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Many children or adults with selective mutism have some auditory processing difficulties. About 20–30% of children or adults with selective mutism have speech or language disorders that add stress to situations in which the child is expected to speak. [19] In the DSM-4, the term “elective mutism” was changed to “selective mutism.”
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]
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.
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Selective mutism is an anxiety disorder in which a child who is talkative at home is unable to speak in other settings. Children with selective mutism often chat happily at home but don't speak at ...
Selective mutism affects about 0.8% of people at some point in their lives. [4] Testing for selective mutism is important because doctors must determine if it is an issue associated with the child's hearing or movements associated with the jaw or tongue and if the child can understand when others are speaking to them. [48]
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Selective auditory attention is a normal sensory process of the brain, and there can be abnormalities related to this process in people with sensory processing disorders such as autism, attention deficit hyperactive disorder, [30] post traumatic stress disorder, [31] schizophrenia, [30] selective mutism, [32] and in stand-alone auditory ...
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