Kairos Wellness Collective

View Original

What is Selective Mutism?


Selective Mutism (SM) is a rare anxiety disorder that typically affects children, but can also affect adults. Children with SM are unable to speak in certain social situations, even though they are perfectly capable of speaking in other situations. This can lead to significant difficulties in social and academic settings, as well as increased anxiety and stress for both the child and their family.

Symptoms of SM typically manifest before the age of 5 and can include:

  • Refusal to speak in social situations, such as school, social gatherings, or public places

  • Speaking only to certain people, such as family members or close friends

  • Physical symptoms of anxiety, such as sweating, trembling, or a rapid heartbeat

  • Social withdrawal and avoidance

  • Difficulty making eye contact or responding to questions


The exact causes of SM are not fully understood, but it is believed to be related to a combination of genetic, environmental, and developmental factors. Some research suggests that children with SM may have a genetic predisposition to anxiety, while others believe that it may be related to a traumatic event or stressful life experience.

Treatment for SM typically involves a combination of behavioral therapy and medication. Behavioral therapy, such as Cognitive-Behavioral Therapy (CBT) and Exposure and Response Prevention (ERP), can help the child learn coping strategies for managing anxiety and gradually increase their comfort level in social situations. Medications such as selective serotonin reuptake inhibitors (SSRIs) can also be effective in reducing anxiety and improving overall mood.

In addition to traditional forms of treatment, parents and caregivers can also take steps to support children with SM at home and in social situations. This can include creating a calm and supportive environment, practicing relaxation techniques, and encouraging the child to engage in social activities at their own pace.

It's important to note that SM is a complex disorder that requires a comprehensive approach to treatment. While some children may improve with therapy and medication alone, others may require a more individualized and intensive approach to treatment.

If you suspect that your child may be experiencing symptoms of SM, it's important to seek help from a mental health professional who specializes in the disorder. With the right treatment and support, children with SM can overcome their anxiety and develop the skills they need to thrive in social and academic settings.


To learn more about our therapy
services, please contact Kairos Wellness Collective today.