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By Saundra Love Presented October 20, 2003 Temple University - Ambler
Selective Mutism By Saundra Love Presented October 20, 2003 Temple University - Ambler
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What is Selective Mutism?
A psychiatric disorder most commonly found in children. Characterized by a persistent failure to speak in select settings which continues for more than 1 month. Is currently thought to be related to severe anxiety and social phobia.
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Statistics Affects less than 1% of school-aged children
It is slightly more common in girls than in boys
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Assessment A (SLP) speech language pathologist will conduct a thorough parental interview and speech & language evaluation
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Parental Interview Focuses on:
- the child’s symptom history - degree to which the child is verbally and non-verbally inhabited - other possible problems (autism, etc) - speech and language development - environmental influences - family history - educational history
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Speech & Language Evaluation Focuses on:
The quality of verbal and non-verbal communication Comprehension of language A parent may be asked to do structured communication activities with the child ex: audiotape child’s speech at home A screening test for hearing
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How is Selective Mutism Treated?
Children with this condition need: psychotherapy speech and language treatment behavioral program Therapy and treatments focus on methods to: lower anxiety increase self-esteem increase confidence increase communication
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Treatment Cont. The treatment of choice will differ depending on the needs of the child and his or her family. The child’s treatment may utilize a combination of strategies, again depending on the individual needs.
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Children with Selective Mutism and Educational Needs
Individual programs need to be designed Most programs can be implemented within the regular education environments Others may require coordination between regular and special education school staff
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What Teachers can do: Understand that the symptoms are not intentional
Consistent behavioral strategies should be implemented in the classroom * focus on encouraging, not forcing, the child to speak * Praise and reward for speaking, and completion of classroom tasks These will all contribute to lowering anxiety, while helping the child feel included, positive, and independent
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References http://www.aboutourkids.org http://www.selectivemutism.org/
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