Selective mutism is an anxiety disorder which means that a child or young person is unable to speak in select situations and environments – for example, at school. They are, however, able to speak well in other places – for example, at home.
Young people who experience selective mutism can often freeze when they are in situations where they are expected to speak to someone, which makes talking impossible.
Selective mutism usually begins in early childhood when a child has developed their ability to speak. It can persist into adulthood if not treated. Identifying selective mutism as early as possible is key, as it can lead to social anxiety, low self-esteem and frustration if left untreated.
The disorder affects roughly 1 in 140 young people. It can happen to any child or young person.
Support strategies for parents, carers and teachers include the Small Steps therapy program which works towards the child/young person feeling more comfortable speaking with others. This can be discussed with the relevant health professional supporting your child/young person.
People around the child or young person can also do a lot to help – for example, by taking off the pressure to speak at school or at home. Support for parents and teachers is therefore very important.
Selective Mutism usually starts during childhood and, if left untreated, can persist into adulthood.
All Primary schools can access support from NHS Speech and Language Therapy (Up to age of 19). Home educated children can self-refer to support from NHS Speech & Language Therapy. Primary schools in Portsmouth also have links with Mental Health Support Teams who can also help.
Alternatively, the children’s therapy service is available on the Telephone Advice Line on 0300 300 2019 Monday to Friday 9am – 5pm.
Our friendly team at the Portsmouth Mental Health Hub are here to help.
Enter your details and someone will call you back between 8am and 6pm, Monday to Friday.
If you or someone you know needs urgent mental health help, please call 111 – the NHS non-emergency number. It’s available 24 hours a day, 7 days a week and is free from any phone. They have specialist mental health nurses who can support adults and young people.
In a life-threatening emergency, always call 999.