Please enable JavaScript.
Coggle requires JavaScript to display documents.
Hearing loss, selective mutism (2) - Coggle Diagram
Hearing loss, selective mutism (2)
Families vary widely in
-
-
Be responsive to child: whether they imitate children, whether they ignore child just bcos they don't talk
-
-
-
Some good news
-
BUT there are chn with no other concomitant diagnosed condition, early diagnosed
-
-
Selective mutism
-
Close friends, acquaintances- stop talking to them
OK with parents, siblings (very chatty)
-
-
Anxiety disorder, health professionals don't believe them. Think that these chn can't talk, might be misdiagnosed as lang delay, disorder
Onset usually 5;0- may not come to clinical attention until sch years (increase in social interactions, performance tasks such as reading aloud)
-
Consistent failure to speak in certain social situations. Have patterns of who they can, cannot speak to
DSM-5 criteria
- Consistent failure to speak in specific social situations in which there is an expectation for speaking (eg. at school) despite speaking in other situations. Parents put lots of pressure on them to speak
- The disturbance interferes w educational or occupational achievement or w social comm.
- Duration of disturbance is at least 1 month
- Failure to speak is not attributable to lack of knowledge of, comfort with the spoken lang required in social situation. Needs to be realistic situation
- Disturbance is not better explained by comm disorder (eg. childhood-onset fluency disorder), does not occur exclusively during course of ASD, schizo, psychotic disorder