Summary:
A 7-year-old boy presents with academic delays, social difficulties, and below-average intellectual and adaptive functioning. His developmental history includes speech and motor delays, and he struggles with problem-solving and independence.

• Being a slow learner
• Falling behind his peers in class
• History of aggression in preschool, though he's "grown out" of this behavior
• No significant current or past medical conditions
• Younger sister surpassing him in academic and social skills

Most Likely Diagnosis: Mild Intellectual Disability

Diagnostic Steps:
The diagnosis of intellectual disability requires evidence of deficits in both intellectual and adaptive functioning. Intelligence testing, such as the Wechsler Intelligence Scale for Children (WISC-V), should be administered to assess cognitive ability. An adaptive functioning assessment (e.g., Vineland Adaptive Behavior Scales) should also be conducted to evaluate social and practical skills. Additional testing for learning disabilities or language disorders is essential to rule out other causes of his difficulties. Genetic testing may be considered if a syndromic cause is suspected.

Role of the Psychiatrist in the Care of This Patient:
The psychiatrist plays a key role in coordinating comprehensive care. This includes confirming an accurate diagnosis, assessing for comorbid psychiatric conditions (e.g., anxiety, ADHD), and providing family education. The psychiatrist may recommend early interventions, including speech and occupational therapy, special education services, and behavioral support. Medication may be considered for associated emotional or behavioral symptoms. Regular follow-up is necessary to monitor progress and ensure ongoing support.