Treatment for Selective Mutism

Types of treatment

Treatment varies based on the needs of your child, and may include:

• Stimulus fading. This is done by slowly introducing a new person into the room when your child is relaxed.

• Shaping. This is done by encouraging your child’s attempts to communicate with gestures and whispers until they speak out loud.

• Self-modeling. This is done by having your child watch a video of themself communicating well at home.

• Speech therapy. This can be done for any underlying speech problems, if needed.

• Family and behavioral therapy. These can help with emotional issues.

• Medicines. Some medicines can be used to lower anxiety.

• Speaking with your child’s teachers. Your child’s teachers can help make communication at school less scary. For example, a teacher may have your child only speak in small groups at first, instead of to the whole class.

With treatment, a child is likely to stop having selective mutism. With no treatment, the speaking problems are more likely to continue.

How you can help your child

It’s important to be patient with your child. Remember that your child is not choosing not to speak. Your child is too anxious to be able to speak. For the best outcome, stay closely involved with your child’s therapy. You may be able to find ways to structure situations outside the home that can increase your child’s communication. Work closely with your child’s teachers.

Getting support

Go online to the Selective Mutism Association at www.selectivemutism.org for more resources. It's a nonprofit group that gives support to families dealing with selective mutism.