Daily issues include rage, tears, inflexibility, low self-esteem, and worry. She likes her school, which is a GT magnet. It is still probably too easy, but a lot closer than her previous school arrangement. ... I don't really think school is the issue, though I could be wrong.
I get that school is better than it's ever been, but it may not be helping as much as it could. I would call a meeting with the teacher and let her know the results of the Pedi meeting and ask if you can do some kind of trial of subject acceleration or full grade accel just to see if it improves the observed symptoms of rage, tears, inflexibility, low self-esteem, and worry. They might be shocked to know what is going on at home if she is holding it together in school, and sadly, they might need to hear some same stories of the above behavior to get an idea of the level of importance making an exception might have to your family.
As for her being 'hard' since birth, well, yes, we see this. I love the book "Transforming the Difficult Child Workbook" by Lisa Bravo and will answer any questions about how to apply it. Like an IQ test, the CDI results don't change the child you have in front of you, only label her. She is still the same kid, so it's ok to try a few things, diet, exercize, the book before you try the therapy. I like to write a date on my calandar with a note like - are symptoms 70% improved, if not call (list the numbers)
Best Wishes whatever you try,
Grinity
