Lionel is 2 years old.His communication is severely impaired.He appears withdrawn and unresponsive to affection.He has difficulty in both verbal and nonverbal communication,and he tends to avoid social contact.He is most likely to be diagnosed with:

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The symptoms described are consistent with autism spectrum disorder, which is characterized by impaired communication, withdrawn behavior, avoidance of social contact, and difficulty with verbal and nonverbal communication. Narcissistic personality disorder and bipolar disorder would not be diagnosed in a 2-year-old child, and Alzheimer's disease is a type of dementia that typically affects older adults.

Lionel Is 2 Years Old