Nonverbal Learning Disorder: What is it, how is it assessed and appropriate treatments

Written by Dr. Amy Rollo, PhD

Owner, Heights Family Counseling

Nonverbal Learning Disorder (NVLD) is a neurological condition that affects an individual's ability to understand and interpret nonverbal cues, such as body language, facial expressions, and spatial relationships. Unlike its name might suggest, individuals with NVLD have strong verbal skills but struggle with nonverbal communication and spatial tasks.

Tim Walz's Son Sheds Light on NVLD

The condition gained national attention when Minnesota Governor Tim Walz, the 2024 Vice Presidential candidate, and his wife Gwen shared their son Gus's experience with NVLD. Gus, diagnosed with NVLD, ADHD, and anxiety, has been described by his parents as "brilliant" and "hyper-aware of details." They view his unique way of processing information as his "secret power," highlighting the strengths that often accompany the challenges of NVLD. Gus's heartfelt reaction during his father's acceptance speech at the Democratic National Convention resonated with many, bringing broader awareness to NVLD.

Assessing NVLD

Diagnosing NVLD requires a comprehensive evaluation by a licensed clinician to identify areas of strength and weakness. Key components of the assessment include:

  • Cognitive and Academic Testing: Evaluates verbal and nonverbal skills, identifying significant discrepancies between them.

  • Visual-Motor Integration Tests: Assess how well a person can coordinate visual information with motor output, which is often challenging for those with NVLD.

  • Social Skills Assessment: Observes the individual's ability to interpret social cues and engage in appropriate social interactions.

  • Visual-Motor Integration Tests: Academic testing to determine weaknesses in mathematics, reading comprehension, and written expression.

It's crucial that the evaluating professional is knowledgeable about NVLD to differentiate it from other conditions with overlapping symptoms.

Differentiating NVLD from Other Conditions

NVLD shares similarities with several other disorders, making accurate diagnosis essential:

  • Autism Spectrum Disorder (ASD): Both conditions can involve social challenges, but individuals with NVLD typically have strong verbal communication skills and desire social interactions, whereas those with ASD might have more pronounced social communication deficits and restricted interests.

  • Attention-Deficit/Hyperactivity Disorder (ADHD): While inattention and executive functioning issues can appear in both NVLD and ADHD, NVLD is specifically associated with difficulties in nonverbal reasoning and spatial tasks.

  • Specific Learning Disabilities: NVLD can affect mathematical reasoning and handwriting, similar to dyscalculia and dysgraphia, but also includes broader challenges with visual-spatial tasks and social perception.

Effective Interventions for NVLD

While NVLD is a lifelong condition, various strategies can help individuals manage its challenges:

  • Educational Support: Tailored learning plans that play to verbal strengths while addressing visual-spatial and organizational difficulties.

  • Social Skills Training: Programs designed to teach interpretation of nonverbal cues and appropriate social responses.

  • Occupational Therapy: Focuses on improving motor coordination and visual-spatial skills.

  • Psychotherapy: Addresses associated anxiety or depression, often through cognitive-behavioral approaches.

Early diagnosis and intervention are crucial in helping individuals with NVLD navigate their environments effectively and leverage their strengths. As highlighted by the Walz family's experience, understanding and embracing these differences can transform perceived challenges into unique advantages.

Starting the evaluation process can be a scary step, but we want to make it as easy for you as possible. We have Evaluation Specialists in Houston. Contact us to learn more.