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	<title>Holly Graves &amp; Associates, Inc.</title>
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	<link>https://newstaging.hollygraves.com</link>
	<description>Teaching Learning</description>
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		<title>Consultation</title>
		<link>https://newstaging.hollygraves.com/consultation/consultation/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Fri, 01 May 2026 19:44:24 +0000</pubDate>
				<category><![CDATA[Consultation]]></category>
		<guid isPermaLink="false">https://staging.hollygraves.com/?p=226243</guid>

					<description><![CDATA[While most of our clinical practice is Direct Instruction and Remediation, we are experts in the interpretation of psycho-educational evaluations, normative testing, best-practices for school accomodations and placement.]]></description>
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<div class="et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--group--divi-text--divi-spacing--qp2euwm2bc preset--module--divi-text--default"><div class="et_pb_text_inner"><h2><strong>Testing/Assessment/Screening/Consultation</strong></h2>
<ul>
<li>While most of our clinical practice is Direct Instruction and Remediation, we are experts in the interpretation of psycho-educational evaluations.  We can do some educational testing, screening and benchmarking for language-based problems as well as design intervention programs based on testing results.  Some of the services we offer include:</li>
<li><strong>Review the Assessment/Evaluation</strong> you already have.  Many of our clients already have a full PsychoEducational Evaluation, and have been referred to us for Intervention.  Others may have one from another City or State.  We can review and analyze your Evaluation, help you understand what it means, and make recommendations for Intervention based on your testing.</li>
<li><strong>Help you determine if you need an eval</strong>.  We can make recommendations for additional testing if we think you need it.  Or we can do some testing ourselves depending on our availability and what you need or refer you to a competent provider. </li>
<li><strong>Review other testing</strong> (like Normative tests given at school, or Benchmarking results) and recommend best-practices for intervention.</li>
<li><strong>Review your IEP or 504 Plan</strong> and recommend best-practices for accomodations and school services.</li>
<li>For our existing clients:  answer <strong>questions about school placement </strong>(or refer you to an appropriate service), summer programs, and other support services.</li>
<li>Diagnose <strong>Dyslexia</strong></li>
</ul>
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		<title>ADHD Brains</title>
		<link>https://newstaging.hollygraves.com/dyslexia/adhd/adhd-brains/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Fri, 01 May 2026 19:39:47 +0000</pubDate>
				<category><![CDATA[ADHD]]></category>
		<guid isPermaLink="false">https://staging.hollygraves.com/?p=226239</guid>

					<description><![CDATA[The scientific community has been attempting to define the exact changes in the human brain that lead to ADHD and dyslexia. ]]></description>
										<content:encoded><![CDATA[<div class="et_pb_section_1 et_pb_section et_section_regular et_flex_section preset--group--divi-section--divi-border--nested--69ef8639b2932 preset--group--divi-section--divi-layout--default preset--group--divi-section--divi-background--h1xv09d--nested--20admftn61 preset--group--divi-section--divi-layout--hp3jn2g--default preset--module--divi-section--2qkvj4s1bx">
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<div class="et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>The scientific community has been attempting to define <strong>the exact changes in the human brain that lead to ADHD and dyslexia</strong>. There have been pathologic studies of a few brains from people with dyslexia after they died. While some changes in the brain have been found between the brains of people with dyslexia and people who do not have dyslexia, no consistent pattern has emerged that allows the exact “dyslexic center” to be determined. More promising techniques have been developed, which can be performed in living persons. These include imaging studies, as well as physiologic studies. Once again, interesting leads have been found, but none has given us a definitive answer regarding the underlying mechanisms of these disorders. It should also be mentioned that these tests are research tools. There are currently no biologic tests routinely available that allow an objective diagnosis of dyslexia or ADHD.</p>
<h3><strong>What is the outlook for children with Dyslexia and ADHD?</strong></h3>
<p><strong>If dyslexia and ADHD are identified and treated early,</strong> children with these disorders are more likely to learn to overcome their difficulties while maintaining a positive self-image. Even though children with dyslexia do not outgrow their disability, they can learn to adapt and improve their weak skills. With proper remediation and needed accommodations, students with dyslexia can go on to be very successful students in colleges and universities, as well as in professional and adult life. After puberty, about 40–50% of children with ADHD will improve and develop enough coping skills so that their symptoms no longer have a negative impact on their quality of life; however, the other 50–60% will continue to exhibit symptoms of ADHD through adolescence and adulthood that will negatively affect their lives. It is important to remember that many students with ADHD with appropriate support and accommodations can be very successful with higher level academic work and in their professional lives. It is never too late to diagnose these disorders. It is not uncommon for a gifted person in college or graduate school to be diagnosed with dyslexia or ADHD. Such individuals can learn to develop their personal strengths and become not only successful students, but happy and productive adults, as well.</p>
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		<title>ADHD and Dyslexia</title>
		<link>https://newstaging.hollygraves.com/dyslexia/adhd-and-dyslexia/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Fri, 01 May 2026 19:35:25 +0000</pubDate>
				<category><![CDATA[ADHD]]></category>
		<category><![CDATA[Dyslexia]]></category>
		<guid isPermaLink="false">https://staging.hollygraves.com/?p=226233</guid>

					<description><![CDATA[ADHD and dyslexia are distinct conditions that frequently overlap, thereby causing some confusion about the nature of these two conditions. AD/HD is one of the most common developmental problems, affecting 3–5% of the school population. ]]></description>
										<content:encoded><![CDATA[<div class="et_pb_section_2 et_pb_section et_section_regular et_flex_section preset--group--divi-section--divi-border--nested--69ef8639b2932 preset--group--divi-section--divi-layout--default preset--group--divi-section--divi-background--h1xv09d--nested--20admftn61 preset--group--divi-section--divi-layout--hp3jn2g--default preset--module--divi-section--2qkvj4s1bx">
<div class="et_pb_row_2 et_pb_row et_flex_row preset--group--divi-row--divi-layout--default preset--group--divi-row--divi-layout--hp3jn2g--default preset--module--divi-row--default">
<div class="et_pb_column_2 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_widescreen">
<div class="et_pb_text_2 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--group--divi-text--divi-border--bpps5zey0l preset--group--divi-text--divi-spacing--qp2euwm2bc preset--module--divi-text--default"><div class="et_pb_text_inner"><p><strong>ADHD and dyslexia are distinct conditions that frequently overlap</strong>, thereby causing some confusion about the nature of these two conditions. AD/HD is one of the most common developmental problems, affecting 3–5% of the school population. It is characterized by inattention, distractibility, hyperactivity and impulsivity. It is estimated that 30% of those with dyslexia have coexisting AD/HD.</p>
<p>Coexisting means the two conditions, AD/HD and dyslexia,can occur together, but they do not cause each other. </p>
<p>Dyslexia is a language-based learning disability characterized by difficulties with accurate and fluent word recognition, spelling,and reading decoding. People with dyslexia have problems discriminating sounds within a word or phonemes, a key factor in their reading and spelling difficulties. (See IDA fact sheets “Definition of Dyslexia” and “Dyslexia Basics.”)</p>
<h3><strong>How are ADHD and Dyslexia diagnosed?</strong></h3>
<p><strong>ADHD and dyslexia are diagnosed differently</strong>. An evaluation for AD/HD is carried out by a physician or a psychologist. This evaluation should include the following:</p>
<ol>
<li>complete medical and family history</li>
<li>physical examination</li>
<li>interviews with parents and child</li>
<li>behavior rating scales completed by parents and teachers</li>
<li>observation of the child</li>
<li>psychological tests to measure intellectual potential, social and emotional adjustment, as well as to assess for the presence of learning disabilities, such as dyslexia.</li>
</ol>
<p>Although AD/HD has been given numerous names since it was first identified in 1902, the Diagnostic and Statistical Manual, 4th Edition.  <strong>These subtypes are:</strong></p>
<ol>
<li>ADHD predominantly inattentive type is characterized by distractibility and difficulty sustaining mental effort and attention.</li>
<li>ADHD predominantly hyperactive impulsive type is characterized by fidgeting with hands and feet, squirming in one’s chair, acting as if driven by a motor, interrupting and intruding upon others.</li>
<li>ADHD combined type meets both sets of inattention and hyperactive/impulsive criteria.</li>
<li>Dyslexia is diagnosed through a psychoeducational evaluation. (See IDA fact sheet: “Testing and Evaluation.”) </li>
</ol>
<h3><strong>Is ADHD over-diagnosed?</strong></h3>
<p><strong>The American Medical Association</strong> and the Centers for Disease Control and Prevention have concluded that ADHD is not overdiagnosed; however, increased awareness has resulted in an increase in the number of individuals diagnosed with ADHD. Girls and gifted children are actually underdiagnosed or may be diagnosed late. Girls often have ADHD predominantly inattentive type where the essential feature is inattention. This subtype of ADHD can easily be overlooked because the more obvious characteristics of hyperactivity and impulsivity are not present. Gifted children may be identified late because their strong intellectual abilities help them to compensate for these weaknesses in attention.</p>
<h3><strong>Can you inherit ADHD and Dyslexia?</strong></h3>
<p>Both ADHD and dyslexia run in families. Genetics play a role in about half of the children diagnosed with AD/HD. For the other half, research has yet to identify a cause. Regarding dyslexia, about one third of the children born to a dyslexic parent will also likely be dyslexic.</p>
<h3><strong>What do ADHD and Dyslexia have in common?</strong></h3>
<p>Dyslexic children and children with ADHD have some similar characteristics. Dyslexic children, like children with ADHD, may have difficulty paying attention because reading is so demanding that it causes them to fatigue easily, limiting the ability to sustain concentration. People with dyslexia and those with ADHD both have difficulty with reading. The dyslexic person’s reading is typically dysfluent, with major problems with accuracy, misreading both large and small words. The person with ADHD may also be a dysfluent reader, but his or her reading is not characterized by misreading words. The AD/HD reader may skip over punctuation, leave off endings, and lose his or her place. The dysfluency of both the ADHD person and the dyslexic reader may negatively impact comprehension. Both may avoid reading and derive little pleasure from it. Both the person with dyslexia and the person with ADHD typically have trouble with writing. The typical dyslexic writer has significant problems with spelling, grammar, proofreading, and organization. The ADHD writer often has difficulty with organization and proofreading. Both the dyslexic writer and the ADHD writer may have handwriting difficulties.</p>
<p> Individuals with dyslexia and AD/HD may be underachieving in school even though they are often bright and motivated. The goal for them, as it is for all children, is to meet their potential. It is critical that children with these disorders be carefully evaluated because treatment for one disorder is different from the other. Inaccurate diagnosis can lead to inappropriate intervention and a delay in timely, effective intervention.</p>
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		<title>Mathematics and Dyslexia</title>
		<link>https://newstaging.hollygraves.com/math/mathematics-and-dyslexia-2/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Fri, 01 May 2026 19:09:03 +0000</pubDate>
				<category><![CDATA[Dyscalculia]]></category>
		<category><![CDATA[Math]]></category>
		<guid isPermaLink="false">https://staging.hollygraves.com/?p=226224</guid>

					<description><![CDATA[Excelling at math, or just even being able to pass the requirements, draws on many different skills and ways of thinking—it calls on conceptual, logical, and spatial reasoning, but it also often requires neatness, exactness, and computational skills. ]]></description>
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<div class="et_pb_text_3 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p><em>from Christopher Wooden, Ammerman Chair of Mathematics, Landmark School, MA.</em></p>
<h3><strong>Breaking Down Math</strong></h3>
<p>Excelling at math, or just even being able to pass the requirements, draws on many different skills and ways of thinking—it calls on conceptual, logical, and spatial reasoning, but it also often requires neatness, exactness, and computational skills.  There are many areas in which to shine in mathematics, but unfortunately, there are also many areas in which to struggle.  These tasks change over time, demanding increased refinement or elaboration of skill sets, or the addition of new ones as a student progresses through school.  Woodin encourages teachers to treat math problems with the same kind of thoughtful and targeted strategies that are applied to reading instruction.</p>
<p>In the classroom, we break down the complex processing tasks of reading and spelling into various subskills that can be tested and analyzed.  As a result, students’ strengths and weaknesses may be acknowledged and an effective course of action can be planned and implemented.  Math skills, however, are not routinely evaluated in this manner.  Math is usually assessed in terms of achievement: a student’s ability to perform a set of increasingly sophisticated computations or word problems.  Resulting scores define students as being “good, average, or bad” at math.  The problem with these labels is that, much like reading and writing, math is made up of subskills, and it may be that a deficiency in just one of these subskills makes the student “bad” at math.  A student who is a poor speller or has bad handwriting wouldn’t necessarily be considered a poor writer.  Specific weaknesses are not defined within the context of math, therefore specific therapies are not prescribed to treat them.   In the math sphere, the “bad” math student who has been defined in very general terms is usually afforded an equally general course of remediation, and a repetition of previously introduced material ensues, or perhaps an enhanced sensory diet of “slower and louder” is dispensed.</p>
<h3>The Relationship Between Math and Language Struggles</h3>
<p>We often define dyslexia as an “unexpected difficulty in reading”; however, a dyslexic student may also have difficulty with math facts although they are often able to understand and do higher level math quite well.  The specific skills that an educational evaluation measures to determine where language glitches, both written and verbal, occur can also be helpful in predicting where math breakdowns might occur.  Using this knowledge, we can also develop strategies to address an individual student’s struggles in math.</p>
<p>Math-specific skills, including the ability to recognize and relate quantities, should also be assessed and factored into the production of an effective program for students whose atypical learning profiles suggest the need for special attention.</p>
<h3><strong>Why and how should teachers use what they know about language remediation to address math problems?</strong></h3>
<p>Mutlistep tasks can be difficult for students who have trouble organizing, naming, or sequencing; however, experience has shown that these students can be helped by using instructional methods that forge meaning and context through physically organizing objects, naming the action, and writing the process down.</p>
<p>Students’ learning styles must be acknowledged through the development of strategies that compensate for their individual difficulties.  Woodin has found that using activities that involve visualizing, walking, and talking out problems are effective in developing vocabulary, organizational skills, and oral and written output.</p>
<h3><strong>Overview: Importance of Integrating Visual and Language Systems</strong></h3>
<p>Like reading, math involves many cognitive processes or systems.  Ideally, teachers should diagnose and treat math breakdowns with the same specificity and strategies they apply to language-based instruction. When math remediation is most effective and efficient, it employs the same best practices that are used to address reading struggles.   We know that using hand motions when teaching songs or poems may be helpful since it provides cues and context clues that reinforce learning of the content.  Likewise, the best math instruction utilizes student strengths to mitigate weaknesses, and uses context and the integration of multisensory techniques to help the student create meaning and improve memory.</p>
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		<title>Tips to Help Stay Organized</title>
		<link>https://newstaging.hollygraves.com/dyslexia/adhd/tips-to-help-stay-organized/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Thu, 30 Apr 2026 00:49:42 +0000</pubDate>
				<category><![CDATA[ADHD]]></category>
		<category><![CDATA[EF]]></category>
		<guid isPermaLink="false">https://staging.hollygraves.com/?p=226214</guid>

					<description><![CDATA[Parents, teachers and therapists can help kids  and adults with ADHD stay organized and follow directions ]]></description>
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<div class="et_pb_text_4 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><h2>For Kids:</h2>
<p>Parents and teachers can help kids with ADHD stay organized and follow directions with tools such as:</p>
<ul>
<li>Keeping a routine and a schedule. Keep the same routine every day, from wake-up time to bedtime. Include times for homework, outdoor play, and indoor activities. Keep the schedule on the refrigerator or on a bulletin board in the kitchen. Write changes on the schedule as far in advance as possible.</li>
<li>Organizing everyday items. Have a place for everything, and keep everything in its place. This includes clothing, backpacks, and toys.</li>
<li>Using homework and notebook organizers. Use organizers for school material and supplies. Stress to your child the importance of writing down assignments and bringing home the necessary books.</li>
<li>Being clear and consistent. Children with ADHD need consistent rules they can understand and follow.</li>
<li>Giving praise or rewards when rules are followed. Children with ADHD often receive and expect criticism. Look for good behavior, and praise it.</li>
</ul>
<h4>For Adults:</h4>
<p>A professional counselor or therapist can help an adult with ADHD learn how to organize his or her life with tools such as:</p>
<ul>
<li>Keeping routines</li>
<li>Making lists for different tasks and activities</li>
<li>Using a calendar for scheduling events</li>
<li>Using reminder notes</li>
<li>Assigning a special place for keys, bills, and paperwork</li>
<li>Breaking down large tasks into more manageable, smaller steps so that completing each part of the task provides a sense of accomplishment.</li>
</ul>
<p>Resources:</p>
<p><a href="https://www.chad.org" title="C.H.A.D.D.">C.H.A.D.D.</a> (Children and Adults with Attention-Deficit/Hyperactivity Disorder), an organization devoted to providing science-based information and support for those individuals with ADHD </p>
<p><a href="https://russellbarkley.org/books.html">Taking Charge of ADHD</a>, by Russell Barkley</p>
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		<title>ADHD Treatment</title>
		<link>https://newstaging.hollygraves.com/dyslexia/adhd/adhd-treatment/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Thu, 30 Apr 2026 00:30:51 +0000</pubDate>
				<category><![CDATA[ADHD]]></category>
		<category><![CDATA[EF]]></category>
		<guid isPermaLink="false">https://staging.hollygraves.com/?p=226204</guid>

					<description><![CDATA[While there is no cure for ADHD, currently available treatments can help reduce symptoms and improve functioning. Treatments include medication, psychotherapy, education or training, or a combination of treatments.]]></description>
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<div class="et_pb_text_5 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>While there is no cure for ADHD, currently available treatments can help reduce symptoms and improve functioning. Treatments include medication, psychotherapy, education or training, or a combination of treatments.</p>
</div></div>

<div class="et_pb_text_6 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><h2>Medication</h2>
<p>For many people, ADHD medications reduce hyperactivity and impulsivity and improve their ability to focus, work, and learn. Medication also may improve physical coordination. Sometimes several different medications or dosages must be tried before finding the right one that works for a particular person. Anyone taking medications must be monitored closely and carefully by their prescribing doctor.</p>
<p>Stimulants. The most common type of medication used for treating ADHD is called a “stimulant.” Although it may seem unusual to treat ADHD with a medication that is considered a stimulant, it works because it increases the brain chemicals dopamine and norepinephrine, which play essential roles in thinking and attention.</p>
<p>Under medical supervision, stimulant medications are considered safe. However, there are risks and side effects, especially when misused or taken in excess of the prescribed dose.For example, stimulants can raise blood pressure and heart rate and increase anxiety. Therefore, a person with other health problems, including high blood pressure, seizures, heart disease, glaucoma, liver or kidney disease, or an anxiety disorder should tell their doctor before taking a stimulant.</p>
<p>Talk with a doctor if you see any of these side effects while taking stimulants:</p>
<ul>
<li>decreased appetite</li>
<li>sleep problems</li>
<li>tics (sudden, repetitive movements or sounds);</li>
<li>personality changes</li>
<li>increased anxiety and irritability</li>
<li>stomachaches</li>
<li>headaches</li>
</ul>
<h2>Non-stimulants.</h2>
<p>A few other ADHD medications are non-stimulants. These medications take longer to start working than stimulants, but can also improve focus, attention, and impulsivity in a person with ADHD. Doctors may prescribe a non-stimulant: when a person has bothersome side effects from stimulants; when a stimulant was not effective; or in combination with a stimulant to increase effectiveness. Although not approved by the U.S. Food and Drug Administration (FDA) specifically for the treatment of ADHD, some antidepressants are sometimes used alone or in combination with a stimulant to treat ADHD. Antidepressants may help all of the symptoms of ADHD and can be prescribed if a patient has bothersome side effects from stimulants. Antidepressants can be helpful in combination with stimulants if a patient also has another condition, such as an anxiety disorder, depression, or another mood disorder.</p>
<p>Doctors and patients can work together to find the best medication, dose, or medication combination. Learn the basics about stimulants and other mental health medications on the NIMH Mental Health Medications webpage and check the FDAwebsite (http://www.fda.gov/ ), for the latest information on warnings, patient medication guides, or newly approved medications.</p>
</div></div>

<div class="et_pb_text_7 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><h2>Psychotherapy</h2>
<p>Adding psychotherapy to treat ADHD can help patients and their families to better cope with everyday problems.<br />
Behavioral therapy is a type of psychotherapy that aims to help a person change his or her behavior. It might involve practical assistance, such as help organizing tasks or completing schoolwork, or working through emotionally difficult events. Behavioral therapy also teaches a person how to:</p>
<p>• monitor his or her own behavior<br />
• give oneself praise or rewards for acting in a desired way, such as controlling anger or thinking before acting</p>
<p>Parents, teachers, and family members also can give positive or negative feedback for certain behaviors and help establish clear rules, chore lists, and other structured routines to help a person control his or her behavior. Therapists may also teach children social skills, such as how to wait their turn, share toys, ask for help, or respond to teasing. Learning to read facial expressions and the tone of voice in others, and how to respond appropriately can also be part of social skills training.</p>
<p>Cognitive behavioral therapy can also teach a person mindfulness techniques, or meditation. A person learns how to be aware and accepting of one’s own thoughts and feelings to improve focus and concentration. The therapist also encourages the person with ADHD to adjust to the life changes that come with treatment, such as thinking before acting, or resisting the urge to take unnecessary risks.Family and marital therapy can help family members and spouses find better ways to handle disruptive behaviors, to encourage behavior changes, and improve interactions with the patient.<br />
For more information on psychotherapy, see the Psychotherapies webpage on the NIMH website.</p>
</div></div>

<div class="et_pb_text_8 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><h2>Education and Training</h2>
<p>Children and adults with ADHD need guidance and understanding from their parents, families, and teachers to reach their full potential and to succeed. For school-age children, frustration, blame, and anger may have built up within a family before a child is diagnosed. Parents and children may need special help to overcome negative feelings. Mental health professionals can educate parents about ADHD and how it affects a family. They also will help the child and his or her parents develop new skills, attitudes, and ways of relating to each other.</p>
<p>Parenting skills training (behavioral parent management training) teaches parents the skills they need to encourage and reward positive behaviors in their children. It helps parents learn how to use a system of rewards and consequences to change a child’s behavior. Parents are taught to give immediate and positive feedback for behaviors they want to encourage, and ignore or redirect behaviors that they want to discourage. They may also learn to structure situations in ways that support desired behavior.</p>
<p>Stress management techniques can benefit parents of children with ADHD by increasing their ability to deal with frustration so that they can respond calmly to their child’s behavior.</p>
<p>Support groups can help parents and families connect with others who have similar problems and concerns. Groups often meet regularly to share frustrations and successes, to exchange information about recommended specialists and strategies, and to talk with experts.</p>
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		<title>ADHD and &#8220;Co-morbidity&#8221;</title>
		<link>https://newstaging.hollygraves.com/dyslexia/adhd/adhd-and-co-morbidity/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Thu, 30 Apr 2026 00:05:16 +0000</pubDate>
				<category><![CDATA[ADHD]]></category>
		<category><![CDATA[EF]]></category>
		<guid isPermaLink="false">https://staging.hollygraves.com/?p=226193</guid>

					<description><![CDATA[Many children and adults with AD/HD also experience other difficulties. It seems that having AD/HD makes it more likely that an individual will also have other difficulties ]]></description>
										<content:encoded><![CDATA[<div class="et_pb_section_6 et_pb_section et_section_regular et_flex_section preset--group--divi-section--divi-border--nested--sn3av7c0k2 preset--group--divi-section--divi-layout--default preset--group--divi-section--divi-background--h1xv09d--nested--i5k7yo5n3x preset--group--divi-section--divi-layout--hp3jn2g--default preset--group--divi-section--divi-spacing--hz5ljtx--nested--69ef8639b28ee preset--module--divi-section--t5gjcgm0u0">
<div class="et_pb_row_6 et_pb_row et_flex_row preset--group--divi-row--divi-layout--default preset--group--divi-row--divi-layout--hp3jn2g--default preset--module--divi-row--k6ldcqhhf4">
<div class="et_pb_column_6 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_widescreen">
<div class="et_pb_text_9 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>Anxiety disorders  are generally considered the most common comorbidity with ADHD, affecting nearly 50% of adults with the condition. Other highly prevalent co-occurring conditions include depression (mood disorders), learning disabilities, behavior disorders like Oppositional Defiant Disorder (ODD), and autism spectrum disorder.</p>
</div></div>

<div class="et_pb_heading_0 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--default"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">ADHD Comorbidities by Prevalence & Age</h1></div></div>

<div class="et_pb_text_10 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p><em>National Institutes of Health (.gov)</em></p>
<ul>
<li>Anxiety Disorders (Top Overall): Affects roughly 47–50% of adults with ADHD.</li>
<li>Depression/Mood Disorders: Ranging from 18% to over 50% in adults.</li>
<li>Behavioral Disorders (Children): Oppositional Defiant Disorder (ODD) is very common in children (up to 34.7%).</li>
<li>Learning/Language Disorders: Affecting 70–92% of children with ADHD, depending on studies.</li>
<li>Other common conditions: Autism spectrum disorder (59%), Tic disorders/Tourette’s (55%), and substance use disorders (especially in untreated adults).</li>
</ul>
</div></div>

<div class="et_pb_heading_1 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--default"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">Gender and Age Differences:</h1></div></div>

<div class="et_pb_text_11 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p><em>National Institutes of Health (.gov)</em></p>
<ul class="KsbFXc U6u95" jsaction="" jscontroller="mPWODf" data-sfc-root="c" jsuid="gLnUIf_30" data-sfc-cb="">
<li class="Z1qcYe" data-sfc-cp="" jsaction="" jscontroller="oSLmPe" data-sfc-root="c" jsuid="gLnUIf_31" data-sfc-cb="" data-hveid="CAEIARAE"><span class="T286Pc" data-sfc-cp="" jsaction="" jscontroller="fly6D" data-sfc-root="c" jsuid="gLnUIf_32" data-sfc-cb=""><strong class="Yjhzub" jsaction="" jscontroller="zYmgkd" data-sfc-root="c" jsuid="gLnUIf_33" data-sfc-cb="">Children:</strong><span> </span>Commonly paired with ODD, conduct disorder, and learning disabilities.</span></li>
<li class="Z1qcYe" data-sfc-cp="" jsaction="" jscontroller="oSLmPe" data-sfc-root="c" jsuid="gLnUIf_34" data-sfc-cb="" data-hveid="CAEIARAF"><span class="T286Pc" data-sfc-cp="" jsaction="" jscontroller="fly6D" data-sfc-root="c" jsuid="gLnUIf_35" data-sfc-cb=""><strong class="Yjhzub" jsaction="" jscontroller="zYmgkd" data-sfc-root="c" jsuid="gLnUIf_36" data-sfc-cb="">Adults:</strong><span> </span>More frequently paired with anxiety, depression, and substance use disorders.</span></li>
<li class="Z1qcYe" data-sfc-cp="" jsaction="" jscontroller="oSLmPe" data-sfc-root="c" jsuid="gLnUIf_37" data-sfc-cb="" data-hveid="CAEIARAG"><span class="T286Pc" data-sfc-cp="" jsaction="" jscontroller="fly6D" data-sfc-root="c" jsuid="gLnUIf_38" data-sfc-cb=""><strong class="Yjhzub" jsaction="" jscontroller="zYmgkd" data-sfc-root="c" jsuid="gLnUIf_39" data-sfc-cb="">Females:</strong><span> </span>More likely to have internalizing disorders, such as anxiety and depression.</span></li>
</ul>
<p><span class="T286Pc" data-sfc-cp="" jsaction="" jscontroller="fly6D" data-sfc-root="c" jsuid="gLnUIf_38" data-sfc-cb=""><span>Over half of children and adolescents with ADHD have a co-occurring psychiatric condition. Identifying these is crucial as they can complicate treatment and increase the total disease burden.</span></span></p>
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		<title>What is ADHD?</title>
		<link>https://newstaging.hollygraves.com/dyslexia/adhd/what-is-adhd/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Wed, 29 Apr 2026 23:50:26 +0000</pubDate>
				<category><![CDATA[ADHD]]></category>
		<category><![CDATA[EF]]></category>
		<guid isPermaLink="false">https://staging.hollygraves.com/?p=226186</guid>

					<description><![CDATA[Attention-deficit/hyperactivity disorder (ADHD) is a brain disorder marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development.]]></description>
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<div class="et_pb_text_12 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p><em>from the National Institute of Mental Health (NIMH)</em></p>
<p>Attention-deficit/hyperactivity disorder (ADHD) is a brain disorder marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development.</p>
<ul>
<li><strong>Inattention</strong> means a person wanders off task, lacks persistence, has difficulty sustaining focus, and is disorganized; and these problems are not due to defiance or lack of comprehension.</li>
<li><strong>Hyperactivity</strong> means a person seems to move about constantly, including in situations in which it is not appropriate; or excessively fidgets, taps, or talks. In adults, it may be extreme restlessness or wearing others out with constant activity.</li>
</ul>
<ul>
<li><strong>Impulsivity</strong> means a person makes hasty actions that occur in the moment without first thinking about them and that may have high potential for harm; or a desire for immediate rewards or inability to delay gratification. An impulsive person may be socially intrusive and excessively interrupt others or make important decisions without considering the long-term consequences.</li>
</ul>
</div></div>

<div class="et_pb_heading_2 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--default"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">Risk Factors</h1></div></div>

<div class="et_pb_text_13 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><ul>
<li>Scientists are not sure what causes ADHD. Like many other illnesses, a number of factors can contribute to ADHD, such as:</li>
<li>Genes</li>
<li>Cigarette smoking, alcohol use, or drug use during pregnancy</li>
<li>Exposure to environmental toxins during pregnancy</li>
<li>Exposure to environmental toxins, such as high levels of lead, at a young age</li>
<li>Low birth weight</li>
<li>Brain injuries</li>
</ul>
<p>ADHD is more common in males than females, and females with ADHD are more likely to have problems primarily with inattention. Other conditions, such as learning disabilities, anxiety disorder, conduct disorder, depression, and substance abuse, are common in people with ADHD.</p>
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		<title>What should be in an Evaluation?</title>
		<link>https://newstaging.hollygraves.com/evaluation/what-should-be-in-an-evaluation/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Thu, 23 Apr 2026 01:14:32 +0000</pubDate>
				<category><![CDATA[Evaluation]]></category>
		<guid isPermaLink="false">https://staging.hollygraves.com/?p=226040</guid>

					<description><![CDATA[Background, Intelligence, Oral Language, Word recognition, Decoding, Spelling, Phonological processing, Fluency . . . ]]></description>
										<content:encoded><![CDATA[<div class="et_pb_section_8 et_pb_section et_section_regular et_flex_section preset--group--divi-section--divi-border--nested--sn3av7c0k2 preset--group--divi-section--divi-layout--default preset--group--divi-section--divi-background--h1xv09d--nested--i5k7yo5n3x preset--group--divi-section--divi-layout--hp3jn2g--default preset--group--divi-section--divi-spacing--hz5ljtx--nested--69ef8639b28ee preset--module--divi-section--t5gjcgm0u0">
<div class="et_pb_row_8 et_pb_row et_flex_row preset--group--divi-row--divi-border--nested--bpps5zey0l preset--group--divi-row--divi-layout--default preset--group--divi-row--divi-spacing--nested--ttn9b5acgc preset--group--divi-row--divi-spacing--qp2euwm2bc preset--group--divi-row--divi-layout--hp3jn2g--default preset--module--divi-row--bqeqv32bz4 preset--module--divi-row--k6ldcqhhf4 preset--module--divi-row--9lvm552sfo">
<div class="et_pb_column_8 et_pb_column et-last-child et_flex_column et_pb_css_mix_blend_mode_passthrough et_flex_column_24_24 et_flex_column_24_24_tablet et_flex_column_24_24_phone et_flex_column_24_24_widescreen">
<div class="et_pb_heading_3 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--2xgv7fyzzp"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">Background information</h1></div></div>

<div class="et_pb_text_14 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>Information from parents and teachers tells us a lot about a student’s overall development and pattern of strengths and weaknesses. Because dyslexia is genetically linked, a family history of dyslexia indicates that a student is more likely to have dyslexia. A history of delayed speech or language also puts a child at-risk for reading difficulties. It is important to know the types and length of time of any interventions the student has received at school, home, or through tutoring, as well as the student’s response to the intervention. School attendance problems should be ruled out. A history of poor attendance, alone, can explain an identified weakness in skill development.</p>
</div></div>

<div class="et_pb_heading_4 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--2xgv7fyzzp"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">Intelligence</h1></div></div>

<div class="et_pb_text_15 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>Until recently, an intelligence test was considered to be a necessary part of the evaluation because the diagnosis of a learning disability was based on finding a significant difference between IQ and reading skill. Poor achievement despite average or better intelligence was considered a key indicator. Current regulations no longer require that such a discrepancy be present when making a diagnosis. This change in the regulations came about because many studies have shown that intelligence is not the best predictor of how easily a student will develop written language (reading and spelling) skills. Instead, oral language abilities (listening and speaking) are considered the best predictors of reading and spelling. A formal measure of intelligence is not always needed to document average intellectual abilities. For younger children, parent information about language development and teacher information about the child’s ability to learn orally may indicate average intellectual abilities. For older students or adults, past achievement in school or work may indicate at least average intelligence.</p>
</div></div>

<div class="et_pb_heading_5 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--2xgv7fyzzp"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">Oral language skills</h1></div></div>

<div class="et_pb_text_16 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>Oral language, simply stated, refers to our ability to listen to and understand speech as well as to express our thoughts through speech. Oral language is made up of low-level skills, such as recognizing and making the sounds within our speech, and higher-level skills, such as getting meaning by listening to someone speak or creating sentences to express thoughts. Students with dyslexia typically have adequate higher-level language skills. Indicators of higher-level oral language skills include being able to understand an age-appropriate story and spoken directions, to carry on a conversation, and to understand and use words that are age appropriate. If a student has average higher-level oral language skills but much difficulty developing written language (reading and spelling) skills, the need for evaluation for dyslexia is recommended.<br />
Although students with dyslexia usually have strong higher-level language skills, they typically have problems (a deficit) in low-level language skills (see following section “Phonological processing”). This deficit limits the ability to learn to read and spell using the sounds of the language. Young children with dyslexia often have delays in language development, but their higher-level language skills are usually age-appropriate by the time they enter school. Difficulties with higher-level language skills suggest a need for a language evaluation by a speech-language pathologist to rule out language impairment. </p>
</div></div>

<div class="et_pb_heading_6 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--2xgv7fyzzp"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">Word Recognition</h1></div></div>

<div class="et_pb_text_17 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>Word recognition is the ability to read single printed words. It is also called word reading or word identification. Tests of word recognition require that students read individual words printed in a list. The student is not able to use cues, such as the meaning of a sentence, to help them figure out the word. Tests of word recognition that score both accuracy and the time it takes for the student to read the words (fluency) are particularly useful. Students with dyslexia often become accurate but are still very slow when reading words. Both accuracy and the speed of word reading can affect understanding what is read.</p>
</div></div>

<div class="et_pb_heading_7 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--2xgv7fyzzp"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">Decoding</h1></div></div>

<div class="et_pb_text_18 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>Decoding is the ability to read unfamiliar words by using letter-sound knowledge, spelling patterns and chunking the word into smaller parts, such as syllables. Decoding is also called “word attack”. Decoding tests should use nonsense words (words that look like real words but have no meaning, such as frut or crin) to force the student to rely on these decoding skills rather than on memory for a word already learned.</p>
</div></div>

<div class="et_pb_heading_8 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--2xgv7fyzzp"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">Spelling</h1></div></div>

<div class="et_pb_text_19 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>Tests of spelling measure the student’s ability to spell individual words from memory using their knowledge of, for example, letter-sound pairings, patterns of letters that cluster together to spell one sound (igh in high; oa in boat), the way plurals may be spelled (s, es, ies) and so on. Spelling is the opposite of word attack but is even more difficult. It requires separating out the individual sounds in a spoken word, remembering the different ways each sound might be spelled, choosing one way, writing the letter(s) for that sound and doing the same, again, for the next sound in the word. Spelling stresses a child’s short and long-term memory and is complicated by the ease or difficulty the child has in writing the letters, legibly and in the proper order. Spelling is usually the most severe weakness among students with dyslexia and the most difficult to remedy.</p>
</div></div>

<div class="et_pb_heading_9 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--2xgv7fyzzp"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">Phonological processing</h1></div></div>

<div class="et_pb_text_20 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>Phonology is one small part of overall language ability. It is a low-level language skill in that it does not involve meaning. Phonology is the “sound system” of our language. Our spoken language is made up of words, word parts (such as syllables), and individual sounds (phonemes). We must be able to think about, remember, and correctly sequence the sounds in words in order to learn to link letters to sounds for reading and spelling. Good readers do this automatically without conscious effort. However, students with dyslexia have difficulty with identifying, pronouncing, or recalling sounds. Tests of phonological processing focus on these skills.</p>
</div></div>

<div class="et_pb_heading_10 et_pb_heading et_pb_module et_flex_module preset--module--divi-heading--2xgv7fyzzp"><div class="et_pb_heading_container"><h1 class="et_pb_module_header">Automaticity/fluency skills</h1></div></div>

<div class="et_pb_text_21 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>Students with dyslexia often have a slow speed of processing information (visual or auditory). Tasks measure Naming Speed (also called Rapid Automatic Naming). Sets of objects, colors, letters, and numbers are often used. These items are presented in rows on a card, and the student is asked to name each as quickly as possible. Naming speed, particularly letter naming, is one of the best early predictors of reading difficulties. Therefore, it is often used as part of screening measures for young children. Slow naming speed results in problems with developing reading fluency. It also makes it difficult for students to do well on timed tests. Students with both the naming speed deficit and the phonological processing deficit are considered to have a “double deficit.” Students with the double deficit have more severe difficulties than those with only one of the two.</p>
</div></div>
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		<item>
		<title>Identify Early!</title>
		<link>https://newstaging.hollygraves.com/evaluation/identify-early/</link>
		
		<dc:creator><![CDATA[admin]]></dc:creator>
		<pubDate>Thu, 23 Apr 2026 01:02:39 +0000</pubDate>
				<category><![CDATA[Evaluation]]></category>
		<guid isPermaLink="false">https://staging.hollygraves.com/?p=226028</guid>

					<description><![CDATA[The identification of a reading disorder (dyslexia) needs to happen as soon as it is suspected by a parent, teacher or physician. Individuals need intervention so they can learn to read and go on to be skilled readers. Developmental dyslexia is a language-based disorder that is neurological in origin. It affects reading and it runs in families.]]></description>
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<div class="et_pb_text_22 et_pb_text et_pb_bg_layout_light et_pb_module et_flex_module preset--module--divi-text--default"><div class="et_pb_text_inner"><p>The identification of a reading disorder (dyslexia) needs to happen as soon as it is suspected by a parent, teacher or physician. Individuals need intervention so they can learn to read and go on to be skilled readers. Developmental dyslexia is a language-based disorder that is neurological in origin. It affects reading and it runs in families.</p>
<p>As children grow older difficulty with reading can begin to become more obvious. As the demand for good reading and related skills (spelling, writing, test taking) increases in quantity and quality a child with poorly developed reading and writing abilities begins to fall behind. Parents and teachers often don’t realize reading is the problem. When speed and accuracy are compromised because a student cannot accurately decode new vocabulary, reading slows down in a greater effort to understand or comprehend the text. Frustration can take over as the student begins to feel like they “just don’t get it”.</p>
<p>Skilled readers develop a large storage system of word representations having built this across years of reading instruction, practice and application. Skilled readers can digest words quickly, accurately moving through text building meaning and reflecting on what is being taken in. When it is difficult to process print accurately and quickly developing ideas from reading is labor intensive. It is difficult to generate creative thinking when the reading is slow and the volume is overwhelming.<br />Reading fluently (accurately and quickly) for meaning is what drives a reader through the print. Evaluation of Dyslexia or a reading disorder identifies a phonological, language- based disorder, and related deficits such as poor spelling, reading comprehension, and sometimes attentional problems. “The most identifiable and consistent characteristic of dyslexia is encapsulated in a phonologic weakness.” Dr. Sally Shaywitz, Overcoming Dyslexia</p>
<p>The phonological weakness can be treated successfully if the right instruction and enough of the right instruction is put into place. It is important to establish exactly what areas are giving a student difficulty and impeding achievement. A phonologic weakness makes reading difficult, slow and labor intensive. Verbal skills, such as listening and understanding complex information, are different from reading and usually not affected by the phonologic weakness. It is not uncommon for a person with a reading disorder to have an impressive knowledge base about a particular subject. These higher level verbal abilities can disguise a reading disorder.</p>
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