There is a plethora of obscurers and impostors in the assessment process of the dyslexic. These conditions need to be identified and treated prior to assessment. It is not necessary to take these subjects through all of the screening process for these conditions, but the primary care physicians should keep the list in Table #1 in mind as the differential diagnosis for learning disorders. Every effort should be made to use the most efficacious method of therapy both prior to assessment and after dyslexia has been diagnosed. The dyslexic needs any therapy and accommodations available and should be accepted. Many have cited seemingly reasonable grounds for refusal of therapy, which include side effects of medications, and lack of belief in the condition and the therapy required. . We need to remember that in the same manner that placebos are 60% effective, so do side effects present of dyslexia therapy present themselves 60% of the time. ADHD with Hyperactivity and Impulsivity is a good example of a condition and therapy for the condition that many parents do not believe in. Parents at times place great constraints on these children, with seemingly good results. This, however, is an erroneous act. It takes great of effort for these children to effectively restrain themselves. This effort might be compared to with stopping a freight train without brakes. There is also the thought that lack of adequate therapy for this condition can result in progression to Oppositional Defiant Disorder and later Conduct Disorder. For those who do not believe in the therapy for the conditions and the conditions, we call that "Denial". It is therefore highly recommended that we dispel these myths.

A Plethora of Obscurers/Impostors
ADHD with Hyperactivity
ADHD without Hyperactivity
Central Auditory Processing Deficit (CAPD)
Absence Seizure
Overanxious Disorder of Childhood
Obsessive Compulsive Disorder
Oppositional Defiant Disorder
English as a Second Language
Conduct Disorder
Chronic Medical Problems
Poor Teaching Skills
Disruptive Home Setting

Table #1

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