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The dream team

Mixed receptive-expressive language disorder

The doctor will assess hearing

Will assess if child has trouble in pronunciation or expression

A speech therapist

+ medical history

A speech therapist will assess with standard receptive and expressive tests

Selective mutism

A neuropsychologist will assess with standard receptive/expressive tests

A psychologist

Assess for selective mutism with DSM-5. If report from doctor and speech therapist are normal. **Asperger and social delays could be the cause.

Selective mutism

The parents willingness

and participation

The interventions

The doctor

Correct milestones and deafness

Biological

sensory processing disorder

hereditary

Environment

The cause

Intervention for mixed-receptive

Childhood trauma

dysfunctional family

speak clearly, slowly

ex: fast run dog. The dog run fast

relax and avoid making anxious

ex: what did you say? What?

Ask the child to explain

in his own words

Selective mutism

Parents and teachers communication

heredity

ASD

difficulty to fall asleep

Biological

ID

avoid answering for him

seperation anxiety

Fails to follow rules

a smaller vocabulary

genes

Never does what asked

misinterprets social cues

premature birth

using proper grammar

stubborn

Child has problem structuring sentences

Mixed receptive-expressive language disorder

causes

frequent tantrums

However no trouble in pronunciation

extreme shyness

moodiness

anxiety in speaking

Can be developmental or acquired

Verbal or written answers make no sense

Mixed receptive-expressive language disorder

prenatal nutrition

seizures

doesn't like loud sounds

trauma to the head

Environment

no eye contact

problems understanding others

misinterprets environment cues

Problem in communicating his ideas

recalling words

lack of stimulation

stroke

little social interaction

playing alone

blank facial expression

Selective mutism

The symptoms

Mixed receptive-expressive language disorder

Stanford Conference on Childhood coined Aphasia in 1960s for language disorders.

Selective Mutism

1877- Aphasia Volunteria to now

1980- DSM3 Elective Mutism

It is a language disorder that makes understanding and using spoken language difficult.

The child has no problem phonologically, he can say the words correctly

The child does not speak in certain environments because it causes to much anxiety.

Example:

  • school
  • the park
  • the bus, etc.

But he speaks

very well in

places that he

feels secure.

Reference:

Mixed receptive-expressive

www.understood.org on language disorders

www.healthline.com language expressive/receptive

www.nlm.nih.gov on language

www.minddisorders.com

www.nidc.nih.gov

www.raymond-dewar.qc.ca

www.onlinelibrary.wiley.com

Selective Mutism:

https://www.shortoftheweek.com

http://www.anxietybc.com/selective-mutism

http://www.asha.org/public/speech/disorders/SelectiveMutism/

Parents and teachers can notice this

sit in the back

play

either/or

DSM-5

home

school

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