Silent suffering: understanding and treating children with selective mutism

@article{Manassis2009SilentSU,
  title={Silent suffering: understanding and treating children with selective mutism},
  author={Katharina Manassis},
  journal={Expert Review of Neurotherapeutics},
  year={2009},
  volume={9},
  pages={235 - 243}
}
  • K. Manassis
  • Published 1 February 2009
  • Psychology
  • Expert Review of Neurotherapeutics
Children with selective mutism (SM) restrict speech in some social environments, often resulting in substantial academic and social impairment. Although SM is considered rare, one or more children with SM can be found in most elementary schools. Assessment is performed to confirm the diagnosis, rule out psychological and medical factors that may account for the mutism, ascertain comorbid and exacerbating conditions needing treatment, and develop an intervention plan. Interventions are often… 
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TLDR
Pharmacologic treatment and especially CBT showed promising results supported by some degree of evidence, which combination treatment lacks, yet small numbers, few RCTs, heterogeneous study designs, lack of consistent measures, short treatment and follow-up periods, generally limits the evidence.
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TLDR
It can be concluded that while the involvement of social anxiety is unambiguous in SM, autism-related problems are also implicated and behavioral inhibition seems to play a key role in the non-speaking behavior of non-clinical young children.
A randomized controlled trial of a home and school-based intervention for selective mutism - defocused communication and behavioural techniques.
TLDR
Greater improvement in the younger age group highlights the importance of an early intervention in selective mutism and significantly improved speech.
Application of a web-based cognitive-behavioural therapy programme for the treatment of selective mutism in Singapore: a case series study.
TLDR
Findings from the present study provide support for the use of a web-based CBT programme in improving speech and decreasing the severity of SM among affected children.
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TLDR
There is a body of literature in the CDSR to support evidence-based treatment decisions for pediatric anxiety disorders; however, as this is a field that is rapidly expanding its knowledge base, efforts must be made to ensure the most recent evidence is consistently incorporated.
Ties of silence - Family lived experience of selective mutism in identical twins
TLDR
In the interview, the children conveyed experiences that even the parents were unaware of and revealed examples of daily life-traumas for which they were unable to obtain support and help, and the whole family was trapped in the silence.
Web-based CBT for the Treatment of Selective Mutism: Results from a Pilot Randomized Controlled Trial in Singapore
Introduction: Cognitive behavioral therapy (CBT) approaches have shown promise for some children with Selective Mutism (SM), but to date there are limited published randomized controlled trials (RCT)
Feasibility trial of virtual reality exposure therapy for selective mutism
TLDR
Significant improvement in overall functioning were found at post-treatment and follow-up measures, but there were no significant changes in parent-rated speech frequency and anxiety measures, which support the acceptability of VRET as an adjunct modality of CBT in SM treatment.
Basics of Related Medical Disciplines
TLDR
Owing to novel high-throughput technologies of DNA sequencing, most patients now can get a genetic diagnosis for several reasons, in the routine workup after failed newborn hearing screening but also in cases of hearing loss manifesting later in life.
Title Application of a web-based cognitive-behavioural therapy programme for the treatment of selective mutism in Singapore : a case series study
Application of a web-based cognitive-behavioural therapy programme for the treatment of selective mutism in Singapore : a case series study. or electronic copy may be made for personal use only.
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References

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TLDR
The findings suggest the potential benefit of SSRI treatment in severe SM, but randomized comparative treatment studies are indicated.
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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TLDR
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