Had to go wait in the office for an hour for them to find it, sign it, copy it, etc...but hey, I got it. "difficult child is a 6yo boy with-longstanding history of severe behavioral difficulties which has resulted in multiple diagnosis. difficult child exhibits severe impulsivity, hyperactivity, poor attentional regulation, executive functioning deficits, and an atypical pattern of attachment. While his symptoms do not appear to warrant any additional psychiatric diagnosis at this time, the severity and duration and significant family history place him at extremely high risk for further problems. Therefore, intensive intervention across home, school, and community settings is warranted at this time." it goes on to cover his hypersexual behaviors and points out the times he wanted to cut his penis off, etc...details reasoning behind attachment disorder. His language/speech is low; processing speed is borderline; expressive and receptive language was low; cognitive functions is borderline; social skills are below average, multiple sensory issues, executive functions are impaired except for planning and organizing, organization of materials, and initiative (go figure). Several pages are then dedicated to interventions recommended, including 2 pages of the importance of a 1:1 in the public school setting, including the playground. Official diagnosis resulting from all this is adhd. I'm tired. Will process it tomorrow.