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As a teacher, I would echo the sleep thing. If she is not sleeping well, that could trigger behavior problems. And not sleeping could be just a symptom of a neurological (like the brain not allowing REM sleep) or emotional (like nightmares) problem. Fetal Alcohol Effect or Syndrome also can manifest itself in many of the behaviors you have described as can attachment issues. I would investigate the sleep loss, drug exposed, and attachment things.
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