Professional Documents
Culture Documents
Understanding
Learning
Disabilities
Diagnostic Criteria
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM‑5)
(American Psychiatric Association, 2013), does not include the term ‘learning disability’.
Instead, it includes ‘specific learning disorder’ and lists it under the category of
‘neurodevelopmental disorders’ in order to emphasize the lifelong nature of these
disorders. There are four main diagnostic criteria for a specific learning disorder.
Co-morbidity
Comorbidity refers to the presence of more than one mental health diagnosis occurring in
an individual at the same time. Learning disabilities may coexist with various conditions
including the following:
■■ attention disorders;
■■ behaviour disorders;
■■ emotional disorders;
■■ sensory impairments;
■■ other medical conditions.
Summary
■■ Learning disabilities are thought to be caused by variations in brain structure and
function that impact the basic psychological processes involved in learning.
■■ Learning disabilities are different from global intellectual deficits.
■■ Learning disabilities are lifelong.
■■ The DSM-V identifies four main diagnostic criteria for a specific learning disorder.
■■ Learning disabilities often occur with other disorders and they can be mild, moderate,
or severe, making identification and diagnosis challenging.
■■ LDAC supports both intellectual assessment and an assessment of cognitive processes
when diagnosing a learning disability.
References
American Psychiatric Association: Diagnostic and Statistical Manual of Mental
Disorders, Fifth Edition. Arlington, VA: American Psychiatric Association,
2013.
Fiedorowicz, C., J. Craig, M. Phillips, A. Price, and G. Bullivant. “Position Paper.
To Revise or Not To Revise: The Official LDAC Definition of Learning
Disabilities Versus DSM-5 Criteria”. Learning Disabilities Association of Canada,
2015. www.ldac-acta.ca/learn-more/ldac-position-papers.
Mathematics
Computation Working memory Attention
Spatial processing Processing speed
Visual-spatial motor integration
Word problems Working memory
Executive processes
Language
Written Expression
Handwriting Automaticity in retrieving and producing
alphabet letters
Orthographic coding
Ability to form mental representations of
written words
Graphomotor planning for sequential
finger movements
Spelling Phonological and orthographic coding
(visual-motor integration)
Vocabulary knowledge (Grades 1-3)
Composition Handwriting automaticity
Orthographic coding
Working memory