I posted back in May concerned that my DS6 was having some attention issues in Kindergarten and got some great feedback. Unfortunately, by the end of K his issues had gotten much worse but we were not informed until July when the report cards were sent. His teacher wrote that his high energy level was now interfering with his ability to learn. His grades all went down except in reading comprehension which stayed above grade level. His poorest areas were in writing, paying attention, following directions and speaking/communication skills which were all below grade standards. After receiving the report card we took him to his PCP to start an ADHD evaluation but the PCP told us just to wait and see how he does in first grade. We also sent him to a child therapist who speculates he may have ADHD/ASD/ and or a language disorder. We have been working on a behavioral plan to help his attention/focus issues and appropriate communication issues. So far behavior is okay this year but too soon to get excited. Current concern is his reading. We have noticed at home when reading chapter books he omits small words (a, the, of, etc), adds his own words or changes them (a for the) . He does not do this with more difficult longer words. Is this normal for a first grader or something to be concerned about?