I need some ideas here... V is able to do certain things in one context but not another. For example, he knows to raise his hands to ask for help in the classroom, but asking for help on the playground or at home is still very difficult. He needs to be verbally prompted, than he can say if he needs help (a lot better than it used to be as before he had no idea he could get help). This difficulty about context also translates into reading difficulties. I made some flashcard of "abstract" sight words like "you", "this", "with" etc.. each word has a picture associated to it (yeah! for google images lol). He is getting pretty good and is able to spell them (this way I know he learns the word not just the picture). The problem: he does not recognize the words in a book. It's like he has never seen them! Even if we did the flashcards 2 seconds ago. At the beginning of the school year, the teacher said that he knew zero letters. It was not true: he knew almost all of his letters at home with the cards that I had made. But then he had to re-learn the letters at school, re-learn the letters at speech therapy. Makes me wonder what he will actually know next year when he moves up to 1st grade, in a different classroom with a different teacher... Do you guys ever dealt with that? And how do you remedy? Everyone, including V gets frustrated and it shows by him saying "I forgot" like a million times a day. And no, it is not laziness or attention difficulties. The whole time we work together he is very focused, stays on task and even tells me he wants to keep going without taking a break. He is not getting worse at the end of the work session compare to the start (although it ususally never last more than 20 minutes without a break). I remember, as a kid, knowing something very well at school and then trying to discuss the subject with friends or grown ups once at home. For some reason, it was a bit harder. I think it is something of this nature, just a lot more severe.