young boy organizing shapes with his mother

Dr. Roseann conducts thorough psychoeducational evaluations. Understanding one’s learning profile and what treatments or accommodations can help are all part of the process. A comprehensive evaluation is the necessary first step in figuring out why your child learns differently and what to do about it. Once learning differences have been identified, then you can figure out how to address them. Determining if there is something interfering with their ability to learn is important if you are looking for academic supports. Dr. Roseann will make in-depth recommendations for both home and school environments. She will show you how to access academic and other supports in a positive, solution-focused manner.

Dr. Roseann and her team assess children, adolescents, and college or graduate students with Dyslexia and Reading Disability, Language-based difficulties, Learning Learning Disability, Dysgraphia, Math Disability, Autism, NVLD, Attention Issues or ADHD, Executive Functioning Difficulties, behavioral or emotional issues, concussion, Lyme Disease, PANS/PANDAS, and other conditions that impact learning and academic functioning.  *

“Dr. Roseann identified exactly what my son’s issues were and helped us put a plan in place that to treat his Dyslexia and ADHD. The Neurofeedback therapy and Orton-Gillingham reading specialist she connected us with finally has helped our son to read. I know she changed the course of his life and will be forever grateful to her and her team.”*

What are some Early Warning Signs of a Learning Disability?

Early Warning Signs: Preschool

  • Late talking, compared to other children.
  • Pronunciation problems.
  • Slow vocabulary growth, often unable to find the right word.
  • Difficulty understanding questions
  • Hard time expressing wants and desires
  • Difficulty rhyming words.
  • Trouble learning numbers, the alphabet, and days of the week.
  • Difficulty discriminating size, shape, color
  • Poor ability to follow or memorize directions or routines
  • Easily confused by instructions
  • Lack of interest in storytelling
  • Difficulty sitting still
  • Extremely restless and easily distracted.
  • Trouble interacting with peers.
  • Lack of persistence at tasks
  • Fine motor skills slow to develop
  • Trouble learning self-help skills (tying shoelaces)
  • Clumsiness
  • Avoidance of drawing or tracing
  • Trouble learning left from right


  • Slow to learn the connection between letters and sounds
  • Difficulty breaking words apart into sounds
  • Difficulty blending sounds together to make words
  • Confuses basic words (run eat, want, was)
  • Difficulty pronouncing new words and remembering them
  • Makes consistent reading and spelling errors including letter reversals (b/d), inversions (m/w), transpositions (felt/left) and substitutions (house/home)
  • Guesses at unknown words while reading because they can’t figure out the sounds or blend them together
  • Transposes number sequences and confuses arithmetic signs (+, -, x, /, =).
  • Trouble following directions
  • Slow recall of facts
  • Slow to learn new skills, relies heavily on memorization
  • Difficulty with cause and effect, sequencing, and counting
  • Slow to learn new concepts
  • Impulsive, difficulty planning
  • Careless errors
  • Distractibility
  • Organizational problems
  • Unstable pencil grip
  • Trouble with letter formation
  • Trouble learning about time and other math concepts
  • Difficulty finishing work on time
  • Poor coordination, unaware of physical surroundings, prone to accidents
  • Often very competent in oral language, but not with written language


  • Reverses letter sequences (soiled/solid, left/felt)
  • Slow to learn prefixes, suffixes, root words, and other spelling strategies
  • Doesn’t know the sounds associated with all of the letters
  • Skips words in a sentence and doesn’t stop to self-correct
  • Can’t remember words; sounds out the same word every time it occurs on the page
  • Frequently guesses at unknown words rather than sounding them out
  • Avoids reading aloud
  • Poor reading comprehension
  • Lack of verbal participation in class.
  • Trouble with word problems
  • Difficulty with handwriting
  • Awkward, fist-like or tight pencil grip
  • Avoids writing compositions
  • Slow or poor recall of number facts
  • Failure of automatic memory
  • Inconsistency
  • Poor self-monitoring
  • Poor ability to discern relevant detail
  • Poor learning strategies
  • Disorganization in time or space
  • Difficulty finishing work on time
  • Peer rejection
  • Difficulty making and keeping friends
  • Trouble understanding body language and facial expressions
  • Often very competent in oral language, but not with written language
  • Poor performance in tests and quizzes despite good study skills


  • Continues to spell incorrectly, frequently spells the same word differently in a single piece of writing
  • Avoids reading and writing tasks
  • Trouble summarizing
  • Trouble with open-ended questions on tests
  • Weak grasp of information
  • Foreign language problems
  • Poor written expression
  • Mental fatigue
  • Weak memory skills
  • Difficulty adjusting to new settings
  • Works slowly
  • Poor grasp of abstract concepts
  • Either pay too little attention to details or focuses on them too much
  • Misreads information
  • Difficulty persisting through tasks
  • May have difficulty with planning, organization, and management of time, materials and tasks
  • Often very competent in oral language, but not with written language
  • Poor performance in tests and quizzes despite good study skills

What is a Learning Disability?

A learning disability is defined as a disorder in one or more of the basic psychological processes involved in understanding or in using spoken or written language, which may manifest itself in an imperfect ability to listen, think, speak, read, write, spell, or to do mathematical calculations despite at least average intelligence. It impedes the ability to store, process or produce information.

When someone has a learning disability, it means that he or she learns differently than most people, and that learning itself is usually more difficult. A learning disability is a condition that can affect anybody, regardless of age, ethnicity, or gender.

What is Dyslexia?

Dyslexia is a specific learning disability that is neurological in origin. It is characterized by difficulties with accurate and/or fluent word recognition and by poor spelling and decoding abilities. These difficulties typically result from a deficit in the PHONOLOGICAL component of language that is often unexpected in relation to other cognitive abilities and the provision of effective classroom instruction. When children learn to read, they must first become aware that spoken words are made of these pieces of sound. After they gain this knowledge (known as phonological awareness) then they must be taught that letters or combinations of letters are the way in which we represent these sounds on paper. Most children grasp this concept easily, no matter what method is used to teach them. Studies have found, however, that at least 20 percent of children must be taught this letter-sound system directly in order to learn to read successfully. About 95% of Dyslexics MUST have a very specific type of structured, multi-sensory approach to reading. Orton-Gillingham, Wilson, Fast Forward, and Lindamood reading programs are all structured, multi-sensory reading programs.

Early identification and proper reading instruction is critical for the child with Dyslexia. Children as young as five can easily be assessed for phonological processing problems.*

Research Links:

*The effectiveness of diagnosis and treatment vary by patient and condition. Dr. Roseann Capanna-Hodge & Associates does not guarantee certain results.