F.A.T-Frustration, Anxiety, Tension—three all-too-familiar feelings for the families of children with learning disabilities. It is the basis for a 1987 workshop simulating the children’s daily experiences. Richard Lavoie, creator of the original F.A.T. City Workshop, reviews the history and philosophy of the project, the major trends and issues in the field of learning disabilities since 1987, and the challenges ahead for parents and educators.