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Extended SpLD Investigations: Visual Stress, ADHD Characteristics and Dyspraxia/DCD Indicators

Exploring visual, attention, executive-function and coordination factors that may affect learning, study and work.

As part of a dyslexia or SpLD diagnostic assessment, we can also explore whether there are indicators of visual stress, ADHD-type characteristics, or dyspraxia/developmental coordination differences that may be affecting learning, study or work.

These investigations do not provide a medical diagnosis of ADHD, Developmental Coordination Disorder/Dyspraxia or visual stress. However, they can provide useful evidence about areas of difficulty, functional impact and support needs. This can help individuals, parents, schools, colleges, universities, employers and Access to Work advisers understand what adjustments may be helpful.

Visual stress and visual difficulties screening

Some individuals experience visual discomfort, headaches, tracking difficulties, print movement, glare sensitivity or fatigue when reading. Where appropriate, we can complete visual difficulties screening in line with SASC guidance.

This does not diagnose a visual condition or prescribe treatment. Where indicators are identified, we may recommend referral to a qualified optometrist or relevant vision professional. The findings can also help inform practical adjustments such as reading format, lighting, spacing, screen settings, rest breaks and assistive technology.

ADHD characteristics / attention and executive functioning profile

Dyslexia and other SpLDs can overlap with difficulties in attention, organisation, working memory, time management, planning and task initiation. Where relevant, I can explore ADHD-type characteristics and executive-functioning needs as part of the wider assessment process.

This is not an ADHD diagnosis. However, it can identify patterns that may warrant further discussion with a GP, specialist ADHD service or other appropriately qualified professional. It can also provide useful evidence for support planning, reasonable adjustments and Access to Work recommendations.

Visual stress and visual difficulties screening

Some individuals experience difficulties with handwriting, organisation, sequencing, motor planning, coordination, speed, fatigue or practical tasks. Where relevant, I can explore indicators associated with dyspraxia/developmental coordination differences as part of the assessment.

This does not provide a formal diagnosis of Developmental Coordination Disorder/Dyspraxia. However, it can describe observed and reported features, identify functional impact, recommend appropriate support strategies, and indicate whether onward referral to an occupational therapist, GP or other relevant professional may be helpful.

What this can help with
  • ​​understanding why reading, writing, organisation, attention, coordination or work-based tasks may feel difficult;

  • identifying practical strategies for study, exams, work and daily organisation;

  • informing reasonable adjustments in education or employment;

  • supporting Access to Work discussions where functional impact is present;

  • identifying whether onward referral to another professional may be appropriate.

Important to know

These additional investigations are educational and functional in nature. They do not replace assessment by a medical practitioner, optometrist, occupational therapist, psychologist, psychiatrist or other relevant professional. Where findings suggest that further investigation is needed, this will be clearly explained in the report, along with appropriate signposting.

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