Often described as "social phobia's cousin" and misdiagnosed as
autism, selective mutism is a debilitating fear of speaking in some
situations experienced by some children. The disorder usually
presents in children before the age of five, but it may not be
recognized until the child starts school. When requested to speak,
children with selective mutism often look down, blush, or otherwise
express anxiety that disrupts their engagement with people and
activities. Selective mutism is related to social anxiety and
social phobia, and more than 90 percent of children with selective
mutism also manifest symptoms of one of these problems.
This book is the first available for parents of children with
selective mutism. It offers a broad overview of the condition and
reviews the diagnostic criteria for the disorder. The book details
a plan you can use to coordinate professional treatment of your
child's disorder. It also explains the steps you can take on your
own to encourage your child to speak comfortably in school and in
his or her peer group. All of the book's strategies employ a
gradual, "stepladder" approach. The techniques gently encourage
children to speak more, while at the same time helping them feel
safe and supported.
Angela E. McHolm, Ph.D., is director of the Selective Mutism
Service at McMaster Children's Hospital in Hamilton, ON. The
Selective Mutism Service offers outpatient psychiatric consultation
to families and professionals such as school personnel, speech and
language pathologists, and mental health clinicians who support
children with selective mutism. She is assistant professor in the
Department of Psychiatry and Behavioural Neurosciences in the
Faculty of Health Sciences at McMaster University in Hamilton,
ON.
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