The act of writing involves language, visual skills, and the motor skills needed to form letters. Because of this, a disorder of written expression can include some combination of fine motor problems, language problems, visual-spatial problems, and attention and memory problems. Some children may have difficulty tracing shapes or writing letters; others may be able to form letters well, but they may be very slow; still other children have good penmanship but cannot organize their thoughts well enough to write a well-formed paragraph or story. Because research on this disorder and in this area is lacking, psychologists know less about this disorder than other types of learning disabilities, but we do estimate that it affects about 8 to 15% of school-aged children and that many of these children have other learning issues as well. How is Disorder of Written Expression Assessed? A comprehensive evaluation, such as a neuropsychological evaluation, that looks at many aspects of writing and associated skills is used to make a diagnosis of a disorder of written expression.
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