A specific learning disorder (SLD) is a neurodevelopmental condition characterised by persistent difficulties in learning and using academic skills, despite adequate intelligence, instruction, and opportunity to learn. These difficulties persist despite targeted evidence-based intervention. Under the DSM-5-TR, SLD is diagnosed with specification of the area of impairment:
SLDs are neurological in origin and are not a reflection of a child’s intelligence or effort. Many individuals with an SLD have strong abilities in other areas. Without appropriate identification and support, specific learning difficulties can persist into adulthood and affect academic achievement, employment, and wellbeing.
SLD in reading involves persistent difficulties with reading accuracy, reading fluency, or reading comprehension. It is the most commonly diagnosed specific learning disorder.
SLD in Written Expression involves persistent difficulties with spelling, grammar, punctuation and the organisation of written work. Difficulties may affect both the mechanics of writing and the ability to express ideas in written form.
SLD in Mathematics involves persistent difficulties with number sense, mathematical reasoning, and the recall of arithmetic facts. It can affect a child’s ability to perform calculations and to apply mathematical concepts across subject areas.
A neuropsychological assessment is used to identify specific learning disorders and to understand a child’s broader cognitive and academic profile. Dr Melissa Rouel conducts comprehensive SLD assessments for children, adolescents, and adults. An SLD assessment typically includes:
Following the assessment, a written report is provided. The report outlines the findings, identifies any diagnosis, and includes recommendations for support and intervention at home, school, or in the workplace. A feedback appointment will also be scheduled to discuss these results.
Following a diagnosis of a specific learning disorder, appropriate support and intervention should be put in place as early as possible. The assessment report from Dr Melissa Rouel can be shared with a child’s school to support access to reasonable adjustments, including additional time, assistive technology, or a tailored learning support plan.
For adults, the report can be used to support access to adjustments in tertiary education or the workplace. Where relevant, Dr Melissa Rouel can recommend referral to specialist educators, speech pathologists, or other allied health professionals in the Western Sydney area.
An SLD assessment may be appropriate for:
A neuropsychological assessment is used to identify specific learning disorders affecting reading, writing, or mathematics. Dr Melissa Rouel conducts comprehensive SLD assessments for children, adolescents, and adults. An SLD assessment with Dr Melissa Rouel typically includes:
Yes. It is not uncommon for a child to have more than one SLD, or for an SLD to co-occur with ADHD or other neurodevelopmental conditions. A comprehensive neuropsychological assessment identifies all areas of difficulty and ensures recommendations address the full picture of a child's needs.
A formal referral is not required, though some families are referred by a GP, paediatrician, school psychologist, or allied health professional. Dr Melissa Rouel accepts enquiries from families and adults seeking assessment. Please contact the practice to discuss your circumstances and determine whether an assessment is appropriate.
Yes. A formal assessment report from Dr Melissa Rouel can be shared with your child's school to support access to reasonable adjustments and learning support. The report can also be used to apply for access provisions for external examinations such as the HSC. Dr Melissa Rouel serves families across Castle Hill, Parramatta, Blacktown, Fairfield, and Kellyville.
An SLD assessment with Dr Melissa Rouel typically involves one session of approximately four hours, depending on the child's age and the complexity of the assessment. A written report and verbal feedback session are provided following the assessment. To make an enquiry, please visit neuropsy.com.au/contact.
Dr Melissa Rouel provides specific learning disorder assessments for children, adolescents, and adults. She sees clients from across Western Sydney and the Hills District including: Castle Hill and the Hills District, Parramatta and surrounding suburbs, Blacktown and Mount Druitt areas, Fairfield and South-Western Sydney, Kellyville, Rouse Hill, and Norwest. Telehealth options may be available for some parts of the assessment process. Please contact Dr Melissa Rouel to discuss whether this is suitable for your circumstances.