Bella was not in school today but joined first session online approx 15-20 minutes late (as is the norm). Her screen is still not on, which was surprising, given our discussions last week with her dad. I was very concerned about her performance today -- her level of distractedness was extreme -- there is either something else taking up her attention (eg a device), or there is something affecting her ability to function -- this is not the same person I was interacting with for the first few months of this school year, and I am concerned about her overall health and well being. We spent two sessions today going over something that should be able to be covered in 5 minutes. I suggest we continue to follow up on this actively to be sure Bella is ok and we're able to make an informed decision (along with her) as to how best to proceed.