Selective mutism is a complex childhood anxiety disorder where a child who can speak comfortably in some settings is unable to speak in others, often school or social situations. It can be confusing and worrying for parents, teachers, and the child.

Understanding this condition and how therapy can help is key to supporting your child’s communication and confidence.

What Is Selective Mutism?

Children with selective mutism:

• Consistently do not speak in certain social situations despite being able to talk in others (like at home)
• May communicate non-verbally (gestures, nodding) in settings where they don’t speak
• Often experience high anxiety about speaking or being judged

Signs to Watch For

• Refusal or inability to speak at school or social events
• Difficulty making friends or participating in group activities
• Avoidance behaviors, such as clinging to parents or retreating to safe spaces
• Signs of anxiety like nervousness, sweating, or fidgeting

How Therapy Helps

Therapy focuses on reducing anxiety and gradually increasing comfort with speaking in challenging settings. Techniques include:

• Behavioral interventions: Gradual exposure to speaking situations with support
• Speech therapy: Building communication skills and confidence
• Cognitive-behavioral therapy (CBT): Addressing anxious thoughts and feelings
• Collaboration with schools: Creating supportive environments and plans

What Parents Can Do

• Be patient and supportive without pressuring your child to speak
• Celebrate all attempts at communication, verbal or non-verbal
• Work closely with therapists and teachers to ensure consistent support
• Create low-pressure situations for practice at home

Final Thought

Selective mutism can be overcome with compassionate support and specialized therapy. With time and care, children can find their voice and thrive socially and academically.

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