Dyslexia Testing in San Diego

Neuropsychological Assessment for Children, Adolescents, and Adults (Ages 7+)

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Individual sitting in the windowsill reading a book, something individuals may struggle with if they have dyslexia

How Dyslexia Affects Reading, Writing, and Daily Life

Dyslexia is one of the most common learning disorders, affecting an estimated 15–20% of the population— yet it’s also one of the most frequently missed. Many people with dyslexia are never formally identified, especially if they’ve found ways to compensate over time.

That compensation can look different depending on age. A child might work twice as hard as classmates just to keep up with reading assignments. A teenager might avoid reading aloud or gravitate away from text-heavy courses. An adult might have spent years assuming they were a “slow reader” without understanding why, or feeling the strain of reading-intensive work without a clear explanation for the difficulty.

Dyslexia is not a reflection of intelligence. It’s a neurodevelopmental condition that affects specific reading-related skills, including decoding words, reading fluently, spelling, and processing written language, while leaving other cognitive abilities, like reasoning and problem-solving, intact. The challenge is that without a formal evaluation, it can be difficult to distinguish dyslexia from other conditions that affect reading, like ADHD or anxiety.

At KMN Psych, dyslexia testing is part of our broader learning disabilities evaluation services. Our evaluations examine the underlying cognitive processes behind reading difficulty—not just whether a problem exists, but why it’s happening and what specific support is most likely to help.

Neuropsych testing, without the fuss.

We are passionate about making comprehensive neuropsychological evaluation simple and accessible for everyone.

Signs of Dyslexia by Age

Dyslexia looks different at different stages of life. While all children develop reading skills at their own pace, persistent patterns of difficulty—especially ones that don’t resolve with standard instruction—may indicate the need for a formal evaluation. Below are some of the more recognizable signs across age groups.

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Elementary School (Ages 7–12)


This is when dyslexia most commonly becomes apparent. Children may read significantly below grade level despite adequate instruction, struggle to sound out unfamiliar words, read slowly and with noticeable effort, avoid reading aloud, confuse similar-looking words, or have persistent difficulty with spelling. Teachers may notice that a child's verbal ability seems much stronger than their written work.

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Middle School and High School (Ages 11–18)


In older students, dyslexia often shows up as slow or effortful reading, difficulty keeping up with reading-heavy assignments, trouble with written expression or essay organization, and avoidance of tasks that require sustained reading. Some adolescents develop strong compensatory habits—working significantly harder than peers to achieve similar results—which can mask the underlying difficulty and delay identification.

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Adults (ages 18+)


Many adults with dyslexia were never formally identified during childhood. They may have compensated well enough academically but still experience slow reading speed, fatigue during reading-intensive tasks, persistent spelling difficulties despite a strong vocabulary, and avoidance of reading or writing in professional settings. Adults who recognize these patterns—especially those pursuing higher education or navigating increasing professional demands—may benefit from a neuropsychological evaluation to better understand their cognitive profile.

Neuropsychological Testing vs. School-Based Evaluation

Many parents first learn about dyslexia through their child’s school, and school-based evaluations serve an important purpose: they determine whether a student qualifies for special education services under IDEA. However, school evaluations are designed to assess educational eligibility, not to provide a clinical diagnosis or explain the cognitive processes behind the reading difficulty.

A neuropsychological evaluation takes a different approach. Rather than measuring only whether a student is performing below grade level, it examines why the difficulty exists—assessing functions like phonological processing, memory, processing speed, and executive functioning to identify the specific cognitive patterns contributing to the problem.

This distinction matters because two students who both read below grade level may have very different cognitive profiles and may need very different support. One child’s reading difficulty might stem from a core phonological processing deficit. Another’s might be driven primarily by attention or working memory. A neuropsych evaluation identifies those differences, which leads to more targeted recommendations.

At KMN Psych, our evaluations pair standardized academic achievement measures with cognitive testing to compare how a person performs academically against their overall cognitive ability. This approach provides a more complete diagnostic picture than academic testing alone.

Educational psychologist and young girl during dyselxia assessment session

Dyslexia Evaluation Process at KMN Psych

Our dyslexia evaluations follow the same structured process used across all of KMN Psych’s neuropsychological assessments. The process is designed to be thorough without being overwhelming—each step builds on the one before it, and our team walks you through what to expect along the way.

Initial Consultation

The evaluation begins with a consultation to gather relevant history — including medical background, developmental milestones, academic history, and current concerns. For children and adolescents, this consultation includes a parent or family member. This step helps the clinical team understand the full context before testing and ensures the assessment battery is tailored appropriately.

Test Administration

The testing session itself typically takes 4–6 hours and includes a combination of paper-and-pencil tasks, computer-based assessments, and interactive activities. For dyslexia evaluations specifically, this battery assesses reading accuracy, reading fluency, reading comprehension, phonological processing, spelling, and related cognitive functions like memory and processing speed. The assessment is conducted by a trained assessment technician supervised by Dr. Max Doshay, PsyD, a licensed clinical psychologist.

Scoring and Interpretation

After the testing session, the clinical team scores all assessments and interprets the results by comparing the individual's performance to normative data. This stage is where the evaluation goes beyond raw scores—the team analyzes patterns across cognitive and academic domains to determine whether the profile is consistent with dyslexia, whether other conditions may be contributing, and what specific areas of strength and difficulty are present.

Feedback Session

Dr. Doshay meets with the individual (and family, if applicable) to walk through the results, explain the findings, and discuss recommendations. This session is an opportunity to ask questions, understand the diagnostic conclusions in context, and begin thinking about next steps.

Comprehensive Report

A detailed report—typically 15–20 pages—is provided approximately two weeks after the feedback session. The report includes diagnostic findings, a breakdown of performance across all assessed domains, and individualized recommendations for academic support, accommodations, and any additional evaluations or services that may be helpful.

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What a Dyslexia Evaluation Measures

Dyslexia Testing for Adults

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Co-Occurring Conditions Identified During Testing

Verify Insurance

As part of the screening process, we help clients verify their insurance provider can provide financial assistance. We accept PPO as well as non-insured clients. Let us walk you through the process so you can get tested as soon as possible.

How Families and Adults Use Dyslexia Evaluation Results

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dyslexia testing cost san diego insurance

Insurance and Cost Information for Dyslexia Testing

Preparing for Your Dyslexia Evaluation

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Take the Next Step

Client Testimonials & Success Stories

FAQs

How much does dyslexia testing cost?

The cost of dyslexia testing depends on the type of evaluation and your insurance coverage. At KMN Psych, we accept most PPO plans and offer self-pay options. Our team helps verify insurance benefits before testing is scheduled so you have a clear picture of expected costs before the evaluation begins. Contact us to start the verification process.

How do you get officially tested for dyslexia?

A formal dyslexia diagnosis requires a comprehensive evaluation conducted by a qualified professional, such as a licensed psychologist. The evaluation typically includes standardized measures of reading accuracy, reading fluency, reading comprehension, phonological processing, and spelling, compared against cognitive ability.

At KMN Psych, the evaluation includes a clinical consultation, a 4–6 hour testing session, interpretation by the clinical team, a feedback session to review results, and a detailed written report with diagnostic conclusions and recommendations.

Will my child's school accept your testing results?

Yes. Our reports are specifically designed to meet educational requirements for IEP and 504 plan development and are routinely accepted by school districts.

Where do I go to have my child tested for dyslexia?

Children can be evaluated for dyslexia through a school-based assessment or through a private neuropsychological evaluation. School evaluations determine educational eligibility for services, while a private neuropsych evaluation provides a clinical diagnosis and a more detailed analysis of the cognitive processes underlying the reading difficulty. KMN Psych provides comprehensive dyslexia evaluations for children ages 7 and older at our San Diego office.

How do I get my child tested for dyslexia in California?

In California, parents can request a school-based evaluation through their child's school district at no cost, or they can pursue a private neuropsychological evaluation. A private evaluation provides a clinical diagnosis and comprehensive recommendations that can be used to support IEP or 504 plan requests, guide tutoring and intervention decisions, and provide documentation for future accommodations. KMN Psych offers dyslexia evaluations for children, adolescents, and adults at our San Diego location.

What are the 4 D's of dyslexia?

The "4 D's of dyslexia" is an informal framework sometimes used to describe common features of dyslexia. The four D's typically refer to difficulty decoding words (breaking down letter-sound relationships), difficulty with directionality (reversing letters or numbers), discrepancy between verbal ability and reading performance, and a developmental pattern—meaning the difficulties are present from early childhood and persist over time, rather than appearing suddenly. While this framework is a useful shorthand, a formal evaluation examines a broader range of cognitive and academic functions to reach a diagnosis.

Schedule an Appointment

To learn more information about KMN Psych, verify your insurance coverage, or schedule an appointment for you or your loved one, complete the form below, and we will get back to you in 24 hours. We respect your privacy and hold all information discussed in strict confidence.

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