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[quote=Anonymous]DS is 11 and in 5th grade and has extreme inattentiveness. We just had his IEP meeting and as the demands and responsibility has increased in preparation for middle school, he seems to be in a nosedive.  According to teachers:
-needs oversight for all independent work to initiate, stay working, and complete
-does not read instructions for any assignment or reference the board for do first/when done information. He will ask what to do, or where to turn in his paper, or what to do next when it has already been reviewed and is on the board.
-because he cannot attend for all of the teacher's lesson, he needs the lessons reviewed most days in order to know what to do
-often appears to be daydreaming if he's not working directly with a teacher and when reminded to return to his work or pay attention, shakes his head like he's "waking up" and then doesn't know what's going on. 
-has difficulty locating needed papers in his folders- they are in the folders but he needs teacher help to find them.  This is in classes with structured colored folder system so he puts the item in the correct place, but then can't pull it back out most of the time without help.
-he has memory issues as well, when there is a change in routine such as a different pickup after school he cannot remember even when reminded as he is leaving the classroom, and goes to the usual after school location vs. what he was told was different that day.

He's got a very low self confidence and often feels frustrated with himself because he wants to do well and pay attention, but he just can't do it any more than he is.

The teachers have mentioned discussing this with the pediatrician but as of now, we are against using medication due to the side effects we are worried about. The teachers are working with him, and he has an IEP for ADHD and is behind because of missing a lot of the instruction. But, the teachers are saying they can't teach him to pay better attention since he isn't aware that he is even losing focus when he daydreams or isn't listening other than constant reminders and check-ins with him.

Any thoughts? We are very worried for middle school at this rate.[/quote]

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