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Get help: A number of different approaches have been used in attempts to treat selective mutism. Recent opinion has moved away from the idea that it is caused by a trauma, and attempts to treat it have followed accordingly. The factors that are most intensively studied at present are underlying anxiety problems. In few cases trauma is the source of the problem. No self cure for mutism has been reported. ...Read more
Can Be Tough: It is likely that your difficulties with selective mutism are related to anxiety and/or depression. It is important to seek out treatment through the use of both therapy and the consideration of medications (antidepressants can be helpful). Also, pay attention to your overall health with good nutrition, sleep, and exercise. ...Read more
Psychotherapy can he: Both psychotherapists and speech therapists can be helpful. Basically the difficulty is that in certain situation one becomes so anxious as to be unable to speak. Identifying those situations and findings a means to remain calm enough to speak often relieves the problem. ...Read more
Related to Anxiety: Selective mutism is a condition in which a person is relatively nonverbal. This can sometimes occur across multiple settings, or may be restricted to certain situations. It is usually related to increased anxiety, and sometimes depression. It is understood that the person involved has the ability to verbalize but chooses not to do for emotional reasons. Antidepressant medications can be helpful. ...Read more
Very treatable: If causing impairment in school and socially, seek evaluation and therapy by experienced professional. Combined behavioral, individual, family (and sometimes antidepressant medication for anxiety) may be effective. Person is anxious and inhibited and may develop social phobia. Other conditions may co-exist and require treatment. It is possible to achieve complete resolution. Best regards. ...Read more
Older need meds. +: The exact txmt. depends on the person's age, any comorbid mental illnesses, & a number of other factors. For instance, stimulus fading is used with younger children because older children/teenagers recognize the situation as an attempt to make them speak, & older people with this condition & people with depression are more likely to need meds. Several other behavioral techniques are available. ...Read more
Yes: There are several generally successful approaches to this condition including psychodynamic, behavioral and cognitive behavioral therapy. Sometimes family therapy is helpful and sometimes people work well with speech therapists. Get help, it can be cured and make a huge difference in your life. ...Read more
Reaction to stress: Selective mutism is thought to be a type of stress reaction in which the individual only speaks in certain settings or to certain people. It is not at all uncommon to develop at age 5, although usually anxiety has been present before that, e.g., trouble separating at daycare. It may be transient; but, if it lasts & begins to spread to more settings, seek professional help with a psychologist. ...Read moreSee 2 more doctor answers
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