"She Needs Everything Repeated"
In our view, needing things said again and again is worth a hearing check. Ask your child's doctor whether hearing has been checked recently. A clear hearing test does not answer every question. Some children hear every word up close. In a busy room, they lose your voice. Give instructions close by, with the room quiet, and write them down.
TL;DR
- In our view, needing things said again and again is worth a hearing check. Ask your child's doctor whether hearing has been checked recently. A child who cannot hear well needs that found.
- A standard hearing test checks whether a sound was heard. It does not ask what happens to the sound after that.
- Some children hear every word when you are close. In a busy room, they lose your voice. That is not always tuning out.
- Some children do not hear the words clearly. Some lose your voice in a busy room. Some lose the words while holding them in mind. No sign we hold has been shown to tell these apart.
- In our view, the first step is usually to work out what is hard. Our position is that a lost skill goes to a doctor first. Have hearing and vision checked.
Is it her hearing?
In our view, needing things said again and again is worth a hearing check. Ask your child's doctor whether hearing has been checked recently. A child who cannot hear well needs that found.
A standard hearing test checks whether a sound was heard. It does not ask what happens to the sound after that. That includes following one voice in a noisy room, and telling similar sounds apart. It also includes holding what was just said long enough to use it. Those are different questions. A clear hearing test does not answer them.
When the room is busy
Some children hear every word when you are close. In a busy room, they lose your voice. That is not always tuning out. The voice they need is there. It may not stand out from the rest of the room.
Some children cannot pick the teacher's voice out of the room. Other children cannot keep their attention on the task. From the front of the class, both can look inattentive. One thing to notice is what changes when the room goes quiet. No sign we hold has been shown to tell the two apart.
Holding the words in mind
Working memory means holding something in mind while you use it. Following a two-part instruction is one example. Keeping a number in your head while you work with it is another. So is remembering the start of your own sentence. A child who loses a two-part instruction may follow a one-part instruction perfectly. Working memory is one of the jobs running at once. It is not the single thing that explains the rest.
What to check
In our view, the first step is usually to work out what is hard. Our position is that a lost skill goes to a doctor first.
Have hearing and vision checked.
What to try at home
Give instructions close by, with the room quiet, and write them down.
Reduce the load while the skill is built. Write instructions down as well as saying them. Give one step at a time. Ask for a printed copy instead of copying from the board. None of that is cheating. Our position is that reducing the load does not stop the skill being built.
We hold no study that tests the steps on this page. That is a gap in what we hold, not a finding that they do not work.
Our page on processing difficulties has more.
When to ask for help
Each of these is a reason to ask for help on its own.
- Little change, even with steady practice and good teaching.
- Schoolwork well below what school expects.
- A teacher who raises a concern about learning.
- Extreme upset about schoolwork.
- Complete avoidance of school or learning.
- Hopelessness about learning.
- Sadness or worry that lasts.
- Significant delays in speech, language or motor development.
- A skill that was there and has gone. Our position is that a lost skill goes to a doctor first, not a tutor.
Start with the teacher. Say what you are seeing at home, and what you have tried. Beyond the teacher, the right person depends on what it turns out to be about. If the work is too hard, someone who works on that school skill. If worry or mood is the thing, someone who works with children's mental health. In our view, delays in speech, language or movement are worth raising with your child's doctor. In our view, if you are worried enough to ask, a professional evaluation is worth asking about.
Any talk of hurting themselves is a same-day call to your doctor or a crisis line.
In the classroom
A child who loses instructions in a busy room may follow them in a quiet one. Try the same instruction, in the same words, two feet away.
One sentence for an email home: "She seems to lose instructions with several steps in a busy room. When it is quiet, she has them. So I am going to write the steps down as well as saying them. I will let you know what changes."
Key Takeaways
In our view, needing things said again and again is worth a hearing check. Ask your child's doctor whether hearing has been checked recently. A child who cannot hear well needs that found.
Some children hear every word when you are close. In a busy room, they lose your voice. That is not always tuning out.
Some children do not hear the words clearly. Some lose your voice in a busy room. Some lose the words while holding them in mind. No sign we hold has been shown to tell these apart.
Write instructions down as well as saying them. Give one step at a time. Our position is that reducing the load does not stop the skill being built.
Give one two-part instruction with the television on. Then give the same kind of instruction with it off. For example: "Put your shoes by the door and bring me the blue cup." Change nothing else. Notice whether the second one gets done when the first one did not.
”What to do tonightWhat to use next
An overview of processing skills. Our work on each runs alongside reading, spelling or math instruction, not in place of it.
Listening practice, built to run alongside reading and spelling instruction, not in place of it. No study of this program exists, so nothing is claimed for it on reading, spelling, attention or social skills.
Common questions from parents
Why do I have to say everything five times?
In our view, needing things said again and again is worth a hearing check. Ask your child's doctor whether hearing has been checked recently. A child who cannot hear well needs that found. Some children do not hear the words clearly. Some lose your voice in a busy room. Some lose the words while holding them in mind. No sign we hold has been shown to tell these apart. Give instructions close by, with the room quiet, and write them down.
Her hearing test was fine. Why does she still need things repeated?
A standard hearing test checks whether a sound was heard. It does not ask what happens to the sound after that. That includes following one voice in a noisy room, and telling similar sounds apart. It also includes holding what was just said long enough to use it. Those are different questions. A clear hearing test does not answer them.
What can I do at home?
Give instructions close by, with the room quiet, and write them down. Give one step at a time. We hold no study that tests the steps on this page. That is a gap in what we hold, not a finding that they do not work. Our position is that reducing the load does not stop the skill being built.