Doctor insights on:
Selective Mutism Treatment Plan
Seek evaluation by: Experienced professional (psychiatrist/psychologist) if causing impairment in school and socially. Combined therapy (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
Would speech therapy help a child with selective mutism, if he already speaks fine when he wants to speak?
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
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
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
I'm bipolar/schizo affective, I take ten milligrams of fluoxetine. How do I cure selective mutism after seven years?
Is it possible that I have selective mutism as an adult? If I get overwhelmed or too anxious I can't make myself speak.
Can't speak: Many things are possible. You may be experiencing the fight-flight-freeze response due to anxiety. There may be a neurological situation. Please see your doc so he/she can diagnose what is happening. A mental health professional may be part of the fix. Peace and good health. ...Read more
I think I may have selective mutism, because I can't talk in certain situations; however I have dp disorder, could that be the cause?
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
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
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
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
Selective mutism, I've done hypnotherapy/ psychotherapy and no results. I'd like an opinion on shamanic psychotherapy, it's my last resort.
Last resort???: I'm concerned how you came to the conclusion that "shamanic therapy" is a "last resort." it's not a generally accepted treatment, and not supported by research. I don't know what kind of psychotherapy you've had or the credentials of the people you've seen, but there are many, many forms of psychotherapy and types of therapists. Shamanic therapy is not remotely your "last resort.". ...Read more
No: Selective mutism is a condition that usually appears in children. Not being able to speak to professors would be a specific phobia or source of anxiety in an adult. The fact that one can speak to other social classes of adults would rule out agoraphobia, or a similar condition. It might be best to speak with a counselor or therapist about why you can't speak with professors. ...Read more
Too early... kind of:
Love. Does communication happen at home meaningfully? If yes, then time, love, and expectation will talk meaningfully away from family.
If not meaningful communication does NOT happen at home, seek professional evaluation for 3 year old. ...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
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 more
Yes: Selective mutism is often connected with anxiety or depression. If either or both of those problems are improved, then communication often improves. This may invovlve the use of medication, but it would also be worthwhile to utilize the therapy setting as well so that the person involved can practice communicating in a saffe and trusting environment. ...Read more
Evaluate and Treat: If you have not done so already, it would be good for your daughter to be evaluated by a mental helath professional who is familiar with selective mutism. Therapy can be helpful, and antidepressant medications can help decrease the anxiety that is commonly associated with this condition. ...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 more
Is it possible to get selective mutism treat at the age of 17? or is it only treatable in children?
Yes: Therapy at any age is beneficial. I suggest the younger the better for socialization, but anytime the therapy will benefit the patient and family. ...Read more
Why not?: I do not see any reason why that would be harmful. She will certainly talk. I am unaware of any advantage to a large classroom for a selectively mute person as they talk when they choose. She will benefit form therapy to help her overcome it with time, but homeschool might be the perfect setting for her. ...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 more
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