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In-Depth Information on Selective Mutism
For more detailed information on Selective Mutism, including symptoms, treatment, real-life stories, and questions and answers, see About Selective Mutism.
Overview of Selective Mutism
Selective mutism refers to selective silence in a child who speaks freely in very familiar situations. Children with selective mutism appear comfortable and talkative with close family members, but become quiet and shy whenever people other than the closest family members are present. Some children avoid eye contact and do not communicate in any form with others. Some refrain from the use of gestures or changes in facial expression. Although rare, selective mutism deserves careful attention because of its persistence and debilitating impact on young children. Obviously, the condition can have dramatically negative effects on social and educational functioning. It is important to establish that the silence is not due to lack of knowledge of the language used in the situation, and not due to other conditions such as Communication Disorder, Psychotic Disorder or Pervasive Developmental Disorder.
Cause: At this time, researchers believe that most cases of selective mutism are due to social phobia, an anxiety disorder characterized by inhibited social actions due to fear of embarrassment or concerns that others will judge them negatively.
Treatment: Behavioral therapy with family intervention and the use of medications, alone or in combination, have shown positive results.
Related Articles
The following articles are arranged chronologically, according to the date of publication or last update.
Helping Socially Anxious and Selectively Mute Children: Guidelines for Teachers and School Personnel
Organizations
Browse through a list of staff-selected organizations and online resources to learn more about Selective Mutism
