Selective Mutism

Selective Mutism is a complex childhood anxiety disorder characterized by a child’s inability to speak and communicate effectively in select social settings, such as school. These children are able to speak and communicate in settings where they are comfortable, secure, and relaxed.

 

Cluster Number:
Wiki Number: PW200
Diagnosis: Selective Mutism
US Patients:
World Patients: .71 of 1% in 2002
Sex Ratio:
Age Onset: early childhood
Brain Area: amygdalas may become over-excited and this is a fight-flight response;
Symptoms: anxiety where people cannot speak in specific situations or places or to specific persons along with a social anxiety disorder.
Progression: Gets worse with age, contributing to depression, further anxiety and other social and emotional problems
Causes: some have experienced trauma; others, not
Medications: An SSRI, fluoxetine, has helped some children.
Therapies: Only change schools if the new one will be more supportive. Different techniques are described in the Wikipedia article.

Youtube Video: Evidence-Based Treatment for Selective Mutism

Amazon or Library Book:

The Selective Mutism Treatment Guide

Amazon or Library Book:

Raising Voices

Click the book to link or order from Amazon.

Click the book to link or order from Amazon.

4 CURRENT ARTICLES
FROM PUBMED

The world-wide medical research
reports chosen for each diagnosis 

Clicking each title opens the
PubMed article’s summary-abstract.

  • Sporadic Creutzfeldt-Jakob Disease: A Rare Case of Rapid Progressive Cognitive Decline with Special Reference to Magnetic Resonance Spectroscopy
    by Karan Jaykrushna Pandya on November 20, 2024

    Creutzfeldt-Jakob disease (CJD) is a rare degenerative disorder seen in the 6-8th decade of life. It manifests as a rapidly progressing cognitive deterioration, the etiopathogenesis of which is neuronal accumulation of aberrant prion protein [scrapie-associated prion protein (PrPSC)], resulting in mortality within 1 year of diagnosis. Clinical features such as dementia, myoclonus, cerebellar, and extrapyramidal symptoms are observed in CJD, which may be confused with other degenerative...

  • Acute Ischemic Stroke Presenting as Hemiparkinsonism: A Case Report
    by Essam Al-Sibahee on November 15, 2024

    Parkinsonism, commonly associated with Parkinson disease (PD), can also arise from other neurodegenerative disorders or non-neurodegenerative causes such as vascular parkinsonism (VP). This case highlights the acute onset of VP following a stroke, contributing to the understanding of VP's varied presentations and the challenges in its diagnosis. A 54-year-old male with a history of cerebrovascular disease presented with behavioral changes and reduced activity, initially raising the suspicion of...

  • Surviving the Storm: Exploring Lives Through Personal Stories of Childhood Trauma
    by Kinnari Kashyap on November 15, 2024

    CONCLUSION: The findings of the study could have practical implications for clinicians, aiding in the understanding of low emotional expression and unexplained behavior among individuals and assisting in addressing the underlying vulnerability to facilitate their overcoming of these challenges. Additionally, it is suggested that a comprehensive strategy be used that addresses stigma, cultural values, and social norms in addition to legal issues to address the problem.

  • Progression of Motor Speech Function in Speakers With Primary Progressive Apraxia of Speech
    by Gabriela Meade on November 15, 2024

    CONCLUSIONS: Clinically, these results facilitate more accurate prognostication of motor speech symptoms in speakers with PPAOS, allowing for timely introduction of alternative means of communication. The results also support the differentiation between progressive AOS and dysarthria as distinct motor speech disorders that often co-occur in these individuals.