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Doctor insights on: Selective Mutism School

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Would speech therapy help a shy child with selective mutism?

Would speech therapy help a shy child with selective mutism?

As above, and . . . : Selective mutism is a sign of anxiety disorder - a form of agoraphobia. But a well trained speech therapist could be a helpful participant in the overall care of this type of patient, coordinating with psychologist and physician. ...Read more

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How do selective mutism and social anxiety differ?

How do selective mutism and social anxiety differ?

Too scared to talk: Social anxiety involves a fear of being judged negatively by others or being seen as inferior 2 them in some way. This leads 2 dreading social situations & social interactions, & thus 2 avoiding them. Selective mutism is tied 2 social anxiety: At times, people w/social anxiety find themselves so fearful in social situations that it's difficult 2 speak. Some simply don't speak in these situations. ...Read more

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Is selective mutism only a childhood disorder?

Is selective mutism only a childhood disorder?

Selective Mutism: Although most people associate selective mutism with children, it can also affect adults. Children who are treated for the disorder can develop the skills that help them get past the social anxieties that block them from speaking. If untreated the problem could continue into adulthood. In adults, other physical disorders could cause loss of speech and should be checked by a physician. ...Read more

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What is selective mutism?

What is selective mutism?

Selective mutism: Is a psychiatric disorder where a person who is normally capable of speech is unable to speak in a given situation or to specific people, usually coexists with shyness or social anxiety. ...Read more

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Adhd med right 4 me? Diagnosed as child. Procrastination, organization issues, bored easily, temper, restless, impulsive, but school unaffected.

Adhd med right 4 me? Diagnosed as child. Procrastination, organization issues, bored easily, temper, restless, impulsive, but school unaffected.

Probably not needed: if you are able to perform well at school, then you probably don't have a significant in attention problem, and rather some anxiety or other emotional issue. Pl get a new evaluation with the psychologist as you may need behavior therapy rather than ADHD meds. Best of luck! ...Read more

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How often are autistic children selective mutes?

How often are autistic children selective mutes?

Not really: Selective mutism implies normal speech and language in certain "safe" settings, and a voluntary resistance to speaking in other "frightening" settings or venues. Autistic children don't speak well because of their neurological deficiency. Some higher functioning autism patients may refuse to speak (in their normal way) in certain settings or with certain people, but this is not mutism. ...Read more

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Can intuniv be used for asperger's / emotional meltdowns/ violent thoughts?

Can intuniv be used for asperger's / emotional meltdowns/ violent thoughts?

Perhaps: This is more difficult than it seems. All autism spectrum disorders are not alike. Looking at functional brain scans[spect} has taught us this important lesson. Thus, all aspergers folks will not respond to therapy the same way.. In general guanfacine[intuniv] helps many but may have to be combined with Oxcarbazepine [trileptal] or tegretol to achieve the outcome you describe.Functionalbrain scan. ...Read more

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Is nardil (phenelzine) used for social anxiety, general anxiety or depression?

Is nardil (phenelzine) used for social anxiety, general anxiety or depression?

Yes: Nardil (phenelzine) is one of the medications that belongs to maoi class. A wonderful group of medications that is not used now much because it was felt that the medications have less side effects. Some of the new doctors have no experience with these medications. Notoriously, people who benefited from maoi, like them very much and do not want to change. Nardil (phenelzine) can be used for all of the above. ...Read more

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Can people with asperger's syndrome have selective mutism?

Can people with asperger's syndrome have selective mutism?

Yes: It can be difficult to disentangle at times, but individuals with asperger's syndrome can also be quite anxious and one symtom of that may be selective mutism, where they speak only in the presence of certain individuals and specific "comfort zones." in my experience, it is not a common combination, and it is more usual that they are shy and anxious, rather than completely mute. ...Read more

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Why would my 5yo develop selective mutism?

Why would my 5yo develop selective mutism?

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 more

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Does psychoanalytic or psychodynamic psychotherapy work for children with social anxiety disorder?

Does psychoanalytic or psychodynamic psychotherapy work for children with social anxiety disorder?

It can...: Depending on the child that you are treating. No child is the same and should not be treated that way. With social anxiety disorder, it may be useful to take an eclectic approach using play therapy, social skills training, and relaxation training in working with this diagnosis that requires skill building. ...Read more

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Does selective mutism only happen with child abuse?

Does selective mutism only happen with child abuse?

No: Selective mutism is its own neuropsychiatric diagnosis. It may or may not be associated with any other disorder or pathologic state like child abuse. Most often it is not associated with any other issue. ...Read more

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Are college students with ADHD able to graduate?

Are college students with ADHD able to graduate?

Yes: Adhd can be effectively managed with therapy and/or medication. Also, a lot of adults can manage their adhd well. There are a lot of successful people with adhd. ...Read more

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Can adults have selective mutism or only children?

Can adults have selective mutism or only children?

Can happen any age: Selective mutism--inability or unwillingness to talk except in certain settings or situations--commonly starts in children but can continue into adulthood. It is rare for it to start in adulthood, but one could imagine it after trauma or some other loss. However, it also might be an early warning sign of some more serious condition like depression or psychosis--so well worth having evaluated. ...Read more

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Anyone have experience with selective mutism condition?

Anyone have experience with selective mutism condition?

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

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Is there a difference between social anxiety disorder and selective mutism?

Is there a difference between social anxiety disorder and selective mutism?

Social Anxiety: Yes, there are many differences. Selective mutism is most often seen in children, while social anxiety disorder is typically seen from adolescence through adulthood. Social anxiety is related to fear (and sometimes avoidance) of interpersonal interaction in social situations, while selective mutism is a refusal or unwillingness to speak in some or most situations. ...Read more

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Why would someone with selective mutism not speak opposed to someone wit social anxiety?

Why would someone with selective mutism not speak opposed to someone wit social anxiety?

Why is the key.: Selective mutism is a Dx based upon behaviors. Social phobia involves motivations and fears (internal processes) often w/ behavioral avoidance. Over time, the selectively mute individual may come to understand the reason for their failure to speak in certain situations (e.g. trauma, social anxiety), or not. ...Read more

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Good day. I am male, 26 years old.My problems are irritability, low self-confidence, depression, apathy, shyness or social phobia, social anxiety.

Good day. I am male, 26 years old.My problems are irritability, low self-confidence, depression, apathy, shyness or  social phobia, social anxiety.

Need evaluation: Your symptoms are a mix predominantly of depression and anxiety. You need a competent mental health evaluation including a thorough history to help clarify what underlies your symptoms. Consult a mental health professional. ...Read more

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Psychiatrists, neurologists, psychologists, social workers--who is cheapest for neuropsych eval?

Psychiatrists, neurologists, psychologists, social workers--who is cheapest for neuropsych eval?

Neuro psycologist: Neuro psychological evaluation is performed by psychologist who get special training in neuropsychology. It is not cheap as it is time consuming and involves several more tests than regular psycological evaluation. ...Read more

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Is sign language effective for nonverbal autistic children?

Is sign language effective for nonverbal autistic children?

Sometimes: Each child with a diagnosis of autism is truly different from others. Some will respond well and vunderstand signing, others will not. Certainly worth a try. ...Read more

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