I have a student who is formally identified as OHI with ADHD (didn't quite qualify for the behavior category), but his problems in class are all behavior-oriented. He's extremely book smart and could do very well in school if he'd just do the work. He's very knowledgeable of his IEP and accommodations, which on the one hand can be a good thing, but on the other hand he uses it as an excuse to do no work. Or, giving him the benefit of the doubt, he actually believes he's not capable of doing the work because of his disability. He constantly says that he can't do xyz because he has a disability and it's hard for him. He'll sit in class for hours and do nothing. His parents believe that the teacher shouldn't even prompt him gently with things like, "get back to work, let's get started on this, etc." because "he knows he should be working but is incapable of doing so because of his disability. You're just making him feel bad about himself when you say things like that." He has a behavior chart with rewards attached, but he frankly doesn't care if he gets the star/reward or not. The teacher has tried asking him what he wants as a reward, hoping there would be something he'd work towards, but he never comes up with anything. The parents are very involved and clearly care about his needs but they are extremely difficult to work with because they buy into this "can't do anything because of the disability" thing. They don't believe he should have any consequences at school at all, because having a disability is not his fault. At our last (4 hour) meeting with these parents, the classroom teacher had tried to bring up that he realizes it's hard for the student (the classroom teacher actually has adhd himself), but the student is still making a conscience choice when he decides not to follow the behavior plan or to sit in class for 3 hours without even attempting anything. His parents just say that they were both like that as kids and that their son just needs to "get through" school so that he can work independently as an adult (they own their own business, supposedly because they also can't function in a "normal" work environment). Today was our first day of state testing, and I was shocked that the student actually sat there and wrote several pages (he has NEVER handwritten anything at school- he always says he can't because of his disability). So clearly, he is capable. I'm guessing mom and dad drilled into his head that this was really important. However, in the second session of the test the students were asked to revise their work and make a final copy, and he got very upset that he would have to write everything over. He spent almost the entire session sitting under the table (thankfully, quietly), and then managed to get up and at least copy what he'd had before in the last 10 minutes of the session. At what point do you draw the line between realizing that the student has a disability and holding them accountable for their choices and behavior?