Case Study Volume 18 Issue 7 - 2026

Specific Learning Disorder with Impairment in Written Expression - Comorbidity with Emotional and Behavioral Disorders

Christos Kalatzis1 and Katerina Sakellariou2*

1Special Education Teacher, Department of Child Psychiatry, Community Mental Health Center Byron-Kaisariani, Department of Medicine, 1st Psychiatric Clinic, Eginitio Hospital, National and Kapodistrian University of Athens, Greece
2Laboratory Teaching Faculty in Psychology, Psychologist, Department of Child Psychiatry, Community Mental Health Center Byron-Kaisari- ani, Department of Medicine, 1st Psychiatric Clinic, Eginitio Hospital, National and Kapodistrian University of Athens, Greece

*Corresponding Author: Katerina Sakellariou, Laboratory Teaching Faculty in Psychology, Psychologist, Department of Child Psychiatry, Community Mental Health Center Byron-Kaisariani, Department of Medicine, 1st Psychiatric Clinic, Eginitio Hospital, National and Kapo- distrian University of Athens, Greece.
Received: July 18064978, 2026; Published: July 27, 2026



This article discusses a case that illustrates the comorbidity between Specific Learning Disorders (SLDs)-specifically “Specific Learning Disorder with impairment in Written Expression”- [14] and Emotional and Behavioral Disorders. International research has shown that Specific Learning Disorders (SLDs) are secondarily associated with significant consequences for both the emotions and behavior of students, as they affect their daily school life and academic performance, as well as their self-esteem [3,24,25]. The results of studies showing that students with learning disabilities very often exhibit emotional disorders ranging from simple anxiety to major depressive disorder and suicidal ideation vary [1,21,22]. Furthermore, other studies associate the presence of SLD with the secondary development of behaviors that may be characterized, on the one hand, by disruptive and restless behavior and, on the other hand, by disengagement from the learning process and dropping out of school [15,25]. This article will discuss the case of a boy in the fourth grade of elementary school who was diagnosed with a Specific Learning Disorder with impairment in Written Expression, accompanied by emotional and behavioral disorders. A coordinated effort will therefore be made to present the therapeutic intervention, which included: a) educational support, through a personalized intervention program whose primary goals are, on the one hand, to address the deficits identified in written expression and, on the other hand, to boost the student’s self-esteem and address Emotional and Behavioral Disorders, and b) brief counseling for parents.

Keywords: Specific Learning Disorders (SLD); Specific Disorder of Written Expression; Spelling Errors; Vocabulary; Memorization; Emotional Disorders; Behavioral Disorders; Comorbidity

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Christos Kalatzis and Katerina Sakellariou. “Specific Learning Disorder with Impairment in Written Expression - Comorbidity with Emotional and Behavioral Disorders”. EC Neurology 18.7 (2026): 01-08.