I am in a similar situation but have found that getting other people involved helps a lot. My 12 year-old son sees an occupational therapist weekly – this helps keep the school strategies somewhat in place. Enlist your partner or another family member to help if possible. Make lists that everybody can see both and focus on one challenge at a time (for example, for us at the moment, it’s getting my son to organise his books and equipment for the next school day). Hang in there and remember that small steps can have huge consequences later on.