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Selective mutism (SM) is an anxiety disorder in which a person who is otherwise capable of speech becomes unable to speak when exposed to specific situations, specific places, or to specific people, one or multiple of which serve as triggers. This is caused by the freeze response. Selective mutism usually co-exists with social anxiety disorder. [1]
ICD-9-CM codes that were changed since the release of IV were updated. [4] The DSM-IV and the DSM-IV-TR both contain a total of 297 mental disorders. [5] For an alphabetical list, see List of mental disorders in the DSM-IV and DSM-IV-TR (alphabetical).
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ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [1]
Elective mutism is an outdated term which was defined as a refusal to speak in almost all social situations (despite normal ability to do so), while selective mutism was considered to be a failure to speak in specific situations and is strongly associated with social anxiety disorder. [1]
In human development, muteness or mutism [1] is defined as an absence of speech, with or without an ability to hear the speech of others. [2] Mutism is typically understood as a person's inability to speak, and commonly observed by their family members, caregivers, teachers, doctors or speech and language pathologists.
The DSM-5 and the ICD-10 are both used to make specific diagnostic decisions. Speech and language disorders commonly include communication issues, but also extend into various areas such as oral-motor function—sucking, swallowing, drinking, or eating.
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