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Experts regard selective mutism as a fear (phobia) of talking to certain people. The cause is not always clear, but its known to be associated with anxiety. The child will usually have a tendency to anxiety and have difficulty taking everyday events in their stride.
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.
Parents rate the frequency of speaking behavior on each item using a 4-point scale (3 = always, 2 = often, 1 = seldom and 0 = never). An SMQ symptom scale score was calculated as an individuals average item score multiplied by the number of items (17), equaling the sum score in case no data are missing.
The cause, or causes, are unknown. Most experts believe that children with the condition inherit a tendency to be anxious and inhibited. Most children with selective mutism have some form of extreme social fear (phobia). Parents often think that the child is choosing not to speak.
Appearance: Many children with Selective Mutism have a frozen-looking, blank, expressionless face and stiff, awkward body language with lack of eye contact when feeling anxious. This is especially true for younger children in the beginning of the school year or then suddenly approached by an unfamiliar person.
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The most research-supported treatment for selective mutism is behavioral and cognitive behavioral therapy. Behavioral therapy approaches, including gradual exposures, contingency management, successive approximations/ shaping, and stimulus fading, are successful in the treatment of childhood anxiety.
Selective mutism is when a child cant speak in certain settings, but can speak fine in others. For example, a child may not be able to speak at school, but can speak with no problem at home. It is called selective mutism because the child is only mute in select situations.
Diagnosis of selective mutism is mostly on the basis of the patients clinical history. A speech-language pathologist (SLP) plays a key role in the diagnosis of the condition. A child who shows signs of selective mutism should be taken to an SLP, apart from a pediatrician and a child psychologist.
Parents rate the frequency of speaking behavior on each item using a 4-point scale (3 = always, 2 = often, 1 = seldom and 0 = never). An SMQ symptom scale score was calculated as an individuals average item score multiplied by the number of items (17), equaling the sum score in case no data are missing.
Selective mutism is when a child cant speak in certain settings, but can speak fine in others. For example, a child may not be able to speak at school, but can speak with no problem at home. It is called selective mutism because the child is only mute in select situations. Its a rare childhood condition.

selective mutism assessment pdf