TPC-Digests-V1-Issues-123

Selective mutism is described as persistent failure to speak in specific social situations where speaking is expected, such as at school and with playmates, despite speaking in other social situations. Children with selective mutism often engage, interact, and communicate verbally within comfortable surroundings, such as their home. They are capable of speaking and understand the language used. However, when placed in structured social settings, such as school, they are mute and socially withdrawn. Levels of social interaction with peers vary among these children. Some interact easily with peers in and outside of the home while others find all aspects of socializing difficult. Other symptoms of selective mutism may include avoidance of eye contact, blank facial expressions, moodiness, and a fear of crowded and/ or dark places. Recent studies suggest A b s t r a c t Despite increasing awareness, the childhood disorder of selective mutism is under-researched and commonly misdiagnosed. The purpose of this article is to highlight current issues related to this disorder as well as describe various treatment approaches including behavioral, cognitive-behavioral, psychodynamic, family, and pharmacological interventions. Implications for counselors and future research are offered. March 9th, 2011 Lisa Camposano S ilent S uffering : C hildren with S elective M utism TPC Digest Go To Article