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Journal articles on the topic 'Selective mutism Treatment'

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Author: Grafiati

Published: 10 December 2022

Last updated: 29 January 2023

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1

Ponzurick, Joan M. "Selective Mutism." Journal of School Nursing 28, no. 1 (October 4, 2011): 31–37. http://dx.doi.org/10.1177/1059840511422534.

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The school nurse plays a pivotal role in the assessment and treatment of selective mutism (SM), a rare disorder found in elementary school children. Due to anxiety, children with SM do not speak in uncomfortable situations, primarily the school setting. Diagnosis of SM is often missed in the formative years because the child does speak at home. Early diagnosis and treatment provide the key to addressing this rare disorder. The school nurse plays a critical role as a member of the Instructional Support Team (IST). The school nurse, as team liaison, provides communication between parents, school staff, and medical personnel. School nurses make a difference by advocating for the child with SM and possessing the necessary knowledge to effectively intervene. This article discusses a team approach to the assessment and treatment of SM and the role of the school nurse in the school setting.

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2

Giddan, Jane J., Gloria J. Ross, Linda L. Sechler, and Bonnetta R. Becker. "Selective Mutism in Elementary School." Language, Speech, and Hearing Services in Schools 28, no. 2 (April 1997): 127–33. http://dx.doi.org/10.1044/0161-1461.2802.127.

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Selective mutism is an infrequent phenomenon, often first identified in the school setting. This article presents the historical background for the treatment of selective mutism and current diagnostic symptoms of selective mutism, and then elaborates with a case study illustrating successful multidisciplinary treatment outcomes of a child who was selectively mute. Issues relevant to speech-language pathologists working with elementary school children are discussed, and treatment guidelines are provided.

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3

Kumpulainen, Kirsti. "Phenomenology and Treatment of Selective Mutism." CNS Drugs 16, no. 3 (2002): 175–80. http://dx.doi.org/10.2165/00023210-200216030-00004.

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4

Sheridan, Susan M., Thomas R. Kratochwill, and Sylvia Z. Ramirez. "Assessment and Treatment of Selective Mutism." Special Services in the Schools 10, no. 1 (October 12, 1995): 55–77. http://dx.doi.org/10.1300/j008v10n01_04.

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5

Oerbeck, Beate, Kristin Romvig Overgaard, R. Lindsey Bergman, Are Hugo Pripp, and Hanne Kristensen. "The Selective Mutism Questionnaire: Data from typically developing children and children with selective mutism." Clinical Child Psychology and Psychiatry 25, no. 4 (April 13, 2020): 754–65. http://dx.doi.org/10.1177/1359104520914695.

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The core symptom of the anxiety disorder selective mutism (SM) is absence of speech in specific situations, such as at school. The most commonly used standardized instruments to assess speaking behavior are the parent-rated Selective Mutism Questionnaire (SMQ) and the teacher-rated School Speech Questionnaire (SSQ), scored from 0 to 3, indicating that speaking behavior never, seldom, often, and always occur. They were developed to assess severity of mutism and potential effects of treatment. However, prospective data on speaking behavior in typically developing children (TDs) are missing in the literature. The main aim of this study was to present data from TDs over time with previously reported data from children treated for SM, as a comparison. Participants were 64 children aged 3–9 years, 32 TDs who were a matched control group to 32 children with SM. At baseline, the mean SMQ and SSQ scores were ⩾2.5 in TDs and 0.5 in children with SM. The TDs did not show significant changes over time, while significantly increased speech was found in children with SM after treatment. Thus, our findings support the use of the SMQ/SSQ to assess baseline SM severity and to evaluate potential treatment effects in future studies.

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6

Fisak, Brian J., Arazais Oliveros, and Jill T. Ehrenreich. "Assessment and Behavioral Treatment of Selective Mutism." Clinical Case Studies 5, no. 5 (October 2006): 382–402. http://dx.doi.org/10.1177/1534650104269029.

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7

Abudawoud, Duaa. "Scoping Review of Treatment of Selective Mutism in Children and Adolescents in the Last 5 Years." International Journal of Research Publication and Reviews 03, no. 12 (2022): 2140–42. http://dx.doi.org/10.55248/gengpi.2022.31266.

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Introduction : Selective mutism (SM) characterized by the consistent absence of speaking in specific situations, while adequately speaking in other situations. SM can have a debilitating impact on the psychosocial and academic functioning in childhood. Cognitive behavioral therapy (CBT) is the recommended approach for SM. Methods:A database research was performed to identify all relevant articles on the Treatment of selective mutism in children and adolescent patients in the last 5 years (from 2017 to 2022). Results:5 Articles were revealed by our literature research after exclusion the Articles that did not meet the inclusion criteria. Conclusions: The psychological and the Pharmacological treatment for selective mutism was supported with these findings, while combination treatment generally limits the evidence. The potential involvement of autism spectrum disorder in SM has implications for clinical practice when treating children with SM. The intricacy of the etiology of SM makes a multimodal approach to diagnosis and treatment highly recommended. The identification of various illnesses with different etiologies and courses may sometimes begin with the diagnosis of selective mutism as a preliminary diagnostic. In people with selective mutism, developmental disorders and some other diseases frequently coincide.

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8

Santos, Matheus Elias dos, Angela Ketlyn de Brito Souza, and Luciene Costa Araújo Morais. "MUTISMO SELETIVO: considerações teóricas e as contribuições da terapia cognitivo-comportamental." Psicologia e Saúde em Debate 6, no. 2 (December 22, 2020): 443–52. http://dx.doi.org/10.22289/2446-922x.v6n2a29.

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The Selective Mutism is a disorder that affects children, characterized by the lack of oral communication in social exposure environments, being mainly identified at the beginning of the school term. This is a review article, in order to analyze in literature studies on the contributions of Therapy Cognitive-Behavioral at work with children diagnosed with Selective Mutism, and the use of techniques effective for treatment. The literature review occurred through the search for articles in the databases: Pepsic, Scielo, BVS-Psi e Google Scholar. Throughout this research, boolean descriptors and operators were used: “Selective Mutism” AND “Childhood” AND “Cognitive-Behavioral Therapy” AND “Treatment”. From the review critical reading of articles, twelve journals were selected, in the period between 2014 and 2020, in which the data was collected and organized through file, until they are analyzed and included in relevant information for the topic. The results found demonstrate that, the treatment of children diagnosed with Selective Mutism must be performed early, considering the social and learning losses related to it. The Cognitive-Behavioral Model has been shown to be effective and supported by methods and techniques that help the treatment of Selective Mutism and other childhood anxiety disorders.

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9

Ridha, Andi Ahmad. "METODE STIMULUS FADING UNTUK MENURUNKAN GEJALA SELCETIVE MUTISM DISORDER PADA ANAK." Jurnal Psikologi Integratif 7, no. 1 (August 31, 2019): 1. http://dx.doi.org/10.14421/jpsi.v7i1.1628.

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Abstract. The symptoms of selective mutism disorder in children cause it to be less able to speak in social situations where children are expected to speak. Interventions in the form of fading stimulus are expected to teach children new behaviors so that they are more adaptive in social situations. This study aims to determine the effectiveness of stimulus fading methods in reducing symptoms of selective mutism disorder in children. This study uses a single case experimental design with treatment in the form of the application of fading stimulus intervention in one 4-year-old boy who experienced symptoms of selective mutism disorder. The instruments of data collection were observation techniques of tallying behavior and rating scale, selective mutism questionnaire, and school speech questionnaire and analyzed descriptively. The results showed that after giving intervention within 10 days, the subject experienced significant progress, the subject became more expressive, could mingle and interact with others. Therefore, it can be concluded that the stimulus fading method can be used to reduce the symptoms of selective mutism disorder in children. Keywords: Children; Stimulus Fading; Selective Mutism Disorder Abstrak. Gejala selective mutism disorder pada anak menyebabkannya kurang mampu berbicara dalam situasi sosial dimana anak diharapkan dapat berbicara. Intervensi berupa stimulus fading, diharapkan dapat mengajarkan anak perilaku baru sehingga lebih adaptif dalam situasi sosial. Penelitian ini bertujuan untuk mengetahui efektivitas metode stimulus fading dalam menurunkan gejala selective mutism disorder pada anak. Penelitian ini menggunakan metode single case experimental design dengan perlakuan berupa penerapan intervensi stimulus fading pada satu orang anak laki-laki berusia 4 tahun yang mengalami gejala selective mutism disorder. Instrumen pengumpulan data berupa teknik observasi behavior tallying dan rating scale, selective mutism questionnaire, dan school speech questionnaire dan dianalisis secara deskriptif. Hasil penelitian menunjukkan bahwa setelah pemberian intervensi selama dalam waktu 10 hari, subjek mengalami kemajuan yang signifikan, subjek menjadi lebih ekspresif, dapat berbaur dan berinteraksi dengan orang lain. Oleh karena itu, dapat disimpulkan bahwa metode stimulus fading dapat digunakan untuk menurunkan gejala selective mutism disorder pada anak.Kata kunci: Anak; Stimulus Fading: Selective Mutism Disorder

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10

Plener, P., S. A. Gatz, C. Schuetz, A. G. Ludolph, and M. Kölch. "A Case of Selective Mutism in an Eight-Year Old Girl with Thalassaemia Major After Bone Marrow Transplantation." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71189-7.

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Objective:Selective Mutism (DSM-IV: 313.23, ICD-10: F94.0) is a rare phenomenon in child and adolescent psychiatry, with prevalence rates below 1%. Patients limit their verbal communication and social functioning is severely impaired. Evidence for treatment strategies is scarcely available, especially in patients with concomitant pediatric disorders.Method:This case report provides information on the psychotherapeutic and psychopharmacological treatment of selective mutism in an eight-year old girl with thalassemia major. The patient presented to the psychiatric department after her second (successful) bone marrow transplantation for treatment of her selective mutism which was present already prior to transplantation. As permanent medications she received penicillin prophylaxis (500.000 IE/d) and deferasirox (Exjade; 20-25 mg/kg/d), a recently approved iron chelator.Results:Long term psychotherapy (CBT) in a day-time clinic, supported by the use of the SSRI Fluoxetine (10 mg), led to a decrease in the Selective Mutism score from 29 to 17 points - GAF improved by 21 points. Reintegration in the school context was established. Mean levels of Fluoxetin and N-Fluoxetin were 287,8 ng/ml without significant level fluctuations.Conclusion:This case adds further evidence, that a combination of psychotherapy and psychopharmacological interventions (SSRI) proves effective in treatment resistant Selective Mutism. Monitoring blood levels of the SSRI is crucial in providing treatment to patients receiving multi-pharmacological treatment.

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11

Powell, Shawn, and Mahlon Dalley. "When to intervene in selective mutism: The multimodal treatment of a case of persistent selective mutism." Psychology in the Schools 32, no. 2 (April 1995): 114–23. http://dx.doi.org/10.1002/1520-6807(199504)32:2<114::aid-pits2310320207>3.0.co;2-b.

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12

Kaakeh, Yaman, and Janice L. Stumpf. "Treatment of Selective Mutism: Focus on Selective Serotonin Reuptake Inhibitors." Pharmacotherapy 28, no. 2 (February 2008): 214–24. http://dx.doi.org/10.1592/phco.28.2.214.

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13

Schum, Robert L. "Clinical perspectives on the treatment of selective mutism." Journal of Speech and Language Pathology – Applied Behavior Analysis 1, no. 2 (2006): 149–63. http://dx.doi.org/10.1037/h0100190.

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14

BLUM, NATHAN J., RANDI S. KELL, H. LYNN STARR, WINIFRED LLOYDS LENDER, KATHY L. BRADLEY-KLUG, MARY L. OSBORNE, and PETER W. DOWRICK. "Case Study: Audio Feedforward Treatment of Selective Mutism." Journal of the American Academy of Child & Adolescent Psychiatry 37, no. 1 (January 1998): 40–43. http://dx.doi.org/10.1097/00004583-199801000-00015.

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15

Stone, Beth Pionek, Thomas R. Kratochwill, Ingrid Sladezcek, and Ronald C. Serlin. "Treatment of selective mutism: A best-evidence synthesis." School Psychology Quarterly 17, no. 2 (2002): 168–90. http://dx.doi.org/10.1521/scpq.17.2.168.20857.

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16

Hungerford, Suzanne. "Conquering Challenges of Interprofessional Treatment for Selective Mutism." ASHA Leader 22, no. 8 (August 2017): 34–35. http://dx.doi.org/10.1044/leader.scm.22082017.34.

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17

Watson, T. Steuart, and Jack J. Kramer. "Multimethod behavioral treatment of long-term selective mutism." Psychology in the Schools 29, no. 4 (October 1992): 359–66. http://dx.doi.org/10.1002/1520-6807(199210)29:4<359::aid-pits2310290409>3.0.co;2-6.

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18

Esmail, Mustafa E., Manar B. Alharbi, Ibrahim S. Alayed, Mohammed S. Alqahtani, Hassan F. Aldeeb, Yazeed H. Alanazi, Hassan A. Almasoud, et al. "Definitions, importance, and application of selective mutism questionnaire in the primary care setting." International Journal Of Community Medicine And Public Health 8, no. 12 (November 24, 2021): 6076. http://dx.doi.org/10.18203/2394-6040.ijcmph20214451.

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Children with selective mutism might suffer from less frequent involvement in school activities, reduced social and cognitive abilities, in addition to being at increased risk of subjective suffering and developing other associated morbidities. There is a lack of evidence regarding the assessment modalities that should be used to evaluate selective mutism. However, recent data show that the selective mutism questionnaire (SMQ) is validated among different investigations with well-established psychometric properties. In the present literature review, we have discussed the definition, uses, and importance of the SMQ for children with selective mutism in primary care settings. Our results show that the different included studies indicate the sensitivity and reliability of the tool to assess the severity of behavioral speaking among these children. Besides, evidence has shown that the tool can be used to assess the impact of treatment on the behavioral outcomes of these children. Based on these data, it has been demonstrated that the treatment of selective mutism can significantly enhance the scores and the behavioral speaking patterns. However, these scores were still relatively lower than the ones estimated for the typically developing children. The impact of more intensive treatment modalities has been suggested but was not adequately validated, and therefore, further research is a must for adequate interpretation and validation of the current findings to achieve better outcomes.

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19

Capobianco, Micaela, and Luca Cerniglia. "Case Report: Evaluation strategies and cognitive intervention: the case of a monovular twin child affected by selective mutism." F1000Research 7 (February 23, 2018): 221. http://dx.doi.org/10.12688/f1000research.14014.1.

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The present work describes the assessment process, evaluation strategies, and cognitive intervention on a 9 years old child with selective mutism (SM), a monovular twin of a child also affected by mutism. Currently, the cognitive behavioral multimodal treatment seems the most effective therapeutic approach for children diagnosed with selective mutism (Capobianco & Cerniglia, 2018). The illustrated case confirms the role of biological factors involved in mutacic disorder but also highlights the importance of environmental influences in the maintenance of the disorder with respect to relational and contextual dynamics (e.g. complicity between sisters, family relationships). The article discusses furthermore the importance of an early diagnosis as a predictor of positive treatment outcomes.

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20

Bilodeau, Sarah. "Bridge to the Silence—Integrative Dramatherapy with Selective Mutism." Creative Arts in Education and Therapy 8, no. 2 (January 13, 2023): 200–212. http://dx.doi.org/10.15212/caet/2022/8/24.

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This article is presented as a clinical case study in research and the arts that explores the journey of a 7-year-old girl with selective mutism, and her growth through an integrative intervention that combined dramatherapy, systemic, behavioral, and attachment-informed approaches. Sessions took place in Shanghai, China. Gorla et al. (2017) [Without words. Different children in different contexts (Trans.). A.G. Editions] and Perednik (2016) [The selective mutism treatment guide: Manuals for parents, teachers, and therapists: Still waters run deep. Oaklands] propose that the significant others of a person with selective mutism can become therapeutic agents of change, and through this lens, the child’s family, peers, and school staff became involved. Through the use of play and the therapeutic relationship and the coming together of specialties and community, it is posited that the client found her voice again, enhancing her relationships and embarking on a journey of lasting change. The dramatherapy-based, multimodal intervention provides an example of clinical practice intended to assist therapists, parents, schools, and practitioners looking to support an individual with selective mutism.

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21

Demirkol Tunca, Ruken, and Devrim Akdemir. "Multimodal Treatment Approach in a Child with Selective Mutism." Turkish Journal of Child and Adolescent Mental Health 27, no. 2 (July 1, 2020): 120–23. http://dx.doi.org/10.4274/tjcamh.galenos.2020.14633.

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22

Kearney, Christopher A., and Jennifer Vecchio. "Functional analysis and treatment of selective mutism in children." Journal of Speech and Language Pathology – Applied Behavior Analysis 1, no. 2 (2006): 141–48. http://dx.doi.org/10.1037/h0100189.

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23

Silveira, Raza, Ashok Kumar Jainer, and Gordon Bates. "Fluoxetine treatment of selective mutism in pervasive developmental disorder." International Journal of Psychiatry in Clinical Practice 8, no. 3 (September 2004): 179–80. http://dx.doi.org/10.1080/13651500410006143.

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24

GOLWYN, DANIEL H., and CAROL P. SEVLIE. "Phenelzine Treatment of Selective Mutism in Four Prepubertal Children." Journal of Child and Adolescent Psychopharmacology 9, no. 2 (January 1999): 109–13. http://dx.doi.org/10.1089/cap.1999.9.109.

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25

Busman, Rachel, Rachel Busman, and Laura Kirmayer. "Evidence-Based Treatment of Selective Mutism: A Comprehensive Workshop." Journal of the American Academy of Child & Adolescent Psychiatry 55, no. 10 (October 2016): S354. http://dx.doi.org/10.1016/j.jaac.2016.07.103.

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Choate, Alyssa Zwicker, and Andrea Wahlberg. "A-165 Selective Mutism in Pediatric Opsoclonus-Myoclonus Syndrome: A Case Study." Archives of Clinical Neuropsychology 37, no. 6 (August 17, 2022): 1320. http://dx.doi.org/10.1093/arclin/acac060.165.

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Abstract Objective: Opsoclonus-Myoclonus Syndrome (OMS) is an extremely rare (1 per 5 million estimated incidence), subacute movement disorder characterized by myoclonus and/or ataxia, opsoclonus, and behavioral disturbance with or without neuroblastoma. Many pediatric patients will experience long-term cognitive, behavioral, and motor sequelae. This case study describes deficits associated with a rare course of OMS and will present a poly-etiologic hypothesis for the observed profile. Improved understanding of the phenotypic variance in atypical OMS may promote diagnostic clarity and subsequent intervention for a rare presentation that is scientifically underserved. Method: Patient presented with viral infection at 2 years of age that led to loss of motor and speech functioning and ultimately a diagnosis of OMS. Patient exhibited typical features of cerebellar mutism syndrome (mutism, emotional lability, motor impairment), with rapid recovery of gross motor skills. Patient’s mutism has persisted for several years despite immunomodulatory treatment and normal neuroimaging findings. Results: Neuropsychological results indicated below average performance across intellectual, language, motoric, and academic domains. Functional and adaptive impairments secondary to social anxiety and separation distress were also exhibited. Diagnostic criteria for Selective Mutism and Social Anxiety Disorder were met. Significant anxiety, post-event stress, attachment needs, altered speech/language development, and personal temperament are all probable contributors to her prolonged mutism. Conclusions: This case study examines OMS with prolonged mutism. Mutism, while not uncommon in some cerebellar disorders or post surgically, is not well documented in the OMS literature and may represent a rare outcome. These findings add to the phenotypic variability, developmental course, and profile of atypical cerebellar presentations.

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Manassis, Katharina, and Rosemary Tannock. "Comparing Interventions for Selective Mutism: A Pilot Study." Canadian Journal of Psychiatry 53, no. 10 (October 2008): 700–703. http://dx.doi.org/10.1177/070674370805301010.

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Objective: To examine the outcome within 6 to 8 months of medical and nonmedical intervention for children with severe selective mutism (SM). Method: Children with SM ( n = 17) and their mothers, seen in a previous study, attended follow-up appointments with a clinician. Obtained by maternal report were: treatment received, current diagnosis (based on semi-structured interview), speech in various environments, and global improvement. An independent clinician also rated global functioning. Results: The diagnosis of SM persisted in 16 children, but significant symptomatic improvement was evident in the sample. All children had received school consultations. Children who had been treated with selective serotonin reuptake inhibitors (SSRI) ( n = 10) showed greater global improvement, improvement in functioning, and improvement in speech outside the family than children who were unmedicated ( n = 7). No differences were evident for children receiving and not receiving additional nonmedical intervention. Conclusions: The findings suggest the potential benefit of SSRI treatment in severe SM, but randomized comparative treatment studies are indicated.

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Mulyadi, Deden. "Penerapan Metode Bermain Peran (Role Playing) Untuk Menangani Anak Yang Mengalami Selective Mutism." Jurnal Syntax Fusion 2, no. 03 (March 18, 2022): 399–407. http://dx.doi.org/10.54543/fusion.v2i03.180.

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Children are admitted to Kindergarten and are expected to help develop their social skills. There are children who are easy to socialize, but there are children who have difficulty adapting and communicating while in the school environment, this condition can be said to be a child experiencing Selective Mutism. With the application of the role playing method, it is expected to be able to handle children who experience Selective Mutism. The purpose of this study was to determine whether the role playing method could reduce the symptoms of Selective Mutism in children. This study used a single case experimental design method with the treatment in the form of role playing given to children. The research subject is a 5-year-old boy who attends Kindergarten on Pamulang, South Tangerang. From the research that has been done, the results show that the application of role playing is effective in overcoming children who experience Selective Mutism, where changes in children's behavior are seen such as being able to start interactions with friends, wanting to play with friends, not crying when their mother is left alone at school, and willing to follow all school activities.

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Weinstock, Rachel, Nicole Caporino, Susanna Crowell McQuarrie, Emily Ronkin, Laura A. Wright, Natasha N. Ludwig, and Erin B. Tone. "Behavioral Assessment and Treatment of Selective Mutism in Identical Twins." Clinical Case Studies 19, no. 6 (August 18, 2020): 418–37. http://dx.doi.org/10.1177/1534650120950526.

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Selective mutism (SM) is a childhood disorder characterized by persistent failure to speak in situations where speech is expected. There is evidence that behavioral interventions are effective for increasing speech in children with SM but studies have been limited by small, relatively homogeneous samples. Although twins appear to be disproportionately represented among children with SM, little is known about their specific treatment needs and barriers to effective treatment implementation in this population. This case study presents family-based behavioral therapy delivered to a set of 8-year-old, identical twins with SM. At posttreatment, both children displayed marked improvements in speaking and social engagement. Clinical considerations for working with twins with SM are discussed.

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Jackson, Melissa F., Rebecca S. Allen, Allison B. Boothe, Marisa L. Nava, and Adriana Coates. "Innovative Analyses and Interventions in the Treatment of Selective Mutism." Clinical Case Studies 4, no. 1 (January 2005): 81–112. http://dx.doi.org/10.1177/1534650103259676.

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Vecchio, Jennifer, and Christopher A. Kearney. "Assessment and Treatment of a Hispanic Youth With Selective Mutism." Clinical Case Studies 6, no. 1 (February 2007): 34–43. http://dx.doi.org/10.1177/1534650106290393.

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Shriver, Mark D., Natasha Segool, and Valerie Gortmaker. "Behavior Observations for Linking Assessment to Treatment for Selective Mutism." Education and Treatment of Children 34, no. 3 (2011): 389–410. http://dx.doi.org/10.1353/etc.2011.0023.

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DOW, SARA P., BARBARA C. SONIES, DONNA SCHEIB, SHARON E. MOSS, and HENRIETTA L. LEONARD. "Practical Guidelines for the Assessment and Treatment of Selective Mutism." Journal of the American Academy of Child & Adolescent Psychiatry 34, no. 7 (July 1995): 836–46. http://dx.doi.org/10.1097/00004583-199507000-00006.

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DUMMIT III, E. STEVEN, RACHEL G. KLEIN, BARBARA ASCHE, JACQUELINE MARTIN, and NANCY K. TANCER. "Fluoxetine Treatment of Children with Selective Mutism: An Open Trial." Journal of the American Academy of Child & Adolescent Psychiatry 35, no. 5 (May 1996): 615–21. http://dx.doi.org/10.1097/00004583-199605000-00016.

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Oerbeck, Beate, Kristin Romvig Overgaard, Murray B. Stein, Are Hugo Pripp, and Hanne Kristensen. "Treatment of selective mutism: a 5-year follow-up study." European Child & Adolescent Psychiatry 27, no. 8 (January 22, 2018): 997–1009. http://dx.doi.org/10.1007/s00787-018-1110-7.

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Mayworm, Ashley M., Erin Dowdy, Kezia Knights, and Jennica Rebelez. "Assessment and Treatment of Selective Mutism with English Language Learners." Contemporary School Psychology 19, no. 3 (October 7, 2014): 193–204. http://dx.doi.org/10.1007/s40688-014-0035-5.

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Agel, Mona, and Gino Hipolito. "Dental care for children with selective mutism." Faculty Dental Journal 12, no. 2 (April 2021): 72–77. http://dx.doi.org/10.1308/rcsfdj.2021.18.

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Selective mutism (SM) is an anxiety disorder that is characterised by a consistent failure to speak in certain social settings where the individual is expected to speak while in other situations, speech is normal. It often starts in childhood and is thought to affect around 1 in 140 children in the UK. If recognised and treated early, SM can be overcome but left untreated, it can lead to long-term problems. It is thought to be caused by a complex interaction between various vulnerabilities such as genetics, temperament, environment and neurodevelopmental factors. Treatment methods are variable and can include non-medication-based therapies (eg behavioural therapy) or pharmacotherapy. This paper specifically addresses the child with SM. Few professionals are trained in dealing with SM and many have little knowledge of the condition. SM awareness for parents and professionals along with appropriate information and intervention techniques are vital. For children with SM, dental visits can prove challenging. Each child is unique in how they present with their difficulties. A child attending the dentist for a dental problem or a routine examination may not yet be diagnosed with SM, and so knowledge of the condition and what appropriate services are available is important. The dental team should understand the possible modes of therapy that the child is receiving and work with these principles during dental appointments. Simple strategies such as asking the parent how best to communicate with the child, understanding what makes the child feel at ease and whether the child has any other phobias or anxieties can help.

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HARVEY, B. H., and M. MILNE. "Pharmacotherapy Of Selective Mutism: Two Case Studies Of Severe Entrenched Mutism Responsive To Adjunctive Treatment With Fluoxetine." Southern African Journal of Child and Adolescent Mental Health 10, no. 1 (January 1998): 59–66. http://dx.doi.org/10.1080/16826108.1998.9632346.

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Siroky, Allison K., John S. Carlson, and Aimee Kotrba. "Investigation of Integrated Behavior Therapy for Selective Mutism: A Replicated Single-Case Study Design." International Journal of Psychological Studies 9, no. 2 (April 6, 2017): 82. http://dx.doi.org/10.5539/ijps.v9n2p82.

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Selective Mutism (SM) is a rare but potentially debilitating disorder characterized by a lack of speech in certain settings where speaking is expected. This study examined the effectiveness of a shortened version (12 sessions over 18 weeks) of Integrated Behavior Therapy for Selective Mutism (IBTSM; Bergman, 2013) in increasing speech and relieving anxiety for two four-year-old males with SM via a replicated single-case design. Treatment effectiveness, integrity, and acceptability were measured at baseline, throughout treatment, and at a three-month follow-up. Treatment integrity was excellent for both cases. SM severity ratings decreased from baseline to end-of-treatment, and again at follow-up, for each case. Verbal communication increased at end-of-treatment and follow-up, and significant decreases in social anxiety were seen across both cases by the three-month follow-up. Parents rated the shortened IBTSM as highly acceptable, effective, and efficient. Future studies should explore the effectiveness of varying lengths of IBTSM.

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Rye, Mark S., and Douglas Ullman. "The successful treatment of long-term selective mutism: a case study." Journal of Behavior Therapy and Experimental Psychiatry 30, no. 4 (December 1999): 313–23. http://dx.doi.org/10.1016/s0005-7916(99)00030-0.

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Kehle, Thomas J., Melissa R. Madaus, Victoria S. Baratta, and Melissa A. Bray. "Augmented Self-Modeling as a Treatment for Children with Selective Mutism." Journal of School Psychology 36, no. 3 (September 1998): 247–60. http://dx.doi.org/10.1016/s0022-4405(98)00013-2.

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42

Sharkey, Louise, Fiona Mc Nicholas, Edwina Barry, Maire Begley, and Sinead Ahern. "Group therapy for selective mutism – A parents' and children's treatment group." Journal of Behavior Therapy and Experimental Psychiatry 39, no. 4 (December 2008): 538–45. http://dx.doi.org/10.1016/j.jbtep.2007.12.002.

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Oerbeck, Beate, Murray B. Stein, Are H. Pripp, and Hanne Kristensen. "Selective mutism: follow-up study 1 year after end of treatment." European Child & Adolescent Psychiatry 24, no. 7 (September 30, 2014): 757–66. http://dx.doi.org/10.1007/s00787-014-0620-1.

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Tatem, Diane Wolf, and Robert L. DelCampo. "Selective mutism in children: A structural family therapy approach to treatment." Contemporary Family Therapy 17, no. 2 (June 1995): 177–94. http://dx.doi.org/10.1007/bf02252357.

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Capobianco, Micaela, and Luca Cerniglia. "Communicative, cognitive and emotional issues in selective mutism." Interaction Studies 19, no. 3 (December 31, 2018): 445–58. http://dx.doi.org/10.1075/is.17018.cap.

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Abstract Selective mutism (SM) is a developmental disorder characterized by a child’s inability to speak in certain contexts and/or in the presence of unfamiliar interlocutors. This work proposes a critical discussion of the most recent studies on SM, with respect to clinical and diagnostic features, as well as the etiology and treatment of this disorder. At present, all research work supports the hypothesis that SM is a complex anxiety disorder with multifactorial etiology (interaction among biological and environmental causes). The latest edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) places SM mutism among “Anxiety Disorders”, and no longer among “Other Childhood, Infant and Adolescent Disorders” (as in DSM-IV). Other important aspects relate to cognitive biases and emotional states at the base of SM, which partly explain the disorder’s persistence and represent an important objective of intervention work. No data in the literature point to a total remission of SM, but good results are achieved with cognitive behavior intervention and multimodal therapy (MMT) involving a variety of child interaction contexts.

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Klein, Evelyn R., Sharon Lee Armstrong, Kathryn Skira, and Janice Gordon. "Social Communication Anxiety Treatment (S-CAT) for children and families with selective mutism: A pilot study." Clinical Child Psychology and Psychiatry 22, no. 1 (July 26, 2016): 90–108. http://dx.doi.org/10.1177/1359104516633497.

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This research assessed the feasibility of Social Communication Anxiety Treatment (S-CAT) developed by Elisa Shipon-Blum, a brief multimodal approach, to increase social communication in 40 children aged 5–12 years with selective mutism (SM). SM is a disorder in which children consistently fail to speak in specific situations although they have the ability to do so. Key features of this approach are the SM-Social Communication Comfort Scale (SCCS), transfer of control (ToC), a nonchalant therapeutic style, and cognitive-behavioral strategies over a brief time frame. Following 9 weeks of treatment, children showed significant gains in speaking frequency on all 17 items from the Selective Mutism Questionnaire (SMQ), a standardized measure of SM severity. Children also showed decreased levels of anxiety and withdrawal as reported by parents on the Child Behavior Checklist (CBCL). SM initial symptom severity and family therapy compliance, but not duration of SM, contributed to treatment outcomes.

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Guna-Dumitrescu, Luiza, and Gilles Pelletier. "Successful Multimodal Treatment of a Child with Selective Mutism: A Case Report." Canadian Journal of Psychiatry 41, no. 6 (August 1996): 417. http://dx.doi.org/10.1177/070674379604100626.

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Uytun, Merve, Didem Oztop, and Salih Uytun. "Differential Diagnosis and Treatment with Fluoxetine of Selective Mutism: A Case Presentation." International Neuropsychiatric Disease Journal 3, no. 3 (January 10, 2015): 100–105. http://dx.doi.org/10.9734/indj/2015/14957.

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Watson, Sarah. "Successful treatment of selective mutism: collaborative work in a secondary school setting." Child Language Teaching and Therapy 11, no. 2 (June 1995): 163–75. http://dx.doi.org/10.1177/026565909501100203.

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Busman, Rachel, and Harold S. Koplewicz. "6.3 Talk the Talk: Intensive Behavioral Treatment for Children With Selective Mutism." Journal of the American Academy of Child & Adolescent Psychiatry 57, no. 10 (October 2018): S129—S130. http://dx.doi.org/10.1016/j.jaac.2018.07.593.

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