selective mutism

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inability or refusal to speak, most often because deafness has prevented the person from hearing the spoken word. speech is learned by imitating the speech of others. The child who is born with normal hearing and then loses it may lose part or all of the power of speech through loss of contact with the speech of others. Mutism may also occur because the voice organs themselves have been damaged or removed, such as when a laryngectomy is performed for throat cancer. In other cases loss of speech may be psychogenic in nature. Called also aphonia.
akinetic mutism a state in which the person makes no spontaneous movement or vocal sound, because of either neurologic or psychologic reasons. Called also abulia.
selective mutism a mental disorder of childhood characterized by continuous refusal to speak in social situations when the child is able and willing to speak to selected persons.

selective mutism

a mental disorder of childhood characterized by continuous refusal to speak in social situations by an individual who is able and willing to speak to selected persons.

selective mutism

A form of social phobia, typically first identified in young children, in which the child fails to speak in certain public settings but has normal speech at other times. Synonym: elective mutism
See also: mutism

Patient discussion about selective mutism

Q. clonex symptoms in Selective Mutism Syndrome children My son is 6.5 years old, with selective mutism syndrome - in a months time he shall be entering first grade. We have, the past 2 years been with therapists specializing in this field. He has improved outside a closed system i.e. within the kindergarten (primarily) we even see some regression. We have been at major dilemmas with giving him medication but due to the critical time - we were recommended to take 0.125 mg of Clonex medication. we are a little worried and would like to understand the possible symptoms

A. As a benzodiazepin, it can cause drowsiness, weakness and other changes in behavior. There may be some other side-effects, that you can read about here (

More discussions about selective mutism
References in periodicals archive ?
In most instances, selective mutism does not appear to be caused by a specific, traumatizing event (Dummit et al.
Critique: Exceptionally informative, well written, organized and presented, "Finding Voice: Treating Selective Mutism and Social Anxiety" covers assessment, treatment, and best-practice procedures for children ranging from the primary grades to adolescence.
If you suspect your child or grandchild has selective mutism contact a speech therapy clinic or speak to your health visitor or GP, who can refer you.
There is no single cause, although emotional, psychological, genetic and social factors are believed to influence the development of selective mutism.
Prior to beginning treatment, Rose's father completed an Eyberg Child Behavior Inventory (Eyberg, 1999), an Achenbach Child Behavior Checklist for parents (CBCL) (Achenbach, 1991), Social Skills Rating System (SSRS) (Gresham & Elliot, 1990), and a pre-treatment questionnaire that included a compliance component plus the DSM-IV TR (APA, 2000) criteria for selective mutism.
Recently a child said to me after treatment that she was just "waiting for someone to lend me a hand to pull me out of my selective mutism.
Children with selective mutism (SM) present unique challenges for teachers.
Selective mutism is a childhood disorder that most school psychologists and educational providers will come across at least once in their careers.
Specific phobia, panic disorder, social phobia and selective mutism.
These innovations include how directors of special education view Response to Intervention (Rtl) at the secondary level, applications of Rtl to promoting mental health and positive behavior, prevention and treatment of selective mutism, and applications of a problem-solving model to struggling readers who need intense interventions.
Among them are speech and voice disorders in Parkinson's Disease, using Spanish in the home to promote school readiness in English, treatment outcomes of the intensive stuttering therapy for adolescents and adults, whether prosody could be a diagnostic and cognitive bellwether of autism spectrum disorders, learning disabilities and mathematics in higher education, understanding and treating the selective mutism of silent children, origins of the muscles of the human tongue, and evidence from auditory and visual speech perception for speech problems in dyslexia.
Selective Mutism: Children diagnosed with selective mutism refuse to speak in situations where talking is necessary.

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