Doctor insights on:
Selective Mutism School
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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 moreSee 1 more doctor answer
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
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 moreSee 3 more doctor answers
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
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
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 moreSee 2 more doctor answers
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
Good day. I am male, 26 years old.My problems are irritability, low self-confidence, depression, apathy, shyness or social phobia, social anxiety.
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