Careless mistakes, forgotten words, agreement errors even though the child knows the rule: is this dysorthography, or an attention disorder? ADHD can also lead to many errors in writing. The two conditions are different, but often occur together. Here is how to find your way. Identifying the origin of the errors helps to adapt the support.
Dysorthography is a learning disorder affecting spelling. The child has difficulty memorising how words are spelt and applying spelling rules, even when concentrating. These difficulties are present even in a calm environment.
The errors are persistent, even when the child takes their time. Time and concentration are not enough to make them disappear.
See what is dysorthography. Speech and language therapy works on word memory and spelling rules.
ADHD, attention deficit hyperactivity disorder, is a neurodevelopmental disorder that affects attention, impulsivity and sometimes restlessness. These errors vary from one day to the next depending on the child’s concentration.
In writing, the child may make many inattention errors: omitted letters, words or agreements, even though they know the rules. The child may succeed in a dictation one day and fail badly the next.
Their difficulties show up in many situations, not only in writing. These difficulties also affect family and social life.
One question helps: can the child correct their errors when they are pointed out? If so, inattention probably plays a major role. The errors of a child with ADHD are often inconsistent.
In dysorthography, the child often does not know how to write the word, even with time and attention. The errors of a child with dysorthography are more consistent.
ADHD also appears outside writing: distractibility, forgetfulness, difficulties with organisation, impulsivity. These observations need to be confirmed by assessments.
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ADHD and dys disorders often occur together. A child may have both ADHD and dysorthography. These combinations are common among neurodevelopmental disorders.
In this case, the difficulties add up: the child struggles to memorise spelling, and to stay focused enough to apply what they know. Proofreading is then particularly hard.
See dysorthography and fatigue. Each disorder needs to be addressed.
Dysorthography is diagnosed by the speech and language therapist. ADHD is diagnosed by a doctor, often a paediatrician, a paediatric neurologist or a child psychiatrist. The diagnosis of ADHD is based on questionnaires and observations.
If you suspect both, several assessments will be needed. The two assessments are complementary.
See the speech and language assessment. The reports guide the support and the adjustments.
Dysorthography is treated through speech and language therapy. ADHD may be supported by psychoeducational support, parent guidance and, at times, medication. This support helps the child to get better organised.
When the two are combined, support must be coordinated. Medication is a medical decision, discussed with the doctor.
See the remediation. Coordination between professionals is essential.
School adjustments can address both disorders: extra time, short instructions, a quiet place, proofreading checklists. Proofreading checklists help the child check their written work.
Depending on the severity, a PAP or a PPS may be put in place. These adjustments are tailored to each child’s profile.
See PAP or PPS. They can change over the course of schooling.
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If the child can correct their errors when they are pointed out, inattention probably plays an important role. The errors of a child with ADHD are often inconsistent.
Yes, ADHD and dys disorders often occur together. The two conditions often add up.
A doctor, often a paediatrician, a paediatric neurologist or a child psychiatrist. The two assessments are complementary.
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