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Day care for us. I know I sometimes went crazy staying home with DD so surely it could happen with a sitter. With daycare there was always someone there to give the teachers a break. You have to find a great daycare though. For us it took 3 tries. DD really needs a lot stimulation. Her school has 2 1/2 acres of playgrounds and outbuildings (one is a grocery store, science cabin etc). They are always doing fun projects, lots of art, show and tell, reading, and it is Christian so they do bible studies as well.
DD will be 2 1/2 in Nov and already can count to 10, knows her colors and speaks full sentences. The good part is she knows all this from playing games-not from a super structured approach.