Either your nephew's teacher or his pediatrician should be able to help your sister find some help for this child. Some places have a sliding scale fee or will do an assessment for free. There should also be a school psychiatrist or psychologist that will examine the child. He needs some help and fast. Your sister needs to tell the teacher and the pediatrician what is going on at home and what she sees in her child. That should raise some red flags to someone and get some help going for them.
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PHWildCat/Tessa and 18 cats, 1 dog and even a hamster
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