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The boom began about five years ago, said Kathy Pelzer, a longtime high school counselor in an affluent part of Southern California. More students than ever were securing disability diagnoses, many seeking additional time on class work and tests.
A junior taking three or four Advanced Placement classes, who was stressed out and sleepless. A sophomore whose grades were slipping, causing his parents angst. Efforts to transfer the children to less difficult courses, Ms. Pelzer said, were often a nonstarter for their parents, who instead turned to private practitioners to see whether a diagnosis — of attention-deficit hyperactivity disorder, perhaps, or anxiety or depression — could explain the problem.
Such psychological assessments can cost thousands of dollars, and are often not covered by insurance. For some families, the ultimate goal was extra time — for classroom quizzes, essays, state achievement tests, A.P. exams and ultimately the SAT and ACT.
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Melanie McDaniel was in the fourth grade when her parents learned she had attention-deficit hyperactivity disorder. She received special accommodations at school but was rejected when she applied for extended time on the SAT. Credit Jared Soares for The New York Times
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