Children with the disorder are fully capable of speech and understanding language, but fail to speak in certain social situations when it is expected of them. The problem is often missed initially when a child is merely labelled as shy.
Elective mutism is a cultural anxiety disorder in which an individual who is usually able of address is incapable to talk in given situations. No unmarried reason has been established, but there is some evidence that there is a genetic part. They function normally in other areas of behaviour and learning, though appear severely withdrawn and some are unable to participate in group activities due to their extreme anxiety. Most children with elective mutism have an inherited predisposition to anxiety. They often have inhibited temperaments, which is hypothesized to be the result of over-excitability of the area of the brain called the amygdala. Some children with selective mutism may have sensory integration dysfunction, which causes the child to have trouble processing some sensory information.
There is no evidence at all that children with elected mutism have suffered misuse, negligence, or injury. Particularly in inexperienced children, elected mutism can sometimes be confused with an autism spectrum disorder, particularly if the kid acts especially withdrawn around his or her diagnostician. Unfortunately, this can lead to incorrect treatment. Social phobia is an anxiety disorder in which people fear situations where they might say or do something embarrassing. People with this disorder often fear speaking in public or to strangers. People with social phobia often report being fearful of speaking when they were very young.
The incidence of elected mutism is not sure. Due to the impoverished agreement of the general world on this circumstance, many cases are undiagnosed. The precise handling depends a plenty on the topic, their age and new factors. Typically, stimulus fading is used with younger children, because older children and teenagers can recognize the situation as an attempt to make them speak. Some in the psychiatric community believe that anxiety medication may be effective in extremely low dosages but that higher doses may just make the problem worse. Many practitioners believe that there is evidence indicating that antidepressants such as fluoxetine may be helpful in treating children with elective mutism and even that medicine is essential to effective treatment. Medication is more often used for older children and teenagers whose anxiety has led to depression and other problems.
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