Beginning with infancy, the children have problems at feeding and are highly irritable. They also exhibit unpredictable sleeping and eating patterns, which make it hard for the baby to be cared for and for maternal bonding to occur. During development, both physical and mental, FAS children have very fine and poor motor coordination skills and it becomes very apparent at the preschool age. They also are very affectionate but at the same time very hyperactive, which makes it a problem for the teachers who have them in class to deal with. This is why they are, during the first few years of school, given the diagnoses of having attention-deficit hyperactivity disorder (ADHD): this diagnoses is given because of there high activity level, short attention span, and poor short term memory. Many of these children require special education help regardless of the fact that their IQ falls between the normal range. Their hyperactivity calls for them to receive special attention that normal teachers cannot and at most times will not give them. As FAS children grow into FAS adults, their level of development and how they developed begins to show in everything they do. Since their social and mental health has been compromised as adults they exhibit inadequate communication skills, impulsivity, poor judgement, trouble with abstract thinking, and limited problem solving skills. With all these problems they often have difficulty holding down a job because of their unreliability, lack of social skills, and functional illiteracy.

Without appropriate support services, these individuals have a high risk of developing secondary disabilities such as mental illness, getting into trouble with the law, abusing alcohol and other drugs, and unwanted pregnancies. A calm, nurturing, learning environment is vital for children with FAS. There are many different teaching strategies tailored to meet each individuals need. Children with FAS learn more when the curriculum is taught in the context of the student’s daily life.
Many doctors with recognized expertise recommend most children with FAS do best with a combination of Stimulant and Selective Seratonin Receptive Inhibitor (SSRI).