Ice lest y In general, which of the following are

A 4-year-old child is referred by her pediatrician because since starting school 2 months ago, her teachers have reported that she does not speak at school, with almost no verbal output. This has affected her education. The patient’s parents state she is able to speak Spanish fluently at home and did not have a problem last year in her Spanish-speaking daycare. Her first language is Spanish, and she speaks predominantly Spanish at home. When speaking, the child has an accent and has difficulty finding words in English. She does not have any other communication disorder, such as childhood-onset fluency disorder (formerly stuttering), and is developmentally normal otherwise. Which of the following is the correct diagnosis? LA. Selective mutism B. Pervasive developmental disorder C. Autism D. Nothing (failure to speak is due to lack of comfort with English)

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