Selective mutism Selective mutism is a severe anxiety disorder where a person is unable to speak in certain social situations, such as with classmates at school or to relatives they do not see very often. It usually starts during childhood and, if left untreated, can persist into adulthood. A child or adult with selective mutism does not refuse or choose not to speak at certain times, they're literally unable to speak. The expectation to talk to certain people triggers a freeze response with feelings of panic, like a bad case of stage fright, and talking is impossible. In time, the person will learn to anticipate the situations that provoke this distressing reaction and do all they can to avoid them Signs of selective mutism The main warning sign is the marked contrast in the child's ability to engage with different people, characterised by a sudden stillness and frozen facial expression when they're expected to talk to someone who's outside their comfort zone. They may avoid eye contact and appear: nervous, uneasy or socially awkward rude, disinterested or sulky clingy shy and withdrawn stiff, tense or poorly co-ordinated stubborn or aggressive, having temper tantrums when they get home from school, or getting angry when questioned by parents More confident children with selective mutism can use gestures to communicate – for example, they may nod for "yes" or shake their head for "no". What causes selective mutism: Experts regard selective mutism as a fear (phobia) of talking to certain people. The cause is not always clear, but it's known to be associated with anxiety. IF LEFT UNTREATED Left untreated, selective mutism can lead to isolation, low self-esteem and social anxiety disorder. It can continue into adolescence and adulthood if not managed. #abujapsychotherapist #abujatherapists #abujamentalhealth #abujamen #abujapsychiatricclinic #selectivemutism #abujayouths #nigeriayouth #nigeriamentalhealth #nigeriamentalhealthclinic https://www.instagram.com/p/B6DcOWql5oM/?igshid=1nohwa6i5ozec