I have a Downs Teenager, that is 15 years old, mentally about 6-8 year old so an imaginary friend fits in with her mentality, although she tends to act like a teenager too, loves Hannah Montanna, Tony Romo, and lots of pop music. THe problem with the imaginary friend was not a big deal at the beginning of the year even though mom kept telling us it was at home, well now we are really seeing how big of an impact this "friend" is having. She is ALWAYS talking to it, playing tennis with it feeding it, pulling its chair up etc. We thought she might have done it when she was bored, but she has it ALWAYS even when doing stuff she likes to do, like surf on the Cowboys website or art time. It has gotten so bad that sometimes she cannot even do her job at work and we have to touch her to snap her out of it. After talking to our Diag, she said she has to exhibit this behavior over a period of time with us taking data on it before we can get a psych analysis, so in the meantime we have had to take a harder stance of "XXXXXXX, you are at school, your friend should stay home and not be at school." We have even said , "XXXXXX there is no one there, you need to refocus on your work." to even rewarding her when she does a job well done on her own without her friend, which we have to do in very short increments before the"friend" returns. It has gotten out of control in class and at her job site that we have talked about not letting her go to work next week. Before we go that drastic, and before our 3 month data collection period is up, does anyone have any other suggestions on how we can deal with this and be consistent between all 3 of us teachers and Paras when we see this? Oh yes, she does have friends in class and did not exhibit this behavior but twice, that we noticed, the first 9 weeks.