Dysorthographia: which professional should you consult depending on the situation?
When faced with dysorthographia, several professionals may be involved, and it is not always easy to know which one to consult first. The answer depends on the situation: the child’s age, the nature of the difficulties, whether or not a prior diagnosis exists, and the complexity of the clinical picture.
The GP or paediatrician: the first step
For any suspicion of dysorthographia, the first step is to consult the GP. They rule out other possible causes of writing difficulties, such as visual, hearing or attentional problems, and issue the medical prescription essential for the speech and language therapy assessment to be reimbursed by the Sécurité Sociale.
The ophthalmologist and orthoptist: ruling out visual problems
Certain uncorrected visual problems can significantly amplify writing difficulties. An ophthalmological and orthoptic assessment helps to ensure that the difficulties are not linked to a problem with eye convergence or eye-tracking. This assessment is recommended alongside the speech and language therapy assessment, especially if the child complains of visual fatigue when writing.
The speech and language therapist: the essential central professional
The speech and language therapist is the central professional for the diagnosis and remediation of dysorthographia. They carry out a complete assessment of written language and formally make the diagnosis. Their remediation directly targets the underlying deficits. To find a speech and language therapist specialising in DYS disorders in your area, professionnelsdys.fr offers a detailed directory that is regularly updated.
The neuropsychologist: for complex profiles
When dysorthographia is accompanied by other disorders, such as ADHD, high potential, dyspraxia or severe anxiety, a comprehensive neuropsychological assessment is recommended. It evaluates the entire cognitive profile and helps identify the precise mechanisms involved in the spelling difficulties, so that remediation can be more targeted.
The occupational therapist: if dysgraphia is associated
If the difficulties concern both spelling and the handwriting movement, such as illegible, slow or painful writing, a consultation with an occupational therapist is recommended alongside speech and language therapy. The occupational therapist addresses dysgraphia, which is often associated with an underlying dyspraxia.
The psychologist: for emotional support
Dysorthographia often generates significant school-related anxiety and fragile self-esteem. Specialised psychological support can help the child get through difficult periods and build a positive self-image independently of their spelling performance.
