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What is dyslexia? A plain guide for parents

Dyslexia is a common, lifelong difficulty with reading and spelling words. It has nothing to do with intelligence or eyesight, and it responds to the right kind of teaching. Here is what research actually says.

Updated

Short answer

How do researchers define dyslexia?

Dyslexia is a specific learning difficulty in which a person finds it unusually hard to read and spell words accurately and fluently, despite adequate teaching and in a way that does not reflect their general ability. Its core is usually a weakness in processing the speech sounds inside words, which makes linking letters to sounds slow and effortful. Dyslexia is substantially heritable, lifelong and dimensional: it runs from mild to severe rather than being simply present or absent.

  • In a meta-analysis of prevalence studies, about 7% of primary school children had developmental dyslexia.
  • The most consistent underlying difficulty is phonological: hearing and handling the sounds in words.
  • Dyslexia runs in families; many genes each contribute a small effect, with no single dyslexia gene.
  • It is not a vision problem and is not linked to intelligence.
  • Systematic phonics teaching showed the most consistent benefit in controlled trials.
  • ≈7%

    of primary school children had developmental dyslexia in a meta-analysis of prevalence studies1

  • ≈45%

    of children with a family history of dyslexia went on to have dyslexia themselves, in a meta-analysis2

Dyslexia definition in plain words

Dyslexia is a difficulty with learning to read and spell words accurately and fluently. A child with dyslexia may understand stories well when they are read aloud, talk with a rich vocabulary and solve problems quickly, yet find it slow and tiring to work out the words on the page.

Researchers today describe dyslexia as dimensional. Reading ability varies smoothly across all children, like height, and dyslexia sits at the lower end of that range for word reading and spelling. That is why there is no sharp line between having and not having it, why difficulties range from mild to severe, and why professionals look at the whole picture instead of a single score.

Dyslexia is also lifelong. Children with dyslexia do learn to read, often well, especially with good teaching, but reading and spelling usually stay more effortful than for their classmates. Many adults read accurately but slowly, and spelling remains hard.

The World Health Organization lists dyslexia in its classification as a developmental learning disorder with impairment in reading (ICD-11 code 6A03.0; the older ICD-10 code is F81.0). Schools and assessors in different countries use slightly different wording, but they describe the same pattern.3,4,5,6

What causes dyslexia?

Most children with dyslexia have a weakness in phonological processing: noticing, holding in mind and changing the individual sounds inside spoken words. Reading English means matching letters and letter groups to those sounds, so when the sounds themselves are hard to pin down, learning the letter-sound code is slow. Phonological awareness is one of the strongest predictors of how easily a child learns to read.

Dyslexia is substantially heritable. It often runs in families, and genetic studies point to many genes, each with a small effect, rather than one dyslexia gene. Genes shape how the brain develops for language, and the child's environment (how much talk, reading and teaching they meet) shapes how that plays out.

In plain words, brain imaging studies find that the network of areas on the left side of the brain that links print to speech sounds works differently, on average, in people with dyslexia. This is a difference in how a brain is wired for a skill that humans invented only a few thousand years ago; it is not damage, and it says nothing about intelligence.

Researchers also agree that dyslexia rarely has one cause. The multiple-deficit model describes it as the result of several small risk factors adding up, which helps explain why dyslexia often appears alongside other difficulties such as ADHD or maths difficulties.3,7,8,4,9

How common is dyslexia?

Dyslexia is one of the most common learning difficulties. A 2022 meta-analysis that pooled prevalence studies from many countries estimated that about 7% of primary school children have developmental dyslexia. Because reading ability is dimensional, the exact figure in any study depends on where the cut-off is set, so you will see other numbers quoted.

Family history is the strongest known risk factor. In a meta-analysis of children with a parent or sibling with dyslexia, about 45% went on to have dyslexia themselves, and many of them showed weaker language and speech-sound skills well before school.

How dyslexia shows up also depends on the language. English spelling is irregular, so children with dyslexia tend to make many decoding errors. In languages with very regular spelling, such as Italian or Finnish, they often read accurately but very slowly.1,2,10,11

Types of dyslexia: what the labels mean

You will find many lists of dyslexia types online. In research, the two labels you meet most often are phonological dyslexia and surface dyslexia. They describe patterns of reading, not separate conditions, and many children show a mix of both.

Phonological dyslexia means the main trouble is sounding out unfamiliar words, so made-up words such as "blim" are especially hard, while familiar words can be read from memory. Surface dyslexia means the child can sound words out but struggles to remember whole-word spellings, so irregular words such as "yacht" or "said" get read the way they are spelled. In practice the phonological pattern is by far the more common core.

"Visual dyslexia" is not a recognised separate type in the research literature. Some children do report visual discomfort, and an eye examination is always sensible if text seems to blur or move, but the evidence points to speech sounds and spelling, not eyesight, as the heart of dyslexia. Coloured overlays and lenses sold for "visual dyslexia" have no good supporting evidence. Other labels you may see, such as "acquired dyslexia", describe reading loss after a brain injury in adults, which is a different situation from the developmental dyslexia this site is about.4,12,13,3

Types of dyslexia you may read about, and what the evidence says
LabelWhat it describesStatus
Phonological dyslexiaSounding out new or made-up words is hardestResearch label for the most common pattern
Surface dyslexiaRemembering irregular whole-word spellings is hardestResearch label; often mixed with the phonological pattern
Rapid naming difficultySlow at naming familiar things (colours, letters) quickly; reading is slowLinked to reading fluency; often discussed as a subgroup
"Visual dyslexia"Letters said to move, swim or reverseNot a recognised separate type; overlays lack evidence
Acquired dyslexiaReading lost after brain injury in someone who could readA different condition from developmental dyslexia

Dyslexia myths and facts

Because dyslexia is common and often misunderstood, a lot of what circulates about it is wrong. These are the myths parents most often meet.3,4,14,15,13,16

Common myths about dyslexia and what research shows
MythFact
Dyslexia means seeing letters backwards.Reversing b and d is common in all young readers. Dyslexia is mainly a difficulty with speech sounds and spelling, not with how letters look.
Children with dyslexia are less intelligent.Dyslexia occurs across the whole range of ability. Current definitions do not depend on IQ.
Children grow out of dyslexia.Dyslexia is lifelong, but reading improves a great deal with the right teaching.
Special dyslexia fonts make reading easier.Studies of OpenDyslexic and Dyslexie found no gain in reading speed or accuracy. Font choice is a matter of comfort.
Coloured overlays fix dyslexia.A systematic review found no good evidence that overlays or tinted lenses help reading.
You cannot spot dyslexia until age 8.Early signs, such as weak sound awareness, slow naming and slow letter learning, can be seen before formal reading lessons.

What helps with dyslexia

Across randomised controlled trials with children and adolescents who struggled to read, systematic phonics was the only approach with a statistically significant effect. That means explicit, step-by-step teaching of which letters spell which sounds, practice in blending sounds into words, and plenty of reading of words that use what has been taught. You can see the principles behind this kind of teaching in our guide to structured literacy.

Being able to sound out new words matters because it lets children teach themselves: each word they decode successfully becomes easier to recognise next time. Short, frequent practice with review spread over days works better than long, occasional sessions. Word lists that build step by step, such as short a words and then consonant blends, make that practice easy to set up at home.

Some things are widely sold but lack evidence, including coloured overlays, dyslexia fonts and training rapid naming on its own. Programs sold under the Orton-Gillingham name did not show a statistically significant effect on foundational skills in a meta-analysis, although the underlying principles of explicit, sequential teaching remain sound.

If you are wondering whether your child shows signs, read our list of dyslexia symptoms by age, take the free dyslexia screening test, and share what you find with the school. A screening cannot diagnose dyslexia; our guide to how dyslexia is diagnosed explains the full assessment.17,18,19,12,20

Daily reading practice in your browser

Games in seven worlds, a daily plan built from the test, spaced review, and a parent area with progress, a daily time limit and several child profiles on one subscription. Works on a computer, tablet or phone.

  • Games in seven worlds: Sound Island, Letter Forest, Word Workshop, Speed Track, Story Harbour, Eagle Eye and Memory Cave
  • A daily plan that starts from the focus skill and adapts as your child improves
  • Spaced review of the letters and words that are still shaky
  • Several child profiles on one subscription, with a parent area and daily time limit
See the program

Frequently asked questions

Is dyslexia a type of learning disability?

Yes. Dyslexia is a type of specific learning difficulty (called a specific learning disability in US schools) that mainly affects reading and spelling words. It is not a general learning disability: a child with dyslexia can be very able in other areas.

Can dyslexia be cured?

Dyslexia is lifelong, so it is not something that goes away. But reading and spelling can improve a great deal with systematic, explicit teaching and regular practice, and many people with dyslexia become confident readers.

Is dyslexia genetic?

Dyslexia is substantially heritable and often runs in families. Many genes each contribute a small effect; there is no single dyslexia gene, and family history raises the risk rather than deciding the outcome.

Is dyslexia related to ADHD or dyscalculia?

They are separate, but they often co-occur. Reading difficulties and ADHD appear together more often than chance, and so do reading and maths difficulties. Our page on dyslexia and dyscalculia explains the difference.

What does dyslexia feel like?

Most people with dyslexia see letters normally. Reading feels slow and effortful because each word has to be worked out. Our free dyslexia simulator lets you try something close to that experience.

Sources

  1. Yang L, Li C, Li X et al. (2022). Prevalence of developmental dyslexia in primary school children: a systematic review and meta-analysis. Brain Sci, 12(2), 240.
  2. Snowling MJ, Melby-Lervåg M (2016). Oral language deficits in familial dyslexia: a meta-analysis and review. Psychol Bull, 142(5), 498-545.
  3. Snowling MJ, Hulme C, Nation K (2020). Defining and understanding dyslexia: past, present and future. Oxf Rev Educ, 46(4), 501-513.
  4. Peterson RL, Pennington BF (2012). Developmental dyslexia. Lancet, 379(9830), 1997-2007.
  5. World Health Organization. ICD-11 for Mortality and Morbidity Statistics, 6A03 Developmental learning disorder: 6A03.0 with impairment in reading, 6A03.2 with impairment in mathematics.
  6. World Health Organization. ICD-10 (2019), F81.0 Specific reading disorder.
  7. Melby-Lervåg M, Lyster SA, Hulme C (2012). Phonological skills and their role in learning to read: a meta-analytic review. Psychol Bull, 138(2), 322-52.
  8. Erbeli F, Rice M, Paracchini S (2021). Insights into dyslexia genetics research from the last two decades. Brain Sci, 12(1), 27.
  9. Pennington BF (2006). From single to multiple deficit models of developmental disorders. Cognition, 101(2), 385-413.
  10. Ziegler JC, Goswami U (2005). Reading acquisition, developmental dyslexia, and skilled reading across languages: a psycholinguistic grain size theory. Psychol Bull, 131(1), 3-29.
  11. Seymour PHK, Aro M, Erskine JM (2003). Foundation literacy acquisition in European orthographies. Br J Psychol, 94(2), 143-74.
  12. Norton ES, Wolf M (2012). Rapid automatized naming (RAN) and reading fluency: implications for understanding and treatment of reading disabilities. Annu Rev Psychol, 63, 427-52.
  13. Griffiths PG, Taylor RH, Henderson LM, Barrett BT (2016). The effect of coloured overlays and lenses on reading: a systematic review of the literature. Ophthalmic Physiol Opt, 36(5), 519-44.
  14. Wery JJ, Diliberto JA (2017). The effect of a specialized dyslexia font, OpenDyslexic, on reading rate and accuracy. Ann Dyslexia, 67(2), 114-127.
  15. Kuster SM, van Weerdenburg M, Gompel M, Bosman AMT (2018). Dyslexie font does not benefit reading in children with or without dyslexia. Ann Dyslexia, 68(1), 25-42.
  16. Ozernov-Palchik O, Gaab N (2016). Tackling the 'dyslexia paradox': reading brain and behavior for early markers of developmental dyslexia. Wiley Interdiscip Rev Cogn Sci, 7(2), 156-76.
  17. Galuschka K, Ise E, Krick K, Schulte-Körne G (2014). Effectiveness of treatment approaches for children and adolescents with reading disabilities: a meta-analysis of randomized controlled trials. PLoS One, 9(2), e89900.
  18. Share DL (1995). Phonological recoding and self-teaching: sine qua non of reading acquisition. Cognition, 55(2), 151-218.
  19. Cepeda NJ, Pashler H, Vul E, Wixted JT, Rohrer D (2006). Distributed practice in verbal recall tasks: a review and quantitative synthesis. Psychol Bull, 132(3), 354-80.
  20. Stevens EA, Austin C, Moore C et al. (2021). Current state of the evidence: examining the effects of Orton-Gillingham reading interventions for students with or at risk for word-level reading disabilities. Except Child, 87(4), 397-417.