Materiały źródłowe

• #1 Selective Mutism: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/selective-mutism

  Selective mutism (SM) is a mental health condition where you cant talk in certain situations because of fear or anxiety. It usually affects young children, but it can also affect adolescents and adults. […] This condition is more than being shy, bashful or timid. SM is an anxiety disorder. It can overlap with other anxiety-related conditions and have lingering effects later in life. […] With treatment, its possible to reduce the severity and frequency of symptoms. With early diagnosis and treatment, some people may see the symptoms vanish entirely. […] Mental health therapy (especially cognitive behavioral therapy, or CBT) is generally the first option. Its also the most likely to help. Behavioral therapy helps you understand and cope with anxiety and other distressing feelings that cause SM symptoms. It can also help with modifying tantrums or other disruptive behaviors that can happen with SM.

• #2 Selective mutism – NHS

  https://www.nhs.uk/mental-health/conditions/selective-mutism/

  Selective mutism is an anxiety disorder where a person is unable to speak in certain social situations, such as with classmates at school or to relatives they do not see very often. […] A child can successfully overcome selective mutism if it’s diagnosed at an early age and appropriately managed. […] It’s important for selective mutism to be recognised early by families and schools so they can work together to reduce a child’s anxiety. […] With appropriate handling and treatment, most children are able to overcome selective mutism. But the older they are when the condition is diagnosed, the longer it will take. […] Treatment does not focus on the speaking itself, but reducing the anxiety associated with speaking. […] The need for individual treatment can be avoided if family and staff in early years settings work together to reduce the child’s anxiety by creating a positive environment for them.

• #3 Selective Mutism

  https://healthlibrary.sanjuanregional.com/Library/Encyclopedia/160,107

  Selective mutism means that a child cant speak in certain settings but can speak fine in others. For instance, a child may not be able to speak at school but can speak with no problem at home. It’s called selective mutism because the child is mute only in select situations. Its a rare childhood condition. It can cause problems with school and social situations. […] Selective mutism often starts in very young children, around ages 2 to 4. But it may not be recognized until a child starts school. […] Selective mutism can also run in families. […] The main sign of selective mutism is a month or more of failure to speak only in certain social situations. The problem is not due to another communication disorder, such as autism. And it is not due to not knowing the spoken language. […] Treatment varies based on the needs of your child and may include:

• #4 Selective Mutism | Loma Linda University Children’s Health

  https://lluch.org/conditions/selective-mutism

  Selective mutism means that a child cant speak in certain settings but can speak fine in others. […] Selective mutism is not caused by a childs willful refusal to speak. […] Selective mutism often starts in very young children, around ages 2 to 4. […] The main sign of selective mutism is a month or more of failure to speak only in certain social situations. […] Your childs health care provider will ask you about your childs medical history and signs and symptoms. […] Other health care providers may help assess your child. These may include a speech-language pathologist (SLP) and a psychologist or psychiatrist. […] Treatment varies based on the needs of your child and may include: […] With treatment, a child is likely to stop having selective mutism. […] It’s important to remain patient with your child. Remember, your child is not choosing to not speak. Your child is too anxious to be able to speak. […] For the best outcome, stay closely involved with your childs therapy. […] A pediatrician, speech-language pathologist, and a psychologist may work together to diagnose and treat the condition. […] With treatment, most children overcome selective mutism.

• #5 Guide to Selective Mutism in Children – Child Mind Institute

  https://childmind.org/guide/parents-guide-how-to-help-a-child-with-selective-mutism/

  Children with selective mutism (SM) are talkative at home but unable to speak in more public settings, including school. This guide is for parents and teachers who are wondering if a particular child has SM, or are wondering how to help selective mute kids who have it find their voices. […] When children are unable to speak around certain people or in certain settings, they may have an anxiety disorder called selective mutism (SM). It is common for kids with SM to be very chatty at home with family but silent at school. Parents typically start noticing signs of SM when a child is three or four years old. The disorder might not be diagnosed until they are school-aged, when their problems with speaking become more apparent. […] Selective mutism can cause significant impairment in a child’s life. It can interfere with kids’ performance at school, both academically and socially. It can prevent kids from asking for help if they need it, like telling the teacher they need to use the bathroom. And it can prevent kids from engaging in many fun activities that require verbal communication, including play dates. The good news is that with the right help, kids with SM can get better.

• #6 Selective Mutism | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions—pediatrics/s/selective-mutism.html

  Selective mutism is when a child cant speak in certain settings, but can speak fine in others. For instance, a child may not be able to speak at school, but can speak with no problem at home. It’s called selective mutism because the child is only mute in select situations. Its a rare childhood condition. It can cause problems with school and social situations. […] Selective mutism often starts in very young children, around ages 2 to 4. But it may not be recognized until a child starts school. […] Treatment varies based on the needs of your child, and may include: […] With treatment, a child is likely to stop having selective mutism. With no treatment, the speaking problems are more likely to continue. […] Its important to remain patient with your child. Remember, your child is not choosing to not speak. Your child is too anxious to be able to speak.

• #7 Guide to Selective Mutism in Children – Child Mind Institute

  https://childmind.org/guide/parents-guide-how-to-help-a-child-with-selective-mutism/

  Children with selective mutism (SM) are talkative at home but unable to speak in more public settings, including school. This guide is for parents and teachers who are wondering if a particular child has SM, or are wondering how to help selective mute kids who have it find their voices. […] When children are unable to speak around certain people or in certain settings, they may have an anxiety disorder called selective mutism (SM). It is common for kids with SM to be very chatty at home with family but silent at school. Parents typically start noticing signs of SM when a child is three or four years old. The disorder might not be diagnosed until they are school-aged, when their problems with speaking become more apparent. […] Selective mutism can cause significant impairment in a child’s life. It can interfere with kids’ performance at school, both academically and socially. It can prevent kids from asking for help if they need it, like telling the teacher they need to use the bathroom. And it can prevent kids from engaging in many fun activities that require verbal communication, including play dates. The good news is that with the right help, kids with SM can get better.

• #8 Selective mutism: a team approach to assessment and treatment in the school setting – PubMed

  https://pubmed.ncbi.nlm.nih.gov/21970860/

  The school nurse plays a pivotal role in the assessment and treatment of selective mutism (SM), a rare disorder found in elementary school children. […] The school nurse plays a critical role as a member of the Instructional Support Team (IST). […] School nurses make a difference by advocating for the child with SM and possessing the necessary knowledge to effectively intervene. […] This article discusses a team approach to the assessment and treatment of SM and the role of the school nurse in the school setting.

• #9 Selective mutism: a team approach to assessment and treatment in the school setting – PubMed

  https://pubmed.ncbi.nlm.nih.gov/21970860/

  The school nurse plays a pivotal role in the assessment and treatment of selective mutism (SM), a rare disorder found in elementary school children. […] The school nurse plays a critical role as a member of the Instructional Support Team (IST). […] School nurses make a difference by advocating for the child with SM and possessing the necessary knowledge to effectively intervene. […] This article discusses a team approach to the assessment and treatment of SM and the role of the school nurse in the school setting.

• #10 Selective mutism: a team approach to assessment and treatment in the school setting – PubMed

  https://pubmed.ncbi.nlm.nih.gov/21970860/

  The school nurse plays a pivotal role in the assessment and treatment of selective mutism (SM), a rare disorder found in elementary school children. […] The school nurse plays a critical role as a member of the Instructional Support Team (IST). […] School nurses make a difference by advocating for the child with SM and possessing the necessary knowledge to effectively intervene. […] This article discusses a team approach to the assessment and treatment of SM and the role of the school nurse in the school setting.

• #11 Selective Mutism | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions—pediatrics/s/selective-mutism.html

  For the best outcome, stay closely involved with your childs therapy. You may be able to find ways to structure situations outside the home that can increase your childs communication. Work closely with your childs teachers. […] A pediatrician, speech-language pathologist, and a psychologist may work together to diagnose and treat the condition. […] With treatment, most children overcome selective mutism.

• #12 Selective Mutism

  https://www.nationwidechildrens.org/conditions/health-library/selective-mutism

  Selective mutism means that a child cant speak in certain settings but can speak fine in others. […] Selective mutism is not caused by a childs willful refusal to speak. […] Treatment varies based on the needs of your child and may include: […] With treatment, a child is likely to stop having selective mutism. With no treatment, the speaking problems are more likely to continue. […] Its important to remain patient with your child. Remember, your child is not choosing to not speak. Your child is too anxious to be able to speak. […] For the best outcome, stay closely involved with your childs therapy. You may be able to find ways to structure situations outside the home that can increase your childs communication. Work closely with your childs teachers. […] A pediatrician, speech-language pathologist, and a psychologist may work together to diagnose and treat the condition. […] Your child might need a set of different types of treatment. […] With treatment, most children overcome selective mutism.

• #13 Selective Mutism | Loma Linda University Children’s Health

  https://lluch.org/conditions/selective-mutism

  Selective mutism means that a child cant speak in certain settings but can speak fine in others. […] Selective mutism is not caused by a childs willful refusal to speak. […] Selective mutism often starts in very young children, around ages 2 to 4. […] The main sign of selective mutism is a month or more of failure to speak only in certain social situations. […] Your childs health care provider will ask you about your childs medical history and signs and symptoms. […] Other health care providers may help assess your child. These may include a speech-language pathologist (SLP) and a psychologist or psychiatrist. […] Treatment varies based on the needs of your child and may include: […] With treatment, a child is likely to stop having selective mutism. […] It’s important to remain patient with your child. Remember, your child is not choosing to not speak. Your child is too anxious to be able to speak. […] For the best outcome, stay closely involved with your childs therapy. […] A pediatrician, speech-language pathologist, and a psychologist may work together to diagnose and treat the condition. […] With treatment, most children overcome selective mutism.

• #14 FloridaHealthFinder | Selective mutism | Health Encyclopedia | FloridaHealthFinder

  https://quality.healthfinder.fl.gov/health-encyclopedia/HIE/1/001546

  Selective mutism is a condition in which a child can speak, but then suddenly stops speaking. It most often takes place in school or social settings. […] Treating selective mutism involves behavior changes. The child’s family and school should be involved. Certain medicines that treat anxiety and social phobia have been used safely and successfully. […] Contact your health care provider if your child has symptoms of selective mutism, and it is affecting school and social activities.

• #15 Selective Mutism

  https://www.asha.org/practice-portal/clinical-topics/selective-mutism/?srsltid=AfmBOooXuQGPc9WTb0Gom2bVJd_1pKBxUF7MJBzVGMPYDGSdd3Lwrti-

  Speech-language pathologists (SLPs) play an integral role in the screening, assessment, diagnosis, and treatment of individuals with selective mutism. […] The following roles are appropriate for SLPs: Educate other professionals on the needs of individuals with selective mutism and the role of the SLP in diagnosing and managing selective mutism. […] Conduct a comprehensive, culturally and linguistically appropriate assessment of speech, language, and communication. […] Develop treatment plans, provide treatment, document progress, and determine appropriate dismissal criteria. […] Counsel individuals with selective mutism and their care partners regarding communication-related issues and provide education aimed at preventing further complications relating to selective mutism. […] The SLP can work with the child’s teacher and school staff to use the following strategies: Form small, cooperative learning groups that include the child’s preferred peers.

• #16 Selective Mutism

  https://www.asha.org/practice-portal/clinical-topics/selective-mutism/?srsltid=AfmBOooXuQGPc9WTb0Gom2bVJd_1pKBxUF7MJBzVGMPYDGSdd3Lwrti-

  Speech-language pathologists (SLPs) play an integral role in the screening, assessment, diagnosis, and treatment of individuals with selective mutism. […] The following roles are appropriate for SLPs: Educate other professionals on the needs of individuals with selective mutism and the role of the SLP in diagnosing and managing selective mutism. […] Conduct a comprehensive, culturally and linguistically appropriate assessment of speech, language, and communication. […] Develop treatment plans, provide treatment, document progress, and determine appropriate dismissal criteria. […] Counsel individuals with selective mutism and their care partners regarding communication-related issues and provide education aimed at preventing further complications relating to selective mutism. […] The SLP can work with the child’s teacher and school staff to use the following strategies: Form small, cooperative learning groups that include the child’s preferred peers.

• #17 Selective mutism – NHS

  https://www.nhs.uk/mental-health/conditions/selective-mutism/

  Selective mutism is an anxiety disorder where a person is unable to speak in certain social situations, such as with classmates at school or to relatives they do not see very often. […] A child can successfully overcome selective mutism if it’s diagnosed at an early age and appropriately managed. […] It’s important for selective mutism to be recognised early by families and schools so they can work together to reduce a child’s anxiety. […] With appropriate handling and treatment, most children are able to overcome selective mutism. But the older they are when the condition is diagnosed, the longer it will take. […] Treatment does not focus on the speaking itself, but reducing the anxiety associated with speaking. […] The need for individual treatment can be avoided if family and staff in early years settings work together to reduce the child’s anxiety by creating a positive environment for them.

• #18

  https://www2.hse.ie/conditions/selective-mutism/treatment/

  Selective mutism is an anxiety disorder. It usually begins in early childhood but it can continue into adulthood if it is not treated. […] Children do not usually grow out of selective mutism on their own. They need treatment. […] Treatment for selective mutism aims to reduce the anxiety associated with speaking. […] Treatment must include educating parents and teachers about how to reduce the child’s anxiety around talking. […] It may involve using techniques to reduce your child’s fear of talking. […] Some treatment techniques for selective mutism are based around cognitive behavioural therapy (CBT). […] An SLT or psychologist may use a CBT tool called graded exposure. […] Graded exposure allows your child to slowly confront their anxiety and build confidence. […] The SLT or psychologist exposes your child to situations that cause a small amount of anxiety, to start.

• #19 How to Treat Selective Mutism: Best Practices and Effective Treatments    :: The Baker Center For Children and Families

  https://www.bakercenter.org/selective-mutism2

  Kids with selective mutism are most often diagnosed between the ages of 3 and 8 years old. […] Early intervention is key, and beginning interventions at the time that the symptoms appear has been shown to be the most effective timing for treatment success. […] Many treatments for selective mutism, and other anxiety disorders, encourage brave behaviors and the use of an approach model. […] The first step to getting effective support is to pursue a thorough evaluation with a mental health professional. […] Through the evaluation, your clinician will be assessing if the potential mutism is a result of anxiety or if it is a result of a language ability challenge, hearing difficulties, a communication disorder, or any other developmental challenges. […] PCIT-SM is a family-based intervention that is based on a two-phase treatment model.

• #20 Selective mutism – NHS

  https://www.nhs.uk/mental-health/conditions/selective-mutism/

  Selective mutism is an anxiety disorder where a person is unable to speak in certain social situations, such as with classmates at school or to relatives they do not see very often. […] A child can successfully overcome selective mutism if it’s diagnosed at an early age and appropriately managed. […] It’s important for selective mutism to be recognised early by families and schools so they can work together to reduce a child’s anxiety. […] With appropriate handling and treatment, most children are able to overcome selective mutism. But the older they are when the condition is diagnosed, the longer it will take. […] Treatment does not focus on the speaking itself, but reducing the anxiety associated with speaking. […] The need for individual treatment can be avoided if family and staff in early years settings work together to reduce the child’s anxiety by creating a positive environment for them.

• #21 Guide to Selective Mutism in Children – Child Mind Institute

  https://childmind.org/guide/parents-guide-how-to-help-a-child-with-selective-mutism/

  The good news is that selective mutism is very treatable with the right care. Kids with SM respond best to behavioral therapy that is focused on helping them learn to speak in new settings, during new activities and with new people. […] Children with SM should never be pushed to speak. The pace of treatment should be gradual, and children shouldn’t be asked to do something that is too difficult for them. Instead, treatment should follow specialized behavior therapy techniques that prompt speech and then reinforce successful speaking experiences with lots of labeled praise and small incentives. This careful progression helps children gain confidence and prepares them for experiences that get progressively more challenging. […] For a treatment program to be effective, kids need to learn how to speak in everyday situations — not just in the doctor’s office. This means that clinicians should model treatment around real-life settings and situations.

• #22 Selective Mutism in Children and Adolescents

  https://www.mindyra.com/solutions/child/selective-mutism

  Selective mutism is treatable. […] The practice parameter for child and adolescent anxiety published by the American Academy of Child and Adolescent Psychiatry includes selective mutism. […] Additionally, the Selective Mutism Group has a position statement on evidence-based treatment strategies for selective mutism and the Aberdeenshire Council has practice guidelines for supporting children with selective mutism. […] Behavioral and cognitive-behavioral therapy (CBT) have the most research support for the treatment of selective mutism and are recommended as a first line treatment. […] Selective serotonin reuptake inhibitors (SSRIs) are considered the first line pharmacological treatment for child anxiety disorders and can address the anxiety that underlies with child’s inability to speak in certain situations.

• #23 Selective mutism – NHS

  https://www.nhs.uk/mental-health/conditions/selective-mutism/

  As well as these environmental changes, older children may need individual support to overcome their anxiety. […] Cognitive behavioural therapy (CBT) helps a person focus on how they think about themselves, the world and other people, and how their perception of these things affects their thoughts and feelings. […] Behavioural therapy concentrates on helping combat current difficulties using a gradual step-by-step approach to help conquer fears. […] There are several techniques based on CBT and behavioural therapy that are useful in treating selective mutism. […] Medicine should never be prescribed as an alternative to environmental changes and behavioural approaches. […] Do not pressurise or bribe your child to encourage them to speak. […] Let your child know you understand they’re scared to speak and have difficulty speaking at times. Tell them they can take small steps when they feel ready and reassure them that talking will get easier. […] Reassure your child that non-verbal communication, such as smiling and waving, is fine until they feel better about talking.

• #24 Selective mutism – NHS

  https://www.nhs.uk/mental-health/conditions/selective-mutism/

  As well as these environmental changes, older children may need individual support to overcome their anxiety. […] Cognitive behavioural therapy (CBT) helps a person focus on how they think about themselves, the world and other people, and how their perception of these things affects their thoughts and feelings. […] Behavioural therapy concentrates on helping combat current difficulties using a gradual step-by-step approach to help conquer fears. […] There are several techniques based on CBT and behavioural therapy that are useful in treating selective mutism. […] Medicine should never be prescribed as an alternative to environmental changes and behavioural approaches. […] Do not pressurise or bribe your child to encourage them to speak. […] Let your child know you understand they’re scared to speak and have difficulty speaking at times. Tell them they can take small steps when they feel ready and reassure them that talking will get easier. […] Reassure your child that non-verbal communication, such as smiling and waving, is fine until they feel better about talking.

• #25 Selective Mutism Service | NYU Langone Health

  https://nyulangone.org/locations/child-study-center/selective-mutism-service

  Some children freely participate in conversations with family and friends, but fall silent when they are in stressful or unfamiliar social situations. This is more than just shyness its selective mutism, a form of social anxiety, in which children struggle to speak consistently. This can affect a child’s ability to build relationships, enjoy activities, and excel in school. […] At the Selective Mutism Service at the Child Study Center, part of Hassenfeld Children’s Hospital at NYU Langone, we carefully evaluate your child and determine the treatment options best suited to their needs, including behavior therapy, cognitive behavior therapy, family therapy, medication, and combinations of these methods in an individualized plan. […] Behavior therapy helps children with selective mutism to overcome anxiety by gradually exposing them to speaking in feared social situations and providing high doses of positive reinforcement for meeting speaking goals.

• #26 Selective Mutism Service | NYU Langone Health

  https://nyulangone.org/locations/child-study-center/selective-mutism-service

  Throughout treatment, we systematically move children from comfortable speaking settings to more challenging situations, in order to increase their comfort, and ensure that they feel successful while doing so. […] We aim to make exposure activities fun yet challenging, so that your child learns to overcome anxiety and decrease avoidance of verbal interactions. […] As part of a course of behavior therapy for selective mutism, we also train parents, teachers, and relevant school professionals in the skills necessary to increase the child’s comfort in social situations at school and in the community, and facilitate on-the-go exposures to speaking. […] Weekly exposure practice between sessions is important for generalizing treatment gains to situations that children will encounter frequently in their day to day lives.

• #27

  https://www2.hse.ie/conditions/selective-mutism/treatment/

  Your child’s anxiety may not disappear completely. But they are likely to become more able to manage their distress. […] They will need regular practice sessions at their preschool or school. […] There are other techniques the SLT or psychologist may use. They will use techniques that best suit your child. […] A child is rewarded for making attempts to talk or communicate in challenging situations. Rewards can encourage your child to keep trying. […] Desensitisation aims to reduce your child’s sensitivity to other people hearing their voice. […] Treatment is often based around fun and games, and activities your child likes. […] This all aims to build their confidence and reduce their anxiety. […] Medicine is not usually the first treatment for selective mutism. […] It is only really appropriate for older children, teenagers and adults who have not made progress in therapy.

• #28 Selective Mutism Treatment: Helping Children Find Their Voice – Manhattan Psychology Group

  https://manhattanpsychologygroup.com/MPG-blog/selective-mutism-treatment-helping-children-find-their-voice/

  Treatment for Selective Mutism is highly individualized and typically includes a combination of behavioral and cognitive behavioral therapy, gradual exposure techniques, and parental involvement. Below are some of the most effective strategies: […] Stimulus fading is a technique in which a child is gradually introduced to speaking in specific social situations by reducing anxiety-provoking elements step by step. This method helps children build confidence in a controlled and supportive environment. […] Reinforcing small successes is a crucial part of treating Selective Mutism. Children need encouragement and recognition for their efforts. […] For older children, CBT is one of the most effective approaches for treating Selective Mutism SM. It helps children understand their anxiety, challenge negative thoughts about speaking, and develop coping skills to reduce fear.

• #29 Challenges of Selective Mutism (SM): Solutions and Strategies

  https://childfamilyinstitute.com/factsheets/evidence-based-treatments-at-cfi/parent-child-interaction-therapy/challenges-and-solutions-for-selective-mutism-sm/

  The following are some of the challenges for children with SM: […] The following are some of the solutions or techniques to engage children with SM in verbal experiences: […] Reflections are repeating or paraphrasing what a child says, to ensure the child feels heard and to echo the child’s response to others nearby. […] Forced-choice questions provide children with SM two or more verbal options that provoke verbal responses rather than allowing them to fall into patterns of nonverbal responses. […] Shaping is a thoughtful, nuanced process that reinforces more desired, complex behaviors to help children reach higher-level goals. […] Fade-ins help incorporate new people in a verbal experience.

• #30 Challenges of Selective Mutism (SM): Solutions and Strategies

  https://childfamilyinstitute.com/factsheets/evidence-based-treatments-at-cfi/parent-child-interaction-therapy/challenges-and-solutions-for-selective-mutism-sm/

  The following are some of the challenges for children with SM: […] The following are some of the solutions or techniques to engage children with SM in verbal experiences: […] Reflections are repeating or paraphrasing what a child says, to ensure the child feels heard and to echo the child’s response to others nearby. […] Forced-choice questions provide children with SM two or more verbal options that provoke verbal responses rather than allowing them to fall into patterns of nonverbal responses. […] Shaping is a thoughtful, nuanced process that reinforces more desired, complex behaviors to help children reach higher-level goals. […] Fade-ins help incorporate new people in a verbal experience.

• #31 How to Treat Selective Mutism: Best Practices and Effective Treatments    :: The Baker Center For Children and Families

  https://www.bakercenter.org/selective-mutism2

  In this intervention, caregivers are live coached by a clinician and interact with their child as they engage in bravery practices. […] A behavioral approach to selective mutism is highly supported by research. […] Cognitive strategies can be an effective tool for treatment of older kids, once they can reflect on their thoughts. […] Medication for selective mutism has been used in combination with therapy if the child has severe difficulties, if they have not been respondent to behavioral approaches, or if they have been struggling with selective mutism for a long time. […] Give a labeled praise to your child when they engage verbally outside of the home to increase the likelihood of the behavior. […] Use forced choice questions to help your child warm-up to speaking outside of the home. […] Practice Brave Talking with your child at home and in public. […] Encourage your child to use their voice and their social skills outside of the home but start small and have realistic expectations.

• #32 How to Treat Selective Mutism: Best Practices and Effective Treatments    :: The Baker Center For Children and Families

  https://www.bakercenter.org/selective-mutism2

  In this intervention, caregivers are live coached by a clinician and interact with their child as they engage in bravery practices. […] A behavioral approach to selective mutism is highly supported by research. […] Cognitive strategies can be an effective tool for treatment of older kids, once they can reflect on their thoughts. […] Medication for selective mutism has been used in combination with therapy if the child has severe difficulties, if they have not been respondent to behavioral approaches, or if they have been struggling with selective mutism for a long time. […] Give a labeled praise to your child when they engage verbally outside of the home to increase the likelihood of the behavior. […] Use forced choice questions to help your child warm-up to speaking outside of the home. […] Practice Brave Talking with your child at home and in public. […] Encourage your child to use their voice and their social skills outside of the home but start small and have realistic expectations.

• #33 Selective Mutism Treatment | Anxiety Specialists of Atlanta

  https://www.anxietyspecialistsofatlanta.com/services/selective-mutism/

  Selective Mutism is an anxiety disorder in which a child is not able to speak in certain settings, such as school or public venues, or to certain people (e.g., extended family, teachers, classmates, strangers). Children with Selective Mutism usually feel intense anxiety about speaking and might fear that others will judge them or reject them if they do speak. As such, they feel unable to speak in certain situations even though they can comfortably speak at other times, such as when they are at home with their parents and siblings. Parents might not realize their child has trouble speaking around others since talking is not a problem at home. About 1% of children suffer from Selective Mutism. Selective Mutism usually begins before five years of age. […] Selective Mutism treatment for children is best started as early as possible to get better outcomes. Treatment for Selective Mutism involves a combination of approaches, including Parent-Child Interactive Treatment for Selective Mutism (PCIT-SM), behavior therapy (specifically, exposure therapy), and contingency management (prompting children using techniques that increase the likelihood of speech and reinforcing successful speaking experiences). PCIT-SM is the research-documented treatment approach developed to help therapists, parents, and teachers working with children overcome Selective Mutism (SM). PCIT-SM has been tested and found to be effective in both the individual/family format and the intensive group format.

• #34 Selective Mutism: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/selective-mutism

  For children, these forms of therapy should involve the people raising them, too. Parental figures (including legal guardians or other loved ones) can contribute to the success of mental health therapy. […] Speech therapy involves working with a speech therapist or another specialized healthcare professional. It can be particularly helpful when SM happens with speech disorders. […] Medications can be part of treatment for SM, especially if mental health or speech therapy arent effective on their own. […] The most common medications for treating SM are selective-serotonin reuptake inhibitors (SSRIs). These mainly treat depression but can also treat anxiety-related disorders, including SM. Other medications may also help. Your healthcare provider (or your childs provider) can tell you more about these and help you choose.

• #35 Pediatric Therapy for Selective Mutism | Selective Mutism Therapy

  https://circlecare4kids.com/conditions/selective-mutism/

  Selective mutism is a complex anxiety disorder that significantly impairs a child’s ability to communicate effectively in certain social situations. […] If your child exhibits these symptoms, its vital to seek professional evaluation and support from a pediatric therapy professional specializing in childhood speech conditions. […] Understanding the underlying factors contributing to your childs selective mutism is essential for developing effective treatment strategies and providing appropriate support. […] While selective mutism can be challenging to overcome, early intervention and comprehensive treatment approaches can help children develop the confidence and skills necessary for effective communication. […] Speech-language pathologists can work with children to improve their verbal communication skills, including articulation, expressive language, and social communication.

• #36 Pediatric Therapy for Selective Mutism | Selective Mutism Therapy

  https://circlecare4kids.com/conditions/selective-mutism/

  Speech therapy plays a vital role in the treatment of pediatric selective mutism. […] Speech therapy encourages verbal expression and interaction, helping children with selective mutism develop effective communication skills in a supportive environment. […] Positive reinforcement in therapy sessions helps children build self-confidence and overcome communication challenges. […] Therapy incorporates relaxation techniques and gradual exposure to speaking situations, aiding children in managing anxiety associated with communication. […] We understand the challenges faced by children with anxiety disorders and are committed to supporting their emotional well-being and communication development.

• #37 Pediatric Therapy for Selective Mutism | Selective Mutism Therapy

  https://circlecare4kids.com/conditions/selective-mutism/

  Speech therapy plays a vital role in the treatment of pediatric selective mutism. […] Speech therapy encourages verbal expression and interaction, helping children with selective mutism develop effective communication skills in a supportive environment. […] Positive reinforcement in therapy sessions helps children build self-confidence and overcome communication challenges. […] Therapy incorporates relaxation techniques and gradual exposure to speaking situations, aiding children in managing anxiety associated with communication. […] We understand the challenges faced by children with anxiety disorders and are committed to supporting their emotional well-being and communication development.

• #38 Selective Mutism: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/selective-mutism

  For children, these forms of therapy should involve the people raising them, too. Parental figures (including legal guardians or other loved ones) can contribute to the success of mental health therapy. […] Speech therapy involves working with a speech therapist or another specialized healthcare professional. It can be particularly helpful when SM happens with speech disorders. […] Medications can be part of treatment for SM, especially if mental health or speech therapy arent effective on their own. […] The most common medications for treating SM are selective-serotonin reuptake inhibitors (SSRIs). These mainly treat depression but can also treat anxiety-related disorders, including SM. Other medications may also help. Your healthcare provider (or your childs provider) can tell you more about these and help you choose.

• #39 Selective Mutism: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/selective-mutism

  For children, these forms of therapy should involve the people raising them, too. Parental figures (including legal guardians or other loved ones) can contribute to the success of mental health therapy. […] Speech therapy involves working with a speech therapist or another specialized healthcare professional. It can be particularly helpful when SM happens with speech disorders. […] Medications can be part of treatment for SM, especially if mental health or speech therapy arent effective on their own. […] The most common medications for treating SM are selective-serotonin reuptake inhibitors (SSRIs). These mainly treat depression but can also treat anxiety-related disorders, including SM. Other medications may also help. Your healthcare provider (or your childs provider) can tell you more about these and help you choose.

• #40

  https://www2.hse.ie/conditions/selective-mutism/treatment/

  Your child’s anxiety may not disappear completely. But they are likely to become more able to manage their distress. […] They will need regular practice sessions at their preschool or school. […] There are other techniques the SLT or psychologist may use. They will use techniques that best suit your child. […] A child is rewarded for making attempts to talk or communicate in challenging situations. Rewards can encourage your child to keep trying. […] Desensitisation aims to reduce your child’s sensitivity to other people hearing their voice. […] Treatment is often based around fun and games, and activities your child likes. […] This all aims to build their confidence and reduce their anxiety. […] Medicine is not usually the first treatment for selective mutism. […] It is only really appropriate for older children, teenagers and adults who have not made progress in therapy.

• #41

  https://www2.hse.ie/conditions/selective-mutism/treatment/

  Sometimes medicine is used if their anxiety has led to other mental health difficulties. It may be prescribed as part of a treatment programme. […] If you are an adult with selective mutism, you can get help. […] When seeking help, involve a friend or family member to support you to take the first step.

• #42 Selective Mutism in Children and Adolescents

  https://www.mindyra.com/solutions/child/selective-mutism

  Research has shown that medications are most effective when combined with behavioral strategies or CBT, particularly to help the child maintain gains in communication over time. […] The following strategies, while not a substitute for the more well-validated treatments listed above, might be beneficial for some children with selective mutism: Speech-language therapy, Group therapy, Social problem-solving interventions.

• #43 Guide to Selective Mutism in Children – Child Mind Institute

  https://childmind.org/guide/parents-guide-how-to-help-a-child-with-selective-mutism/

  The good news is that selective mutism is very treatable with the right care. Kids with SM respond best to behavioral therapy that is focused on helping them learn to speak in new settings, during new activities and with new people. […] Children with SM should never be pushed to speak. The pace of treatment should be gradual, and children shouldn’t be asked to do something that is too difficult for them. Instead, treatment should follow specialized behavior therapy techniques that prompt speech and then reinforce successful speaking experiences with lots of labeled praise and small incentives. This careful progression helps children gain confidence and prepares them for experiences that get progressively more challenging. […] For a treatment program to be effective, kids need to learn how to speak in everyday situations — not just in the doctor’s office. This means that clinicians should model treatment around real-life settings and situations.

• #44 Selective mutism – NHS

  https://www.nhs.uk/mental-health/conditions/selective-mutism/

  As well as these environmental changes, older children may need individual support to overcome their anxiety. […] Cognitive behavioural therapy (CBT) helps a person focus on how they think about themselves, the world and other people, and how their perception of these things affects their thoughts and feelings. […] Behavioural therapy concentrates on helping combat current difficulties using a gradual step-by-step approach to help conquer fears. […] There are several techniques based on CBT and behavioural therapy that are useful in treating selective mutism. […] Medicine should never be prescribed as an alternative to environmental changes and behavioural approaches. […] Do not pressurise or bribe your child to encourage them to speak. […] Let your child know you understand they’re scared to speak and have difficulty speaking at times. Tell them they can take small steps when they feel ready and reassure them that talking will get easier. […] Reassure your child that non-verbal communication, such as smiling and waving, is fine until they feel better about talking.

• #45 Selective Mutism: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/selective-mutism

  You may feel frustrated if your child wont speak in certain situations, even if you tell them to. That frustration can be intense if your child avoids talking by using tantrums or other forms of acting out behavior. […] Its important to remember that SM is a mental health condition. Its not something your child has control over. But you can control how you react to your childs condition and its symptoms. […] Some of the most important things you can keep in mind include: Help your child feel comfortable and safe. […] Reduce fear and anxiety, and build slowly from there. Start with ways that your child can comfortably communicate and encourage that. Help them become more and more comfortable with social encounters first and then work on talking. […] The outlook for SM is good overall, especially with early diagnosis and treatment. When diagnosed and treated in early childhood, most people with SM can overcome or learn to cope with it, so it doesnt affect their lives as much (or at all). […] When SM goes undetected or untreated, the outlook is less positive. It isnt dangerous, but the negative effects can be significant. People with SM often experience anxiety and depression. Some struggle with social situations and feel lonely or isolated. It can also affect their education, career and other important parts of their lives.

• #46 Selective mutism – NHS

  https://www.nhs.uk/mental-health/conditions/selective-mutism/

  As well as these environmental changes, older children may need individual support to overcome their anxiety. […] Cognitive behavioural therapy (CBT) helps a person focus on how they think about themselves, the world and other people, and how their perception of these things affects their thoughts and feelings. […] Behavioural therapy concentrates on helping combat current difficulties using a gradual step-by-step approach to help conquer fears. […] There are several techniques based on CBT and behavioural therapy that are useful in treating selective mutism. […] Medicine should never be prescribed as an alternative to environmental changes and behavioural approaches. […] Do not pressurise or bribe your child to encourage them to speak. […] Let your child know you understand they’re scared to speak and have difficulty speaking at times. Tell them they can take small steps when they feel ready and reassure them that talking will get easier. […] Reassure your child that non-verbal communication, such as smiling and waving, is fine until they feel better about talking.

• #47 Selective Mutism | Texas Children’s

  https://www.texaschildrens.org/content/conditions/selective-mutism

  Children with Selective Mutism (SM) demonstrate a persistent failure to speak in specific social situations when speaking is expected (e.g., school, extra-curricular activities, play dates), but speak fluently in other situations. […] Therefore, it is important that children with SM receive help to overcome their fear of talking. […] Reasonable accommodations may be needed for children with SM in the school setting as they work toward generalizing their brave talking skills. Below is a list of sample accommodations that may be beneficial at different points in treatment: Allow the child with SM to arrive early in order to allow “warm-up time” before the school […] Maintain open lines of communication between the school and the child’s parents in order to facilitate treatment gains and problem-solve as needed. Sending the child’s behavior plan home each day is an important part of this process. […] Carefully consider the teacher and peers that the child with SM will be placed with each school year in order to facilitate growth and generalization of brave talking skills.

• #48 Selective Mutism

  https://www.asha.org/practice-portal/clinical-topics/selective-mutism/?srsltid=AfmBOooXuQGPc9WTb0Gom2bVJd_1pKBxUF7MJBzVGMPYDGSdd3Lwrti-

  Speech-language pathologists (SLPs) play an integral role in the screening, assessment, diagnosis, and treatment of individuals with selective mutism. […] The following roles are appropriate for SLPs: Educate other professionals on the needs of individuals with selective mutism and the role of the SLP in diagnosing and managing selective mutism. […] Conduct a comprehensive, culturally and linguistically appropriate assessment of speech, language, and communication. […] Develop treatment plans, provide treatment, document progress, and determine appropriate dismissal criteria. […] Counsel individuals with selective mutism and their care partners regarding communication-related issues and provide education aimed at preventing further complications relating to selective mutism. […] The SLP can work with the child’s teacher and school staff to use the following strategies: Form small, cooperative learning groups that include the child’s preferred peers.

• #49 Selective Mutism

  https://www.asha.org/practice-portal/clinical-topics/selective-mutism/?srsltid=AfmBOooXuQGPc9WTb0Gom2bVJd_1pKBxUF7MJBzVGMPYDGSdd3Lwrti-

  Help the child communicate with peers in a group by first using nonverbal methods (e.g., signals, gestures, pictures, writing) and then gradually working toward verbal participation. […] Continued collaboration between the SLP and behavioral health professionals, classroom teachers, and the family is necessary for treatment continuity, clear delineation of roles and responsibilities, and appropriate hierarchical goal setting. […] Initially, children may require individual treatment sessions to establish rapport and practice relaxation techniques and pragmatic skills in a comfortable setting. […] Treatment may occur within the clinical office, school, and community to reinforce the individual’s speaking skills.

• #50 Selective Mutism | Texas Children’s

  https://www.texaschildrens.org/content/conditions/selective-mutism

  Children with Selective Mutism (SM) demonstrate a persistent failure to speak in specific social situations when speaking is expected (e.g., school, extra-curricular activities, play dates), but speak fluently in other situations. […] Therefore, it is important that children with SM receive help to overcome their fear of talking. […] Reasonable accommodations may be needed for children with SM in the school setting as they work toward generalizing their brave talking skills. Below is a list of sample accommodations that may be beneficial at different points in treatment: Allow the child with SM to arrive early in order to allow “warm-up time” before the school […] Maintain open lines of communication between the school and the child’s parents in order to facilitate treatment gains and problem-solve as needed. Sending the child’s behavior plan home each day is an important part of this process. […] Carefully consider the teacher and peers that the child with SM will be placed with each school year in order to facilitate growth and generalization of brave talking skills.

• #51 A Teacher’s Guide to Selective Mutism | Child Mind Institute

  https://childmind.org/guide/teachers-guide-to-selective-mutism/

  Knowing when — and how — to ask a child with selective mutism to participate in class can be difficult. […] This partnership is essential because even if the child is making progress in the clinician’s office, if her gains aren’t translating into progress in the classroom, her treatment is missing the mark. […] Here are some of the strategies that teachers report finding helpful: Nonverbal communication: If the child is able to use gestures and hand signals (like pointing, nodding, giving a thumbs up or down), nonverbal communication is a great way to help kids participate in class. […] Children with SM may qualify for accommodations under Section 504 or be eligible for special school services under an IEP.

• #52 A Teacher’s Guide to Selective Mutism | Child Mind Institute

  https://childmind.org/guide/teachers-guide-to-selective-mutism/

  Knowing when — and how — to ask a child with selective mutism to participate in class can be difficult. […] This partnership is essential because even if the child is making progress in the clinician’s office, if her gains aren’t translating into progress in the classroom, her treatment is missing the mark. […] Here are some of the strategies that teachers report finding helpful: Nonverbal communication: If the child is able to use gestures and hand signals (like pointing, nodding, giving a thumbs up or down), nonverbal communication is a great way to help kids participate in class. […] Children with SM may qualify for accommodations under Section 504 or be eligible for special school services under an IEP.

• #53 Navigating selective mutism in children – CHOC – Children’s health hub

  https://health.choc.org/navigating-selective-mutism-in-children/

  In a complete treatment plan, it’s important to involve the child’s school. Educators might lack awareness of selective mutism, mistaking silence for other issues like comprehension difficulties or defiance. Like caregivers, teachers may accidentally adapt to the silence, which can prevent progress. Educators can be trained to understand and support children with selective mutism with guidance from the child’s clinician. Collaboration between clinicians and teachers, such as through training and specific tools, is key. […] Children with selective mutism may also qualify for accommodations or special services under Section 504 or an Individualized Education Plan (IEP). An IEP is a personalized plan designed to support students with a variety of different disabilities and challenges at school. For children with selective mutism, an IEP can provide specific accommodations to help them overcome communication issues in the classroom, such as using other forms of communication, gradual exposure tools, and support environments to boost verbal communication. These plans, in turn, help to ensure that children get the support they need to do well in school and with peer relationships.

• #54 Guide to Selective Mutism in Children – Child Mind Institute

  https://childmind.org/guide/parents-guide-how-to-help-a-child-with-selective-mutism/

  It’s important that everyone in a child’s life be involved with treatment because SM is a disorder that other people tend to adapt to, which can actually make it harder to treat. […] Kids with SM get too much practice not talking. Think about how many times a day your child is asked questions at school that they are not answering. Treatment helps reverse this by giving kids experience speaking in situations where they feel anxious. Since kids spend more time at home than they do working with a clinician, parents are a vital part of treatment. […] As part of a comprehensive treatment program, it is extremely important to get a child’s school on board with treatment. […] Behavioral treatment is the gold standard for treating selective mutism, but medication can be helpful for kids with the disorder who aren’t making sufficient gains with therapy alone.

• #55 Selective mutism in children & teens | Raising Children Network

  https://raisingchildren.net.au/guides/a-z-health-reference/selective-mutism

  Children who get professional help in their preschool and early school years often recover from selective mutism more quickly than those who dont. […] If your child has selective mutism, they need your support to build speaking skills and confidence. […] Acknowledge your childs anxiety about speaking. Let your child know that they wont get in trouble if they dont speak when theyre away from home or you. […] Model positive and confident behaviour in social situations. […] Talk to your child about times when you feel anxious and how you manage this with calm breathing, helpful self-talk and wiliness to give things a go. […] Be patient with your childs progress, and try to keep frustration to yourself. This will help your child build the confidence they need to speak. […] With regular practice at home, at school and in the community, children with selective mutism can overcome speaking difficulties. But it can take time up to several years. Even when your child does start to speak, theyll need support to build speaking confidence in all situations. It’s important to monitor how much your child speaks and talk with your childs health professional if you have any concerns.

• #56 Guide to Selective Mutism in Children – Child Mind Institute

  https://childmind.org/guide/parents-guide-how-to-help-a-child-with-selective-mutism/

  It’s important that everyone in a child’s life be involved with treatment because SM is a disorder that other people tend to adapt to, which can actually make it harder to treat. […] Kids with SM get too much practice not talking. Think about how many times a day your child is asked questions at school that they are not answering. Treatment helps reverse this by giving kids experience speaking in situations where they feel anxious. Since kids spend more time at home than they do working with a clinician, parents are a vital part of treatment. […] As part of a comprehensive treatment program, it is extremely important to get a child’s school on board with treatment. […] Behavioral treatment is the gold standard for treating selective mutism, but medication can be helpful for kids with the disorder who aren’t making sufficient gains with therapy alone.

• #57 How to Treat Selective Mutism: Best Practices and Effective Treatments    :: The Baker Center For Children and Families

  https://www.bakercenter.org/selective-mutism2

  In this intervention, caregivers are live coached by a clinician and interact with their child as they engage in bravery practices. […] A behavioral approach to selective mutism is highly supported by research. […] Cognitive strategies can be an effective tool for treatment of older kids, once they can reflect on their thoughts. […] Medication for selective mutism has been used in combination with therapy if the child has severe difficulties, if they have not been respondent to behavioral approaches, or if they have been struggling with selective mutism for a long time. […] Give a labeled praise to your child when they engage verbally outside of the home to increase the likelihood of the behavior. […] Use forced choice questions to help your child warm-up to speaking outside of the home. […] Practice Brave Talking with your child at home and in public. […] Encourage your child to use their voice and their social skills outside of the home but start small and have realistic expectations.

• #58 How to Treat Selective Mutism: Best Practices and Effective Treatments    :: The Baker Center For Children and Families

  https://www.bakercenter.org/selective-mutism2

  In this intervention, caregivers are live coached by a clinician and interact with their child as they engage in bravery practices. […] A behavioral approach to selective mutism is highly supported by research. […] Cognitive strategies can be an effective tool for treatment of older kids, once they can reflect on their thoughts. […] Medication for selective mutism has been used in combination with therapy if the child has severe difficulties, if they have not been respondent to behavioral approaches, or if they have been struggling with selective mutism for a long time. […] Give a labeled praise to your child when they engage verbally outside of the home to increase the likelihood of the behavior. […] Use forced choice questions to help your child warm-up to speaking outside of the home. […] Practice Brave Talking with your child at home and in public. […] Encourage your child to use their voice and their social skills outside of the home but start small and have realistic expectations.

• #59 How to Treat Selective Mutism: Best Practices and Effective Treatments    :: The Baker Center For Children and Families

  https://www.bakercenter.org/selective-mutism2

  In this intervention, caregivers are live coached by a clinician and interact with their child as they engage in bravery practices. […] A behavioral approach to selective mutism is highly supported by research. […] Cognitive strategies can be an effective tool for treatment of older kids, once they can reflect on their thoughts. […] Medication for selective mutism has been used in combination with therapy if the child has severe difficulties, if they have not been respondent to behavioral approaches, or if they have been struggling with selective mutism for a long time. […] Give a labeled praise to your child when they engage verbally outside of the home to increase the likelihood of the behavior. […] Use forced choice questions to help your child warm-up to speaking outside of the home. […] Practice Brave Talking with your child at home and in public. […] Encourage your child to use their voice and their social skills outside of the home but start small and have realistic expectations.

• #60 Selective Mutism Service | NYU Langone Health

  https://nyulangone.org/locations/child-study-center/selective-mutism-service

  Therapists also frequently consult with teachers to identify appropriate speaking goals in school, provide recommendations for navigating challenging social situations, and obtain progress updates. […] In addition, we offer school-based intervention, where the therapist will promote child’s speech with teachers and peers in the classroom. […] Cognitive behavioral methods are used, when appropriate, to help children learn that their worried thoughts about speaking may not be correct or helpful. […] Anxiety about making mistakes or beliefs that they might receive harsh responses is often addressed with these methods. […] Camp Courage is our four-day intensive summer treatment program aimed at helping children ages 4 to 11 communicate verbally in various social situations. […] The program helps children increase comfort in group settings that are similar to those settings encountered in their real lives and lead them to use their voices with new adults and peers.

• #61 Selective Mutism Service | NYU Langone Health

  https://nyulangone.org/locations/child-study-center/selective-mutism-service

  Through repeated practice and graduated exposure, children begin to conquer their fears about speaking and joining in with others. […] Experts in selective mutism work one-on-one with children to facilitate speech and reward verbal communication. […] We offer individualized intensive treatment programs over multiple, consecutive days for families who are able to travel to New York City from elsewhere in the state or country. […] In addition to providing services for younger children, we also provide both weekly and intensive treatment options for older children with selective mutism who are 12 years and older. […] We recognize that tweens and teens with selective mutism often have a distinct clinical profile that requires specialized, developmentally appropriate care. […] We can help your child make and maintain friendships, initiate verbal conversation with others, decrease avoidance behaviors, and practice speaking during hangouts with same-age peers. […] We offer training workshops and professional development seminars for therapists and other school mental health professionals.

• #62 Best Residential Treatment for Teen Selective Mutism

  https://keyhealthcare.com/best-residential-treatment-for-selective-mutism-in-teens/

  Key Healthcare understands this anxiety disorders unique challenges, which can significantly impact a teenagers ability to communicate and interact in social settings. We are committed to providing the best residential treatment program designed specifically for teens struggling with Selective Mutism. […] Teen residential treatment can be an effective selective mutism treatment. At Key Healthcare, we offer a residential treatment center reserved for teens with chronic mental health conditions and substance abuse issues. The program is tailor-made for teens between 14-17 years of age and runs for 45-60 days. The program utilizes evidence-based therapy approaches, such as cognitive behavior therapy for teenagers (CBT), dialectal behavior therapy (DBT), and acceptance and commitment therapy (ACT) to treat several mental health conditions.

• #63 Best Residential Treatment for Teen Selective Mutism

  https://keyhealthcare.com/best-residential-treatment-for-selective-mutism-in-teens/

  Here are the key therapies utilized during residential treatment and how they work to treat selective mutism in teens. […] CBT focuses on changing adverse reactions that may worsen mental health conditions like anxiety and depression in teens. […] CBT incorporates several strategies to help your teen recover from their selective mutism. It incorporates contingency management that uses a reward system to reinforce positive communication achievements. […] CBT also utilizes desensitization techniques that gradually expose your teen to stressful situations and induce relaxation. […] Residential treatment uses all these methods to ensure the efficiency of selective mutism treatment in teens. Residential treatment is beneficial in treating selective mutism as it provides a structured and safe environment for your teen to focus on recovery. It also offers round-the-clock care to ensure your teen receives high-quality care and support.

• #64 Selective Mutism Service | NYU Langone Health

  https://nyulangone.org/locations/child-study-center/selective-mutism-service

  Through repeated practice and graduated exposure, children begin to conquer their fears about speaking and joining in with others. […] Experts in selective mutism work one-on-one with children to facilitate speech and reward verbal communication. […] We offer individualized intensive treatment programs over multiple, consecutive days for families who are able to travel to New York City from elsewhere in the state or country. […] In addition to providing services for younger children, we also provide both weekly and intensive treatment options for older children with selective mutism who are 12 years and older. […] We recognize that tweens and teens with selective mutism often have a distinct clinical profile that requires specialized, developmentally appropriate care. […] We can help your child make and maintain friendships, initiate verbal conversation with others, decrease avoidance behaviors, and practice speaking during hangouts with same-age peers. […] We offer training workshops and professional development seminars for therapists and other school mental health professionals.

• #65 Selective Mutism – Baptist Health

  https://www.baptisthealth.com/care-services/conditions-treatments/selective-mutism

  Selective mutism (SM) is a severe anxiety disorder where children or adults are unable to speak in certain social settings, such as school, work, or out in the community. […] SM is typically diagnosed in childhood and often co-occurs with other anxiety disorders such as social anxiety or separation anxiety. […] If SM is not treated in childhood, it can persist into adulthood. […] It is important for the success of treatment and recovery that children are diagnosed early in life. […] Diagnosis of SM is usually made between the ages of 3-8, when children interact more outside of the home. […] It is important in the treatment of SM to take a whole child approach, which requires involvement from caregivers, teachers, mental health professionals, and sometimes speech language pathologists.

• #66 Selective Mutism in Adults: Trauma Link and Coping

  https://www.verywellhealth.com/selective-mutism-in-adults-8631321

  Selective mutism occurs when a person who speaks verbally in some situations or settings does not speak in others. This is a medical condition, not a behavioral concern. It affects 1% to 2% of people, making it rare. […] Selective mutism is linked to fear, anxiety, and discomfort in different environments and situations. Learning mindfulness techniques and building confidence and comfort can help to improve selective mutism symptoms. Other self-soothing methods for selective mutism include: Taking breaks from triggering environments, Breathing exercises, Meditation, Relaxation exercises, Visualizations. […] The goal in treatment for selective mutism is to reduce the stress associated with speaking rather than focusing on the speaking itself. […] Mental health professionals can help people with selective mutism. Cognitive behavioral therapy, or CBT, is a type of talk therapy (psychotherapy) that has been found effective in treating selective mutism and has shown long-term benefits.

• #67 Selective Mutism in Adults: Trauma Link and Coping

  https://www.verywellhealth.com/selective-mutism-in-adults-8631321

  Selective mutism occurs when a person who speaks verbally in some situations or settings does not speak in others. This is a medical condition, not a behavioral concern. It affects 1% to 2% of people, making it rare. […] Selective mutism is linked to fear, anxiety, and discomfort in different environments and situations. Learning mindfulness techniques and building confidence and comfort can help to improve selective mutism symptoms. Other self-soothing methods for selective mutism include: Taking breaks from triggering environments, Breathing exercises, Meditation, Relaxation exercises, Visualizations. […] The goal in treatment for selective mutism is to reduce the stress associated with speaking rather than focusing on the speaking itself. […] Mental health professionals can help people with selective mutism. Cognitive behavioral therapy, or CBT, is a type of talk therapy (psychotherapy) that has been found effective in treating selective mutism and has shown long-term benefits.

• #68 Selective Mutism in Adults – Leaf Complex Care

  https://leafcare.co.uk/blog/selective-mutism-in-adults/

  Selective mutism is an anxiety disorder that causes difficulty speaking in certain social situations despite being able to speak in other contexts. For adults and children with selective mutism, navigating social interactions can be incredibly challenging. Understanding and patience from those around them are crucial in providing support. With the right interventions by mental health professionals, such as therapy and gradual exposure to anxiety-inducing situations, individuals with selective mutism can learn to manage their anxiety and improve their ability to communicate effectively, leading to enhanced social interactions and overall well-being. […] Leaf Complex Care offers support for individuals with selective mutism and can provide tailored care and therapies to help individuals regain their own voice, make decisions for themselves in the support they receive and improve their quality of life.

• #69 Selective Mutism in Adults – Leaf Complex Care

  https://leafcare.co.uk/blog/selective-mutism-in-adults/

  Talking openly with family and friends about selective mutism can foster understanding and support. Its important to approach these conversations with empathy, patience, and reassurance, emphasising that its not about being shy but a genuine mental health challenge. […] Leaf Complex Care provides support for adults with selective mutism through its expert speech-language therapists. The therapists at Leaf Complex Care employ a humanised and tailored approach and specialise in working with adults facing communication challenges, recognising that every individuals journey with selective mutism is unique. Through careful assessment and understanding of the individuals needs, therapists develop bespoke therapy plans, ensuring that each session is precisely tailored to the persons comfort level and progress. This personalised touch fosters a sense of trust and safety, essential for individuals to gradually open up and regain their voice.

• #70 Selective Mutism in Adults: Trauma Link and Coping

  https://www.verywellhealth.com/selective-mutism-in-adults-8631321

  Selective mutism occurs when a person who speaks verbally in some situations or settings does not speak in others. This is a medical condition, not a behavioral concern. It affects 1% to 2% of people, making it rare. […] Selective mutism is linked to fear, anxiety, and discomfort in different environments and situations. Learning mindfulness techniques and building confidence and comfort can help to improve selective mutism symptoms. Other self-soothing methods for selective mutism include: Taking breaks from triggering environments, Breathing exercises, Meditation, Relaxation exercises, Visualizations. […] The goal in treatment for selective mutism is to reduce the stress associated with speaking rather than focusing on the speaking itself. […] Mental health professionals can help people with selective mutism. Cognitive behavioral therapy, or CBT, is a type of talk therapy (psychotherapy) that has been found effective in treating selective mutism and has shown long-term benefits.

• #71 Selective Mutism in Adults – Leaf Complex Care

  https://leafcare.co.uk/blog/selective-mutism-in-adults/

  Talking openly with family and friends about selective mutism can foster understanding and support. Its important to approach these conversations with empathy, patience, and reassurance, emphasising that its not about being shy but a genuine mental health challenge. […] Leaf Complex Care provides support for adults with selective mutism through its expert speech-language therapists. The therapists at Leaf Complex Care employ a humanised and tailored approach and specialise in working with adults facing communication challenges, recognising that every individuals journey with selective mutism is unique. Through careful assessment and understanding of the individuals needs, therapists develop bespoke therapy plans, ensuring that each session is precisely tailored to the persons comfort level and progress. This personalised touch fosters a sense of trust and safety, essential for individuals to gradually open up and regain their voice.

• #72

  https://www2.hse.ie/conditions/selective-mutism/treatment/

  Sometimes medicine is used if their anxiety has led to other mental health difficulties. It may be prescribed as part of a treatment programme. […] If you are an adult with selective mutism, you can get help. […] When seeking help, involve a friend or family member to support you to take the first step.

• #73 Selective Mutism in Adults – Leaf Complex Care

  https://leafcare.co.uk/blog/selective-mutism-in-adults/

  Talking openly with family and friends about selective mutism can foster understanding and support. Its important to approach these conversations with empathy, patience, and reassurance, emphasising that its not about being shy but a genuine mental health challenge. […] Leaf Complex Care provides support for adults with selective mutism through its expert speech-language therapists. The therapists at Leaf Complex Care employ a humanised and tailored approach and specialise in working with adults facing communication challenges, recognising that every individuals journey with selective mutism is unique. Through careful assessment and understanding of the individuals needs, therapists develop bespoke therapy plans, ensuring that each session is precisely tailored to the persons comfort level and progress. This personalised touch fosters a sense of trust and safety, essential for individuals to gradually open up and regain their voice.

• #74 Selective Mutism: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/selective-mutism

  You may feel frustrated if your child wont speak in certain situations, even if you tell them to. That frustration can be intense if your child avoids talking by using tantrums or other forms of acting out behavior. […] Its important to remember that SM is a mental health condition. Its not something your child has control over. But you can control how you react to your childs condition and its symptoms. […] Some of the most important things you can keep in mind include: Help your child feel comfortable and safe. […] Reduce fear and anxiety, and build slowly from there. Start with ways that your child can comfortably communicate and encourage that. Help them become more and more comfortable with social encounters first and then work on talking. […] The outlook for SM is good overall, especially with early diagnosis and treatment. When diagnosed and treated in early childhood, most people with SM can overcome or learn to cope with it, so it doesnt affect their lives as much (or at all). […] When SM goes undetected or untreated, the outlook is less positive. It isnt dangerous, but the negative effects can be significant. People with SM often experience anxiety and depression. Some struggle with social situations and feel lonely or isolated. It can also affect their education, career and other important parts of their lives.

• #75 Selective Mutism: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/selective-mutism

  You may feel frustrated if your child wont speak in certain situations, even if you tell them to. That frustration can be intense if your child avoids talking by using tantrums or other forms of acting out behavior. […] Its important to remember that SM is a mental health condition. Its not something your child has control over. But you can control how you react to your childs condition and its symptoms. […] Some of the most important things you can keep in mind include: Help your child feel comfortable and safe. […] Reduce fear and anxiety, and build slowly from there. Start with ways that your child can comfortably communicate and encourage that. Help them become more and more comfortable with social encounters first and then work on talking. […] The outlook for SM is good overall, especially with early diagnosis and treatment. When diagnosed and treated in early childhood, most people with SM can overcome or learn to cope with it, so it doesnt affect their lives as much (or at all). […] When SM goes undetected or untreated, the outlook is less positive. It isnt dangerous, but the negative effects can be significant. People with SM often experience anxiety and depression. Some struggle with social situations and feel lonely or isolated. It can also affect their education, career and other important parts of their lives.

• #76 Selective mutism – NHS

  https://www.nhs.uk/mental-health/conditions/selective-mutism/

  Selective mutism is an anxiety disorder where a person is unable to speak in certain social situations, such as with classmates at school or to relatives they do not see very often. […] A child can successfully overcome selective mutism if it’s diagnosed at an early age and appropriately managed. […] It’s important for selective mutism to be recognised early by families and schools so they can work together to reduce a child’s anxiety. […] With appropriate handling and treatment, most children are able to overcome selective mutism. But the older they are when the condition is diagnosed, the longer it will take. […] Treatment does not focus on the speaking itself, but reducing the anxiety associated with speaking. […] The need for individual treatment can be avoided if family and staff in early years settings work together to reduce the child’s anxiety by creating a positive environment for them.

• #77 Our guide to selective mutism – Children and Family Health Devon

  https://childrenandfamilyhealthdevon.nhs.uk/resources/our-guide-to-selective-mutism/

  Selective mutism (SM) is an anxiety. It is best understood as a phobia of talking in certain situations. […] A child can successfully overcome SM if it is identified at an early age and if appropriate support is implemented. Early intervention for children with SM is associated with better outcomes in a shorter time period. […] A range of professionals can support children and young people who present with SM. Speech and language therapists have a key role in supporting early identification as well as in the management of SM. As children and young people get older, they are more likely to require a multidisciplinary approach to support wider needs.

• #78 Selective mutism – NHS

  https://www.nhs.uk/mental-health/conditions/selective-mutism/

  Selective mutism is an anxiety disorder where a person is unable to speak in certain social situations, such as with classmates at school or to relatives they do not see very often. […] A child can successfully overcome selective mutism if it’s diagnosed at an early age and appropriately managed. […] It’s important for selective mutism to be recognised early by families and schools so they can work together to reduce a child’s anxiety. […] With appropriate handling and treatment, most children are able to overcome selective mutism. But the older they are when the condition is diagnosed, the longer it will take. […] Treatment does not focus on the speaking itself, but reducing the anxiety associated with speaking. […] The need for individual treatment can be avoided if family and staff in early years settings work together to reduce the child’s anxiety by creating a positive environment for them.

• #79 Selective Mutism: Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/selective-mutism

  You may feel frustrated if your child wont speak in certain situations, even if you tell them to. That frustration can be intense if your child avoids talking by using tantrums or other forms of acting out behavior. […] Its important to remember that SM is a mental health condition. Its not something your child has control over. But you can control how you react to your childs condition and its symptoms. […] Some of the most important things you can keep in mind include: Help your child feel comfortable and safe. […] Reduce fear and anxiety, and build slowly from there. Start with ways that your child can comfortably communicate and encourage that. Help them become more and more comfortable with social encounters first and then work on talking. […] The outlook for SM is good overall, especially with early diagnosis and treatment. When diagnosed and treated in early childhood, most people with SM can overcome or learn to cope with it, so it doesnt affect their lives as much (or at all). […] When SM goes undetected or untreated, the outlook is less positive. It isnt dangerous, but the negative effects can be significant. People with SM often experience anxiety and depression. Some struggle with social situations and feel lonely or isolated. It can also affect their education, career and other important parts of their lives.

• #80 Selective mutism: a team approach to assessment and treatment in the school setting – PubMed

  https://pubmed.ncbi.nlm.nih.gov/21970860/

  The school nurse plays a pivotal role in the assessment and treatment of selective mutism (SM), a rare disorder found in elementary school children. […] The school nurse plays a critical role as a member of the Instructional Support Team (IST). […] School nurses make a difference by advocating for the child with SM and possessing the necessary knowledge to effectively intervene. […] This article discusses a team approach to the assessment and treatment of SM and the role of the school nurse in the school setting.

• #81 Selective Mutism

  https://www.asha.org/practice-portal/clinical-topics/selective-mutism/?srsltid=AfmBOooXuQGPc9WTb0Gom2bVJd_1pKBxUF7MJBzVGMPYDGSdd3Lwrti-

  Speech-language pathologists (SLPs) play an integral role in the screening, assessment, diagnosis, and treatment of individuals with selective mutism. […] The following roles are appropriate for SLPs: Educate other professionals on the needs of individuals with selective mutism and the role of the SLP in diagnosing and managing selective mutism. […] Conduct a comprehensive, culturally and linguistically appropriate assessment of speech, language, and communication. […] Develop treatment plans, provide treatment, document progress, and determine appropriate dismissal criteria. […] Counsel individuals with selective mutism and their care partners regarding communication-related issues and provide education aimed at preventing further complications relating to selective mutism. […] The SLP can work with the child’s teacher and school staff to use the following strategies: Form small, cooperative learning groups that include the child’s preferred peers.

• #82 Silent Suffering: Children with Selective Mutism – The Professional Counselor

  https://tpcjournal.nbcc.org/silent-suffering-children-with-selective-mutism/

  Because the etiology of selective mutism is unclear, there is much disagreement among researchers regarding effective treatment approaches. […] Family counseling or therapy is often a necessary component of an effective treatment plan for children with selective mutism. […] The cooperation and participation of parents in the treatment has a positive impact on recovery. […] Early, accurate diagnosis and intervention are crucial to overcoming selective mutism regardless of the type of treatment program. […] School personnel, especially teachers, play crucial roles in the treatment of selective mutism. […] Overall research, therefore, supports both an individual and systematic approach that includes school personnel for the treatment of selective mutism.

• #83 Selective mutism: a team approach to assessment and treatment in the school setting – PubMed

  https://pubmed.ncbi.nlm.nih.gov/21970860/

  The school nurse plays a pivotal role in the assessment and treatment of selective mutism (SM), a rare disorder found in elementary school children. […] The school nurse plays a critical role as a member of the Instructional Support Team (IST). […] School nurses make a difference by advocating for the child with SM and possessing the necessary knowledge to effectively intervene. […] This article discusses a team approach to the assessment and treatment of SM and the role of the school nurse in the school setting.

• #84 Selective mutism: a team approach to assessment and treatment in the school setting – PubMed

  https://pubmed.ncbi.nlm.nih.gov/21970860/

  The school nurse plays a pivotal role in the assessment and treatment of selective mutism (SM), a rare disorder found in elementary school children. […] The school nurse plays a critical role as a member of the Instructional Support Team (IST). […] School nurses make a difference by advocating for the child with SM and possessing the necessary knowledge to effectively intervene. […] This article discusses a team approach to the assessment and treatment of SM and the role of the school nurse in the school setting.

• #85 Silent Suffering: Children with Selective Mutism – The Professional Counselor

  https://tpcjournal.nbcc.org/silent-suffering-children-with-selective-mutism/

  Despite increasing awareness, the childhood disorder of selective mutism is under-researched and commonly misdiagnosed. […] The purpose of this article is to highlight current issues related to this disorder as well as describe various treatment approaches including behavioral, cognitive-behavioral, psychodynamic, family, and pharmacological interventions. […] The importance of early intervention and participation of family members and school personnel in the treatment process will be stressed. […] An initial goal of treatment is to lower the child’s anxiety and develop healthy coping mechanisms for dealing with anxiety. […] Increasing self-esteem and confidence in social settings is another integral objective of most treatment programs. […] The last and most evident goal is to increase verbal communication in social settings.

• #86 Selective mutism: a consensus based care pathway of good practice – PubMed

  https://pubmed.ncbi.nlm.nih.gov/18456696/

  Selective mutism (SM) now acknowledged as an anxiety condition, tends to be a poorly understood, highly complex and vastly under-recognised clinical entity. […] Children with SM are a vulnerable group as the condition is not the remit of any one professional group. […] There is a lack of systematic research on which to base guidelines for management. […] Through a Delphi process, agreement was reached by a multidisciplinary group of professionals, on key principles that underpin the timely identification, assessment and management of children with SM. […] These include the potential for staff in school/preschool settings to identify SM and that intervention programmes should generally be based in these settings. […] Children with SM should receive assessment for possible coexisting disorders, whether developmental, emotional or behavioural and additional specific intervention given for these. […] Agreement was reached as to what constitutes clinical progress, intervals for monitoring progress, criteria for referral onwards for multidisciplinary specialist assessment and the role of selective serotonin reuptake inhibitor (SSRI) medication.

• #87 Selective Mutism: A consensus based care pathway of good practice | Archives of Disease in Childhood

  https://adc.bmj.com/content/early/2008/05/02/adc.2007.129437?versioned=true

  Selective mutism (SM) now acknowledged as an anxiety condition, tends to be a poorly understood, highly complex and vastly under-recognised clinical entity. […] There is a lack of systematic research on which to base guidelines for management. […] The agreed key principles are presented together with the resulting local care pathway. […] Through a Delphi process, agreement was reached by a multidisciplinary group of professionals on key principles that underpin the timely identification, assessment and management of children with SM. […] These include the potential for staff in school/preschool settings to identify SM and that intervention programmes should generally be based in these settings. […] Children with SM should receive assessment for possible coexisting disorders, whether developmental, emotional or behavioural and additional specific intervention given for these.

• #88 Selective mutism: a consensus based care pathway of good practice – PubMed

  https://pubmed.ncbi.nlm.nih.gov/18456696/

  Selective mutism (SM) now acknowledged as an anxiety condition, tends to be a poorly understood, highly complex and vastly under-recognised clinical entity. […] Children with SM are a vulnerable group as the condition is not the remit of any one professional group. […] There is a lack of systematic research on which to base guidelines for management. […] Through a Delphi process, agreement was reached by a multidisciplinary group of professionals, on key principles that underpin the timely identification, assessment and management of children with SM. […] These include the potential for staff in school/preschool settings to identify SM and that intervention programmes should generally be based in these settings. […] Children with SM should receive assessment for possible coexisting disorders, whether developmental, emotional or behavioural and additional specific intervention given for these. […] Agreement was reached as to what constitutes clinical progress, intervals for monitoring progress, criteria for referral onwards for multidisciplinary specialist assessment and the role of selective serotonin reuptake inhibitor (SSRI) medication.

• #89 Selective Mutism: A consensus based care pathway of good practice | Archives of Disease in Childhood

  https://adc.bmj.com/content/early/2008/05/02/adc.2007.129437?versioned=true

  Selective mutism (SM) now acknowledged as an anxiety condition, tends to be a poorly understood, highly complex and vastly under-recognised clinical entity. […] There is a lack of systematic research on which to base guidelines for management. […] The agreed key principles are presented together with the resulting local care pathway. […] Through a Delphi process, agreement was reached by a multidisciplinary group of professionals on key principles that underpin the timely identification, assessment and management of children with SM. […] These include the potential for staff in school/preschool settings to identify SM and that intervention programmes should generally be based in these settings. […] Children with SM should receive assessment for possible coexisting disorders, whether developmental, emotional or behavioural and additional specific intervention given for these.

• #90 Selective Mutism: A consensus based care pathway of good practice | Archives of Disease in Childhood

  https://adc.bmj.com/content/early/2008/05/02/adc.2007.129437?versioned=true

  Agreement was reached as to what constitutes clinical progress, intervals for monitoring progress, criteria for referral onwards for multidisciplinary specialist assessment and role of SSRI medication. […] A consensus methodology has been successfully used to compensate for the lack of evidence base and harness the expertise of a relatively small number of experienced professionals in order to provide a basis for the future development of services.

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