Learning disabilities. The primary care role in multidisciplinary management.

Learning disability is not just a school disability; it is a total life disability. The same dysfunctions that interfere with normal learning processes also impact on self-image, peer relationships, family relationships, and social interactions. If attention deficit disorder is present, the same hyperactivity or distractibility that creates problems for the child in the classroom interferes with peer and family relationships. From initial request for help to final implementation of a model of intervention, a multidisciplinary team effort is needed. Since many areas of difficulty may be involved, this team ideally should consist of a primary care physician, psychiatrist, neurologist, psychologist, social worker, special educator, and speech pathologist. Each professional contributes to a full understanding of the total child. The primary care physician may participate as part of such a team or refer the child to other professionals and then coordinate the recommendations. When a learning disability is properly recognized, diagnosed, and treated, the child has the potential for a reasonably successful future. Without help, the child's disabilities may become incapacitating and function as a major handicap throughout life.