
On dyspraxia, diagnosis, and how a label can quietly shrink a person’s world
We got rid of the tricycle. More importantly, we got rid of an idea.
This is a story about dyspraxia, and about how a diagnosis (of it or other neurodevelopmental conditions) can quietly shrink a person’s world – and what it took to grow it back.
Two children, two bicycles
When my daughter was about 6 she learned to ride her bike. I vividly remember my own version of that moment: my dad pushing me along the street, and suddenly it just clicked – I could keep balanced. I cycled all the way to the end of our road and back again. It’s one of my earliest vivid memories, and I’ve cycled ever since: for fun, to school, for the commute, for fitness. With my daughter it went the same way. It took a bit of practising, but then suddenly it clicked and away she went!
A bit after this my son was 5, and we were starting to think there was something a bit unusual about the way he moved, spoke, the way he sat and lay and stood. He received a diagnosis of Developmental Coordination Disorder (DCD), often also called dyspraxia. I remember clearly feeling that this was clarifying, reassuring to have some kind of explanation – even for why he was lying down on things so much! (That’s partly to have the reassurance of a clear sense of where he is in space, by feeling touch against many parts of his body at once.)
I also remember taking a very specific practical action in response. Rather than expecting he’d learn to ride on his sister’s bike as she outgrew it, I bought a tricycle. I clearly remember assembling it in the kitchen, and thinking how it physically symbolised a change in what we could now expect for Thomas’s future. Learning to ride a bike is almost the canonical example of something that’s hard if you have DCD. With the tricycle he could join our family rides to the park – but of course he would never learn that balancing trick on it.

The diagnosis was right. That’s not the point.
Over the years since, nothing has shifted me from thinking DCD was a valid diagnosis for him. His handwriting is slow and hard to read, and he’s allowed a laptop for some lessons and exams so he can show what he’s actually learned. He really struggles with hand-eye coordination games like tennis, and practice delivers improvements very slowly.

When he was 11 we went on a rollercoaster – Colossus at Thorpe Park – that he was certainly tall enough for. He was nervous in the queue, but I was confident that he would enjoy it. He HATED it. As the car came to the end of the ride I realised he was crying in his distress. And then the ride developed a fault right at the end of the ride, and we were stuck there for another ten minutes, prolonging the trauma! Although it’s easy to think that dyspraxia is about coordination, and irrelevant when doing something that involves simply being sat strapped into a seat, I was wrong. I understand now that a big part of DCD is differences in the way the brain processes information from the body – about proprioception, about balance – and he was experiencing the movements of that rollercoaster at an intensity I couldn’t have imagined. I felt awful. I should have known better. Clearly we shouldn’t do that again.
So the diagnosis was accurate, and it was useful. And yet: you get a diagnosis, and it invites a list of things you can’t do. Riding a bike. Rollercoasters. Various sports. The label arrived, and my son’s world got quietly smaller – not because of anything in him, but because of something in me: the decisions I made having been told about this medical label.
What a diagnosis actually is
I’ve found myself needing to explain to people what DCD really is, and to do that I needed to explain it to myself. What I settled on was an experience everyone remembers from school: It’s Games on a Wednesday afternoon, two children are made team captains, taking turns to pick their classmates. To be diagnosed with DCD is to be, constitutionally, the kid who gets chosen last.
If this sounds like I’m joking, I’m not.
People vary in how well they can coordinate and use their bodies. Some are brilliant, and those kids get chosen first. Most are average, and get chosen in the middle. And some struggle, and get chosen last – and the ones chosen last, again and again, share a real set of difficulties.
(An aside on memory and self-image. It’s extraordinary how clearly I can picture this scene from when I was little. I was never picked first, and rarely in the middle, but there was one boy who was even less coordinated than me so to my relief it was him instead who invariably got picked last. Having this experience every week through your whole childhood really has an effect on your sense of yourself and how you compare to others.)
Here’s the part that surprises people… If you go looking in the DSM-5 – the psychiatry diagnostic manual – for the crisp medical test that separates the children who have this disorder from the children who don’t, you won’t find one. The actual wording of the core criterion is that coordinated motor skills are “substantially below that expected” for the child’s age. Substantially below expected. That’s basically it. In practice, clinicians operationalise that phrase with standardised motor assessments and a percentile cut-off – commonly the bottom 5% on a test like the Movement Assessment Battery for Children (MABC). Some guidelines draw the line at the 15th or 16th percentile instead. The experts don’t even fully agree on where the line goes, only that a line is needed.

Summarised by me (making the bins 3x wider) from Ceiling effects in the Movement Assessment Battery for Children-2 (MABC-2) suggest that non-parametric scoring methods are required, French et al 2018
So run the numbers. Around 5% of children meet the threshold – roughly one in twenty. In a typical class of 30, the least naturally coordinated child is, more or less by definition, diagnosable. Not because something happened to them. Because someone has to be in the bottom slice of any distribution, and we’ve agreed to give that slice a name.
You can also see why 15% might be set as a threshold. It’s visually clear that above that is the ‘normal spread’ of coordination abilities (at least measured by this method), and below it you get into the tail of people with coordination difficulties.
There’s nothing dramatically different between being slightly above or below that threshold. You can see in the chart above that there’s no clear ‘gap’ between the coordinated and less-coordinated kids. The way these things work, there needs to be a line, and it’s drawn where it’s drawn. But the underlying reality is not one where some children have an illness and others don’t. It’s a scale – like height, like blood pressure – on which bodily coordination varies, and the children at the bottom end share a set of genuine difficulties. It’s useful, bureaucratically, to recognise that: these are the children allowed a laptop in the exam, and those permissions matter enormously. But we all have things that come easy and things that come harder. There’s no crisp line in nature between people who can cycle and people who can’t. Look at that chart – there’s no clear gap between one group and another.
The difficulties are real. The line is a convention. The mistake – my mistake, in that kitchen with an Allen key in hand, attaching the third wheel to the frame – is treating the convention as if it were a fact about what a child can become.
Learning the hard way, literally
At 10 we decided to have a concerted push at learning to ride a regular bike. The process was constantly anxious-making and hair-raising for him. We had an elaborate reward scheme – a Roblox subscription if he managed 5 seconds of riding on his own, in-game currency for longer and longer stretches. Without it he wouldn’t have tried; it definitely didn’t come easy. But eventually he managed it. Bravo! He never had that “suddenly it clicked” experience his sister and I had, though. Each step – 5 seconds unaided to 10, 10 to 20, 20 to 30 – was hard. Just starting off – pushing off, getting the feet onto the pedals, starting to pedal, all before you lose balance – was something it took ages to get the hang of.

Shortly after that we moved house, and suddenly all the roads and paths near us were hills. Not massive hills, but twisty and bumpy, and he simply didn’t have the skill or confidence to cycle anywhere. No more cycling. Back to square one, it seemed. And that would have been OK – a person’s value or dignity is not defined by their ability to cycle.
But the next year I offered to help him build his skills, and we spent the whole summer going on rides. I’d load our bikes onto the car, drive us to a quiet cycle lane – there are several nearby converted from old railway lines – and we’d just practise on these flat, safe paths, with a rewarding destination in the middle. There is so much to learn to cycle confidently! Not just balancing but braking, changing gears, anticipating the gear changes, holding on with one hand so you can scratch your nose, standing up on the pedals for power up hills, what to do around cars. It’s amazing to realise how much there is when you’re alongside someone for whom the learning comes slowly; someone feeling, at every moment, that they might fall.

I created a little virtual challenge for us: a record of every ride, with a target for the year. By the end of it we’d ridden so many miles that, laid end to end, we’d have travelled from our home in Hertfordshire to his grandparents’ in Yorkshire. That’s 350km!

He is now a capable cyclist, and going on rides together is one of the things he loves, and me too. He’s got access to a brilliant source of physical fitness. He still finds the steep bits hair-raising.
Hard is not impossible
Here’s the point. Everything above describes something he found harder than most people. “This person has the disorder” is a way of thinking that naturally makes you rule things out. But when you see these things as a continuum, you see that many things worth doing are difficult – it’s only ever a question of how difficult, a question of how much more effort or time it will take to succeed. I’m reminded of JFK’s famous line from 1962:
“We choose to go to the Moon in this decade and do the other things, not because they are easy, but because they are hard.”
How close I came to deciding he was never going to ride a bike. I bought that tricycle, after all. I don’t regret it – it let him join in during the years when he genuinely couldn’t have learned. But no matter how much he rode it, he was never going to learn to balance on it. We’ve got rid of it now. Much more important, we got rid of the idea it stood for: that a diagnostic label should tell us what he couldn’t do. The diagnosis doesn’t tell you which things are impossible and which are just hard. That’s the question you have to live with, and the honest answer is that it’s nuanced, it’s subtle, it shifts. It depends. It depends on lots of other things – resources, reward, time, passion, support. It depends on belief.

I want to be careful here, because there’s a way of telling this story that does harm. My son’s difficulties that I’ve talked about here turned out to be movable. But for someone further along the same scale, “can’t” can be the plain truth – some things really are off the table, and no reward chart or patient summer of practice will change that. The answer to that isn’t to demand more of the person. It’s to stop building a world that makes those particular things the price of a full life. Someone who can’t safely drive isn’t failing a test the rest of us pass – they’re meeting a world that decided mobility should depend on driving, when it could have decided otherwise. The cruelty aimed at such people – you could if you tried, someone else with your label manages – gets the whole thing backwards. It treats a mismatch between a person and a rigid world as a flaw in the person. The dignity was never in whether my son learned to cycle. It was in being met by a world willing to bend, and given an honest answer, either way.
None of this means the diagnosis is nothing. The difficulties are real, they live in him, and some of them will always be his to deal with. It means the HE was only ever half the equation – and the other half, the world, is the half we keep forgetting we’re allowed to change.
Colossus and The Swarm
One last thing, back at Thorpe Park, the day he cried on that rollercoaster. While we were stuck, a couple of staff members helped look after us. One was a kindly engineer, who told us that this particular ride was especially bumpy – old and rattly – and that another, The Swarm, was much more modern and smoother. Much younger kids, he said, loved that one whilst hating this one.
The same child. The same “disorder”. A different machine.
We let the incident fade and enjoyed the rest of the park, and later we talked about whether he might try another coaster. Near the end of the day, he found the courage to try The Swarm. He was anxious – I could clearly tell – and so was I. Having traumatised him once, was I about to do it again by encouraging him?
He LOVED IT. We rode it five times!

Not only had he discovered something he loved; he’d faced his fear, taken a leap of faith, and triumphed. That day is seared in my mind, and I find myself tearful at the memory – so proud of the journey he went on, the agency he took in it, and the trust he put in me.
It was a lesson in bravery. And a lesson in not letting a diagnosis shrink our worlds: sometimes the “can’t” was never in the child at all, it was in the world, and in the stories we tell. That’s why I wanted to tell this story.

Linkedin Posts
This article was written alongside a set of LinkedIn Posts, each riffing on one part of it.
- “We got ride of the tricycle. More importantly, we got rid of an idea.”
- “One of my worst terrible parenting moments, and one of the proudest, happened on the same day, at the same theme park, on the same kind of ride”
- “In a typical class of 30 children, the least naturally coordinated one has a diagnosable disorder. By definition.”
- “I’ve spent the last few weeks writing about my son, who has dyspraxia, and a tricycle. Here’s what the whole story comes down to for me.“





















