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Differential diagnosis between selective mutism and language delay associated with autism or other disorders is needed to determine appropriate treatment. Adults who previously had speech and subsequently ceased talking may not speak for psychological or emotional reasons, though this is rare as a cause for adults. [16]
Often however, a spectrum of DDM is defined encompassing apathy, abulia, and akinetic mutism, with apathy being the mildest form and akinetic mutism being the most severe or extreme form. [1] [2] [3] Akinetic mutism involves alertness but absence of movement and speech due to profound lack of will.
Akinetic mutism is a medical condition where patients tend neither to move nor speak . It is the most extreme disorder of diminished motivation. Akinetic mutism was first described in 1941 as a mental state where patients lack the ability to move or speak. [1] However, their eyes may follow their observer or be diverted by sound. [1]
In some cases the cause is unknown. However, there are various known causes of speech impairments, such as hearing loss, neurological disorders, brain injury, an increase in mental strain, constant bullying, intellectual disability, substance use disorder, physical impairments such as cleft lip and palate, and vocal abuse or misuse. [12]
Given the very high incidence of social anxiety disorder within selective mutism (as high as 100% in some studies [5] [6] [7]), it is possible that social anxiety disorder causes selective mutism. Some children or adults with selective mutism may have trouble processing sensory information. This could cause anxiety and a sense of being ...
The CDC said 1.7% of adults ages 65 to 74 reported a dementia diagnosis, a rate that increased with age. For those ages 75 to 84, the reported dementia rate was 5.7%
Symbiotic mutism: the most common of the forms, caused by a vocal and dominating mother and absent father (very rarely the other way around) and characterized by the use of mutism as controlling behavior around other adults. Speech phobic mutism: the least common, in which the child showed distinct fear at hearing a recording of their voice.
Kelly Ripa and Mark Consuelos are mourning the loss of their beloved dog, Chewie, who died on Tuesday, Feb. 4, at the age of 17.. The couple opened up Wednesday's episode of Live with Kelly and ...