41. The Selectively Silent Child - Selective Mutism Information And Support. The Selectively Silent Child is the Canadianbased website of an informal allianceof selective mutism Support Groups and contains information and support http://www.designandcopy.ca/silentchild/

You can order the new book, Helping Your Child with Selective Mutism by Angela E. McHolm, Charles E. Cunningham and Melanie K. Vanier, from Chapters.Indigo.ca or Amazon.ca AN INFORMAL ALLIANCE OF SELECTIVE MUTISM SUPPORT GROUPS FOR PARENTS AND CHILDREN. WHAT IS SELECTIVE MUTISM? WHAT ARE THE SIGNS TO WATCH FOR? TREATMENT OPTIONS SUGGESTIONS FOR TEACHERS ... MESSAGE BOARD Lin Gorenkoff. Selectively mute children do not speak to people beyond the immediate family. This includes neighbours, relatives not seen regularly, teachers, classmates and the participants in any group activity, whether unstructured play groups or organized sports or hobbies. Within the family their conversation is typically age-appropriate, quite often to the extent that they are considered to be chatterboxes. The problem can go unnoticed in the pre-school years and, sometimes even during the first years in primary grades when teachers or facilitators assume the child is shy and that the parents are aware of the child's lack of verbal participation. It may become apparent when the child begins to attend nursery school or other form of structured play but may easily go unnoticed at that stage. For a child not exposed to organized preschool group activities, the first indications of the problem may not be noticed until kindergarten or beyond. Many children - especially when the problem is diagnosed early, and they are given the support and understanding that is needed - are able to speak comfortably in the classroom by the end of the school year. However, when the problem is especially persistent, dismissed or unnoticed in over-crowded classrooms and, consequently, not treated, it can continue into high school years.

42. The Selectively Silent Child - Diagnostic Information. selective mutism was thought to affect less than one percent of all children Children with selective mutism are often shy and the anxiety involved in http://www.designandcopy.ca/silentchild/whatis.html

You can order the new book, Helping Your Child with Selective Mutism by Angela E. McHolm, Charles E. Cunningham and Melanie K. Vanier, from Chapters.Indigo.ca or Amazon.ca WHAT ARE THE SIGNS TO WATCH FOR? TREATMENT OPTIONS SUGGESTIONS FOR TEACHERS ... HOME SELECTIVE MUTISM IS THE CHILD'S RESPONSE TO SOCIAL ANXIETY. The Diagnostic and Statistical Manual of Mental Disorders, fourth Edition (DSM-IV) defines selective mutism as: Consistent failure to speak in specific social situations (in which there is an expectation for speaking, e.g., at school) despite speaking in other situations. The disturbance interferes with educational or occupational achievement or with social communication. The duration of the disturbance is at least 1 month (not limited to the first month of school). The failure to speak is not due to a lack of knowledge of, or comfort with, the spoken language required in the social situation. The disturbance is not better accounted for by a Communication Disorder (e.g., Stuttering) and does not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder. Selective mutism was thought to affect less than one percent of all children until recent studies demonstrated that between one and two per cent of primary school childrem meet the above diagnostic criteria. Originally called

43. The Disabling Effects Of Selective Mutism Many hypotheses have been posed as to what causes selective mutism, however, Other suggested causes of selective mutism have been speculated upon, http://serendip.brynmawr.edu/bb/neuro/neuro03/web2/ewagner.html

This paper reflects the research and thoughts of a student at the time the paper was written for a course at Bryn Mawr College. Like other materials on Serendip , it is not intended to be "authoritative" but rather to help others further develop their own explorations. Web links were active as of the time the paper was posted but are not updated Contribute Thoughts Search Serendip for Other Papers Serendip Home Page Biology 202 ... 2003 Second Web Paper On Serendip The Disabling Effects of Selective Mutism Ellinor Wagner Among the vast range of anxiety induced disorders that exist, Selective Mutism may be the most disabling to its victims. It has been estimated that approximately one in a thousand children suffer from this presumed psychiatric ailment wherein the ability to speak is limited to the household or other areas of comfort. Public places and schools elicit so much anxiety within these children that their natural capacity to speak is suppressed. Once a child under five years of age exhibits the behavior described, for over a month, and without having other speech impeding barriers affecting them such as autism or a second language, he or she will most likely be diagnosed with selective mutism. Doctors, for the most part, lean towards medication for those afflicted with selective mutism; however, other methods are practiced as well.

44. Selective Mutism Childhood Emotional and Behavioral Disorders selective mutism. http://childparenting.about.com/cs/disorders/a/selmutism.htm

var zLb=0; zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About Parenting of K-6 Children Child Parenting Essentials ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Parenting of K-6 Children newsletter! See Online Courses Search Parenting of K-6 Children Stay up to date! Compare Prices Email to a friend ... Print this page Most Popular Children's Birthday Cakes Kids' Birthday Party Themes Birthday Party Invitations Girl's Birthday Slumber Party What's Hot Halloween Costumes for Kids Devotionals for Kids Writing Activities for Kids Kids' Christmas Parties ... Child Psychological Disorder Selective Mutism From Kimberly L. Keith Your Guide to Parenting of K-6 Children FREE Newsletter. Sign Up Now! Related Resources: Selective Mutism Net Links Elsewhere on the Web: DSM-IV Diagnostic Criteria - Selective Mutism Related Terms Generalized Anxiety Disorder Obsessive Compulsive Disorder Posttraumatic Stress Disorder Separation Anxiety Disorder ... Social Anxiety Disorder zau(256,420,100,'ri','http://z.about.com/5/o/c.htm?gs='+gs,'') Most Popular Video Movie Review: 'Broken Flowers' Movie Review: 'Four Brothers' Movie Review: 'The Dukes of Hazzard' Movie Review: 'The Aristocrats' ... See other videos at About.com

45. Selective Mutism Links Guide to Net resources for parents of children exhibiting selective mutism. http://childparenting.about.com/cs/selectivemutism/

zJs=10 zJs=11 zJs=12 zJs=13 zc(5,'jsc',zJs,9999999,'') About Parenting of K-6 Children Child Parenting Essentials ... Help zau(256,140,140,'el','http://z.about.com/0/ip/417/C.htm','');w(xb+xb+' ');zau(256,140,140,'von','http://z.about.com/0/ip/496/6.htm','');w(xb+xb); FREE Newsletter Sign Up Now for the Parenting of K-6 Children newsletter! See Online Courses Search Parenting of K-6 Children Selective Mutism Links Guide picks Guide to Net resources for parents of children exhibiting selective mutism. Selective Mutism: Suggestions for Teachers Very specific strategies to help the child with selective mutism are useful for parents also. Topic Index Email to a Friend Our Story Be a Guide ... New York Times Company Hurricane Katrina About's Hurricane Blogs NY Times Coverage Where to Donate Exclusive: One Family's Story ... How to Explain to Kids Related Topics Adoption / Foster Care Pediatrics Fatherhood Parenting Special Needs ... Single Parents Headlines Hurricane Katrina - How You Can Help Evacuee Families in Your Community In small and large communities across the U.S., local families... Stocking the Homework Center As you organize your house for starting back to school,... ... Younger elementary-age children need to step up from the basic...

46. Selective Mutism Or An Annoying Teen? All of this leads to adolescence. How do parents tell troublesome behaviors fromjust annoying behaviors? Look for red flags falling grades, http://www.keepkidshealthy.com/development/selective_mutism.html

Bookstore Site Map Contact Us Help ... What's New? Search this site: Advanced Search Main Menu Useful Tools Index of Topics Pediatric Problems Parenting Tips ... Web Links Online Resources What's New Reviews Growth Charts Online Forums ... Product Recalls New! Pediatric News Height Calculator Newsletters: Subscribe to get free news, tips and updates. Recommend Us tell a friend about us or email this page to a friend puberty Your Child's Development : January 2002 Selective Mutism by Barb Durso, MD Q. A. Teenagers can be very trying! Developmentally, most teenagers are in middle adolescence about the age of 14, and this is when trying on new identities and behaviors really starts to show. What is not going on is selective mutism The other thing you can bet is that there is not some disease of his larynx (voice box), since he is able to generate a laugh when it suits him. All of this leads to adolescence. How do parents tell troublesome behaviors from just annoying behaviors? Look for red flags - falling grades, withdrawing from previously enjoyed activities (e.g., band, soccer, etc), lack of friendships, not adhering to previously agreed upon rules such as curfews. If these things seem to be in order, then do your level best to ignore the mutism. Previous Columns by Dr. Durso

47. Discovery Health :: Diseases & Conditions :: Selective Mutism selective mutism is a condition in which a person who is usually fluent in speechwon t speak in specific situations. selective mutism primarily affects http://health.discovery.com/encyclopedias/illnesses.html?article=725&page=1

48. Dr. Koop - Selective Mutism - Resources selective mutism Group Childhood Anxiety Network www.selectivemutism.org.The selective mutism Foundation Carolyn Miller PO Box 13133 http://www.drkoop.com/ency/93/007005.html

Home Health Reference Selective mutism - resources Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Selective mutism - resources Injury Disease Nutrition Poison ... Overview Selective mutism - resources Alternative Names: Resources - selective mutism Information: The following organizations are good resources for information on selective mutism Selective Mutism Group - Childhood Anxiety Network www.selectivemutism.org The Selective Mutism Foundation Carolyn Miller P.O. Box 13133 Sissonville, WV 25360-0133 www.selectivemutismfoundation.org New Features Fewer Migraines Skin Cancer Atkins/Low Carb Diets Learn More About Migraines * All Health Centers * Acne Addictions AIDS/HIV Alcohol Abuse Allergies Alternative Medicine Alzheimer's Arthritis Asthma Attention Deficit Disorder (ADHD) Backache Bipolar Affective Disorder Birth Control Blood Blood Pressure Bone/Joint/Tendon Bowel Brain Breast cancer Cancer Cerebral Palsy Cholesterol Cramps Crohn's Disease Cysts Dental/Oral Depression Diabetes Diet, Fitness, Looks

49. Dr. Koop - Selective Mutism The essential element of selective mutism is that the child has the ability toboth comprehend and speak, but fails to speak in certain settings or http://www.drkoop.com/ency/93/001546sym.html

Home Health Reference Selective mutism Jul 29, 2005 Search: Dr.Koop MEDLINE Diseases Symptoms Procedures Natural Medicine ... Drug Library Inside DrKoop News Archive Animations Health Videos Health Tools ... Newsletters Selective mutism Injury Disease Nutrition Poison ... Prevention Selective mutism Symptoms: Failure to speak in specific social situations Shyness Fear of people Speaks at home with family Signs and tests: The essential element of selective mutism is that the child has the ability to both comprehend and speak, but fails to speak in certain settings or environments. This syndrome differs from mutism. Children with mutism never speak. Cultural issues, such as recent immigration and bilingualism, should be noted. Children who are uncomfortable with a new language may be reluctant to use it outside of a familiar setting. This is not necessarily selective mutism. New Features Fewer Migraines Skin Cancer Atkins/Low Carb Diets Learn More About Migraines * All Health Centers * Acne Addictions AIDS/HIV Alcohol Abuse Allergies Alternative Medicine Alzheimer's Arthritis Asthma Attention Deficit Disorder (ADHD) Backache Bipolar Affective Disorder Birth Control Blood Blood Pressure Bone/Joint/Tendon Bowel Brain Breast cancer Cancer Cerebral Palsy Cholesterol Cramps Crohn's Disease Cysts Dental/Oral Depression Diabetes Diet, Fitness, Looks

50. Pediatric Advisor 2004.2: Fear Of Talking (Selective Mutism) The most common feature of selective mutism is when your child does not speak The cause of selective mutism is not clear. Over the years, experts have http://www.med.umich.edu/1libr/pa/pa_selmutis_hhg.htm

Pediatric Health Topics All Health Topics Mott Children's Hospital Pediatric Services ... Find a UMHS Doctor Search Pediatric Topics Search All Topics This information is approved and/or reviewed by U-M Health System providers but it is not a tool for self-diagnosis or a substitute for medical treatment. You should speak to your physician or make an appointment to be seen if you have questions or concerns about this information or your medical condition. Index Fear of Talking (Selective Mutism) What is selective mutism? The most common feature of selective mutism is when your child does not speak in social situations, including school, even though he can speak and understand spoken language. It used to be called elective mutism. What are the characteristics of selective mutism? You may notice your child is overly shy when she enters preschool or kindergarten and seems unable to talk to others in the new class. You may have noticed that your child had a limited group of people she spoke to before starting school. Then, after your child is in school for several months, you find out that your child is not talking there. Some characteristics of selective mutism are: Continues to not speak in social situations where talking is expected (such as school, Sunday school, play groups, around parents' friends), even though the child can speak in other situations (such as to family members).

51. Anxiety Disorders In Children And Adolescents Selective Mutism Onset of selective mutism is usually before five years of age, For SelectiveMutism to be diagnosed, the behavior must persist for at least one month. http://www.adaa.org/AnxietyDisorderInfor/sm.cfm

Brief Overview of Anxiety Disorders GAD OCD PTSD ... FAQs Anxiety Disorders in Children and Adolescents Selective Mutism Children who refuse to speak in situations where speech is expected or necessary, to the extent that their refusal interferes with school and making friends, may be suffering from Selective Mutism, thought to be a severe form of Social Anxiety Disorder. Onset of Selective Mutism is usually before five years of age, but it often comes to a head when the child enters school. The average age of diagnosis is between 4-8 years old, but these children probably exhibited "extreme shyness" at a much earlier age. For Selective Mutism to be diagnosed, the behavior must persist for at least one month. These children can be very talkative, even boisterous when at home, or in a place where they feel comfortable. Children suffering from Selective Mutism may: Stand motionless and expressionless, turn his/her head, chew or twirl hair, avoid eye contact or withdraw into a corner.

52. Selective Mutism National network. Founded 1991. Mutual support for parents of children withselective mutism, a psychiatric http://my.webmd.com/hw/health_guide_atoz/shc29sel.asp

var guid_source = ""; var guid_source_id = ""; //unused var encodedurl = ""; WebMD Today Home WebMD News Center XML News via RSS Member Services WebMD University My WebMD Find a Physician Medical Info Check Symptoms Medical Library Health Tools Clinical Trials ... Women, Men, Lifestyle Who We Are About WebMD Site Map You are in Medical Library Our Content Sources Ask A Question Clinical Trials Health Guide A-Z Health Topics Symptoms Medical Tests Medications ... SMG Support Center Selective Mutism Selective Mutism Foundation, Inc. National. Founded 1992. Mutual support for parents of children with selective mutism, a psychiatric anxiety disorder, in which children are unable to speak in social situations. Also open to adults who had or have outgrown, the disorder. Provides information and online support. WRITE: Selective Mutism Foundation, Inc. c/o Carolyn Miller P.O. Box 13133 Sissonville, WV 25360 E-MAIL: sue@selectivemutismfoundation.org carolyn@selectivemutismfoundation.org WEBSITE: http://www.selectivemutismfoundation.org VERIFIED: 4/25/2005 SMG Support Center Online.

53. AllRefer Health - Selective Mutism selective mutism information center covers causes, prevention, symptoms, diagnosis,treatment, incidence, risk factors, signs, tests, support groups, http://health.allrefer.com/health/selective-mutism-info.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Selective Mutism Selective Mutism Definition Treatment Expectations or Prognosis Complications ... Go To Main Page Definition Selective mutism is a condition occurring in childhood in which a child who is fluent with language frequently fails to speak in certain situations where language is expected. It typically occurs in school or social settings. This pattern of mutism must be observed for at least one month. The first month of school is not included as excessive shyness is commonly observed during this period. Parents often think that the child is refusing to speak, but usually the child is truly unable to speak in particular settings.

54. AllRefer Health - Selective Mutism Diagnosis & Tests selective mutism information center covers Diagnosis Tests. http://health.allrefer.com/health/selective-mutism-diagnosis-tests.html

AllRefer Channels :: Yellow Pages Reference Health Home ... Contact Us Quick Jump ADD/ADHD Allergies Alzheimer's Disease Arthritis Asthma Back Pain Breast Cancer Cancer Colon Cancer Depression Diabetes Gallbladder Disease Heart Attack Hepatitis High Cholesterol HIV/AIDS Hypertension Lung Cancer Menopause Migraines/Headaches Osteoporosis Pneumonia Prostate Cancer SARS Stroke Urinary Tract Infection 1600+ More Conditions Alternative Medicine Health News Symptoms Guide Special Topics ... Medical Encyclopedia Web health.allrefer.com You are here : AllRefer.com Health Selective Mutism Selective Mutism Definition Treatment Expectations or Prognosis Complications ... Go To Main Page The essential element of selective mutism is that the child has the ability to both comprehend and speak, but fails to do so in certain settings or environments. This syndrome differs from mutism because the child sometimes speaks, depending on the situation. Children with mutism never speak. Cultural issues, such as recent immigration and bilingualism, should be noted. Children who are uncomfortable with a new language may be reluctant to use it outside of a familiar setting. This is not necessarily selective mutism, so it should be considered (if this diagnosis is being considered). Previous Top Next Jump to another section Definition Selective Mutism Treatment Selective Mutism Prognosis Selective Mutism Complications ... Calling Your Health Care Provider Review Date : 5/24/2002 Main Page of Selective Mutism From Our Sponsors: A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's

55. Selective Mutism Links http//www.orgsites.com/fl/selectivemutismfoundation/ http//members.tripod.com/ernallo/ http//www.asha.org/speech/disabilities/SelectiveMutism.cfm http://www.masspac.org/links/selective_mutism.htm

MASSPAC Massachusetts Association of Special Education Parent Advisory Councils Selective Mutism Links Selective Mutism Links http://www.selectivemutism.org/ http://www.selective-mutism.com/mutism.html http://www.orgsites.com/fl/selectivemutismfoundation/ http://members.tripod.com/ernallo/ ... Contents Send questions or comments to info@masspac.org Send notice of upcoming PAC events to events@masspac.org or use our on-line events listing form Search the MASSPAC web site. Subscribe to the MASSPAC Listserv MASSPAC Massachusetts Association of Special Education Parent Advisory Councils P.O. Box 167 Sharon, MA 02067 info@maspac.org Updated: August 04, 2004 Privacy Notice y Lee Berkowitz

56. TurnTo23.com - Health - Selective Mutism: Break The Silence Kids suffering from selective mutism will tell you that they re scared, theydon t know why, their words are stuck, their body won t let them get the words http://www.thebakersfieldchannel.com/Health/1426361/detail.html

Search Contact the Station Get RSS Sign up for E-News Employment ... Health Email This Story Print This Story Selective Mutism: Break The Silence Early Diagnosis Key To Curing Illness POSTED: 12:27 p.m. PDT April 30, 2002 UPDATED: 12:33 p.m. PDT April 30, 2002 BAKERSFIELD, Calif. Selective mutism is an often misdiagnosed childhood anxiety disorder that, if left untreated, can lead to bigger behavioral problems down the road, KERO 23 reported. Gina Mallon first noticed the quiet change in her daughter Emily back in kindergarten. "She would get very upset if she thought someone heard her voice," Mallon said. Doctors told Mallon her daughter was shy, and she would outgrow it. But when Emily's grades dropped because she wouldn't speak in class, her parents knew better. Emily was finally diagnosed as selectively mute. She can't speak in school because anxiety overwhelms her. "Kids suffering from selective mutism will tell you that they're scared, they don't know why, their words are stuck, their body won't let them get the words out," psychologist Elisa Shipon-Blum said. Shipon-Blum said her daughter Sophia didn't utter a peep in school for three years.

57. Selective Mutism Medical Information selective mutism Information from Drugs.com. selective mutism is a conditionin which a child who is fluent with language frequently fails to speak in http://www.drugs.com/enc/selective_mutism.html

Home New Drugs Latest News Drug Interactions ... Forum Drugs.com - prescription drug and medicine information available on over 24,000 approved- medications and pharmaceuticals, including side effects and drug interactions. Log-in Register Advertisement Buy a Link Now Special Offers From our sponsors Categories Diabetes Gastro Center Weight Loss AIDS/HIV ... Sexual Health Advertisement Advanced Search Or click the first letter of a drug name: A B C D ... Z Selective mutism Injury Disease Nutrition Poison ... Z Selective mutism Definition Selective mutism is a condition in which a child who is fluent with language frequently fails to speak in certain situations where language is expected. It typically occurs in school or social settings. This pattern of mutism must be observed for at least one month (but the first month of school does not count, as excessive shyness is common during this period). Parents often think that the child is refusing to speak, but usually the child is truly unable to speak in particular settings. Causes Most experts believe that there are environmental, biological, interpersonal, and anxiety-related factors that cause selective mutism. Most children with this condition have some form of extreme social phobia.

58. Selective Mutism - Resources Medical Information selective mutism resources Information from Drugs.com. http://www.drugs.com/enc/selective_mutism___resources.html

Home New Drugs Latest News Drug Interactions ... Forum Drugs.com - prescription drug and medicine information available on over 24,000 approved- medications and pharmaceuticals, including side effects and drug interactions. Log-in Register Advertisement Buy a Link Now Special Offers From our sponsors Categories Diabetes Gastro Center Weight Loss AIDS/HIV ... Sexual Health Advertisement Advanced Search Or click the first letter of a drug name: A B C D ... Z Selective mutism - resources Injury Disease Nutrition Poison ... Y Selective mutism - resources Alternative Names Resources - selective mutism Information The following organizations are good resources for information on selective mutism Selective Mutism Group - Childhood Anxiety Network www.selectivemutism.org The Selective Mutism Foundation Carolyn Miller P.O. Box 13133 Sissonville, WV 25360-0133 www.selectivemutismfoundation.org Review Date: 9/7/2004 Reviewed By: A.D.A.M. editorial. A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited. Popular Searches Lipitor Viagra Cialis Levitra ... Pain Relief Advertisement ADVERTISEMENT Home Drug Interactions Pill Identification Question.com

59. Selective Mutism.Org - Patient UK selective mutism.Org Patient UK. A directory of UK health, disease, illnessand related medical websites that provide patient information. http://www.patient.co.uk/showdoc/26740616/

Selective Mutism.Org Web: www.selectivemutism.org Selective Mutism ( formerly called Elective Mutism) is a psychiatric disorder that is characterised by consistent failure to speak in SELECT social settings in which there is an expectation to speak; such as school. To contact the SMG Inc UK support Group complete the form under International Connection through the web-site. Checked: January 2005 Sponsored links and adverts Patient UK has no control of the content of the following links. Inclusion does not imply endorsement by Patient UK. Health Related Books From Amazon - browse hundreds of books on health and disease. Also, worth a look... Related pages in Patient UK Patient Support AFASIC (speech problem support) Communicate I CAN (for children with speech and language difficulties) Patient Plus Landau-Kleffner Syndrome Other - Useful resources Pictures, diagrams, photos, images, etc. Evidence based medicine Online textbooks and journals Guidelines ... Top of Page Further services Need an operation but on a waiting list ? Are you considering having it done privately but are not insured? Find the best prices for your operation Next of Kin . In an emergency, alerts paramedics with your vital medical or allergy information. Plus immediate contact with your family or next of kin.

60. Selective Mutism Visit this awardwinning site to learn more about selective mutism in childrenin adolescents, it s symptoms, and the most effective treatments. http://www.childanxiety.net/Selective_Mutism.htm

Selective Mutism: Although this is not classified as a child anxiety disorder, selective mutism is often seen around the time that children enter school for the first time, and can be accompanied by anxiety. The essential feature of selective mutism is the persistent failure to speak in specific social situations (e.g., school, with playmates) where speaking is expected, despite speaking in other situations. In order to be diagnosed with selective mutism, the person’s speech refusal must interfere with educational or occupational achievement or with social communication, and must be going on for at least one month. Selective mutism is not diagnosed if the individual’s failure to speak is due solely to lack of knowledge of the language. Primary Symptoms: Primary symptoms of selective mutism include persistent failure to speak in specific social situations where there is an expectation for speech. The child should be able to speak in other situations. This disorder is usually first seen in childhood, and is treatable with cognitive-behavioral techniques. Treatment: Sponsored by Psychzone Inc.

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