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Language-based learning disabilities and written language at school age

A learning disability is a difficulty in basic cognitive processes that significantly impairs academic achievement; a language disorder is a major risk factor for reading disability — sound-level problems put decoding at risk, while meaning-and-grammar problems put comprehension at risk — even after language therapy has ended.

Why it matters in the exam

Questions test definitions and boundaries: attention deficit hyperactivity disorder (ADHD) is not considered a learning disability and is diagnosed by a neurologist or psychiatrist; a learning disability can be diagnosed for the first time even in seventh grade, because its expression is affected by the growing complexity of demands; and what predicts success for a child with a learning disability is the child, the family and the learning environment. A child with a writing disability can struggle with both spelling and written expression.

Another part concerns the link between language and reading: about 60% of those with a language disorder will also develop a reading disability; a 7-year-old with a language disorder without phonological or morphological difficulty is expected to struggle mainly with reading comprehension; and even a child who completed language therapy successfully remains at risk. Written versus spoken language is asked too: spoken language is acquired naturally and written language is taught; a written narrative resembles a spoken one mainly in overall organisation; writing difficulties do not reflect articulation difficulties; and expository text is used to assess adolescents because it has more complex syntax. A short-term memory difficulty can affect both decoding and reading comprehension.

Key points

Summary table

TopicWhat is trueExam point
Definition of learning disabilityA difficulty in basic cognitive processes that significantly impairs achievementADHD is not a learning disability; it is diagnosed by a neurologist or psychiatrist
Age of diagnosisPossible even in middle schoolIts expression is affected by rising complexity of demands
Language and readingAbout 60% of those with a language disorder will also develop a reading disabilityPhonological — risk to decoding; semantic-syntactic — risk to comprehension
Risk after therapyEven after treatment goals were metContinue to monitor at school
Written versus spoken languageSpoken is acquired naturally, written is taughtWritten and spoken narratives are alike in overall organisation
Writing disabilitySpelling and written expressionWriting difficulties do not come from articulation difficulties
Memory and assessmentShort-term memory affects decoding and comprehensionExpository text to assess adolescents; morphological awareness training improves spelling and comprehension

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Sources

Sources are given for further reading; the text is written afresh and not copied from them.

Reviewed by the Examqo AI Professor · 2026-11-02. The text may contain errors; when in doubt, check the source.