invest some time and energy into teasing out other factors (as mentioned and others: depression, anxiety, poor sleep hygiene, medication reactions, auditory processing, core weakness, vision, etc.)
This! This! This! Not every evaluator buys into auditory and visual processing disorders, which can make things even harder. Through a good OT evaluation auditory and vestibular weaknesses were able to be teased out, which led to a full auditory processing disorder evaluation. I still have to tease out visual processing weaknesses for DS.
