She is distracted, fidgety, inattentive and overactive, and is falling further and further behind the class.
Nothing seems to help.
She doesn't listen to instruction, has terrible penmanship, and seems incapable of following any project through to completion. The child has problems at home as well. Her parents are disappointed and wonder if she's doing her best. She often feels like a failure. In time, her self-esteem may be completely destroyed and she will stop trying.