4-year-old Miguel is brought to the clinic for a routine check-up. His parents are concerned because he is still unable to dress himself, which is expected at his age. They report that he prefers to be assisted by them when putting on his clothes, and sometimes resists trying it on his own. His parents are also concerned about his occasional tantrums when asked to do things independently. His family emphasizes close supervision and care, with his grandparents being heavily involved in his daily activities.
