Teachers spend more waking hours with children than almost anyone else in their lives. That time gives you a level of observation that parents, pediatricians, and even psychologists don't have: you see how a child functions across an entire school day, in a structured group setting, under real academic demands. That perspective is valuable — and when something consistently concerns you, it's worth acting on.
This article is a practical guide to what to watch for, and what to do when you see it.
Why Teacher Observations Matter
A psychological assessment doesn't happen in isolation. Psychologists rely heavily on the information teachers provide — rating scales, report cards, work samples, and direct observations — to get an accurate picture of how a student functions outside the testing room.
What you notice in the classroom is data. The more specific and consistent it is, the more useful it becomes. But before you can collect that information systematically, you have to recognize the patterns worth tracking.
Academic Warning Signs
These are often the most obvious, but the patterns that point toward evaluation are specific ones — not just "struggling."
Reading:
Still decoding word by word in third grade or beyond, when peers are reading fluently
Avoids reading aloud, or reading at all, and becomes anxious when asked
Makes the same types of errors repeatedly (skipping words, reversing letters, losing their place consistently)
Comprehension falls apart because decoding takes so much effort
Writing:
Significant gap between verbal ability and written output — they can explain an idea perfectly aloud but can't get it on paper
Handwriting that is notably slow, effortful, or difficult to read compared to peers
Avoidance of writing tasks, or assignments left incomplete that weren't incomplete in other subjects
Math:
Can't retain basic math facts despite repeated exposure and practice
Struggles to understand word problems even when the math itself isn't complex
Inconsistent performance — getting something right one day and completely wrong the next with no clear reason
General patterns:
Performance that doesn't match intellectual ability, especially if the student seems bright in discussion but falls apart on assessments
A pattern of starting strong in the year and declining significantly as demands increase
Attention and Behavioral Signs
Attention difficulties look different in different kids, and some of the most impacted students aren't the ones bouncing off the walls.
Signs worth tracking:
Needs instructions repeated multiple times even after showing they understood them
Can't sustain attention long enough to complete tasks independently, even short ones
Frequently off-task in ways that aren't willful — they seem genuinely unaware they've drifted
Disorganized in ways that interfere with function: loses materials, misses deadlines, can't manage multi-step tasks
Calls out impulsively, or acts without thinking, in ways that affect their relationships with peers
The student who is quiet, compliant, and staring out the window may need as much attention as the one who is disruptive. Inattentive presentation of ADHD is frequently missed in girls and in students who've learned to compensate.
Social and Emotional Patterns
These are easy to attribute to personality or home life, but some patterns point to something more specific.
Look for:
Difficulty reading social situations — missing cues that peers pick up easily, entering conversations at the wrong moment, not understanding why a joke landed the way it did
Rigid adherence to routines, with significant distress when plans change
Social isolation that the student doesn't seem bothered by (different from shyness, which involves wanting connection)
Sensory responses that seem disproportionate — covering ears in the hallway, strong reactions to clothing, food, or touch
Emotional dysregulation that's inconsistent with the situation: a small frustration leading to a major shutdown or outburst
How to Document What You're Seeing
Before you speak with a parent or make a referral, documentation matters. Vague concerns are harder to act on than specific ones.
Keep track of:
What exactly happened, not just that the student "struggled" — what the task was, what they did, how they responded
How often the pattern occurs — daily, weekly, in specific subjects or settings
What you've tried and how it's worked (or hasn't)
Any accommodations already in place and whether they're helping
Specific, documented observations make the conversation with parents more grounded, and they make the psychologist's job significantly easier.
What Falls Outside Normal Developmental Variation
All children struggle at times. The patterns that point toward evaluation are:
Persistent — not a bad week, but months of the same pattern
Pervasive — showing up across multiple settings and subjects, not just one class or teacher
Interfering — getting in the way of the student's ability to learn, connect with peers, or function in your classroom
When you're seeing something that checks all three of those boxes, a psychological assessment is worth recommending — not as a last resort, but as a way to understand what's driving what you're seeing.
At Brinkley Psychology, we collaborate directly with schools across the Richmond metro — including Henrico County Public Schools, Chesterfield County Public Schools, and Richmond City Schools. We welcome school-provided documentation as part of our evaluation process, and we're happy to connect with teachers before or after an assessment when parents give permission.
Related reading: how to talk to parents about psychological testing.


