21. Selective Mutism: Description, Criteria, Causes, Symptoms, Treatments And Medica , Criteria, Causes, Symptoms, Treatmentsand Medications. Go to MHM Bookstore. selective mutism. Description.......selective mutism http://www.mental-health-matters.com/disorders/dis_details.php?disID=87

22. Selective Mutism Foundation, Inc. http://www.selectivemutismfoundation.org/

23. Help Conquer Selective Mutism! JOIN THE FOUNDATION AND HELP CONQUER selective mutism! Why BecomeA Foundation Member To join others at meetings (support groups http://www.selectivemutismfoundation.org/helpconquer.html

JOIN THE FOUNDATION AND HELP CONQUER SELECTIVE MUTISM! Why Become A Foundation Member To join others at meetings (support groups where available) to discuss common problems and offer mutual support. To effect the early identification and treatment of SM. To obtain, through the quarterly newsletter, the latest information on treatment, research studies, and scientific discoveries. To become informed of available resources for patient advocacy through our newsletter. To help us work towards a goal of understanding the cause(s) of Selective Mutism and of supporting studies of this disorder such that effective treatment can be developed. How To Join Send a large, S.A.S.E. (self-addressed, stamped envelope) with sufficient postage ($0.74 postage minimum in the USA more if outside USA) to one of the Foundation addresses below. Consult your local post office for exact amounts. We will send you our information packet. Donations are appreciated! Foundation Addresses: CAROLYN MILLER The Selective Mutism Foundation, Inc., P.O. Box 13133, Sissonville, W.V. 25360-0133 SUE NEWMAN (Seen on ABC's 20/20) The new Selective Mutism Foundation, Inc's New York-based PO Box will be posted here soon. Please do not use the Florida address anymore.

24. Information On Selective Mutism Information on selective mutism for Parents and for Medical, MentalHealth, and Educational Professionals. What is selective mutism? http://www.wellpsych.com/SMInfo.htm

Information on Selective Mutism for Parents and for Medical, Mental Health, and Educational Professionals We receive many requests for information on Selective Mutism. Here are some answers to commonly asked questions. What is selective mutism? What causes selective mutism? How and when should selective mutism be treated by a professional? How can parents, teachers, and school counselors help the child with selective mutism? ... Selective Mutism Bibliography What is selective mutism? Selective mutism is a psychiatric disorder of childhood characterized by persistent failure to speak in one or more major social situations, including school, despite ability to comprehend spoken language and to speak. The disorder was first described in 1934, and there have been many case reports and small case series published in the psychiatric literature since then. Prior to the initiation of a research program under the direction of Dr. Bruce Black in 1990 (initially at the National Institutes of Health in Bethesda, Maryland and subsequently at New England Medical Center in Boston), the disorder had never been studied systematically. Children manifesting the disorder characteristically refuse or are very reluctant to talk in school and to strangers.

25. Selective Mutism Bibliography selective mutism Selected Bibliography. (Click on the highlighted titles tosee more information.). 1. Black B. Social anxiety and selective mutism. http://www.wellpsych.com/SMBiblio.htm

Selective Mutism Selected Bibliography (Click on the highlighted titles to see more information.) Black B.: Social anxiety and selective mutism. In American Psychiatric Press Review of Psychiatry , Volume 15, L J. Dickstein, J.M. Oldham, M.B. Riba (Eds.) (Section Title: Anxiety Disorders in Children and Adolescents, M. Riddle, Section Editor). Washington, American Psychiatric Press, 1996, pp. 469-496. Black B., Leonard H.L., Rapoport J. L.: Specific phobia, panic disorders, social phobia, and selective mutism. In Textbook of Child and Adolescent Psychiatry , 2nd Edition, J.M. Wiener (Ed.). Washington, American Psychiatric Press, 1997, pp. 491-506. 3. Black B., Uhde T.W.: Elective mutism as a variant of social phobia . J Am Acad Child Adolesc Psychiatry, 31(6):1090-1094, 1992. 4. Black B., Uhde T.W.: Treatment of elective mutism with fluoxetine : A double-blind, placebo-controlled study. J Am Acad Child Adolesc Psychiatry, 33(7):1000-1006, 1994. 5. Black B.: Fluoxetine for (s)elective mutism [reply to letter]. J Am Acad Child Adolesc Psychiatry, 34(6):702-703, 1995. 6. Black B., Uhde T.W.:

26. Selective Mutism selective mutism An Integrated Treatment Approach It is important to emphasize theunderlying anxiety disorder that is the likely origin of selective mutism. http://www.professional.asha.org/news/020924ftr.cfm

Professional Home Page News FEATURE Selective Mutism: An Integrated Treatment Approach by Robert L. Schum Selective mutism is a uniquely challenging childhood communication disorder that demands a coordinated treatment approach. Speech-language pathologists are in an excellent position to coordinate intervention among family, classroom teachers, and other clinicians. The Problem Selective mutism is defined as a failure to speak in specific s ocial situations despite speaking in other situations, and it is typically a symptom of an underlying anxiety disorder. Children with selective mutism can speak normally in certain settings, such as within their home or when they are alone with their parents. However, they fail to speak in other social settings, such as at school or at other places outside their home. Other symptoms associated with selective mutism can include excessive shyness, withdrawal, dependency upon parents, and oppositional behavior. Most cases of selective mutism are not the result of a single traumatic event, but rather are the manifestation of a chronic pattern of anxiety. Mutism is not passive-aggressive behavior. Mute children report that they want to speak in social settings, but are afraid to do so. individual psychotherapy to help reduce the general anxiety and to practice better communication skills;

27. Selective Mutism selective mutism formerly called elective mutism, but was changed in recognitionof the fact that a child does not choose, or elect, to be selectively mute. http://www.isn.net/~jypsy/smutism.htm

Selective Mutism formerly called elective mutism, but was changed in recognition of the fact that a child does not choose, or elect, to be selectively mute. SM is still called Elective mutism in other areas of the world. This psychiatric disorder most commonly found in children, characterized by a persistent failure to speak, so as to be heard in select settings which continues for a reasonable period of time, usually a month or two. These children understand language use and have the ability to speak. In typical cases, they speak to their parents and a few select others. Most do not speak in school or in other social situations. Generally, most function normally in other ways, although some may have additional disabilities. Most learn age appropriate skills and academics. Currently, SM is a condition of severe anxiety or phobia. SM may be associated to a variety of things, but the exact cause is unknown. Heredity has also become a possibility, many cases being noted by mothers and other family members that they had the same difficulties. but years ago even less was known about Selective Mutism and it was generally excused as being overly shy. With this new year we all have our work cut out for us. Inspiration by the success stories shared by those that wrote in and the firm belief that, if we work hard enough, we can make a difference in our children's quality of life coping with Selective Mutism.

28. The Quiet Room: Selective Mutism In The Community Read about selective mutism selective mutism in the world wide community. Research.Study. Read. Connect. Link. Contacting experts on selective mutism Contact. http://www.quietroom.homestead.com/index~ns4.html

Selective Mutism in the world wide community I have started by providing some basic material on what Selective Mutism is. Go to the READ section if you have no idea what it is all about. For more in depth understanding, the STUDY section provides books both fictional and non fictional, slides as well as a bibliographic reference. The RESEARCH section is about ongoing work at HSC and CGC and how you can be involved. A LINK page was created for some of the more useful links on the web. I have included a CONTACT page for people keen to email professionals who are experts in the field. Finally you can CONNECT and post questions and make comments on our message board. I have been trying hard to help children in Singapore with selective mutism come together to form a group of their own. If you think you have selective mutism or know someone who has, I want to hear from you. I have the means to help set up a support group in Singapore, if the need is sufficient. Feel free to email me at daniel_fung@medscape.com Selective Mutism is an uncommon problem in which children who are able to speak in some situations (like at home) become mute in other situations (like in school). These children are not defiant or oppositional, they need help, not punishment. This is a page devoted to helping parents find resources and help for their children who are selectively mute. The resources presented are intended as part of a treatment programme being developed at the Hospital for Sick Children (HSC), Toronto and the Child Guidance Clinic (CGC), Singapore. As such its use has been catered for families in Toronto and Singapore. If you have trouble loading this page because of too many bells and whistles, check out our text only page

29. HealthlinkUSA Selective Mutism Links products for sale. FindWhat. Click here for page 1 of selective mutisminformation from the HealthlinkUSA directory. Save on Drugs Here. http://www.healthlinkusa.com/478ent.htm

30. Selective Mutism; Treatment, Prevention, Cure selective mutismSearch information from many of the best selective mutism healthsites. Click here to go to the next page of selective mutism links 1 2 3 Next http://www.healthlinkusa.com/content/478.html

Latest Health News Find Drug Information Health Calculators All Words Any Words A B C D ... Z Sunday, March 30, 2003 Alternative therapy struggles to bridge East-West divide Click here to read more Doctors are not following guidelines recommending flu and pneumonia vaccinations for hospitalized adults, leaving millions of elderly patients vulnerable to potentially deadly ailment Click here to read more A helping hand for uninsured; Agencies find ways to provide health care for area children Click here to read more The government has approved the first generic version of the acne drug, Accutane Click here to read more Gates to give India $100m for AIDS; Microsoft CEO begins controversy-laced trip to fight virus Click here to read more Allergies and Asthma Alternative Medicine Arthritis and Your Health ... Women's Health Monday March 31, 2003 Spina Bifida: Spina Bifida is a rare birth disorder, affecting approximately 1 in 12-1400 live births. Click here to learn more Craniosynostosis: Sagittal Synostosis...males are affected about three times as often as females. Click here to learn more Spinal Cord Injury: Acts of violence have now overtaken falls as the second most common source of spinal cord injury.

31. Family Village / Selective Mutism Library S T. selective mutism. Who to Contact. selective mutismFoundation, Inc. c/o Carolyn Miller PO Box 13133 Sissonville, WV http://www.familyvillage.wisc.edu/lib_selmutism.htm

Selective Mutism Who to Contact Where to Go to Chat with Others Learn More About It Web Sites ... Search AltaVista for "Selective Mutism" Who to Contact Selective Mutism Foundation, Inc. c/o Carolyn Miller P. O. Box 13133 Sissonville, WV 25360-0133 OR c/o Sue Newman P. O. Box 450632 Sunrise, FL 33345-0632 Website: http://personal.mia.bellsouth.net/mia/g/a/garden/garden/index.htm Selective Mutism Group Inc c/o Robert K Helta 30 South J Street, 3A Lake Worth Florida 33460 Web: http://www.selectivemutism.org/ Where to Go to Chat with Others Selective Mutism Support Group Selective Mutism Group Web Board Selectivemutism This is a list for people dealing with selective mutism in their lives to discuss ALL aspects of the disorder. Learn More About It Selective Mutism From the Selective Mutism Foundation Selective Mutism in Children From the Anxiety Network Selective Mutism in Elementary School: Multidisciplinary Interventions From the Selective Mutism Group Selective Mutism: Understanding Silent Children From Dr. Reiner Bahr

32. The Quiet Room: Selective Mutism In The Community An informational resource for parents and professionals dealing with children with the disorder.Category Health Mental Health Disorders Anxiety selective mutism...... Read about selective mutism selective mutism in the world wide community. Research.Study. Read. Connect. Link. Contacting experts on selective mutism Contact. http://www.homestead.com/quietroom/

Come to Singapore for the IMH 75th Anniversary Psychiatric Conference New stuff Looking for updates on the site? Look no further. Click on the logo below: Institute of Mental Health Hospital for Sick Children Having trouble getting to the Clinic? Look for the map below: Map to the Hospital for Sick Children, Toronto Map to the Child Guidance Clinic , Singapore Contact Link Connect Read ... Research Designed and maintained by Dr Daniel Fung 2001. Dr Daniel Fung is a child psychiatrist from Singapore. Find out more about him by clicking on the pic or here A group of parents in Canada who have children with selective mutism have got together and started this support/self help group. We meet every last Tuesday of the month. Our meetings are usually at 6-8 pm and will be at the Hospital for Sick Children, Toronto. Please email Lin Gorenkoff for details of the meeting and to get in touch with us! Go to the SMG Link for more information. If you are in Singapore and have a child with selective mutism and want to start a group, email me and I can help get you started.

33. Read About Selective Mutism What happens to children with selective mutism. How does one identify SelectiveMutism? Other conditions that may be mistaken for selective mutism? http://www.homestead.com/quietroom/Read.html

Javascript is either disabled or not supported by this browser. This page may not appear properly. How to assess children having Selective Mutism Return to top. What causes Selective Mutism Return to top. ... Norway as well. I believe that selective mutism is indeed a heterogenous condition with several possible causes. To use an analogy, we can view it like an ant studying the elephant, it depends on where you are (and how you are looking at selective mutism). The main causes of selective mutism are listed below: - The child's innate temperament - The family interactions may play a role in some children - The developmental difficulties the child has, particularly in language development - The anxiety, particularly social anxiety the child has What can parents do if they have a child who is selectively mute? Step 1: Make sure that the problem is identified. Your child is not just shy. If your child's teacher is worried, you should be too. Step 2: Get a professional assessment. A complete assessment includes language assessment, psychoeducational assessment, Behaviour analysis of the child at home(with the family), in school (with teachers) and by observing the child. Often a referral to a speech language pathologist, a psychologist or a psychiatrist is necessary. Read about guidelines for schools: In UK In Ontario Step 3: Identify resources. Find out what kind of help is available at the school and community level. Approach private services if necessary.

34. Untitled selective mutism Understanding silent children. Links German version ofthis site. selective mutism When children are silent. by Reiner Bahr. http://www.members.aol.com/Drbahr/mutism.htm

Selective mutism: Understanding silent children Links: German version of this site Case study (in German) Books and journal articles (English and German) The Selective Mutism Organization ... The silence within , a practical guide by Gail Kervatt Selective mutism: When children are silent by Reiner Bahr Although the term s elective mutism was coined in Switzerland (by TRAMER 1934, then called elecitve mutism) research on this subject has become rare in the German speaking countries. But it has grown a little in the past ten years, and my book Schweigende Kinder verstehen Understanding silent children , 3rd., revised edition 2002, will soon be followed by a practical guide for parents, teachers and therapists: Wenn Kinder schweigen (When children are silent), available February 2002. I'd like to explain selective mutism as follows: Selective mutism is a meaningful way of coping for some children and adolescents. It is a form of communicative disengagement . Children with selective mutism anticipate low self efficacy concerning their communicative abilities. Selective mutism mostly sets on in early childhood: Some of the children are born with risk factors , there are signs of increased vulnerability corresponding to low resilience . I found out, that the experience of

35. EMedicine - Anxiety Disorder: Social Phobia And Selective Mutism : Article By Be Anxiety Disorder Social Phobia and selective mutism Social phobia (social anxietydisorder) is the third most common mental health disorder after major http://www.emedicine.com/ped/topic2660.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Pediatrics Anxiety Disorder: Social Phobia and Selective Mutism Last Updated: March 10, 2003 Rate this Article Email to a Colleague Synonyms and related keywords: elective mutism, excessive shyness, extreme shyness, social anxiety disorder, panic attack, anxiety reaction, social fear, performance fear, performance anxiety, agoraphobia, mental health disorder, caffeinism AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Bettina E Bernstein, DO , Consulting Staff, Department of Child Psychiatry, Children's Hospital of Philadelphia Bettina E Bernstein, DO, is a member of the following medical societies: American Academy of Child and Adolescent Psychiatry Editor(s): Chet Johnson, MD , Medical Director, Child Development Unit, Professor, Department of Pediatrics, University of Kansas Medical Center; Robert Konop, PharmD

36. Shykids - Selective Mutism the Executive Director of selectivemutism.org an organization dedicated to providinginformation about a much misunderstood disorder called selective mutism. http://www.shykids.com/selectivemutism.htm

Dr. Elisa Shipon-Blum is the Executive Director of selectivemutism.org - an organization dedicated to providing information about a much misunderstood disorder called selective mutism. The following was conducted in early May of 2001. Questions were posed by the editor of shykids.com and answered by Traci Castles and Dr.Shipon-Blum. Q. What is Selective Mutism? A. It is an adorable 6 year old boy who runs around boisterously in his backyard...but stands expressionless, staring into space within the classroom. It is the comical 6 year old girl who dances and sings in the entertainment room while her family proudly watches on...but stands motionless and cannot utter a sound when her class rehearses for the school musical. It is a 9 year old boy cheering loudly and intensely as he watches his favorite hockey team score a goal, but sits alone at a party and sadly turns away when another child approaches him. It is a sensitive and perceptive little 5 year old girl who tells her parents all the exciting and fun things she wants to do at her birthday party..but has never spoken a word to anyone outside her home. Q. How do you determine if a child is shy and if the shyness is merely developmental or if the child requires professional help? A.

37. Selective Mutism Or An Annoying Teen? selective mutism. by Barb Durso, MD. What is not going on is selective mutism,which is a condition marked by refusing to speak in certain situations. http://www.keepkidshealthy.com/development/selective_mutism.html

Bookstore Site Map Contact Us Help ... Free Web Pages! Search this site: Advanced Search Free Newsletters Main Menu Useful Tools Index of Topics Pediatric Problems New! Parenting Tips Symptom Guide Nutrition Immunizations ... Web Links Online Resources What's New Reviews New! Growth Charts Online Forums Vaccine Schedule Baby Names Guide ... Product Recalls New! Pediatric News Height Calculator Newsletters: Subscribe to get free news, tips and updates. Recommend Us tell a friend about us or email this page to a friend puberty Your Child's Development : January 2002 Selective Mutism by Barb Durso, MD Q. A. Teenagers can be very trying! Developmentally, most teenagers are in middle adolescence about the age of 14, and this is when trying on new identities and behaviors really starts to show. What is not going on is selective mutism The other thing you can bet is that there is not some disease of his larynx (voice box), since he is able to generate a laugh when it suits him. All of this leads to adolescence. How do parents tell troublesome behaviors from just annoying behaviors? Look for red flags - falling grades, withdrawing from previously enjoyed activities (e.g., band, soccer, etc), lack of friendships, not adhering to previously agreed upon rules such as curfews. If these things seem to be in order, then do your level best to ignore the mutism. Previous Columns by Dr. Durso

38. Selective Mutism The Child Advocate. selective mutism. them. selective mutism has beena persistent problem for some children and their families. This http://www.childadvocate.net/selective_mutism.htm

The Child Advocate Selective Mutism Home What'sNew Subjects Contents Feedback Search The Child Advocate is devoted to children and the parents and professionals that work with them and advocate for them. Selective Mutism has been a persistent problem for some children and their families. This information is presented with links to other sites that may offer additional information. The information presented at this site is for general use only and is not intended to provide personal advice or substitute for the advice of a qualified professional. If you have questions about the information presented here, please consult a physician, the resources listed or other professional in your area. A Review of Selective Mutism from The Penn State College of Medicine The Selective Mutism Foundation, Inc. Home What'sNew Subjects Contents Feedback Search The Child Advocate Selective Mutism Page. Revised: January 29, 2003

39. Selective Mutism Review The Child Advocate. selective mutism. selective mutism. Psychiatric characteristicsof children with selective mutism a pilot study. see comments. http://www.childadvocate.net/selective_mutism_review.htm

The Child Advocate Selective Mutism Home What'sNew Subjects Contents Feedback Search Selective Mutism (Previously called elective mutism in the DSM-III) Contributed by Lori Bini , Penn State College of Medicine Selective Mutism (SM) –The name was changed to indicate that the children chose not to speak is select situations, rather than an oppositional behavior where the child refused to speak. Diagnosis A) Persistent failure to speak in certain situations when speaking is expected (often at school), while speaking fluently in other situations (often at home and in familiar places) (rare instances exist where the child is mute at home but talks in school) B) Interferes with educational or occupational achievement or with social communication C) Lasts at least 1 month (not limited to the first month of school) D) Failure to speak is not due to a lack of knowledge of or comfort with the spoken language E) Does not meet the criteria for a communication disorder such as stuttering, and mutism does not occur exclusively during the course of Pervasive Developmental Disorder, schizophrenia or other psychotic disorder Note: The presence of symptoms of social anxiety and avoidance such as excessive shyness, social isolation, withdrawal and school refusal are no longer considered symptoms of both social phobia and selective mutism (as indicated by the DSM III). Although these symptoms are commonly found among children with selective mutism, their presence should indicate the presence of an additional social phobia

40. Selective Mutism Is An Example Of Social Anxiety. selective mutism is an example of social anxiety. Adults and childrenwith selective mutism do not speak due to their anxiety. Fear http://www.social-anxiety.com/selective_mutism.html

Selective mutism is an example of social anxiety. Adults and children with selective mutism do not speak due to their anxiety. Fear turns into panic which inhibits speech. The elective mute is capable, physically of speaking to others, but anxiety dramatically inhibits this. In some cases elective mutism can be a characteristic of a conduct disorder or a developmental problem. This is the result of a synergistic therapy involving both child and parents. Indeed, medication is useful in certain situations. In others it breeds dependence, which is a substantial part of the problem to begin with. Because medication bathes the brain in chemicals, it should be strongly considered before administering to children. Home

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