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I believe the technical term for thids is dysnomia.

Following this with great interest. My DS15 has always had this and it manifests just in conversation (which can appear as, and, in fact, I think has resulted in some social anxiety) and in his writing. If you take the time to listen to him and wait for him to retrieve his words or you ask for more and more elaboration and detail (because he will often resort to saying what he wants to say in the least number of words possible to shorten the process) he can eventually show you that he has vast knowledge of which he speaks or writes. Unfortunately, this has had a huge impact on school. He has never been diagnosed, though.

not heard of dysnomia - will go and google that now, thanks.

mnmom - yes I can imagine that being in a stress environment such as speaking in front of people will make it worse and then that in itself creates more anxiety which makes it worse again. Do you think it would help your son if he was diagnosed with a language problem? they can probably help him. the therapist my daughter is seeing recently treated a medical student who hadn't been diagnosed until near the end of her course and the difference 6 weeks of therapy made to her was immense apparently. It could really boost his confidence and enable him to express himself more easily.