Dyslexia Diagnosis: Process, Professionals & What to Expect
Dyslexia is a specific learning disability in reading. Diagnosis is a comprehensive, multi-disciplinary process—no single test exists.
Assessment Components
- Case history: Developmental, medical, family, educational background.
- Cognitive testing: IQ (e.g., WISC) to establish potential.
- Academic achievement: Reading (decoding, fluency, comprehension), spelling, writing (e.g., WIAT, WJ).
- Phonological processing: Phonemic awareness, rapid naming, memory (CTOPP).
- Language evaluation: Receptive/expressive language (SLP).
- Observation & questionnaires: Teacher/parent input on behavior, attention.
- Rule out: Vision/hearing deficits, ADHD, intellectual disability, inadequate instruction.
Professionals Involved
- Psychologist (school/clinical)
- Speech-language pathologist
- Educational diagnostician
- Neuropsychologist (complex cases)
Diagnostic Criteria (DSM-5 / ICD-11)
Persistent difficulties in reading accuracy/fluency/comprehension for ≥6 months despite intervention, skills substantially below age/grade expectations, not explained by other factors.
After Diagnosis
IEP/504 plan for accommodations (extra time, audiobooks, structured literacy instruction). Early intervention (K–2) yields best outcomes.
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