Selective Mutism Treatment Program

What is Selective Mutism?

Selective Mutism (SM) is a complex anxiety disorder that often causes children to speak well in certain environments and have difficulty speaking in other environments. When children with SM feel comfortable, relaxed, safe, and secure, they will be more likely to communicate effectively in any social setting.


Assessment for Selective Mutism typically involves parent and teacher consultation sessions, observations, questionnaires, and some non-verbal standardized test measures. It is important to “rule out” various other developmental and social delays when assessing for SM. Sometimes the symptoms of Selective Mutism need to be treated first before a comprehensive evaluation can be completed.


Treatment includes an initial parent intake appointment where we will discuss your child’s and family’s individual needs and goals for treatment. We will discuss our “three pronged” curriculum and approach which includes parent training, teacher training, and parent-child therapy sessions. Strategies will be discussed that will best support your child’s development of brain-based regulation and decreased nervous system arousal. A “fade in” approach will be utilized and taught to parents and teachers in order to best support the development of your child’s sense of safety in new social situations. We will also discuss how to support the development of social communication, and social-emotional identification and overall regulation.