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Learning disability or vision problem? Why your child may be misdiagnosed -- and what you can do abo
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If your child has been diagnosed for a learning disability, ADD/ADHD, or dyslexia, you might be surprised to learn that perhaps it's none of the above. It's entirely possible that your child has been misdiagnosed and actually has a vision problem. - photo by Dr Jared Cooper OD
Some call it a diagnosis; others call it a label. No matter how you look at it, it's undeniable that a learning disability can have a profound effect on your child's school and home life. Common as they are nowadays, learning disabilities can be frustrating and difficult to treat or even understand. When problems just don't seem to get any better, it is understandable for parents to wonder whether it's really a learning disability at all, or a misdiagnosis. You're torn because you trust that the psychologists and social workers who work with your child have considered all the possibilities. They couldn't have gotten it wrong ... or could they have?

Actually, they could have. It may not necessarily be their fault, as a number of unrelated issues have similar symptoms to learning disabilities. That's why, before allowing your child to be given the learning disability label, it is crucial to consider other possibilities. This means getting your child examined by doctors, including a vision specialist. With one out of every five American children having uncorrected vision issues, it might very well be the case that your child actually has an eyesight problem masking itself as a learning disability.

Kids are, by nature, extremely visual in how they absorb and process information. In fact, in the first 12 years of a child's life, 80 percent of what is learned comes through visual information processing. This close connection between seeing and learning might help to explain why eyesight problems and learning issues are so easily confused. Symptoms such as compromised academic performance and difficulty paying attention in class can be common to both visual and learning disorders. To confuse the matter even further, up to 40 percent of kids with learning disabilities also have vision-related problems. In other words, while some children seem to have a learning disability, but instead have an eyesight problem, other kids may have both issues. Either way, one would think that checkups from an eye care specialist would be standard procedure, right?

Wrong. Vision screenings, while they ought to be an integral part of the process, are surprisingly lacking. Whenever a learning disability, ADD/ADHD or dyslexia is suspected in a child, a thorough eye examination should be one of the first steps taken, but unfortunately does not always happen. It is a startling truth that in America, 20 percent of kids have eyesight issues that are uncorrected, despite being treatable. Perhaps this is because children don't always talk about their vision problems, instead choosing to hide or ignore the problem or express the issue through misbehavior. Ignoring the issue should not be an option, though, as untreated vision problems are only likely to get worse, not better. Over time, a child can develop a condition called amblyopia, where the vision is reduced because the child's eyes and brain aren't properly working together. This condition can typically be prevented when regular eye exams are given, starting at a young age.

So, what is a good age to start these vision screenings? Some may think eight, 10, or maybe 12, but that's not what the experts recommend. According to The American Optometric Association and the American Public Health Association, an examination should be given at approximately six months of age. This should not be considered odd or unusual, as the eye doctor will need to check for eye structure and muscle health, along with an examination of the baby's tear ducts and eyelids; such an examination will not be frightening or uncomfortable for the child, and is generally easy and trouble-free. In any case, regardless of the exact age at which the child starts getting vision screenings, the message from the experts is clear: Checkups from a highly qualified eye care practitioner should occur early and often.

In addition to regular checkups, it is worthwhile for parents and teachers to be on the lookout for possible symptoms of eyesight-related issues. Some children will squint or strain to read a book or the board, but others will give up trying and use excuses or misbehavior as an attempt to avoid reading tasks. This is where symptoms may be confused with the symptoms of learning disabilities; when a vision issue causes a child not to read, self-esteem issues, disruptive behaviors and poor grades can result, thereby reinforcing the learning disability misdiagnosis. Besides squinting and straining to read, other symptoms to watch for include habitually keeping the head close to a book when reading, headaches or eyestrain, closing or covering one eye or excessively rubbing the eyes or blinking. However, sometimes it may be a combination of these symptoms, or none of them, which reinforces the idea that regular checkups from a qualified eye care specialist are the first and best line of defense against long-term vision problems in children.

The simple act of getting an eye exam can have profound and immediate effects on a child's life. Reports have been made of young students who stopped looking at the board simply because they couldn't see it, or who wouldn't stop talking in class due to the frustration of not being able to see properly. Dramatic turnarounds occurred when the children's eyesight was screened and glasses were issued; for these children, academic performance and quality of life were improved almost immediately. As parents, we don't have to let it get to that point if we stay aware and take precautions. Early prevention of eyesight issues is generally much simpler than having to address problems later on.

Staying informed and taking action can help prevent misdiagnosis and progressive eye problems for your child. Confusing learning disabilities and vision issues is not uncommon, but does not need to happen to your kids. Bring clarity to the issue and to your child's vision with a comprehensive eye exam today.
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How to avoid 'sharenting' and other paparazzi parenting habits
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A recent study revealed parents often spend up to two hours staging a single photo of his or her child to post online. - photo by Amy Iverson
Before having kids, some people just dont appreciate their friends baby posts. But after having a child of their own, three fourths of new parents jump right on the parental social media bandwagon. If you have become a member of this group, there are some rules to follow for posting responsibly.

Much of a parents worry is how to teach their children to use social media responsibly. We talk with our kids about privacy, oversharing, and setting restrictions on their devices to keep them safe. But parents themselves need to look in the digital mirror once in a while. Before having children, it doesnt take as much effort to think about what to post online. Its up to us to decide what we share about our own lives. But once you become a parent, there are many questions to think about regarding what is appropriate to post about your kids on social media.

In a recent survey, kids clothing subscription company Mac and Mia surveyed 2000 new parents to find out how they are documenting their kids lives on social media, and what concerns they may have.

First of all, people without children seem to feel a bit differently about the onslaught of baby pictures online than those who are parents. 18 percent of people say before they had kids, they were annoyed by their friends baby posts. But after having children of their own, 73 percent admit they post progress pictures of their little ones every single month.

Not only are new parents letting the world know each time their baby is a month older, but they are posting about their kids every few days or so. Men and women report they post 6-7 times per month about their baby.

And while 70 percent of new parents say the benefit of using social media is how easy it is to help family and friends feel involved, there are some downsides. Here are a few tips to avoid the pitfall of becoming paparazzi parents.

Dont miss the moment

In the Mac and Mia survey, some parents admitted to spending up to two hours to get the perfect shot of their baby. That seems a little extreme. New and old parents alike should be careful about spending so much time taking pictures and videos that they dont enjoy the moment. Years ago, I decided to never live an experience through my phone. A study by Linda Henkel, a psychology professor at Fairfield University in Connecticut, found that when people took pictures of objects in an art museum, they didnt remember the objects as well as if they simply observed them.

This photo-taking impairment effect can happen to parents as well. If we are so consumed by getting the perfect photo, we can miss out on the moment all together, and our memory of it will suffer.

Dont forget about privacy

60 percent of couples say they have discussed rules and boundaries for posting their babys photos, according to the Mac and Mia survey. Even so, men are 34 percent more likely to publish baby posts on public accounts. If parents are concerned about their childrens privacy, keeping photos off of public accounts is a given.

In the Washington Post, Stacey Steinberg, a legal skills professor at the University of Florida, and Bahareh Keith, a Portland pediatrician, wrote that sharing too much information about kids online puts them at risk. They write that all that sharenting can make it easier for data thieves to target out kids for identity theft. Check that your privacy settings are where they should be and never share identifying information like full names and birth dates.

Dont be paparazzi parents

36 percent of parents say they take issue when their childs photo is posted online by someone else. Responsible social media users will always ask permission before posting a photo of another child. But parents should also think about whether their own children will take issue with their own posted photos a few years down the road.

When parents are constantly snapping pictures and throwing them on social media, it can be easy to forget to pause and make sure the post is appropriate. I always use the billboard example with my kids. I ask them to picture whatever they are posting going up on a billboard in our neighborhood. If they are okay with that, then their post is probably fine. Parents should ask themselves this same question when posting about their children. But they should also ask themselves if their child would be OK with this post on a billboard in 15 years. If it would cause embarrassment or humiliation, it might be best to keep it private.

Once children reach an appropriate age, parents should include them in the process of deciding what pictures are OK to post. Researchers at the University of Michigan surveyed 10- to 17-year-olds and found children believe their parents should ask permission more than parents think they should. The kids in the survey said sharing happy family moments, or accomplishments in sports, school and hobbies is fine. But when the post is negative (like when a child is disciplined) or embarrassing (think naked baby pictures or messy hair), kids say to keep it off social media.
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