Elena is generally a bright & positive girl, but is increasingly struggling with her self-confidence. I just received a call from the visiting school nurse. She says Elena made a confidential appointment with her to discuss issues she's having. These relate to her tripping/falling/twisting her ankle a lot and also her spelling issues. I didn't realise, but the nurse says they could well be related. She says she'll continue to see her as she is concerned she may have dyspraxia and possibly dyslexia (which often go together she says) and that this is seriously affecting her confidence. Now we know about the spelling issues as I've been trying to get her extra help all year (lack of resources has meant she has had nothing more than a few spelling tests & I've been given some of the sounds she struggles with, but no constructive help). Now I've looked up dyslexia and dyspraxia I can't work out how the school could have missed it :doh:. OK, I think they're mild (and I also suspect I was the same at that age), but letter confusion (b, d, s, 5), very poor spelling, inability to sit still, clumsiness/balance, problems holding a pencil or cutlery correctly etc are all issues for her.