I have this 5 year old boy in my class who is a bit different in many ways. One thing that many children will do is make up stories about themselves and imaginary friends, etc. Well, this particular boy concerns me. He lives with his mother and has no contact with his father, but talks about his dad all the time. He has resorted to making up lots of stories about his "dad," and he gives his "dad" names that are in reality the names of his friends at school. He makes up things about his "dad," such as,"my dad is a farmer," etc. and he goes on and on. He also makes up stories about his "brother" or "sister," (he has neither,) and the names are friends he has played with recently. He sounds as though he believes all of these stories to be true, although we have talked to him about real and pretend. His mother says he does this constantly at home, too. At what point would you be worried that he can't seem to discern reality from pretend?