Understanding Dysgraphia

Dysgraphia is a condition that causes trouble with written expression. Writing difficulties are common among children and can stem from a variety of learning and attention issues.

There’s no cure or easy fix for dysgraphia. But there are strategies and therapies that can help a child improve his writing. This will help him thrive in school and anywhere else expressing himself in writing is important.

What is Dysgraphia?

The term comes from the Greek words dys (“impaired”) and graphia (“making letter forms by hand”). Dysgraphia is a brain-based issue. It’s not the result of a child being lazy.

For many children with dysgraphia, just holding a pencil and organizing letters on a line is difficult. Their handwriting tends to be messy. Many struggle with spelling and putting thoughts on paper. Tasks like putting ideas into language that is organized, stored and then retrieved from memory may all add to struggles with written expression.

Diagnostic Terms

The DSM-5 uses the phrase “an impairment in written expression” under the category of “specific learning disorder.” This is the term used by most doctors and psychologists. IDEA describes it under the category of “specific learning disability.”

Whatever definition is used, slow or sloppy writing isn’t necessarily a sign that your child isn’t trying hard enough. Writing requires a complex set of fine motor and language processing skills. For kids with dysgraphia, the writing process is harder and slower.

Core Challenges:
  • Fine motor skills & grip
  • Spelling & legible formation
  • Organizing thoughts
  • Memory retrieval for writing

Symptoms of Dysgraphia

Visual-Spatial
  • Trouble with shape-discrimination and letter spacing
  • Letters go in all directions/run together
  • Hard time writing on a line or inside margins
Fine Motor
  • Trouble holding pencil correctly
  • Struggles with tracing, cutting, or tying shoes
  • Awkward body/paper position when writing
Language Processing
  • Trouble getting ideas down quickly
  • Loses train of thought easily
  • Hard time following complex directions
Spelling & Handwriting
  • Mixes upper and lowercase letters
  • Blends printing and cursive
  • Hand gets tired or cramped quickly
Grammar & Usage
  • Doesn't start sentences with capital letters
  • Overuses commas or mixes verb tenses
  • Writes in endless 'run-on' sentences
Organization
  • Trouble telling a story in order
  • Leaves out important facts or details
  • Better at conveying ideas when speaking

Signs by Age Group

Preschool

Hesitant to write and draw; says they hate coloring or avoids fine motor activities.

School-Age

Illegible handwriting (mix of cursive/print); uneven letter size; may need to say words out loud while writing.

Teenagers

Writes in very simple sentences; significantly more grammatical mistakes than peers their age.

Possible Causes

Experts believe dysgraphia involves issues in step(s) of the writing process: organizing information in memory and/or physically getting words onto paper.

Orthographic Coding:

A difficulty in the working memory's ability to store unfamiliar written words, making it hard to remember how to form a letter or word.

Note: It is often mistaken for laziness because the written product doesn't reflect what the child actually knows.

What to do at Home

  • Observe & Note: Track patterns and triggers to help doctors and teachers.
  • Warm-up Exercises: Hand shaking or rubbing to relieve tension before writing.
  • Motor Skill Games: Use clay or squeeze balls to strengthen hand muscles.

Related Conditions

Dyslexia

Challenges with reading and spelling often overlap with writing issues.

ADHD

Attention and impulsivity issues can significantly impact the writing process.

Language Disorders

Difficulty using correct grammar or putting thoughts into words.

Dyspraxia

Poor physical coordination affects the fine motor task of printing.

Source: NCLD, Understood