Children who struggle with symptoms of dyslexia often have difficulty manipulating individual sounds of words. They may have confusions in directionality with letters, numbers or vocabulary such as under, over, first, third, yesterday, or tomorrow. Copying information from a book or from the board may be difficult or impossible. Reading may be a challenge because of omitting words, substituting words or leaving off endings. Reading as a leisure-time activity is not chosen. Recalling whole words may be difficult as well as recalling a person's name or the name of an object. Following directions may escape them. Failing to complete assignments or working slowly can be problematic. Writing thoughts down can be challenging. Organizational skills may be troublesome. Lack of consistency is what can cause the greatest misunderstanding by others working with them. Standard Friday spelling tests do not prove helpful in building their spelling skills. Some or all of these symptoms may be manifested in a child who is struggling with school-related tasks. This out-of-harmony with the child's intellect causes confusion and must be addressed with appropriate testing to rule out dyslexia.