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OM: I hadn’t realized that all the pieces were part of one picture. Sara has so much potential — I want her to have a normal fulfilling life!

TEACHER: Sara is smart. It’s just that her disorganization and lack of executive functioning skills interfere with her ability to get any learning done.

SARA: I just want to be like all the other girls in my class.

Sara and I are sitting at a table covered with paper dolls clothes and accessories. On my side I’ve arranged little piles by category: tops here skirts there then accessories. Sara’s side looks like a hurricane has hit.