Day 77: When Phonological Struggles Signal Deeper Issues
- Brenna Westerhoff
- Dec 12, 2025
- 4 min read
"He's seven and still can't rhyme. We've tried everything."
The desperation in the teacher's voice was real. Jackson had received two years of intervention, but basic phonological awareness remained elusive.
"Sometimes," I said carefully, "persistent phonological struggles signal something deeper. Not laziness. Not lack of trying. Neurological differences that need different approaches. Let me show you what to look for."
The Red Flag Timeline
Expected development:
● Age 3-4: Enjoys rhymes
● Age 4-5: Recognizes rhymes
● Age 5-6: Produces rhymes
● Age 6-7: Manipulates sounds
Red flags:
● Age 5: Can't recognize rhymes
● Age 6: Can't clap syllables
● Age 7: Can't isolate initial sounds
These warrant deeper investigation.
The Dyslexia Connection
Phonological processing deficit is the core of dyslexia:
● Can't segment sounds efficiently
● Can't hold sounds in memory
● Can't manipulate sounds flexibly
● Can't connect sounds to symbols
It's neurological, not motivational.
The Family History Factor
Questions to ask:
"Does anyone in your family struggle with reading?" "Did anyone learn to read late?" "Does anyone avoid reading/writing?" "Any spelling difficulties in the family?"
Dyslexia runs in families. 40-60% chance if parent affected.
The Auditory Processing Distinction
Auditory Processing Disorder vs Phonological Deficit:
APD: Can't process sounds in noise, following directions hard Phonological: Can hear fine, can't manipulate sounds
Jackson heard perfectly. He couldn't segment what he heard.
The Working Memory Component
Many kids with phonological struggles also have:
● Difficulty remembering instructions
● Trouble with phone numbers
● Can't remember alphabet order
● Lose track mid-sentence
Weak phonological processing often pairs with weak working memory.
The Speech Connection
Early speech indicators:
● Late talking
● Pronunciation difficulties persist
● Word-finding troubles
● Mixing up similar sounding words
● "Spoonerisms" (bucking foard for fucking board)
Speech and phonological processing are linked.
The Intervention Intensity
Typical intervention: 15-20 minutes daily, improvement in Weeks
Red flag non-response:
● 30+ minutes daily for months
● Multiple approaches tried
● Minimal progress
● Regression without practice
Non-response suggests neurological difference.
The Assessment Battery
Comprehensive evaluation should include:
● Phonological processing assessment
● Rapid naming tests
● Working memory assessment
● Family history
● Speech/language evaluation
● Cognitive assessment
One test isn't enough.
The Early Intervention
If red flags present:
Don't wait for failure. Begin intensive, systematic intervention. Document everything. Refer for evaluation. Advocate fiercely.
Early intervention changes trajectories.
The Alternative Approaches
When traditional methods fail:
Lindamood-Bell LiPS: Feeling sounds in mouth
Orton-Gillingham: Multisensory systematic approach
Fast ForWord: Computer-based auditory training
Speech therapy: Addressing underlying processing
Different brains need different methods.
The Accommodation Requirements
While building skills, accommodate:
● Audio books
● Speech-to-text
● Extra time
● Reduced spelling load
● Alternative assessments
Don't wait for skills to provide access.
The Emotional Component
Kids with phonological struggles often develop:
● Anxiety around reading
● Avoidance behaviors
● Low academic self-concept
● Learned helplessness
● Acting out to avoid tasks
Address emotional needs alongside academic.
What You Can Do Tomorrow
Document specifically: What exactly can't they do?
Intensify intervention: More time, more systematic
Refer for evaluation: Don't wait for more failure
Communicate with parents: Share specific concerns
Provide accommodations: Access while building skills
Protect self-esteem: "Your brain learns differently"
The Jackson Journey
Age 5: Couldn't rhyme Age 6: Intervention began Age 7: Minimal progress, referred Age 7.5: Diagnosed dyslexia Age 8: Orton-Gillingham started Age 9: Reading with accommodations Age 10: Successful with support
Earlier identification would have prevented years of struggle.
The Parent Advocacy
Parents need to know:
● Trust your instincts
● Document struggles
● Request evaluation in writing
● Know your rights
● Don't accept "wait and see"
● Private evaluation if needed
Parents are children's best advocates.
The Teacher's Role
When you suspect deeper issues:
● Document specifically
● Communicate concerns clearly
● Provide evidence to support team
● Advocate for evaluation
● Implement accommodations
● Protect child's self-worth
You might be first to recognize.
The Success Stories
With proper identification and intervention:
● Dyslexic students become doctors
● APD students become musicians
● Processing differences become strengths
● Struggles become determination
Different wiring, not broken brains.
The Beautiful Brains
Jackson's brain isn't broken.
It's wired for:
● Big picture thinking
● Spatial reasoning
● Creative connections
● Problem-solving
● Entrepreneurial thinking
Many CEOs are dyslexic. Different wiring creates different strengths.
The Tomorrow Truth
Tomorrow, when phonological intervention isn't working:
Don't blame the child. Don't blame the teaching. Don't wait longer.
Recognize: This might be neurological.
Act: Refer, assess, accommodate.
Because Jackson deserves to know why sounds are hard.
And deserves support that matches his neurology.
Not more of what doesn't work.
But different approaches for different wiring.
That's not giving up. That's giving appropriate support.
And appropriate support changes everything.