Selective Mutism

What is Selective Mutism?

Individuals with Selective Mutism (SM) have a strong understanding of their spoken language, but are so overcome with their anxiety that they are unable to speak in certain places such as school or restaurants, with certain people, or in certain situations.  SM differs from shyness in that it impairs one’s ability to function normally at school, work, or other social situations. SM differs from an Autism Spectrum Disorder in that SM symptoms tend to “disappear” when the person with SM is in a comfortable environment with familiar people, such as being at home with family.

Selective Mutism can be difficult for both the individual and their families.  Some of those diagnosed with SM have described anxiety as feeling like they have tape over their mouths; like they try to speak but their words won’t leave their mouth.  Left untreated, symptoms can worsen into a lifetime habit of mutism that lasts into adulthood and becomes much more difficult to treat.

How we treat Selective Mutism

Pinnacle Counseling and Testing Center is one of the only counseling centers in Southern California that specializes in the treatment of Selective Mutism.  For our treatment, we use a a combination of Cognitive Behavioral Therapy (CBT), Exposure Therapy, and Parent-Child Interaction Therapy for Selective Mutism (PCIT-SM) skills. PCIT-SM is a counseling technique which involves the counselor building a strong and trusting relationship with the client in order to promote "Brave Talking."  Advanced SM treatment sessions often include "exposure therapy," where the therapist accompanies the client to a public place, such as school or a store, where they can practice their brave talking in order to generalize their skills and reduce their anxiety.

Our counselors have received specialized training in the treatment of clients with SM and have a talent and passion for working with them, regardless of age.