Myths About Selective Mutism

Clarifying the facts on on a poorly understood disorder



Selective mutism (SM) is a relatively rare anxiety disorder in which children who are talkative at home are unable to speak in more public settings,  including school. Their behavior is often misinterpreted as an inability to speak at all, or as a willful refusal to speak. Here are some of the most common myths about SM.

Selectively mute children have been traumatized or abused.

This is an unfortunate myth because it may prevent parents from seeking help for a child for fear of being suspected of abuse. There is no evidence linking selective mutism to trauma; children who are selectively mute are comfortable speaking at home but overcome by anxiety in social situations. Experts believe the condition is familial and possibly genetic.

SM is just shyness. Kids with SM will grow out of it.

SM is a type of social anxiety that is much more extreme than ordinary shyness; it’s a paralyzing inability to speak which interferes with a child’s life and development. While some children do eventually overcome SM without treatment, they may endure years of suffering and miss out on age-appropriate activities and development.

Kids with SM have speech problems.

While some children with SM do have a speech delay, the two conditions are unrelated and many selectively mute children have no speech or language learning problems. When children cannot speak to unfamiliar adults, their verbal skills may be underestimated.

Children with SM are oppositional or manipulative.

The idea that children “choose” selective mutism was such a popular idea that for a while SM was known as “elective mutism,” and it was attributed to poor parenting. The truth is that SM stems from social anxiety and inhibition, not anger or a desire to control; the children experience it as an inability to speak.

Children with SM can speak if adults make clearer demands.

Pressure to speak is precisely what children with SM find most paralyzing. What they need are interventions to reduce anxiety and encourage efforts to speak with positive reinforcement. Being careful to give a child 5 seconds extra time to respond to a question can also increase the chance that she will find her voice.

SM is a form of autism.

Children with SM, when they are feeling anxious, often react with lack of eye contact, a blank expression, and other behaviors that may look like an autism spectrum disorder. However, SM is fundamentally different from autism; while children with autism lack social and communication skills, children with SM are severely inhibited in speaking in certain situations.

Original Here

Attention-deficit/hyperactivity disorder (ADHD) in children by Mayo Clinic Staff

ADHD and Emotions: What You Need to Know by Thomas E. Brown, PhD

Interoception and Sensory Processing Issues: What You Need to Knowby Amanda Morin

How to Help Kids With Working Memory Issues by Rae Jacobson

Parents Guide to ADHD Medications by Child Mind Institute

The Most Common Misdiagnoses in Children by Linda Spiro, PsyD

How to Spot Dyscalculia by Rae Jacobson

Post-Traumatic Stress Disorder Basics   by Child Mind Institute

How to Help Anxious Kids in Social Situations by Katherine Martinelli

Anxiety in the Classroom by Rachel Ehmke

The Benefits Of Unsupervised Play Will Make You Want To Back Off Your Kids' Activities In A Big Way  by Katie McPherson

How to Avoid Passing Anxiety on to Your Kids by Brigit Katz

3 Defining Features of ADHD That Everyone Overlooks by  William Dodson, M.D.

Should emotions be taught in schools? by Grace Rubenstein

Why Do Kids Have Trouble With Transitions? by Katherine Martinelli

How to Help Children Calm Down by Caroline Miller