A four-year-old child is referred by her pediatrician becaus…
A four-year-old child is referred by her pediatrician because since started school two months ago, her teachers have reported that she does not speak at school, with almost no verbal output. This has affected her education. The parents stated she has been 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 is having difficulty finding words in English. She does not have any other communication disorder, such as childhood onset fluency disorder (formally stuttering) and is developmentally normal otherwise. What is the correct diagnosis?