Total Load Theory explains how a child’s challenges are often the result of multiple stressors—biological, neurological, environmental, emotional, and educational—adding up and overwhelming their ability to function. Patricia S. Lemer, a leading authority on applying a holistic model of care to autism, ADHD, learning differences, and mental health conditions, emphasizes that behaviors and learning struggles are not isolated problems but signals of an overloaded system. By identifying and reducing the total “load” through targeted supports such as appropriate therapies, nutrition, sensory integration, and individualized educational strategies, families and professionals can help children regain balance, improve regulation, and reach their full potential.

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