A free resource from Key School & Training Center, Fort Worth TX 817-446-3738
Pillar 03 · What actually works

Treatment and therapy

There is a large gap between the interventions that are marketed to families and the ones with evidence behind them. This is what the research supports, what it looks like week to week, and how long it takes.

The short answer

There is no cure for dyslexia and nothing to outgrow. There is instruction that works: explicit, systematic, multisensory teaching of how sounds map to letters, delivered by someone trained to do it.

That approach has a name. Structured literacy is the umbrella term, and Orton-Gillingham is the method most structured literacy programs are built on. It is not a curriculum you buy and hand to a classroom aide. It is a way of teaching that moves in a deliberate sequence, teaches every rule explicitly rather than expecting a student to infer it, engages sight, sound, and movement together, and does not advance until the previous step is secure.

Two variables predict results more than anything else: who delivers the instruction, and how often. A Certified Academic Language Therapist working with a student four or five times a week produces a different outcome than a well-meaning tutor once a week. Most students need two to three years of consistent therapy. Frequency matters more than session length, which is why thirty minutes daily beats two hours on a Saturday.

The honest comparison

What the evidence supports, and what it does not

Supported by research
  • Explicit, systematic phonics taught in a set sequence
  • Multisensory instruction engaging sight, sound, and movement
  • Orton-Gillingham based programs delivered by trained therapists
  • Academic Language Therapy from a CALT or CALP
  • Daily or near-daily practice rather than weekly sessions
  • Text to speech and speech to text as access tools
  • Extended time and reduced reading load as accommodations
  • Teaching morphology: prefixes, suffixes, and Latin and Greek roots
Not supported
  • Colored overlays and tinted lenses
  • Vision therapy and eye tracking exercises for reading
  • Balance, posture, and cerebellar training programs
  • Special fonts marketed as dyslexia fonts
  • Fish oil and dietary supplements as a treatment
  • Whole language and guess from the picture strategies
  • Simply assigning more independent reading at home
  • Waiting to see whether the student catches up

None of the items on the right are dangerous. The cost is time. A year spent on an unsupported approach is a year the reading gap keeps widening, which is why it is worth asking any provider what evidence sits behind what they are selling.

The Key School and Training Center sign in Fort Worth
Behind this resource

A Fort Worth school that has done this 10,000 times

Key School and Training Center has served students with dyslexia and related learning differences since 1966. Our Key Dyslexia Therapy Training Program prepares Certified Academic Language Therapists across the region, which means the guidance on this site comes from people who teach these students every day, not from a content team.

1966 Serving Fort Worth families
10,000+ Students helped since opening
CALT Therapist training program on site
Accredited by ALDS and Cognia · 7950 John T. White Road, Fort Worth, Texas