies heavily on images or charts; for someone with NVLD, this might feel like deciphering a foreign language. 

These difficulties can significantly affect not just academic performance, but also everyday activities like navigating a new city or assembling furniture. The frustration of constantly grappling with visual information can be overwhelming, making it essential to find ways to bridge these gaps.

While NVLD primarily involves visual-spatial deficits, it often intersects with verbal learning challenges. This interaction can complicate the learning experience, as students may excel in verbal communication yet struggle with tasks that require visual understanding. For example, during class discussions, a student might articulate their ideas clearly but have trouble grasping visual aids that accompany the lecture. 

This dual challenge emphasizes the need to address both visual and verbal learning styles simultaneously to foster a more inclusive learning environment. By recognizing this interplay, educators can create strategies that support students in navigating both realms effectively.

It can also impact motivation, executive functioning and emotional regulation, which crosses over with other conditions such as PDA, RSD, ADHD, ASD and AuDHD.

Social Skills and NVLD

For many young adults with NVLD, social skills deficits pose significant challenges. These individuals may find it hard to read nonverbal cues like body language or facial expressions, which can lead to misunderstandings in social situations. As a result, forming and maintaining peer relationships can be difficult, often leaving them feeling isolated or misunderstood. 

The impact of these social challenges can extend beyond simple interactions; they can contribute to emotional dysregulation and mental health issues such as anxiety and depression, as social connections are crucial for emotional well-being.

Fortunately, effective interventions can make a world of difference. Social skills training programs offer structured environments where individuals can practice and hone their skills with peers. 

Therapy can also provide a safe space to explore social scenarios and develop coping strategies. Additionally, support from special education programs can further enrich their social experiences, providing guidance and resources tailored to their unique needs. By implementing these strategies, individuals with NVLD can cultivate healthier social interactions and boost their overall self-esteem and happiness.

The Role of the NVLD Project

The NVLD Project plays a pivotal role in raising awareness and understanding of Nonverbal Learning Disabilities. Through dedicated advocacy and research efforts, the project aims to shed light on the complexities of NVLD, encouraging educators, families, and communities to recognize its impact. By collaborating with researchers and sharing findings, the NVLD Project contributes significantly to the broader understanding of learning disabilities, advocating for the recognition that these challenges deserve.

In addition to advocacy, the NVLD Project provides a wealth of resources and support programs for individuals with NVLD and their families. From workshops to informational materials, these resources help families navigate the often-complex world of learning disabilities. Their commitment to pushing for greater recognition and support ensures that families feel empowered and informed, fostering a stronger community around NVLD.

Fine Motor Skills in NVLD

Fine motor deficits are another common challenge for individuals with NVLD. Tasks that require precise hand movements, such as writing, buttoning clothing, or even using utensils, can become frustrating obstacles. 

Picture a child who struggles to hold a pencil correctly, finding their handwriting illegible, or an adult who faces difficulty with everyday tasks that most people take for granted. These challenges can lead to self-esteem issues and may negatively impact academic performance and daily living skills.

To support individuals in overcoming these fine motor challenges, therapeutic approaches such as occupational therapy can be incredibly beneficial. Occupational therapists can work with individuals to develop targeted exercises and strategies that improve fine motor skills over time. 

These interventions are not just about improving academic performance; they play a crucial role in fostering independence and enhancing quality of life by enabling individuals to tackle daily tasks with greater confidence.

NVLD in the Context of Special Education

IEP For NVLD

In educational settings, students with NVLD often benefit from individualized education plans (IEPs) that are carefully tailored to meet their specific needs. These plans are designed to ensure that appropriate accommodations and support systems are in place, helping students navigate their learning environments more effectively. For instance, a student may receive extra time on tests or alternative methods of assessment that play to their strengths.

While there are many challenges in addressing NVLD, such as its complex nature and the current lack of standardized diagnostic criteria, there are also countless opportunities for success. 

Educators who are informed about NVLD can adopt effective strategies that promote understanding and inclusion in the classroom. Success stories abound, demonstrating that with the right support, students with NVLD can not only overcome their challenges but thrive academically and socially. By fostering a supportive educational atmosphere, we can empower these students to reach their full potential and celebrate their unique strengths.

Next Steps for a Child or Teen with NVLD

Understanding Nonverbal Learning Disability (NVLD) and navigating its complexities is crucial for parents of neurodivergent children. NVLD is characterized by difficulties in nonverbal communication, spatial awareness, and social interaction, which can pose unique challenges in everyday life. By identifying the signs early, such as struggles with visual-spatial tasks or challenges in reading social cues, parents can take proactive steps.

Advocating for appropriate support within educational settings, such as individualized education plans (IEPs) and specialized tutoring, is essential. Additionally, utilizing available resources—such as support groups, educational workshops, and our Dysregulation Solution and CALM Brain Community—can empower parents to better understand their child's needs and enhance their children's academic, social, and emotional success in life. By fostering a supportive environment and encouraging open communication, parents can help their children thrive.

Dysregulation-Solution-cta

Citations

Bekirogullari, Z. (2018). Cognitive Behavioural Therapy in treating persons with learning disabilities. Journal of Educational Science and Psychology. https://files.eric.ed.gov/fulltext/ED593577.pdf

Fisher, P. W., Reyes-Portillo, J. A., Riddle, M. A., & Litwin, H. D. (2022). Systematic Review: Nonverbal Learning Disability. Journal of the American Academy of Child and Adolescent Psychiatry, 61(2), 159–186. https://doi.org/10.1016/j.jaac.2021.04.003 

Schatz, R. (2013). The Role of the Occupational Therapist. Treating NVLD in Children, 29–51. https://doi.org/10.1007/978-1-4614-6179-1_3

Dr. Roseann is a mental health expert in Self-Regulation who frequently is in the media:

Always remember… “Calm Brain, Happy Family™”

Disclaimer: This article is not intended to give health advice and it is recommended to consult with a physician before beginning any new wellness regime. *The effectiveness of diagnosis and treatment vary by patient and condition. Dr. Roseann Capanna-Hodge, LLC does not guarantee certain results.

Are you looking for SOLUTIONS for your struggling child or teen? 

Dr. Roseann and her team are all about science-backed solutions, so you are in the right place! 

Take the “Am I a Neurodivergent Quiz” to Better Understand NVLD
are you neurodivergent?

Dr. Roseann is a Children’s Mental Health Expert and Licensed Therapist who has been featured in/on hundreds of media outlets including The Mel Robbins Show, CBS, NBC, PIX11 NYC, Today, FORBES, CNN, The New York Times, The Washington Post, Business Insider, Women’s Day, Healthline, CNET, Parade Magazine and PARENTS. FORBES called her, “A thought leader in children’s mental health.

Dr. Roseann - Brain Behavior Reset Parent Toolkit

She coined the terms, “Re-entry panic syndrome” and “eco-anxiety” and is a frequent contributor to media on mental health. 

Dr. Roseann Capanna-Hodge has three decades of experience in working with children, teens and their families with attention-deficit hyperactivity disorder (ADHD), autism, concussion, dyslexia and learning disability, anxiety, Obsessive Compulsive Disorder (OCD), depression and mood disorder, Lyme Disease, and PANS/PANDAS using science-backed natural mental health solutions such as supplements, magnesium, nutrition, QEEG Brain maps, neurofeedback, PEMF, psychotherapy and other non-medication approaches. 

She is the author of three bestselling books, It’s Gonna Be OK!: Proven Ways to Improve Your Child's Mental Health, The Teletherapy Toolkit, and Brain Under Attack. Dr. Roseann is known for offering a message of hope through science-endorsed methods that promote a calm brain. 

Her trademarked BrainBehaviorResetⓇ Program and It’s Gonna be OK!Ⓡ Podcast has been a cornerstone for thousands of parents facing mental health, behavioral or neurodevelopmental challenges.

She is the founder and director of The Global Institute of Children’s Mental Health, Neurotastic™Brain Formulas and Dr. Roseann Capanna-Hodge, LLC. Dr. Roseann is a Board Certified Neurofeedback (BCN) Practitioner, a Board Member of the Northeast Region Biofeedback Society (NRBS), Certified Integrative Mental Health Professional (CIMHP) and an Amen Clinic Certified Brain Health Coach.  She is also a member of The International Lyme Disease and Associated Disease Society (ILADS), The American Psychological Association (APA), Anxiety and Depression Association of America (ADAA) National Association of School Psychologists (NASP), International OCD Foundation (IOCDF).

© Roseann-Capanna-Hodge, LLC 2024

Scroll to Top
Having Computer issues?
What’s the #1 burning question

about your child’s behavior that keeps you up at night?

By sending us your question, you give us permission to use
your audio clip anonymously in our podcast.