Time to speak up?
Question
I have just found out about a disorder called selective mutism and I think I had it as a young child. I also believe I still have some symptoms now in certain social settings. Is it too late for me to have treatment at the age of 16?
Answer
Selective mutism is thought to be related to social anxiety disorder. This may begin in early childhood for a number of reasons. Sometimes it can be triggered by a traumatic or upsetting event. Other causes are largely unknown. It can be an extremely upsetting condition, so it's understandable that you're looking to find out more.
A child may be diagnosed with selective mutism based on some of the following criteria:
- They don't speak in particular places, such as at school or social events;
- They speak normally in settings where they feel comfortable, for example at home;
- Their inability to speak interferes with their ability to function in educational or social settings;
- Mutism has persisted for at least one month.
Common personality traits of children who experience selective mutism include shyness, nervousness, awkward body language and difficulty engaging with other people in social situations.
As a child, treatment for selective mutism includes counselling, psychotherapy or cognitive behavioural therapy (CBT), which can help the child to develop their self confidence and self-esteem. These types of therapy, or similar forms of counselling, are often used as a tool for adults experiencing such difficulties as part of an anxiety-related disorder.
If you're worried in any way you might find it helpful to visit your doctor (GP) to discuss this matter further. They will be able to make a formal diagnosis and offer treatment and help if necessary. They will also have access to your medical records, which may detail your medical history and enable you to gain a better understanding of what you experienced as a child.
If you wish to seek counselling support independently, Youth Access has a search engine on its website which will allow you to search for a free local service.
Have you been able to discuss your feelings with anyone? It often helps to talk with trusted friends or family members. This may also give them a better insight into the situation, helping them to offer you more effective support and understanding. But, understandably, this can seem hard and if you feel uncomfortable talking to them right now, you might like to consider talking in confidence and without judgement to a volunteer at SANEline on 0845 767 8000.
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