Selective Mutism

What is selective mutism (SM)?

Selective Mutism (SM) constitutes an anxiety disorder, typically diagnosed in childhood, wherein an individual cannot speak in particular social situations despite being capable of speaking well in other settings.

 Signs and Symptoms:

• Consistent difficulty with communicating in specific settings and situations where speaking is expected, such as in school, with teachers or peers, and in the community
• Excessive anxiety and fear when speaking; shutting down when unable to speak
• Able to communicate well in other settings, such as with family or at home
• Difficulty speaking is not due to a lack of knowledge or comfort with the spoken language required in the social situation
• An individual’s not speaking is not better explained by a communication disorder

Individuals with SM may also:

• Struggle to make eye contact when feeling uncomfortable
• Present as behaviorally inhibited
• Use nonverbal communication to express their needs or answer questions (e.g., nodding, pointing, writing)

Onset, Diagnosis, and Treatment:

The onset of SM typically ranges between the ages of 3 – 6, when children start attending preschool or entering other public spaces for the first time. A diagnosis is likely if the individual’s not speaking is persistent over time and causes impairment in daily functioning (e.g., being able to participate in school effectively and creating friendships with peers). Without treatment, SM can persist into adolescence and adulthood.

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Daniela Nogales

The good news is SM is treatable. Daniela Nogales, LCPC, has received specialized training in PCIT for Selective Mutism (PCIT-SM), an adaptation of PCIT. Furthermore, she is a certified PCIT-SM therapist. Dr. Steven Kurtz developed PCIT-SM as a research-tested behavioral therapy that helps children improve their verbal and non-verbal participation. It also supports parents in learning skills to help their child learn to talk with others. Daniela offers virtual and in-person sessions (in the office, at home, or school) to best support individuals and their families with SM.

Call us for details and assistance setting up an evaluation and care at (240) 252-3349

Request Appointment with Daniela