Selective mutism checklist pdf 2025

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Childhood abuse is a cause of selective mutism because it is a traumatic experience and may lead to anxiety. An article by L. Guo et al from the June 2021 issue of Translational Psychiatry revealed childhood maltreatment may influence anxiety symptoms and coping styles.
The Selective Mutism Questionnaire (SMQ)21 is the only available instrument developed to measure a childs frequency of non-speaking behavior across situations in which children are expected to speak.
Anxiety and Social Phobia: Many adults with selective mutism experience intense anxiety and social phobia, making it challenging for them to communicate verbally in certain situations. Anxiety can make speaking in public or unfamiliar settings incredibly stressful.
When mutism occurs as a symptom of post-traumatic stress, it follows a very different pattern and the child suddenly stops talking in environments where they previously had no difficulty. Another misconception is that a child with selective mutism is controlling or manipulative, or has autism.
Typically, but not always, the first suggestedmedication for SM with or without social anxiety disorder will be an SSRI -- a selective serotonin reuptake inhibitor -- such as Fluoxetine (Prozac) or Sertraline (Zoloft).
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Selective Mutism: Frozen in Silence Use gestures, images, email or texting. Let the person know whats coming so they can mentally prepare, especially when something changes or a transition is imminent. Choose activities that can be done with or without speech, like puzzles, watching movies, or reading.
Do not pressurise or bribe your child to encourage them to speak. Let your child know you understand theyre 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.

selective mutism checklist