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Selective Mutism

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by

STacey Simoncini

on 29 May 2014

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Transcript of Selective Mutism

Selective Mutism
Diagnosis
Websites
www.selectivemutism.org
www.selectivemutismfoundation.org/
www.selectivemutismcenter.org/
www.asha.org/public/speech/disorders/selectivemutism/
Characteristics
Excessive shyness
Depression
Fear of embarrassment
Social isolation
Withdrawal
Clinging behavior
Compulsive traits
Negativism
Temper tantrums
Controlling and oppositional behavior
Interventions Continued...
Self-Modeling- videotape the child successfully responding verbally to requests and using it in an environment where the child does not speak to eliminate their anxiety.
Medication- as a last resort, anti-depressants can be used to treat selective mutism.

Selective Mutism

Definition
An anxiety disorder that prevents someone from speaking in
some
social situations.
Usually becomes evident in preschool or kindergarten.
An anxiety disorder that effects less than 1% of the population.
Is more common in girls than boys.
To be diagnosed with selective mutism, a child must:
Not speak in certain settings and the behavior must last for more than a month.
The lack of communication must interfere with academic success
The mutism cannot be due to lack of content knowledge or due to a language barrier.
cannot be due to a developmental disorder, or any psychotic disorder such as, schizophrenia.
Influencing Factors
Environmental Stressors- divorce, death, trauma, etc.
Genetics
Bilingual Mutism- not comfortable with the primary language used in the environment
Negative Reinforcement- bribing, forcing, or threatening a child to speak increases their anxiety
Interventions
Contingency Management- positive reinforcement to modify verbal behavior.
Shaping- scaffolding from nonverbal communication to sounds, to whispers, to words and sentences.
Systematic Desensitization- gradually exposing the child to situations that cause anxiety to decrease their anxiety.
Fading- gradually introducing other children into an activity the child is comfortable

iPad Apps
TouchChat
Proloquo2Go
Abilipad

TouchChat, and Proloquo2Go are very expensive around $200. Abilipad is $19.99. All three apps have text to speech capabilities.
References
Busse, R.T. & Downey, J. (2011). Selective mutism: A
three-tiered approach to prevention and intervention.
Contemporary School Psychology, 15
, 53-62.

Google Images

Hung, S., Spencer, M.S., & Dronamraju, R., (2012).
Selective mutism: Practice and intervention strategies for children.
Children & Schools, 34
(4), 222-229.

Kehle, T.J., Bray, M.A., & Theodore, L.A., (2004).
Selective mutism: A primer for parents and educators. Retreived from http://www.nasponline.org/educators/selectivemutism_ho.pdf

Kervatt, G. (n.d.). Classroom strategies for teachers of
selectively mute children. Reteived from http://www.selectivemutism.org/resources/library/School%20Issues/Classroom%20Strategies%20for%20Teachers%20of%20SM%20Children.pdf


Shipon-Blum, E., (n.d.). Helping our teacher's
understand selective mutism. Retreived from http://www.selectivemutismcenter.org/Media_Library/helpteacherunder.pdf

You Tube
Books
Unspoken Words; A Child's View of Selective Mutism
The Selective Mutism Summer Vacation and Back to School Guide
Easing School Jitters for the Selective Mute Child
The Ideal Classroom Setting for the Selective Mute Child
Understanding Katie
Supplemental Treatment Guide to Understanding Katie

http://www.drelisashiponblum.org/SMartMart.html
Instructional Strategies
Teacher should get to know the student in an environment that does not cause anxiety like their home.
Parents can attend school with the child to help the child become more comfortable with the environment.
Do not try to bribe, force or threaten the child to speak.
Do not make a big deal when a child does speak.
Provide opportunities for small group interaction preferably placing the Selectively Mute child with a close friend.
Avoid eye contact with the child.
Seat the child to the side of the classroom not front and center.
Provide ways to communicate through cards and whiteboards.
Let the child be a classroom helper.
by: Stacey Simoncini
and
Patricia Zombro
Full transcript