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Day 77: When Phonological Struggles Signal Deeper Issues

  • Writer: Brenna Westerhoff
    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.

 
 

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