Which diagnosis best fits duration, episodicity, and exclusions?
A
Language disorder
Persistent difficulties in acquisition and use of language across modalities (spoken, written, sign, or other) due to deficits in comprehension or production, including reduced vocabulary, limited sentence structure, and impairments in discourse
AA. Persistent difficulties in acquisition and use of language across modalities (spoken, written, sign, or other) due to deficits in comprehension or production, including reduced vocabulary, limited sentence structure, and impairments in discourse B. Language abilities substantially and quantifiably below expected for age, resulting in functional limitations in effective communication, social participation, academic achievement, or occupational performance C. Onset in the early developmental period
BA. Consistent failure to speak in specific social situations (despite speaking in others) B. Interferes with educational/occupational achievement or social communication C. Duration ≥1 month (not first month of school)
Common specifiers
AReceptive language impairment; Expressive language impairment; Mixed receptive-expressive language impairment
BCommunication disorder (language deficits in all contexts); ASD (pervasive social communication deficits); Social anxiety disorder (comorbid in most cases)