Selective Mutism (SM)
- A-B
- C-D
- E-F
- G-H
- I-J
- K-L
- M-N
- O-P
- Q-R
- S-T
- U-V
- W-X
- Y-Z
An anxiety disorder characterized by a consistent failure to speak in specific social situations despite speaking in others. It is not a choice, but rather a manifestation of severe anxiety in certain contexts. Individuals with SM can speak fluently in comfortable settings like home with family, but may be unable to speak in places like school or public settings.
Verbal Communication:
Inability to speak in certain social situations:
This is the core symptom. A child might speak freely at home with family but become completely or mostly nonverbal in school or with strangers.
Difficulty initiating speech:
They may be unable to ask for help or respond verbally when spoken to.
Use of nonverbal communication:
Instead of speaking, they may rely on gestures, facial expressions, and nodding to communicate.
Mumbling, whispering, or using single-word responses:
When they do speak, it might be with a low voice or in short, limited responses.
Changing voice:
Some children may alter their natural voice when speaking in certain situations.
Other Common Symptoms:
Anxiety and fear: Selective mutism is often linked to social anxiety and a fear of social situations.
Social withdrawal and shyness: They may appear withdrawn or avoid social interactions.
Difficulty with eye contact: Maintaining eye contact can be challenging.
Physical manifestations of anxiety: This can include a rigid body posture, minimal facial expressions, or a “freeze” response when put on the spot.
Behavioral issues: In some cases, children may exhibit disruptive behavior, such as tantrums, as a way to avoid speaking.
Difficulty with academic and social development: Inability to speak at school can impact academic performance and social interactions.
