Causes of School Difficulties - Differential Diagnosis Algorithm

Social Skills Deficit and Atypical Behaviour

• Consider Autism Spectrum Disorder

Home Environment

 • Neglect

 • Abuse

 • Trauma

Psychiatric Illness

 • Anxiety Disorder

 • Depressive Disorder

Defiant Behaviour

 • Oppositional Defiant Disorder/ Conduct Disorder

Academic Difficulties - Isolated to Specific Academic Areas

• Learning Disability

Academic Difficulties - All Areas Impacted

• Cognitive Impairment (Mental Retardation, Intellectual Handicap)

Academic and Behavioural Difficulties

• Check Criteria for Attention Deficit Hyperactive Disorder

• Consider other Comorbidites



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