[Treatment of selective mutism]

Z Kinder Jugendpsychiatr Psychother. 2007 Nov;35(6):399-407; quiz 408-9. doi: 10.1024/1422-4917.35.6.399.
[Article in German]

Abstract

Selective mutism is a communication disorder of childhood in which the child does not speak in specific social situations despite the ability to speak in other situations. A literature review was completed in order to provide practical guidelines for the assessment and treatment of children with selective mutism. There are many different behavioral approaches in the treatment of this disorder, e.g. contingency management, shaping, stimulus fading, escape-avoidance, self-modeling, learning theory approaches. A clearer diagnostic understanding of the disorder as part of anxiety or oppositional disorders needs to be realized prior to generalize an effective treatment for this disorder.

Publication types

  • Review

MeSH terms

  • Behavior Therapy / methods*
  • Child
  • Child, Preschool
  • Cognitive Behavioral Therapy / methods*
  • Combined Modality Therapy
  • Female
  • Fluoxetine / therapeutic use
  • Humans
  • Male
  • Mutism / diagnosis
  • Mutism / psychology
  • Mutism / therapy*
  • Parenting / psychology
  • Phobic Disorders / diagnosis
  • Phobic Disorders / psychology
  • Phobic Disorders / therapy
  • Risk Factors
  • Selective Serotonin Reuptake Inhibitors / therapeutic use
  • Social Environment
  • Stress, Psychological / complications

Substances

  • Serotonin Uptake Inhibitors
  • Fluoxetine