Hi Mark, thanks for the reply.

M is getting better at managing her condition. She is doing a better job checking herself periodically for when to take a break. I'll follow up with her regarding your suggestion of taking a break when her concentration in class is wavering, and not necessarily waiting for a headache. Thankfully, she is not sensitive to light or sounds. Thankfully, she has no problem socializing with multiple people. I attribute that to the fact that she has always been very social, and hanging out with her friends for a while does not seem to tax her, and helps her morale.

She does not have any pain or stiffness in her neck, thankfully.

I agree that pushing her academically at the expense of grades is not the right approach. So far, the reduced school schedule is taking all her energy but she is getting good grades. Each evening, I sit with her and we plan out the homework she has to do that evening and in the coming days. I check in with her from time to time to keep her focused. She spends her time only on homework and resting. No video games or recreational reading. She takes some time off on weekends for extra sleep and hanging out with friends for a while. Thankfully, her sleep pattern has been normal.

Her morale remains good, thankfully.

One open question I have is how to get her some exercise and in what form. She is scheduled for PT, maybe they will have some ideas.

Overall I would say she is coping and we pray this gets better over time.