Cherith is a single parent of 6-yr-old twins who have ASD. Both have cognitive impairments, language deficits, and behavioral issues. Additionally, one child requires almost total assistance for daily living skills in areas such as feeding, dressing, and toileting and the mom reports that the other child does not sleep. Both children receive services and supports in school and in clinic settings. Identify 4 struggles or difficulties that this mom might face.