Children with dysgraphia struggle to write, often causing them to experience emotional stress and anxiety. Because they have good verbal skills, parents and teachers expect them to write at the same level as they speak; when they don’t, they may be mistakenly thought of as lacking motivation or careless.
Dysgraphia can occur alone, or in children who also have dyslexia, other language disorders, or ADHD.
- Awkward pencil grip
- Poor fine-motor coordination
- Unusual position of the wrist or paper
- Tires quickly when writing, hand hurts
- Poorly formed or inconsistently formed letters
- Poor spatial planning on paper
- Spells well on spelling tests but not in actual usage
- Lack of punctuation and capitalization
- Mixture of lower case and capital letters in sentences
- Failing to finish words or omitting words from sentences
- Difficulty following spelling and grammar rules in writing
- Poor sequence/organization of words in sentence
- Produces minimum content on a page despite oral ability to explain ideas
- Avoids writing
Writing is a complex process. It involves working memory and shifting among tasks that include generating ideas, thinking of words and word meaning, organizing good sentences, planning, and self-monitoring—all executive functions. Difficulty in any of the basic language or motor skills or in the executive functions needed to combine them end with the same result: problems with written expression.
In addition, difficulty controlling fine motor skills, sequencing the hand movements needed to write, or controlling spatial accuracy can cause non-language based dysgraphia.
It is critical to identify the underlying problems resulting in dysgraphia; there might be more than one. An Occupational Therapist using a multi-sensory approach can address problems with handwriting, motor sequencing or visual spatial skills. A Speech and Language Therapist or a Special Education teacher can help with language-based problems such as the mastery of grammar, word usage, sequencing, and composition of sentences. A Special Education teacher will work with tools such as a graphic organizer, thought bubbles, and other strategies to help deal with specific executive function problems.
Accommodations are often needed to help dysgraphic children handle written work, including reduction of the load of writing in class and in homework, extended time to produce written work, and assistive technology to allow dictation.
Most dysgraphic children benefit from being allowed to use a keyboard and a word processing program, which reduces motor demands and allows them to edit and reorganize written work. Since writing is difficult, children benefit from Smart Boards on laptops or tablets to record writing on the board, and accommodations for note taking, such as using another student’s notes or a study guide/outline of lecture information provided by the teacher. Many children with dysgraphia are allowed to use alternative methods to demonstrate knowledge rather than written exams.
Demands for written expression are constant across every subject and increase in every grade. Even in early grades, teachers need to be sensitive to dysgraphia when assigning projects to produce posters to be hung on the classroom walls or to write letters correctly on the lines. Children with dysgraphia need encouragement and remediation; there is nothing more discouraging than getting a paper back filled with red circles, corrections, and criticism.
Marcia Eckerd is an evaluator, consultant, and therapist who specializes in working with children with NLD and autism-spectrum disorders.