Transitional Modes

Sherlock YourSELF, John

Thanks to artist/educator Phillip Martin for capturing so MANY of my concepts in his images – and for their use.

There ain’t no IS about ADD

All human beings, even “identical” twins, have differences — all the way down to the celular level.

Those differences are magnified and multiplied when you throw attentional spectrum disorders into the mix.

While your challenges and talents may be impacted by (or even a product of) ADD, don’t make the mistake of assuming that your experience is reflective of ADD in general.

Throughout the Transitions Series, for instance, I offer my examples to help you compile and categorize your troublesome transitions.

But don’t assume that you work the same way
I do simply because we both have ADD. 

EVEN when we share what seems to be an
identical list of transitional challenges,
when we dig deeper we will find that they
are challenging for completely different reasons.

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The Truth about Transitions

Sherlocking Transitions

As I said in Trouble with Transitions, the first article in the Transitions Series:

One of the primary reasons that transitions are so tricky is that we have only one word to describe THREE phases of the same darned task: 

COMPLETION – transitioning out of
– “putting away your toys”

PREPARATION – transitioning into
– “getting out the pieces of the new puzzle”

and

THE GAP – that “toy free”
period between the two.

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ADD and S-E-X

ADD & Sexuality: an ADD Coaching Viewpoint

Creative Commons; Wikipedia

Sexuality is one of the not-so-surprising areas affected by Executive Functioning Dysregulations of ALL types, including ADD.

Factors effecting physical intimacy is an arena that is rarely thought about in terms of ADD specifically.

The topic of ADD’s impact on sex is even less frequently spoken aloud and in public — at least not seriously!

So, of course, I wanna’ discuss it!

Coming Soon: The Back Story

During a break betweeen sessions at last March’s ACO Conference in Atlanta, I was chatting with a few of the other speakers about the key issues that our clients bring to coaching. The question of how (and how often) we are called on to handle the topic of sexualty came up for discussion.

One of the participants in the conversation was the founder of ADDClasses.comTara McGillicuddy, an ADD Coach, advocate and speaker who is the host of the most popular ADD podcast series on BlogTalk Radio: ADHD Support Talk.

So, of course, WE made plans to have a conversation on the topic of the impact of ADD on sexuality for her show.

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Trouble with Transitions

Fade In - Fade Out

Transition Trials

As we work our way from dawn to dusk — multi-tasking, time-slicing or hyperfocusing — the moment we realize that we must begin a particular task before we have completed what we are currently doing is the very stake in the heart of “trouble with transitions.”

But WHY are transitions so difficult?

Wait! Let’s ask a better question: who claimed that transitioning was supposed to be easy?  

ADD or vanilla, most of us have some degree of trouble with transitions —  a big-time reason why most of us reach the exhausted end of many a busy day with so many undone to-dos.

It is merely a trick of language that promotes the fallacy that we will be able to transition from one task to the next with the ease with which one image dissolves into another at the movies — or the way a really great cross-fade between tunes seems to sneak the volume of one song down just as the other comes up.

Easy? NO WAY!

How many times has an activity taken longer than planned because it was more complicated to BEGIN than you had envisioned?

Or maybe you got right to it, but you began tweaking pieces of the project and entered what I call the transition time-warp: one minute you are right on schedule, but when you look up a “moment” later, you’re way behind, and still need just another “moment” to reach a point where you feel like you can put it away.

And so it goes.

One of the primary reasons that transitions are so tricky . . .

Artwork courtesy of Phillip Martin

. . . is that we use only one word to describe two completely different processes

• Completion – transitioning out of
i.e., “putting away your toys”

and

• Preparation – transitioning into
-- i.e., “getting out the pieces of the new puzzle”

If that weren’t tricky enough, THEN we have to deal with the gap!

Unless you deliberately plan things another way, between the period where you “put away the toys” you used in the prior activity and get out new puzzle pieces, there almost always a brief period that is toy free:  THE DREADED GAP.

For some people, the gap is where transitions break down. 

  • They get stuck in that between-task “space of nothingness” far longer than the few moments it takes for others to move through it.
  • Some experience so much difficulty transitioning from doing nothing to doing something, that even the few brief seconds of most gaps might as well be quicksand.

Hang tight about the gap

Another article in this series will offer more help to you gap-challenged folk.  Let’s start with a little more about the transitions process, focusing on the first two transition challenges.

Transitions 101:

There is a way to teach yourself to navigate transitions, regardless of where the process breaks down for you, just as soon as you understand what you’ve got working for you and what you are going to have to avoid, ignore or overcome.

The most important thing for you to hold onto:
Folks who have never struggled rarely understand folks who do.

  • Trust Fund Babies can’t understand poverty;
  • Math geniuses don’t really comprehend the struggles of those with dyscalculia;
  • People who have perfect pitch will never appreciate the reality that “ear training” is impossible for the tone deaf.

The privileged unenlightened (who preface statements with words like “just” and “only” — as in, Just set an alarm, put away one project and go on to the next thing!” or
“It’s only a matter of setting your priorities)  . . . 
REALLY don’t get it.

  • EVEN if they had to put more than a little up-front time and effort into tasks that now seem so simple to them, they’ll never understand that it will not compare to the amount of time and effort that those of us with executive functioning struggles will have to spend to be able to manage at, by their standards, even the most rudimentary levels.
  • Few of the clue-free intend to be shaming or cruel when they use that “What-are-you-brain-dead?!” tone of voice – and they REALLY don’t get that that’s exactly how they come across.
  • They also don’t get that, since they are over-represented in the comments section of our lives, they leave us with a sense of disempowerment, rather than the opposite.

They can’t teach what they don’t know

Those who have never struggled have nothing to offer to those who struggle still.

The best teachers are almost always the ones who broke through their initial struggles to experience ease of accomplishment (at least some of the time).  They tend to be motivated, by a mixture of relief and empathy, to improve the lives of those who are still struggling.

In other words, as you work through your challenges, do your dardest to ignore the comments of the “just” and “only” crowd.  Smile, thank them for sharing, dust yourself off, and keep your eyes and ears open for models who seems like they have  been there, done that.

Meanwhile, keep reading this blog!

Anyone who knows me well can assure you that, not only have I been there, done that, I still go there regularly.

The difference now is my willingness and ability to keep “getting back on the horse” — along with a quarter of a century’s worth of experience with ADDers (and a frightening amount of brain-based information, that some would say borders on the obsessional).

As the late Thomas J. Leonard (the founder of the Coaching Profession and my first professional coaching mentor)
was fond of saying:

Information is the booby prize.

Still, I share what I’ve learned in the hopes that it will help most of my community at least some of the time – and that you will put it into ACTION in your lives.

Not everything will work for YOU, but simply knowing that you are not the only person who struggles in areas that seem to be relatively easy for many others will help. You will feel a great deal more positive about yourself, armed with enough self-esteem to continue your search for solutions.

Your best bet would be to work privately with a highly ADD-literate ADD Coach who can help you uncover the implications of your particular flavor of ADD to your particular functional profile.

THAT kind of coach will help you acquire the tools to allow YOU to keep getting back on the horse.

However, if you will keep reading (and DO the exercises suggested), you will probably be amazed at the improvements in your functioning, your sense of well-being, and your ability to accomplish what you set out to do.

So What IS a Transition?

Most of the people I asked to define the term said something like the following:

Transition?    It’s about going from one thing to another
 – getting from point A to point B!

Hardly!

It’s more accurate to say that during most transitions we are moving from A to Z –
passing a whole lot of tempting distractions along the way.

Webster’s New Collegiate Dictionary defines transition as:

passage from one state, stage or place to another: change;
a movement, development or evolution from one form, stage, or style to another.

Did you notice that “change” word?

Humans aren’t particularly comfortable when things change. Oh sure, as a therapist I know often said, everybody wants things to be different, but nobody wants life to change.

From a brain-based standpoint, change activates the “Danger, Will Robinson” part of our brain, the amygdala.

The neuroscience crowd has recently discovered that amygdala activation strongly correlates with a deactivation of the seat of our executive functions – exactly the areas we need to be on board and working well to be able to cope effectively with change, and exactly the areas ALREADY implicated in the challenges faced by those of us with executive functioning dysregulations.

No wonder we struggle!

Still, not all of us struggle with change to the same degree.

In particular, some of us seem to navigate transitions pretty darn well.  I’m guessing that anyone still reading is probably not a member of that particular tribe, however.

EVEN SO, those of us who struggle with transitions don’t always find the same parts of the transition challenging.

In fact, if you will pay attention (between now and the posting of the next article in this series), I’ll bet you will find that you tend to have a tougher time with one of the “coming out of/going into” stages of transitions than you do with the other (even if you already realize that you are seriously gap-challenged).

Coming up in this series, in addition to the promised gap content, we’ll take a look at the kinds of transitions that tend to Boggle those of us on team ADD, as well as some that might be making it tough for you to master tasks.

You will be asked to choose ONE of the non-gap phases to work on first, so DO make it a point to remember to notice which of the two is most problematic in YOUR life.  (If you’re flying coachless and REALLY want to get this bear behind you, read the linked Boggle and Taskmaster posts in the paragraph above, and do the work suggested there).

IN ANY CASE, stay tuned.  There’s a lot more to come.

As always, if you want notification of new articles in this series – or any new posts on this blog – give your name and email to the nice form on the top of the skinny column to the right.  (You only have to do this once, so if you’ve already asked for notification about a prior series, you’re covered for this one too) STRICT No Spam Policy

MORE Transition Articles on the way . . .

The Transition Series
(links turn red on mouseover, ONLY when they’re ready to go)

Other related articles on this site:

A Notebook as a System to Fulfill

Creating “A System to Fulfill”

Setting it up so that you get to WIN!

The priciples of setting up a tracking system for a brand new coaching practice generalize — so don’t skip this article, simply because you won’t be setting up a notebook for coach training.

Beginning with the END in mind

There’s a lot to track when you’re setting up a brand new system for a brand new business!

If you are like most of us with ADD, that tracking part doesn’t land anywhere close to your centers of competency, so don’t make it harder than it needs to be.

Start out organized!

Don’t play games with this – do it right away!

  • You know what will happen to the notes taken in all those tattered legal pads and spiral notebooks – or on the little scraps of paper - or on anything else you grab to write on “for now,” don’t you?
  • Somewhere deep inside you KNOW that the “tomorrow” where you will finally get everything together and filed for easy retrieval-on-demand will NEVER turn into today — don’t you?
  • Yep! The task will loom larger and more daunting with every scratch of the pen and tick of the clock.

Class notes, handouts, contact sheets, practice management tips, tricks and brain-children, medication references, bridge numbers and access codes (and who knows what else?!) - OH MY!

Your best defense against overwhelm and Boggle

. . . is to make it “easy by default.”

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Ten ADD Organizing Principles

NOT Your Mama’s Organization

As I began in an earlier post (ADD & Organized?) . . .

Yes, even YOU can learn to be organized –
JUST AS SOON AS YOU UNDERSTAND
the REASONS why you’ve been stopped in the past.  

HERE’S the KICKER: it’s a different mix of stoppers for every single one of us.  

If you don’t understand how YOU work, you’ll never be able to determine what YOU need to do to to keep from spending half your life looking for things that were “right here a minute ago” – and the other half tripping over dirt and detritus.

So much for helpful hints and tidy lists!  

That said, I’m going to go w-a-a-y out on a limb by offering ten ADD organizing principles that I call, collectively, The ADD Organizaing Manifesto — a summary of some basic concepts that need to be embraced and understood if you want to have a shot at working out what YOU need to do for YOU to be organized.

In future posts in this series, I’ll expand on some of the points below.
For NOW, print ‘em out and hang ‘em up!

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ODD & Oppositional Rising

Small Blessings

Fortunately, most of us with ADD do NOT have full-blown, comorbid, diagnositic ODD – Oppositional Defiant Disorder – a protracted “terrible twos,” on steroids!  

Almost ALL of us, howeverADD or not, have a small – perfectly “normal” – part of our personalities that balks unless the task is totally appealing in the moment we are “supposed” to take it on.

Part of developmental maturity is learning how to “postpone gratification” and work with what some therapists and self-help gurus call “the self-saboteur.”  (I prefer to think of it as “learning how to bribe our Inner Three-Year olds.”)  

In any case, and for whatever reason, those of us who qualify for an ADD diagnosis, even those who aren’t particularly impulsive otherwise, seem to struggle with “postponing gratification” more than the neurotypical population: sort of like having “ODD Rising.”

ABOUT ODD Rising

“ODD Rising” and “Oppositional Rising” are my terms for what I refer to as “a high oppositional piece” in an ADD symptom profile.  ODD rising is significantly below the diagnostic threshhold for ODD, yet severe enough to make us feel a little crazy as we wonder what it is, exactly, that is stopping us from achievement commensurate with our level of intelligence or education.

I keep up with the ODD field, as I keep a keen eye on all of the ADD Comorbid diagnoses, but ODD itself is not my speciality. 

My focus is applying what I learn from related disorders to help those with Attentional Spectrum Disorders work with whatever it is that is going on with them: learning to drive their very own brains.

AFTER I offer a brief introduction to diagnostic ODD, the remainder of this article will introduce the “oppositional piece” concept. I will revisit ODD in future articles exploring ADD comorbidities — conditions that frequently accompany an ADD diagnosis, to a statistically significant degree more often than in the neurotypical population.

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Is Your Child on the TEAM?

TEAMS: A New ADHD Treatment for Preschoolers

Guestpost from David Rabiner, Ph.D.
Associate Research ProfessorDept. of Psychology & Neuroscience, Duke University
ATTENTION RESEARCH UPDATE – April 2012

===================================================================
I have been a huge fan of Dr. David Rabiner’s ATTENTION RESEARCH UPDATE since its inception in 1997. Not only do I count on his comprehensive, plain-English explanations of up-to-date research trends and developments as key resources in my drive to keep my information base current,  I also archive them for future reference.  

For those who aren’t already among the over 40,000 people currently subscribed (sponsored now by CogMed, so no longer a charge to you), at the conclusion of this post I tell you how to get your own monthly copy in your very own email box.

I urge any professional working with individuals on the Attentional Spectrum — whether teachers, counselors, coaches, therapists or physicans — to sign yourself up the second you see those instructions, before it falls through the cracks.  (Parents and ADDers themselves can benefit too!)
===================================================================

TEAM Training

In this month’s issue of Attention Research Update I review a recently published study that examined a new intervention for preschool children with ADHD called TEAMSTraining Executive, Attention, and Motor Skills.

The premise of this interesting and important study is that through regular parent-child engagement in games designed to exercise important neurocognitive skills, it may be possible to affect enduring reductions in core ADHD symptoms.

Thus, in contrast to current evidence-based interventions like medication treatment and behavior therapy, the goal of TEAMS is to produce more fundamental and enduring change.

I think this is very important work for the field and I believe you will find this to be an interesting study.

Sincerely,
David Rabiner, Ph.D.; Associate Research Professor
Dept. of Psychology & Neuroscience; Duke University; Durham, NC 27708

———————————————————————————————————
mgh note:
 Although this post is longer than usual, I chose to present the entire April issue instead of writing a summary, in answer to the many requests I have received for more information about non-pharmaceutal treatment alternatives.

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Juggling Invisible Balls

Some Juggling is an INSIDE Job

Part 2 of a 2-part article;
another in a entire series of excerpts from
my upcoming book, TaskMaster™ – see article list below

Juggling invisible balls is my term for our conscious attempts to screen out persistent, irrelevent, or intrusive, off-task, background “noise.”

“Noise” refers to input from any modality (an area of information processing using our sensory apparatus) — with “juggling” a metaphor to help us understand the mechanism by which we handle life’s many demands.

In the previous TaskMaster Series article, Taking Your Functional Temperature, I introduced several analogies that help illuminate what’s going on “behind the scenes” to help explain WHY we struggle with focus — and WHY we struggle in ways that make it difficult-to-impossible to get things done.

If you haven’t read the previous article, I STRONGLY suggest you start there, or I doubt the content below will be as valuable to you as it could be.

In this second section, we’re going to take a closer look at some of the reasons why functioning can be so erratic.

As I said in the first part of this article, on an average day, you may well be able to handle a great many things that, on another day, you simply cannot.

  • It makes sense ONLY if you start becoming aware of – and counting – invisible balls, so that you can better predict your functioning level BEFORE you attempt to take on more than you can manage.
  • Part of the value of ADD Coaching is helping you develop the habit of taking your functional temperature to help you take on the type and number of tasks that will keep you stimulated but not overwhelmed.

You will find tasks easier to manage if you learn to think of your day as if it were one long juggling performance for the Red Queen.  You plan what objects you TAKE to her palace, but you determine the order of your performance in the moment, so that the objects don’t come crashing down around you to the tune of, “Off with your head!”

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Taking Your Functional Temperature

Functional Temperature

Part 1 of a 2-part article;
another in a entire series of excerpts from
my upcoming book, TaskMaster™ – see article list below

artwork courtesy of Phillip Martin

Some days I don’t wanna’

When I look at my wide and wonderful list of things I DO want to to, it seems the items I must do to keep a roof over my head, food on my table (and some semblance of organization and order in my life) are seldom the items that make me drool.

I often fantasize about what I’d do if I were to win the lottery, so I know, without stopping to think, exactly what I’d do first: I’d prepay everything for a decade or so!

Next, I’d throw a couple of years of generous support to a would-rather-be-a-stay-at-home Mom to add me to her list of charges.

THAT would allow me to coach and train, and write, and jump on the speaker’s circuit to advocate and educate for NOTHING — following my bliss every single second of every single day — freed from the constraints of capitalist imperatives.

Alas! Since I would probably need to drive someplace to purchase a ticket to said lottery (and my car is currently feeling too lazy to run), I doubt I’m likely to experience said windfall any time soon.

So if anybody knows somebody in that 1% who’s in
a philanthropic mood, send ‘em my way.  

Until then I, like you, must figure out an effective way to bob and weave between the tasks that allow me to make a living and the activities that make life worth living.

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Sherlocking Task Anxiety

Task Anxiety 101 - part 2

Part of a Series of Articles from my upcoming book, TaskMaster™ – see article list below

Watson, we need to review

The three most recent segments introduced a unique connection between bribery and intentionality. reward and acknowledgment (introducing inner three-year-olds, the cookie concept, reward and acknowledgment).

IF you’ve been playing along . . .

In the TaskMaster Series Introduction and in Task Anxiety Awareness, you made some lists.

One is a List of Ten – activities you find yourself doing INSTEAD whenever you attempt to complete a task, or in response to an attempt to initiate a task.

  • This is a list of any ten of the things that YOU do that leaves you chronically behind and befuddled.
  • Many of you had self-identified with that not-very-helpful “chronic procrastinator” label as a result.
  • I encouraged you to reframe those tasks as “avoidance” activities: avoiding task anxiety.

You also have a List of Five Feelings.

I asked you to think of a specific example in your life where you tried to listen to “logical” advice from those who did not take the time to understand  the parameters of your problem before stepping in to suggest their “simple solutions.”

  • I asked you to recall how you felt when you attempted to take that “logical” advice (or even thought about taking it), especially when accompanied by a failure to reach a goal or complete a task.
  • I suggested you write down at least five descriptive feeling words, then walked you through four paired-awareness exercises, shuffling the paired words around a bit to see if any new insights bubbled up from your unconscious.

Now, dear Watson, let’s connect some dots!

Remembrance of Selves Past

A not-so-new form of Self-advocacy

Practically all of us here in ADD-land have what the neuropsychs call “short-term memory deficits.”

Not only does that make it tough to run our lives, day to day, it also has a negative effect on what we are able to remember about our past.

Since one’s memories become the fabric of one’s sense of self, self-esteem can only be battered by the trade winds of today if you have no reliable sense of past to keep you moored.

It also makes it difficult to explain ourselves, our decisions, and our conclusions – even to ourselves!

Many of you who battled with teachers who accused you of cheating because you had the answer but couldn’t “show your work” know just what I mean by that statement.

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ABOUT ADD Comorbidities

Link dense – links become obvious on mouse-over

Cormorbid or Co-occuring?

Wait!  Doesn’t comorbid mean
co-occuring?

Not exactly. Comorbidity refers to a specific KIND of “co-occurance.”

A comorbid disorder refers to additional conditions or syndromes or disorders frequently found in a specific diagnostic population.

In other words, we’re talking about accompanying conditions that are not part of the diagnostic criteria for the “main” condition, but are frequently seen in that particular population of individuals.

From a behavioral standpoint, these additional conditions occur sometimes with similar or overlapping symptoms, and sometimes they show up with additional symptoms – those not necessarily seen in those with the original or “base” diagnosis.

The overlap may reflect a causal relationship between the two diagnoses, and they may relect an underlying vulnerability in common, but the important concept is that they co-occur more frequently in our “target population” than in population norms otherwise, and to a statistically significant degree.

So, even if an entire hotel full of ADDers happens to be diabetic as well, we still would not say their diagnosis was ADD with comorbid diabetes, because the two conditions haven’t been proven to occur in tandem any more frequently than the incidence of diabetes in the general (non-ADD or “vanilla”) population.

So, in this example, the two conditions are co-occuring, NOT comorbid, even though it may not look that way to anyone staying in this particular hotel!

Muddying the waters further, the statistics change depending on which end of the diagnostic telescope you look through. For example, up to 60% percent of children with tic disorders also have ADD, but nowhere near 60% of ADDers have tic disorders.

The high possibility of comorbidities is yet another good reason to make sure you get an excellent differential diagnosis – but the articles in the Comorbidities Series are going to look at some of the diagnoses that frequenly hitch-hike along with ADD through another lens: SUCCESS!

Developing person-specific work-arounds and interventions to help you achieve that blessed state of Optimal Functioning that I believe is our birthright comes through the identifying, understanding, and learning to work with and work around ALL of the “mix-ins” in your particular flavor of ADD.

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Alphabet Soup

EFD, ADD, ADHD, HRT, MBD – WTF?

Hold onto your hats everybody, there is discussion afoot toward yet another renaming of ADD – and the front-runner seems to be (at the moment, at least), EFD.

I wouldn’t block consensus on EFD.

However, as illuminated in an earlier article on this site [ADD - What's in a Name?], I don’t have a problem with the acronym “ADD” – as long as we focus on the disorder of THE ATTENDING MECHANISM and the Dynamics of Attending.

In other words, the essential point, for me, is that, for whatever reason, ADD is an impairment in the extent of one’s ability to pay attention, STOP paying attention, and/or to get back on track after an interruption or distraction.

  1. Focusing on the intended object;
  2. Sustaining the focus;
  3. Shifting focus AT WILL

Underlying each of the Dynamics is the same impaired element of cognition common to all of the Executive Functioning Disorders: VOLITION.

That’s INTENTIONALITY, boys and girls – being able to drive your own brain and run your own life, rather than being at the effect of chronic oopses and mishaps.

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Coaching Tips For Parents Of LD & ADD/HD Children

Artwork courtesy of Phillip Martin

Playing on the SAME Team
Guest blogger: Dr. Steven Richfield

A parent writes:
Both our son and daughter struggle with learning disabilities and Attention Deficit Disorder.

As they struggle so do my husband and I. Communication breaks down into arguments, problems arise in school and among peers, and we are often unsure of how to handle their emotional ups and downs. Any suggestions?

Children with LD and ADD/ADHD present unique challenges and rewards to parents. The vulnerability of a fragile ego, the unthinking behaviors rooted in impulsivity, or the steep decline of emotional meltdowns, can render even the most patient parent looking for tools and techniques to manage their child’s unpredictable behaviors.

These scenarios fall under the heading of what I have come to call the “Now, what do I do?” syndrome. It is a question echoing through the minds of all parents at one time or another.

As a child psychologist who trains parents who regularly witness these scenarios, I help empower parents with tools and tips to manage the emotional and social currents of ADHD and LD children.

Here are some to consider:

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