Who I Help

When your child has a heart condition, learning can be part of the story

Children born with heart conditions have a higher chance of facing learning and developmental challenges — especially children who were born with only one working side of the heart, had open-heart surgery, needed life support during recovery, had serious complications after surgery, or spent an extended time in the hospital.

These challenges tend to follow a pattern

Many children with congenital heart disease need more time to learn new things, even though their basic intelligence is typically normal. Attention and planning can be harder — remembering rules, staying organized, or thinking before acting. Coordination and hand strength are sometimes affected, which shows up in handwriting or using scissors. Some children have speech delays or trouble finding the right words. Social and behavioral challenges — sitting still, paying attention, making friends — are more common. So are sleep problems, which can make daytime attention and behavior noticeably worse.

What to watch for

  • Focus and planning: trouble following directions, staying organized, or transitioning between activities
  • Schoolwork: struggles with early reading, math, handwriting, or remembering what was just heard
  • Speech: difficulty finding words or explaining thoughts
  • Movement and energy: clumsiness, trouble with pencils or scissors, tiring faster than peers
  • Emotions and friendships: anxiety, mood swings, or difficulty playing with other children
  • Sleep: snoring, gasping, frequent waking, or fighting bedtime

Why a neuropsychological evaluation helps

Cardiology watches the heart. A neuropsychological evaluation looks at how your child is thinking and learning — memory, attention, and thinking skills — to find their exact strengths and struggles, and to build a personalized plan for school and home. Guidelines now recommend that children with congenital heart disease have their development followed on a schedule; this evaluation is that follow-up.

Depending on what the evaluation finds, other therapies can help alongside it: occupational therapy for hand skills and organization, speech therapy for communication, physical therapy for strength and coordination, a sleep clinic for sleep-related concerns, and behavioral therapy for anxiety and frustration.

Start with a conversation

You don’t need to know exactly which evaluation your child needs. Tell me what you are seeing, and I’ll help determine the right next step.

Request an Appointment