Although children with Down syndrome look different, they usually can do most things that any young child can do, such as walking, talking, dressing, being toilet-trained, going to school and, as time goes by, holding down a job. Some adults with Down syndrome marry, although it is unlikely they can produce children.
The only real difference is that as kids, they generally start learning things later than other children.
There are special programs beginning in the preschool years to help children with Down syndrome develop skills as fully as possible. The more mildly affected children can learn to read and write and participate in diverse childhood activities both at school and in their neighborhoods.
While there are special work programs designed for adults with Down syndrome, many people with the disorder can hold regular jobs.
An increasing number of adults with Down syndrome live semi-independently in community group homes where they take care of themselves, participate in household chores, develop friendships, partake in leisure activities and work in their communities.

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