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What is therapy for children with anxiety and Selective Mutism?

Treatment for selective mutism (SM) can include psychotherapy and medication to address the anxiety that underlies the person’s inability to speak in certain situations. Some children with selective mutism also benefit from speechlanguage therapy and other interventions recommended by the main treatment provider(s).

In many instances, coordinating voice and speech while thinking of what to say linguistically becomes difficult for children with SM due to anxiety. Therefore, nonspeech tasks may be used to help the children gain control of voicing. Once the child has adequate vocal control in nonspeech tasks, speech can be introduced slowly and systematically to allow for success. A typical progression is as follows:

Communicate by pointing, gesturing, or nodding (use games, toys, and ageappropriate projects)
Communicate by drawing or writing (use games requiring these modalities)
Talk through a recording device that is played when out of the room and then when in the room (as comfort increases)
Talk to another person who speaks for the child (in front of others with increasing distance from the person’s ear)
Talk to others using sounds (may be blended to form words)
Talk to others using rehearsed or scripted language with and without visual prompts (develop charts to play guessing games)
Talks spontaneously using words or phrases
Talks spontaneously using sentences

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HELLO and welcome!! My name is Anna BiavatiSmith and I am a specialist speech and language therapist. I made this channel to share my passion for sharing language tips to help your child communicate outside your home, but doing so in a fun and relaxed way. ♡

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