{"id":346024,"date":"2026-09-16T06:43:58","date_gmt":"2026-09-16T06:43:58","guid":{"rendered":"https:\/\/ora-visio.com\/neuropsychological-or-speech-therapy-assessment-which-one-should-come-first\/"},"modified":"2026-10-28T19:38:48","modified_gmt":"2026-10-28T19:38:48","slug":"neuropsychological-or-speech-therapy-assessment-which-one-should-come-first","status":"publish","type":"post","link":"https:\/\/ora-visio.com\/en\/neuropsychological-or-speech-therapy-assessment-which-one-should-come-first\/","title":{"rendered":"Neuropsychological or speech therapy assessment: which one should come first?"},"content":{"rendered":"<p>It is the question 9 out of 10 parents ask when they come to ORA-VISIO. Their child is having difficulties \u2014 at school, with behaviour, with attention \u2014 and two specialists have been recommended to them: the <a href=\"https:\/\/ora-visio.com\/en\/distance-psychology\/\">neuropsychologist<\/a> and the speech therapist. Which one should they see first? Do they need both? Can they start with one while waiting for the other?<\/p>\n<p><strong>The answer depends on what you are trying to understand. Here is the complete guide so you do not waste time \u2014 or money.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h2>What each one assesses: the fundamental difference<\/h2>\n<h3>The <a href=\"https:\/\/ora-visio.com\/en\/speech-therapy-assessment-online\/\">speech therapy assessment<\/a>: language in all its forms<\/h3>\n<p>The speech therapist is the specialist of oral and written language, speech, voice and swallowing. Their assessment explores: reading (speed, accuracy, decoding), spelling and writing, oral language (articulation, syntax, vocabulary, comprehension), phonological awareness and arithmetic. The results are expressed as standardised scores and make it possible to diagnose specific disorders: dyslexia, dysorthographia, developmental language disorder (dysphasia), dyscalculia, stuttering.<\/p>\n<h3>The <a href=\"https:\/\/ora-visio.com\/en\/neuropsychological-assessment-online\/\">neuropsychological assessment<\/a>: overall cognitive functioning<\/h3>\n<p>The neuropsychologist assesses broader cognitive functions: overall intellectual level (IQ), short-term, working and long-term memory, attention, executive functions (planning, inhibition, flexibility), processing speed and visuospatial perception. They do not directly diagnose a condition, but document a complete cognitive profile \u2014 a key element for the doctor who will make the diagnosis.<\/p>\n<blockquote>\n<p style=\"text-align: center;\"><a href=\"https:\/\/ora-visio.com\/espace-adherent\/prendre-rendez-vous\"><strong>Book an appointment for an assessment <\/strong><\/a><\/p>\n<p style=\"text-align: center;\"><em>Neuropsychologists and speech therapists available \u00b7 Same platform \u00b7 Coordinated care \u00b7 Appointment within a few days<\/em><\/p>\n<\/blockquote>\n<p>&nbsp;<\/p>\n<h2>Summary comparison table<\/h2>\n<table style=\"text-align: center;\" width=100%>\n<thead>\n<tr>\n<th><strong>Criterion<\/strong><\/th>\n<th><strong>Speech therapy assessment<\/strong><\/th>\n<th><strong>Neuropsychological assessment<\/strong><\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Specialist<\/td>\n<td>State-certified speech therapist<\/td>\n<td>Neuropsychologist (Master&#8217;s degree)<\/td>\n<\/tr>\n<tr>\n<td>What it assesses<\/td>\n<td>Oral\/written language, arithmetic, speech<\/td>\n<td>IQ, memory, attention, executive functions<\/td>\n<\/tr>\n<tr>\n<td>Target profile<\/td>\n<td>Suspected dys disorder, speech delay, stuttering<\/td>\n<td>ADHD, giftedness (HPI), ASD, complex cognitive profile<\/td>\n<\/tr>\n<tr>\n<td>Duration<\/td>\n<td>1 to 2 h (1 or 2 sessions)<\/td>\n<td>3 to 5 h (several sessions)<\/td>\n<\/tr>\n<tr>\n<td>Report<\/td>\n<td>1 to 2 weeks<\/td>\n<td>2 to 3 weeks<\/td>\n<\/tr>\n<tr>\n<td>Administrative value<\/td>\n<td>PAP, MDPH, extra time<\/td>\n<td>PAP, MDPH, extra time<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h2>Choosing according to your child&#8217;s profile<\/h2>\n<h3>Start with the <a href=\"https:\/\/ora-visio.com\/en\/online-speech-therapy\/\">speech therapy assessment<\/a> if&#8230;<\/h3>\n<ul>\n<li>Your child struggles to read, write or spell, despite normal schooling<\/li>\n<li>They have a speech delay, articulation that is hard to understand or a stutter<\/li>\n<li>The teacher reports specific difficulties with reading or written work<\/li>\n<li>You quickly need a PAP (personalised support plan) for classroom adjustments<\/li>\n<\/ul>\n<p>The speech therapy assessment is often the first one carried out: it is shorter, often enough to start support, and makes it possible to refer the child for a neuropsychological assessment if co-occurring conditions appear.<\/p>\n<h3>Start with the neuropsychological assessment if&#8230;<\/h3>\n<ul>\n<li>The difficulties concern attention, organisation, memory or behaviour \u2014 not only language<\/li>\n<li>You suspect ADHD, giftedness (HPI) or ASD<\/li>\n<li>A speech therapy assessment has already been done but the difficulties persist or are hard to explain<\/li>\n<li>The child has a very uneven profile: brilliant in some areas, struggling a lot in others<\/li>\n<\/ul>\n<h3>Do both at the same time if&#8230;<\/h3>\n<ul>\n<li>The warning signs concern both language and overall cognitive functioning<\/li>\n<li>A complete MDPH application needs to be put together<\/li>\n<li>Co-occurring conditions are suspected (ADHD + dyslexia, giftedness + dyspraxia, etc.)<\/li>\n<\/ul>\n<p>On ORA-VISIO, both specialists work on the same platform. Coordination is ensured and the results complement each other to give a consistent overall picture.<\/p>\n<p>&nbsp;<\/p>\n<h2>Can you do without one of the two assessments?<\/h2>\n<p>Yes, in some cases. If the speech therapy assessment confirms a specific language disorder and support is well under way with no other associated difficulty, a neuropsychological assessment is not always necessary. Conversely, if the neuropsychological assessment reveals an ADHD profile without a language disorder, a speech therapy assessment may not be needed.<\/p>\n<p>The rule of thumb: if a first assessment does not answer all your questions, the other one becomes necessary.<\/p>\n<blockquote>\n<p style=\"text-align: center;\"><a href=\"https:\/\/ora-visio.com\/espace-adherent\/prendre-rendez-vous\"><strong>Book an appointment for an assessment <\/strong><\/a><\/p>\n<p style=\"text-align: center;\"><em>Neuropsychologists and speech therapists available \u00b7 Same platform \u00b7 Coordinated care \u00b7 Appointment within a few days<\/em><\/p>\n<\/blockquote>\n<p>&nbsp;<\/p>\n<h2>FAQ<\/h2>\n<h3>My child has already been diagnosed with dyslexia: do they need a neuropsychological assessment?<\/h3>\n<p>Not always. It becomes advisable if the difficulties persist despite well-conducted therapy, if ADHD or giftedness (HPI) is suspected at the same time, or if a complete MDPH application has to be put together with an assessment of overall intellectual level.<\/p>\n<h3>Can both assessments be done on the same day?<\/h3>\n<p>No, each one requires several hours and optimal conditions for concentration. But they can be scheduled in sessions close together, on the same platform.<\/p>\n<h3>Is the neuropsychological assessment more expensive than the speech therapy assessment?<\/h3>\n<p>Generally yes, because it is longer (3 to 5 hours versus 1 to 2 hours) and uses more complex tools.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It is the question 9 out of 10 parents ask  [&#8230;]<\/p>\n","protected":false},"author":7,"featured_media":346025,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[413,325],"tags":[],"class_list":["post-346024","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neuropsychological-assessment","category-speech-therapy-assessment"],"_links":{"self":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/posts\/346024","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/comments?post=346024"}],"version-history":[{"count":1,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/posts\/346024\/revisions"}],"predecessor-version":[{"id":346281,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/posts\/346024\/revisions\/346281"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/media\/346025"}],"wp:attachment":[{"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/media?parent=346024"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/categories?post=346024"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ora-visio.com\/en\/wp-json\/wp\/v2\/tags?post=346024"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}