Gifted But Learning Disabled: A Puzzling Paradox

In working with one family this week, I realize that I’ve been working with several students who are gifted yet also have a disability in another area of development, such as emotional, social or behavioral.  These young boys and girls, and men and women are also known as “Twice Exceptional.”

This concept of being gifted and also having an area of weakness that requires a program is confusing to schools, and often faced with much resistance when parents ask for a specialized academic program that addresses the strengths and weaknesses.  Often times, a child is in need of an IEP to address sensory needs, for example, but also is in need of small group or individualized instruction that is above his/her grade level.  Child Study Teams argue that a child is not eligible, but he/she is, and parents find themselves fighting… hard… to create that unique program.

Here is a link to an article that describes “Twice Exceptional” a little bit better: http://www.hoagiesgifted.org/eric/e479.html

Please share your thoughts and questions with me 🙂 In the meantime, Happy Memorial Day weekend!

Advocate for your Child in School

I am sharing a link to an article that I wrote for Special Needs Magazine in November 2012.  This article speaks to different ways you can advocate for your child all year long. At this time, IEP Annual Review season is beginning; however, keep these tips in mind: http://www.specialneeds.com/children-and-parents/general-special-needs/advocate-your-child-school

Also, email or post your questions about your child’s upcoming IEP – let me help you to make your Annual Review meeting less stressful and get you feeling prepared for the big day!

Pros & Cons: The School Based vs. Independent Psychological Evaluation

Here is an article I wrote for Parenting Special Needs Magazine published this month!
Read on to find out about the differences between the Psychological Evaluation that is completed by your school district’s Child Study Team and the private or independent Psychological Evaluation.

Link to article on Parenting Special Needs Magazine: http://magazine.parentingspecialneeds.org/publication/?i=126657&l=&m=&p=24&id=5779

                                                                   Pros & Cons:
                                  The School Based vs. Independent Psychological Evaluation

You’re a parent who has noticed that your child is struggling academically in one or more area, whether that is in math, reading, or with social interactions, social language or behaviors. You are at the point where you ready for an evaluation.  In essence, you want to know if your child is eligible for special education and related services.  Where do you begin?

Step one: speak to your child’s teacher and gain feedback regarding your child’s performance within the area that you believe is a weakness for your child.

Step two: decide if you would like for your school’s Child Study Team to perform the psychological, evaluation vs. seeking an independent evaluation.

Before you make that decision, you need to answer the question:  what’s the difference between the evaluation and report you would gain from your School Psychologist vs. one gained from an outside professional? Well, there are several and here is a summary to help you when you make this decision.

The Psychological Evaluation through your Child Study Team
The psychological evaluation completed by a certified School Psychologist who is a member of your Child Study Team.  Once completed, your child is eligible for a re-evaluation every three years; however, you, as the parent, have the right to request this evaluation sooner than 3 years, but no more than one time per year.  It is strongly recommended that you have your child evaluated at least every 3 years as your child’s strengths and weaknesses will likely change during that time. If they have not, you now know that!

The Psychological evaluation completed by your school should consist of a standardized test, such as the Wechsler Intelligence Scales (Wechsler Preschool and Primary Scale of Intelligence™ – Fourth Edition, WPPSI – IV; Wechsler Intelligence Scale for Children, 4th edition, WISC-IV; or Wechsler Adult Intelligence Scale, 4th edition, WAIS-IV), an observation, and a student interview.

In the end, you will gain a report that provides an IQ of your child’s cognitive/intellectual performance, a summary of a classroom observation, and information about your child’s interests, preferences, and reported academic strengths and weaknesses. Note, the School Psychologist is not permitted to provide any diagnoses, if relevant, within this report.

This information will be used to compare to the results of the Educational Evaluation that is completed by the Child Study Team Learning Specialist in order to determine if there is a learning disability that is negatively impacting your child’s ability to perform academically.

The School Based via the Private/Independent Psychological Evaluation

If you are seeking an independent psychological evaluation that means that you are hiring a Clinical Psychologist privately to provide you with an evaluation and report.  The Clinical Psychologist has the ability to administer additional tests in order to answer questions you may have as a parent, or to gain more specific information about your child’s intellectual and academic skills.

Being a School and Clinical Psychologist, when I perform a private psychological evaluation, I also like to administer an achievement test and examine visual motor skills in order to gain a big picture view of the student. This helps me to determine if there is a learning disability that has is suspected or has gone undetected, as well as other areas that may be impeding or negatively impacting a child’s ability to perform academically.

This report is comprehensive and offers information about learning style that the School Psychologist’s report does not contain. That is, is your child a visual spatial learner? An auditory learner? A hands on learner? With this information in mind, the recommendations in the report can then be geared towards the best way to teach new information to the student that is in line with the way he naturally takes it in.

Pros & Cons
So what are some of the major pros and cons of a Child Study Team generated psychological evaluation vs. a private/independent one?

Pro –
·         The psychological evaluation completed by your School Psychologist will not incur any cost to you.
Cons –
·         The report is not as thorough and informative
·         Testing is not as extensive
·         Information gained does not offer a big picture view of your child as a student.

So, there you have it. Now you have the inside scoop on the school based psychological evaluation vs. the independent/private one.  Good luck!

Dr. Liz Matheis is a clinical psychologist and school psychologist in Parsippany, NJ who provides assessment, psychotherapy, consulting, and advocacy for children and families managing autism spectrum disorders, ADHD and learning disabilities (www.psychconsult.weebly.com). She is also a contributor to several popular press magazines.

“Knowing the Importance of the Psycho-educational Evaluation” 

Published in Autism Notebook Magazine:  http://trendmag2.trendoffset.com/publication/?i=122044
In this article, Dr. Liz describes what to look for in your Psychological Evaluation when completed by your Child Study Team.

When it’s time for your child’s initial or triennial re-evaluation, the Psychological Evaluation is a great source of information for you and your Child Study Team (CST).  This report provides an IQ, or intelligence quotient, that is an assessment of your child’s intellectual capability. This report, as well as your Educational Evaluation, is one of the two key reports that will inform you about your child’s academic program and supports to help your child access the curriculum in the best way possible.

The technicalities….

The Psychological report is administered by a certified School Psychologist within the public school setting, or by a licensed Clinical Psychologist if completed independently or privately.  You, as the parent, have the right to request this evaluation every 3 years or sooner, but no more than one time per year.

Also, review this memo from the Department of Education to Directors of Special Education (in New Jersey) dated May 14, 2012 in which there is clarification that if a parent requests an independent evaluation, the district can no longer state that the CST gets the first opportunity to evaluate. Instead, the evaluation will be provided by the district at no cost to the parent, unless the school district files for a due process hearing: http://www.nj.gov/education/specialed/memos/051412Evals.pdf

What are the types of Psychological Assessments that I may see within the Psychological Report?
Standardized tests are normed and provide a standard score and percentile rank. ·         Wechsler Intelligence Scale for Children, 4th edition (WISC-IV), ages 6 to 16 ·         Wechsler Preschool and Primary Scale of Intelligence™ – Fourth Edition (WPPSI – IV), ages 2.5-7.5 ·         Stanford Binet, Fifth edition (SB5), ages 2-85 ·         Kauffman Assessment Battery for Children, 2nd edition (KABC), ages 3-18 ·         Woodcock Johnson Test of Achievement and Cognitive Ability, 3rd edition (WJ-III), ages 2-90   Rating scales are used to look at the presence or frequency of behaviors or skills based on the rater’s perception.  The rater is someone who is familiar with the student, such as a teacher or parent, and often multiple raters are asked to complete it.

·         Conner’s Rating Scale (used to assess ADHD symptoms)

·         Behavior Assessment System for Children (BASC)

·         Vineland Adaptive Behavior Scales

Self-Report Scales are given to the student in order to rate his skill or behavior. The student is often older and able to rate herself.

·         Pier’s Harris Children’s Self Concept Scale, 2nd edition

·         Conner’s Rating Scale

·         Behavior Assessment System for Children (BASC)

The Psychologist also uses observations of the student within the classroom in order to gain information about behavior, social skills, and attention and focus. Within the report, there will be a description or summary of what took place as well as interactions with peers and the classroom teacher. The report may also include information gained from teacher observations regarding specific areas of functioning (e.g., organization, homework completion, study habits, etc).

Another source of information is the interview. The Psychologist meets with the student and asks questions  about peer relationships, home, teachers, and preferences.

What type of information should I look for within the Psychological Report?

A good Psychological Report contains the following sections

·         The Primary Purpose of Assessment – why the student is being tested at this time. For example, due to initial evaluation to determine eligibility for special education and related services, or due to triennial re-evaluation to determine continued eligibility.

·         Background Information – a summary, gained from student interview, regarding student’s hobbies, likes and dislikes in school, social relationships, family, etc.

·         List of assessments or procedures used – for example, the WISC-IV, observation, teacher feedback, student interview.

·         Report and Interpretation of test results – a summary of how your child performed on the standardized tests, findings of the rating scales and self-report scales with a discussion of what these results mean as related to academic performance.

·         Summary of test findings– a summary of all the findings. This is often the section that most people read first as it is brief and relates back to the primary purpose of assessment.

·         Recommendations –a list of accommodations such as instructional modifications (e.g., preferential seating) and movement or sensory breaks

The report provided by your CST School Psychologist will not contain any diagnoses, whereas an independent or private evaluation will. Additionally, the report provided by your School Psychologist will not indicate eligibility as this is determined by the IEP team.

As you can see, the Psychological Report is a great source of information about your child’s abilities and weaknesses that will guide you in determining the type of program needed as well as accommodations to help your child succeed in school.

Dr. Liz Matheis is a clinical psychologist and school psychologist in Parsippany, NJ who provides assessment, psychotherapy, consulting, and advocacy for children and families managing autism spectrum disorders, ADHD and learning disabilities (www.psychconsult.weebly.com). She is also a contributor to several popular press magazines

IDEA Independent Education Evaluation Regulation Revision Implemented!

The Individuals with Disabilities Education Act of 2004 has been revised as of March 28, 2012 regarding independent education evaluations (IEE).

In the past, when a parent requested an IEE, the school district had the right to conduct the assessment before parents were granted an IEE.  As of March 28, 2012, when a parent requests an IEE, the district must provide the evaluation, at no cost to the parent!

Parents, keep this information in the back of your mind. If you are at an initial planning or re-evaluation planning meeting and feel that there is an assessment that you would like completed independently of your public school district’s Child Study Team, put your request in writing.

Read the letter sent from Peggy McDonald, Director of the Office of Special Education: http://www.nj.gov/education/specialed/memos/051412Evals.pdf

"The various psycho-educational testing Dr. Liz conducted on our son gave us critical clues about where his learning strengths and weaknesses lie so that his needs could be better addressed at home and school. Moreover, because of their warm, kindhearted personalities, both Dr. Liz and her associate, Stephanie, formed an immediate bond with my son. He eagerly looks forward to his weekly therapy sessions. We are so lucky Dr. Liz came into our family's lives when she did! For stressed-out families trying to help their children as best they can, she is a calming voice of reason!"
- Julie C.
"Dr. Matheis has a remarkable ability to understand the unique needs of her patients and address them constructively. She builds strong, meaningful relationships with patients and their families, encouraging trust and collaboration. When working with my son who struggles with autism-related anxiety, she created an environment in which he was able to calm down and open up to her in ways I had not seen before. She was able to reach him and helped him work through his crisis/problem. Most importantly, she empowered him to move forward."
- N.L.
"Dr. Matheis is amazing. She has tremendous resources and loads of energy. She is not willing to accept anything less than the most effective results for her clients. She made me feel as if my son was her top priority throughout the entire process. I would, without reservation, give her my highest recommendations.  Thank you, Dr. Matheis!"
- Anonymous
"Dr. Matheis has an amazing ability to read kids and connect with them. She has been an invaluable resource for our family over the past several years and has helped us with everything from educational consulting, to uncovering diagnoses as well as family therapy. Working with Dr. Matheis never feels clinical and most importantly, our children love and trust her. We can not thank you enough Dr. Liz!"
- Anonymous
"My teenage son had been seeing Dr. Matheis through his senior year of high school, as he was only diagnosed with ADHD at 16 years old.  Dr. Matheis came highly recommended from our pediatrician and she has done wonders for our son as well as our family, navigating new ways for him to deal with his diagnosis without the use of medication.  She taught him ways to organize himself and even when something did not work for him, she patiently continued teaching him new ways to keep himself on track.  She has also helped us as parents to understand how his mind works so that we did not continue to blame his lack of focus on him, rather on his unique way of thinking.  Thank you Dr. Matheis!!!!"
- LG
"Dr. Liz is the best! Our family was directed to her by our Pediatrician to assist with figuring out severe mood changes, severe anxiety, strange new fears and food aversion that had come onto one of our children literally overnight. After just a couple of visits, she suggested that the issues may actually be rooted in a physical issue and suggested we immediately take our child to be swabbed for strep, because Dr. Liz suspected PANDAS (a pediatric autoimmune disorder brought on by strep). The same Pediatrician that suggested Dr. Liz would not do the swab (they do not believe in PANDAS and we no longer go there) but I took my child to my doctor who did the swab and it was positive for strep. When our child went on antibiotics, within 24 hours all symptoms went away and our child was back :-) Dr. Liz then recommended a PANDAS specialist who helped us and our child is in complete remission and is happy and healthy. We are incredibly grateful to Dr. Liz for her knowledge of all things, even the most remote and unusual and for helping us so much! Thank you!"
- Anonymous
"The various psycho-educational testing Dr. Liz conducted on our son gave us critical clues about where his learning strengths and weaknesses lie so that his needs could be better addressed at home and school. Moreover, because of their warm, kindhearted personalities, both Dr. Liz and her associate, Stephanie, formed an immediate bond with my son. He eagerly looks forward to his weekly therapy sessions. We are so lucky Dr. Liz came into our family's lives when she did! For stressed-out families trying to help their children as best they can, she is a calming voice of reason!"
- Anonymous
"Thank you, Dr. Liz. Although we have told you countless times, it will never feel enough. You have listened when J could barely speak and continued to listen when he was sad, angry and confused. You've challenged him and directed us in our roles as parents. You've helped J face his fears while the list evolved and changed, and yet you've stayed committed to 'the course.' We pray that your children realize that time away from them is spent helping children learn and that vulnerability is a sign of strength and bravery."
- June I
"My son was admitted to an Ivy League school when only 2 years ago, you assessed him and saw his struggles, his Dyslexia. We are grateful that he no longer has to carry that deep feeling of inadequacy or shame that must have kept him so self conscious and from reaching his potential. He has the PERFECT program for him. He has A's in high math and economics. He became a Merit Scholar, a Boys State legislature, the HEAD captain of the football team and help a job ALL while studying and managing his classes and disability. I am PROUD of you, a young doctor, who knows and sees the vulnerability of children and helps them recognize "it's NO big deal" God bless."
- Anonymous

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