ES can come in many forms, some people with ES have very few signs or symptoms while others experience a full range of them.  This means that providing instruction for a student with ES can vary on a student to student basis.  Therefore, only general information that can help when it comes to the development of a student with ES will be provided.  One thing that many children with ES need help with is fine motor skills and self-help skills.  They may need assistance getting dressed, going to the bathroom, or eating.  Around half of children with ES are incontinent.  Some children with ES may need accommodations such as an assistant and the opportunity to go to the restroom at regular intervals (Support for Disorders of Chromosome 22, 2018).

Children with ES unfortunately do not typically develop speech although there are some exceptions where they can say a few words or sentences.  This means that in a classroom setting, providing these students with another way to communicate is important.  This can be done through sign language or electronic systems.  Physical mobility is also a challenge for children with ES and their ability to walk is typically delayed and when they do learn they may need the assistance of a walker.  Accommodations such as enough space for a walker or wheel chair should be provided to give these students full and equal access (Support for Disorders of Chromosome 22, 2018).