Probably Selective Mutism
Dear Josie and Nancy:
I suspect your student suffers from an anxiety disorder called "Selective Mutism". This disorder is found in the DSM !V which is the Mental Health manual describing all mental health illnesses. The five criteria for this disorder are listed on the first page of the following internet site: www.selectivemutism.org. Do note that there are downloads that can be printed for both teachers and parents. If this child is selectively mute, he will need you to help guide his parents to seek treatment. This disorder will not disappear even if speech is attained; other mental health issues will surface as depression and social anxiety, not to mention problems with academics and social issues.
I might suggest that you speak to the school psychologist or resource person before speaking to the parents. If you think that I might be correct, please do not "diagnose" this child but describe his behaviours and perhaps, offer a suggestion as to his "silent" persona at school. I have included a post below my name which I have sent to other teachers on this site as well as other teacher sites.
Best of luck -
Joan
FROM A PREVIOUS RESPONSE TO A POSTING ON SELECTIVE MUTISM
I belong to a support group for children with anxieties. The
majority of these children are selectively mute. I also am a
retired teacher and volunteer as an advocate for selectively
mute children within our local school board.
The main point that teachers need to understand is that the
selectively mute child is "unable to speak" in situations
where he/she perceives to be "unsafe". The child does not
make this choice; it is the environment (or the perception of
an unsafe place) that renders the child mute. The teacher's
job is NOT to get the child to speak; but to lower the
anxiety so that speech might occur. By the way, when speech
does occur (and this often takes years), this is not the end
of the disorder but only the beginning of a long struggle of
learning to adapt and control one's anxiety (which I often
refer to as "intense distress"). I do hope your student is
under the medical care of a physician who understands anxiety
issues, as most of our sm children require a multi-modal
approach to treatment involving intervention, therapy and
perhaps medication.
I believe the best booklet on the market is "The Ideal
Classroom Setting for the Selectively Mute Child" which can
be purchased from the site that I have listed below (it
retails for less than $20). You will find it easy to read
and understand and a "must" for your young student. The
author, Dr. Elisa Shipon-Blum, has two other booklets that
your school or board might consider purchasing; they are more
for the parents of your student rather than the teacher (but
also are very good). In addition, if funds are no
issue, "The Selective Mutism Resource Manual" by Maggie
Johnson & Alison Wintgens is excellent (published in the
U.K.) and can also be purchased from the site I listed. It
gives detailed methods of intervention and many consider
it "the bible" for sm. Another book just published this
fall is by Dr. C. Cunningham of Canada "Helping Your Child
with Selective Mutism", and it too, is excellent.
The site that I have listed above (in the first paragraph) gives an overview of this disorder through its FAQ's. I would suggest you print and read them carefully. There are many other sites for this
topic although they do not have the expertise as the one I
listed. You will note the list of directors contain many
physicans (most of whom are parents of a sm child). Please
feel free to write if you would like any help or support in
the coming months. Good luck and I look forward to hearing
from you -
Joan
munroj@xcelco.on.ca
www.selectivemutism.org