Sadly trisher not all children whom are "indentified as having problems" are immediately given an individual education plan or if they are it doesnt help much as to get most help etc they mostly need a ' statement' (as it used to be) or EHC PLAN- but even if and when a child or young person is assessed they still dont neccessarily hand these out either.My youngest(nearly 16) has had loads of medical problems since birth (very prem)including poor motor skills/ balance as well- and i felt he needed more help (call it mothers intuition)he was on a IEP at primary school but years this dragged on,no real help.it turns out at 15 hes had mild cerebral palsy also, like his brother, but had gone undiagnosed! Even now it is hes got no EHC 'official' plan- though hes been given extra time on exams and a scribe to help in school.He has some behavioural problems and had tests(after 15yrs of asking) for ASD issues some of which he has, but are ' borderline' so still no clear- cut diagnosis on that- so no 'statement' (which most schools& health officials are still calling it! )my elder son has mild CP and also has OCD(much washing as you describe) and hates change of any sort,so gets anxious, but again they cannot separate whats CP or ASD issues so again no EHC plan.If only health authorities would recognise some children are in a 'grey area' it would be easier to get the help they need.But Nandalot- get their parents to keep plugging away at gp,consultants, health authorities, till they get to bottom of the problems he has.Then take it from there.