Selective Mutism is an anxiety disorder where a child experiences high social anxiety which prevents them from speaking in specific situations such as at school or out in public spaces. It is important to stress that the child wants to speak and communicate but due to anxiety is unable to do so. Often signs of Selective Mutism are present in young children and it is important that early advice and support is provided. Selective Mutism can co-occur with other anxiety difficulties and/or social communication differences or speech and language difficulties.
Possible Signs of Selective Mutism
- Consistent inability to speak in certain social situations, even though the child speaks freely and well at home or in some situations.
- Avoiding eye-contact and appearing disengaged or not-interested.
- Appearing nervous or socially awkward
- Child may be able to point or nod but may find all social interaction in certain situations difficult.
When to refer to Speech and Language Therapy:
- If the child or young person has not spoken in certain situations for 2-3 months, consider a referral to the Community Speech & Language Therapy service.
Top Tips for supporting children with signs of Selective Mutism
- Do not pressure on your child or bribe your child to encourage them to speak.
- Let your child know you understand they’re 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.
- Do not praise your child publicly for speaking because this can cause embarrassment. Wait until you’re alone with them and consider a special treat for their achievement.
- Reassure your child that non-verbal communication, such as smiling and waving, is fine until they feel better about talking.
- Do not avoid parties or family visits but consider what environmental changes are necessary to make the situation more comfortable for your child.
- Ask friends and relatives to give your child time to warm up at his or her own pace and focus on fun activities rather than getting them to talk.
- As well as verbal reassurance, give them love, support and patience.
Training video for schools
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