Right I'm just curious to hear outsider's thoughts and advice regarding 2 children in my Nursery class... 1) This child I have serious concerns about and the family seem a little in denial. They have an appointment at a medical centre for a complete assessment, which is a positive step forward. She is very uncomfortable physically and moves like a toddler, and stands up by getting on all fours. Her speech is extremely poor; speaks less than 10 words and much of this copying the people around her. I have been using flashcards with her and she is recognises a 'duck' but other than that she named a fish, monkey, cat, apple, car all 'dog' or 'woof'. She cannot play and no matter how much modelling she loses interest within 5 seconds. She has shown an aggressive nature towards her peers including shouting 'shut up' and pushing them. She is not toilet trained and shows no awareness of needing the toilet and no sensation when she is wet/soiled. She cannot follow any social cues, such as simply sitting down. She is often wondering the toilets turning the taps on and soaking herself, and she has done the same in the water tray, as well as throwing sand and paint everywhere (you may ask why she is just wondering but children can access the toilets freely, and there is only a TA and I and it is not possible to monitor her actions all day). I'm really looking for advice her about how I can support her educationally? I don't know how to plan for her so really any thoughts or advice are welcome! Lastly there is another child in my class who has a really low self esteem and believes he can't do anything and will not give many activities a go at all. I find it really surprising that a 3 year old uses such words 'I can't do it' and I'm not sure how to go about raising this child's self esteem? He comes from a very negative family and this obvioulsy passes down to him but how can I help raise his self esteem? I praise the children endlessly so just wondered if there was anything else I could do?