What is Dyscalculia?

Dyscalculia is a neurodevelopmental disorder characterised by persistent and unexpected difficulties in:

  1. understanding of numbers and mathematical symbols,
  2. mathematical fact storage and retrieval,
  3. calculations,
  4. mathematical reasoning or
  5. geometry (see “List of the main mathematical skills”)

despite the provision of effective classroom instruction.

These difficulties typically result from domain specific deficits in numerical and mathematical symbol processing and understanding (core dyscalculia) and/or domain general deficits in executive functions (working memory, inhibition, flexibility), hypersensitivity to interference in memory, visuo-spatial  processing or reasoning, or language.

List of the main mathematical skills for each domain*

Book about dyscalculia

Book cover

Effective Teaching Strategies for Dyscalculia and Learning Difficulties in Mathematics provides an essential bridge between scientific research and practical interventions with children. It unpacks what we know about the possible cognitive causation of mathematical difficulties in order to improve teaching and therefore learning.

Written by members of the Academic Dyscalculia Committee

A: Number-Symbol Understanding
Number Magnitude
  • Subitizing
  • Comparing collections
  • Estimating the cardinality of collections
Symbolic Number System
  • Understanding the cardinal meaning of number words
  • Understanding the magnitude of arabic digits
  • Understanding the base-10 system
  • Understanding rational numbers (decimals, fractions, percentages)
  • Understanding negative numbers
Mathematical symbols
  • Understanding the operational symbols (+, -, x, :, =) and words (plus, minus, times, divide, equal)
  • Understanding and converting units of measurement
  • Understanding powers and radicals
  • Understanding the meaning of letters in algebra
B: Mathematical facts storage and retrieval

– Knowing and retrieving the count list (one, two, three,…)

– Knowing and fluently retrieving arithmetical facts (times tables, addition facts)

– Knowing and retrieving mathematical terminology (sum, difference, product, quotient, acute, denominator, square, etc)

– Knowing and retrieving mathematical formulas (area, functions, etc)

C: Calculations (understand and apply algorithms)
  • Mental arithmetic calculations
  • Written arithmetic calculations
  • Algebraic calculations
D: Math Reasoning
  • Mathematical modeling of problems (numerical, word, geometrical)
  • Selecting the most efficient strategy
  • Providing justification
E: Geometry
  • Sensitivity to size and shape of objects
  • Mental manipulation (translation, transformation, rotation, etc) of geometrical shapes
  • Estimating length, area, volume, angles, etc of objects
  • Interplay between 2D and 3D representations

*This list (not exhaustive) outlines developmental trajectories of key mathematical domains. Importantly, most mathematical tasks engage multiple domains simultaneously. For example, solving a complex multi-digit calculation requires not only the ability to execute arithmetic procedures and manage intermediate steps in working memory, but also an understanding of number magnitude, the base-10 positional system, and retrieval of arithmetic facts from memory. Similarly, placing a fractional number on a number line involves comprehending the meaning and size of the fraction, while also processing the visuo-spatial layout of the number line.

Characteristics

  • Dyscalculia is typically persistent and the symptoms may change over time.
  • Poor response to effective instruction is a key diagnostic signal.
  • Dyscalculia exists on a continuum; no strict cut-off defines its presence.
  • Influenced by genetic and environmental factors; no single cause explains all cases.
  • Frequently co-occurs with ADHD, Dyslexia, DCD
  • Mathematics anxiety is also frequently present but not diagnostic.
  • Not caused by low IQ, poor instruction, or sensory issues (exclusion criteria)

Watch an interview

Professor Giannis Karagiannakis, researcher and board member of EDA, was interviewed by Dyscalculia Network

Watch all researcher interviews at Dyscalculia Network

Clarifications / Implications

Domain specific abilities

Domain specific abilities refer to abilities processing the magnitude of sets or numerical symbols.

Babies have an approximate number system (ANS) that allows them to differentiate between two collections of objects if they differ from one another by a sufficient ratio (i.e., a ratio of 1:2 such as between a collection of 8 versus 16 items). They are also able to see the difference between two very small sets of 1, 2 or sometimes 3 objects based on a mechanism called the object tracking system (OTS). The ANS is used later in development when required to estimate, without counting, the number of elements in a set and the OTS, to subitize, i.e., to precisely and very quickly determine the number of items of a very small set (up to 3 or 4).

Preschoolers learn number words (“one”, “two”, “three”,…) and develop an exact number representation based on the successor function (a number (n) has the same value as the preceding one in the counting list plus one (n+1) e.g., “six” refers to the same quantity as “five”, plus one). This exact number representation is progressively modified to incorporate the base-10 representation of numbers (now “twenty-five” is not solely understood as “twenty-four plus one” but as corresponding to “two times ten plus five”). Later, new symbolic systems are integrated in the magnitude representation: fractions, percentages, decimals, negative numbers ….

Domain general abilities

Domain general abilities refer to cognitive skills that are not specific to the processing of numbers but which play a significant role in several number processing or math skills, as well as other domains.

Working memory is a key factor for most learning, including mathematics learning. Working memory predicts the extent of the young child’s number vocabulary, the ability to learn the count sequence, the ability to solve simple additions and then to store in memory the solution of these calculations. Even solving the problem 5+4 by counting 6,7,8,9 requires working memory. It is obviously involved when doing mental calculation as solutions of intermediate calculations must be kept active in working memory. It is important when solving a mathematics problem: holding all the information to find a way to create the mathematical model of the problem.

Visuo-spatial processing or reasoning is important to differentiate between symbols such as 5 and 2, 6 and 9, < and >, to use visual representations of number (e.g. number lines), to detect and differentiate the positions of digits in multi-digit numbers (24 and 42 are not the same), to correctly position digits in written calculations, to interpret graphs, to visualize situations presented in a word problem and obviously, to solve most geometrical exercises.

The first symbolic system that the child encounters is number words and language impairment leads to difficulties in learning these words and their order. Learning the times tables also uses language as multiplication facts are stored as verbal routines. Sufficient language capacities are also important for understanding word problems presented, but also, the teacher’s explanation or instructions for an exercise. More globally, language supports our thinking. Consequently, language impairment will often lead to very broad (but not specific) difficulties in mathematics. Therefore, in addition to the math skills described above, language impairments (dyslexia or even more strongly, developmental language impairments) can negatively affect any mathematical activity that requires verbal retrieval of facts, rules and procedures, or relies on verbal understanding.

Inhibition is the cognitive ability to deliberately suppress impulsive or automatic responses, particularly those involving dominant, familiar, or overlearned strategies, when they are inappropriate for the task at hand. For example when:

  • dealing with the comparison or the addition of rational numbers as one needs to resist the natural number bias, i.e., the tendency to process the numbers of fractions or decimals as if they were natural numbers.
  • using keywords in problem solving blindly for example seeing “more” and impulsively choosing addition, even if the problem requires subtraction or comparison.
  • simplifying an arithmetic expression: you should resist doing the first operation presented on the left hand side and respect the order of mathematical operations
  • applying vertical subtraction, students must resist subtracting the smaller digit from the larger and instead use the borrowing rule. Vertical addition—where digit size doesn’t matter—is taught first and becomes the dominant habit and students need to resist that instinct.
  • in geometry, students should resist automatically applying the Pythagorean Theorem or right-angled triangle ratios to non-right-angled triangles, suppressing familiar but inappropriate strategies.
  • when simplifying an algebraic expression, failure to suppress the overlearned response “if there’s an equals sign, I must solve for x” and continuing as if it’s an equation, trying to “solve” it.

Hypersensitivity to interference in memory refers to the difficulty in filtering out competing, irrelevant, or overwhelming information, which disrupts the formation and retrieval of accurate memory traces. This can hinder the ability to encode distinct pieces of information—for example:

  • distinguishing between similar arithmetic facts, such as 3×8 = 24 and 4×8 = 32, which involve the same digits (2, 3, 4, and 8) but represent different operations and outcomes
  • differentiating between similar but conceptually distinct mathematical facts or procedures such as 3×2 from 32 or (a+b)x2 from (a+b)2 or x+x from x∙x
  • correctly beginning to solve a multi-step equation, but midway forgetting which step they’re on or mixing steps together, due to mental interference from prior steps or unrelated thoughts.
  • given a geometric figure with many labels, auxiliary lines, or extra shapes, difficulty distinguishing/isolating the part they need to answer the question.
  • distinguish the competitive formula of the area of a triangle (½ × b × h) and the area of the trapezoid (½ × (a+b) × h) or confusing the formula for the area of a circle (πr2) with that of the circumference (2πr) — not due to misunderstanding, but because both formulas compete in memory and they can’t block one out.
  • mixing up minus signs with dashes or misreading the variable “l” as the number “1” because too many similar visual forms compete.
  • in functions problems like f(g(x)), forgeting which function to apply first or reversing the order, not due to a lack of knowledge, but because both operations are held in mind and interfere with each other.

Shifting/flexibility refers to a student’s ability to switch between tasks, strategies, rules, representations, or perspectives when a problem changes or requires a new approach – for example:

  • in a worksheet that mixes addition and subtraction, continuing to use the same operation (e.g., adds even when a subtraction sign is clearly present).
  • difficulties perceiving different representations of the same number e.g. 0.5 and ½
  • in calculations, struggling to choose the most efficient strategy based on the problem’s structure—for example, solving 99 + 27 with vertical addition instead of rounding 99 to 100 and adjusting mentally.
  • in problems involving parallel and intersecting lines, struggling to switch to the appropriate angle type—such as alternate, corresponding, or vertically opposite angles—depending on the context.
  • when solving quadratic equations, always using the quadratic formula—even for simpler cases like x2−3x=0, instead of choosing a more efficient method like factorisation.
  • in function problems that include both the graph and the corresponding equation, students may understand them separately, but struggle to connect them or move fluidly between the two representations to solve the problem.

Fluid intelligence

Although low intellectual functioning constitutes an exclusion criterion for the diagnosis of developmental dyscalculia, some research has highlighted reduced fluid intelligence (e.g., analogical reasoning) adversely affects performance on mathematical reasoning tasks, such as when solving complex math problems and is often associated with reduced response to intervention.

Summary

Identifying the underlying causes of dyscalculia can be complex because domain specific and domain general factors can interact. For example, poor performance on a non-symbolic number comparison task may be caused by a poor approximate number system processing or, alternatively, by poor inhibitory control (e.g. failing to focus on the number dimension instead of visual characteristics of dot arrays such as their size) or poor performance on a number line task may be due to a poor understanding of number magnitude or, alternatively, caused by visuo-spatial processing deficits. Therefore, although performance on these tasks may appear to indicate deficits in numerical magnitude processing, in fact the deficits could stem from domain general difficulties.

 A Comprehensive Approach to Dyscalculia Assessment

Dyscalculia is a specific learning difficulty that affects an individual’s ability to acquire mathematical skills. Given its complexity and overlap with other developmental, cognitive, and instructional factors, a systematic and multi-layered assessment process is essential for a comprehensive diagnosis. The approach outlined by the EDA Dyscalculia Academical Committee (Karagiannakis, Noël, & Gilmore) presents a structured framework that integrates early identification, differential diagnosis, and the establishment of a comprehensive individual profile.

A picture of a flowchart
Karagiannakis, G., Noël, M-P. & Gilmore C., EDA Dyscalculia Academical Committee

1. Early Identification

The process of assessment begins with the identification of students at risk for dyscalculia potentially using a mathematical skills screening tool or through teachers’ observation. This initial step is crucial, as it helps distinguish students who exhibit persistent mathematical difficulties (lasting at least 6 months) from those whose challenges may be temporary or due to external factors. Early identification allows for timely intervention, which is often critical in preventing long-term academic struggles.

2. Mathematical Profile Evaluation

Once a student is identified as being at risk, the next step involves evaluating whether they show deficits in at least one of five core mathematical domains:

  • Number-Symbol Understanding (considered core dyscalculia)
  • Math Facts
  • Calculations
  • Math Reasoning
  • Geometry

This targeted analysis helps clarify the nature of the student’s difficulties. If deficits are found in any of these areas, the student receives evidence-based intervention tailored to the specific domain(s) of difficulty.

3. Response to Intervention

Following intervention, the student’s response is carefully monitored. If there is a fast and positive response and the difficulties resolve, no further investigation is needed at this stage. This step acknowledges the role of quality instruction in overcoming some mathematical difficulties, emphasizing that not all cases of poor performance are rooted in a learning disorder.
In contrast, a student is considered non-responsive to intervention when she/he shows slow progress and/or fails to retain mathematical skills despite receiving sustained, high-quality, evidence-based instruction, either in small-group or one-to-one settings. Therefore, the next step involves a differential diagnosis to rule out alternative explanations

4. Differential Diagnosis

These may include:

  • Inadequate or ineffective instruction
  • Uncorrected visual or auditory impairments
  • Broader mental or neurological disorders
  • Low general intelligence (e.g., IQ < 85)

Only after excluding these factors can a diagnosis of dyscalculia be appropriately made. This safeguards against misdiagnosis and ensures that the term “dyscalculia” is reserved for those whose difficulties are not due to other identifiable causes.

5. Establishing a Comprehensive Individual Profile

For students who meet the criteria for dyscalculia, a comprehensive individual profile is developed across three interconnected domains:

A. Mathematical Profile

This includes an in-depth analysis of the five domains mentioned earlier, with special focus on Number-Symbol Understanding, considered the hallmark of core dyscalculia.

B. Cognitive Profile

Assessment of cognitive functions is central to understanding the underlying mechanisms of dyscalculia. Key areas include:

  • Executive functions, such as working memory, inhibition, and cognitive flexibility
  • Hypersensitivity to interference in memory, which affects the formation of distinct memory traces (e.g., confusing similar arithmetic facts or symbolic procedures)
  • Visuo-spatial processing and reasoning
  • Language abilities, particularly where they support mathematical understanding
  • Comorbid conditions, such as ADHD, dyslexia, developmental language disorder (DLD), and developmental coordination disorder (DCD)
C. Affective Factors

Finally, the profile includes socio-affective elements, such as the student’s emotional experiences with mathematics, including math anxiety, which can significantly impact performance and learning motivation.

This multidimensional assessment model represents a sophisticated and evidence-based approach to understanding dyscalculia. By combining early identification, careful differential diagnosis, and comprehensive profiling, it ensures that diagnosis is both accurate and meaningful. Moreover, it highlights the need for personalized educational planning that takes into account not only mathematical competencies but also cognitive and emotional factors that influence learning. This approach promotes a more nuanced and inclusive understanding of dyscalculia, ultimately supporting more effective intervention and better outcomes for affected students.

What new insights does this definition of dyscalculia offer?

1.    Developmentally and Mathematically Informed

The definition takes into account the developmental trajectories of mathematical learning. For example, it expands the concept of number sense beyond whole-number processing to include rational numbers (fractions, decimals, percentages), negative numbers, and algebraic understanding. This broader scope better reflects the progression of mathematical skills required across school years.

2.    Comprehensive Profiling of Mathematical Domains

By distinguishing between specific domains—such as number-symbol understanding, fact retrieval, calculation, reasoning, and geometry—the definition enables a detailed profile of each learner’s mathematical strengths and weaknesses. This domain-based mapping is essential for differentiated instruction and monitoring progress.

3.    Integration of Cognitive, Affective, and Mathematical Dimensions

The model bridges domain specific deficits (e.g., numerical & symbolic processing) with domain general cognitive deficits (e.g., executive functioning, visuo-spatial processing and reasoning, language) as well as affective factors such as math anxiety, offering a more complete picture of dyscalculia and its varied presentation across individuals

4. Assessment-Driven and Intervention-Oriented

The comprehensive and extended assessment framework guided by this definition not only identifies difficulties but also informs the design of tailored interventions based on the individuals’ mathematical cognitive profile.

 

The above definition of dyscalculia is important because it reflects the developmental and cognitive complexity of mathematical learning. As such, it empowers educators and clinicians to offer more accurate diagnoses and more effective, personalized support for students with dyscalculia.

Effective Intervention for Dyscalculia

Effective intervention for dyscalculia is not a one-size-fits-all solution. Intervening in dyscalculia typically involves a combination of tailored teaching strategies, tools, and accommodations based on the report of a comprehensive assessment as discussed above. A math intervention specialist should consider thoroughly the assessments to provide an Individualized Educational Plan (IEP) that focuses on leveraging an individual’s strengths, providing structured and supportive learning environments, and fostering a positive relationship with math to improve understanding and confidence.

Here are some effective strategies and approaches for intervention:

  • Develop an Educational Plan: for students in school settings, ensuring accommodations for example, extra time on tests and assignments, number charts, calculators, formula sheets, modifying tasks, alternative assessment formats, as appropriate to the learning objective and student’s grade. Provide  small-group or one-on-one instruction, track progress and adjust strategies as needed.
  • Apply Flexplicit instruction: which is a blending of Explicit, Heuristic, and Flexible instruction and is highly effective for supporting individuals with dyscalculia. This approach provides the structure needed for foundational learning while fostering problem-solving skills and adaptability. Start with Explicit Instruction (Foundation Building) to teach foundational skills clearly and systematically, then introduce Heuristic Models (Strategic Thinking) to equip learners with strategies for problem-solving and independent thinking and finally incorporate Flexible Instruction (Adaptability) to foster creativity and adaptability by exploring multiple approaches to a single problem. Personalize the blending using a mix of methods according to the individual’s strengths, preferences, and progress. If a learner struggles with flexibility, reinforce explicit instruction until they are ready to transition. Use formative assessments to evaluate understanding and adjust the balance of methods as needed. Reflect with the learner on what strategies worked best and why, encouraging metacognition. A scaffolded, personalized approach provides the optimal path to success.
  • Multisensory learning: use hands-on tools like playing cards, coins, ruler, tape measure and other visual aids like Singapore bars to make abstract concepts tangible. Use these authentic materials to relate math concepts to real-life contexts.
  • Technology and Digital Tools: use apps and software designed for math learning, games and interactive platforms to practice skills in an engaging way, adaptive technology for text-to-speech for word problems and instructions.
  • Build Confidence and Reduce Anxiety: create a supportive environment that celebrates small successes, avoid focusing solely on mistakes, reinforce what the individual is doing right, use positive reinforcement and praise. Having a consistent, go-to method for approaching problems provides a sense of structure and predictability, which can reduce anxiety and build confidence.

To conclude, effective intervention for dyscalculia is not a one-size-fits-all solution. Given the heterogeneity of dyscalculia, a specific remediation strategy that could be beneficial for one child with dyscalculia would not necessarily work for another who displays different strengths and weaknesses in terms of mathematical skills. So, in clinical practice, clinicians should be aware of the different cognitive and affective profiles of each student who struggles in mathematics in order to provide her/him with the corresponding instructional practice. Combining explicit instruction, heuristic strategies, and flexible methods (Flexplicit instruction) ensures that learners build foundational skills, develop problem-solving abilities, and gain confidence to tackle math challenges independently. A scaffolded, personalized approach provides the optimal path to success.

Authors

Dr. Giannis Karagiannakis (Μathematician), University of Athens, Founder & CSO of MathPro Education 

Prof. Marie-Pascale Noël (Νeuropsychologist), Catholic University of Louvain

Prof. Camilla Gilmore  (Psychologist), Loughborough University 

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