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19p13.2 microdeletions - Unique The Rare Chromosome Disorder ...

19p13.2 microdeletions - Unique The Rare Chromosome Disorder ...

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(Grade 11 - equivalent to Year 10,<br />

GCSE year, aged 16 in the UK) doing<br />

Grade 2 studies (equivalent to Year 3<br />

in the UK, aged 7 years) in a special<br />

program:<br />

She is in a mainstream school in<br />

the regular first grade classroom.<br />

She goes to the special education<br />

room less than 20% of the time,<br />

mostly at snack-time. She has a full<br />

-time aid to help her because she<br />

has trouble learning without one-toone<br />

support – 6 years<br />

At aged 10 he went to a new<br />

private school. <strong>The</strong>y were very firm<br />

with him when he misbehaved.<br />

Before that he couldn't read, write<br />

etc because he refused and raged.<br />

Within two months of starting at the<br />

new school he was sitting at a desk,<br />

participating, learning kindergarten<br />

and 1st grade material and loving<br />

school. At 14, he was up to 2nd<br />

grade work and loving school,<br />

reading, writing and doing 3 digit additions and subtractions. <strong>The</strong> school works<br />

individually with him at his level and speed – 16 years<br />

One adult, with an uncommon deletion of <strong>19p13.2</strong>, has a mild learning disability and,<br />

when give only oral examinations, completed a secondary school education with good<br />

grades (Wangensteen 2013).<br />

Sleep<br />

Difficulties sleeping are an issue with at least half of children with a <strong>19p13.2</strong><br />

microdeletion.<br />

Sleep problems are common in children with this microdeletion, although parents do<br />

describe improvements with careful management and over time (<strong>Unique</strong>, Decipher).<br />

Sleeping problems ranged from difficulties falling asleep and staying asleep to getting up<br />

very early in the morning.<br />

Regulating sleep patterns was difficult with one child at 3½ years old. Even with<br />

medication she was still waking up several times a night. Three years later, the<br />

medication is working well and she is more manageable at night:<br />

With her doctor’s help, we built a special bed with doors that lock, so she is safe at<br />

night and can’t get out of the house. This turned out be very soothing and she LOVES<br />

her special bed. If we travel and are away from the bed, she can’t sleep without it.<br />

<strong>The</strong> insomnia has been one of the most difficult parts of this disorder (from our<br />

experience). It can be overwhelming, but there is help. Sleep specialists can help find<br />

a medication regime and a routine that can help your child sleep - it will give you<br />

peace of mind and help them relax and feel safe as well – 6 years<br />

18

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