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Growth and development
Published in Jagdish M. Gupta, John Beveridge, MCQs in Paediatrics, 2020
Jagdish M. Gupta, John Beveridge
1.53. Delay in language development is common inautism.deafness.elective mutism.twins.gross emotional deprivation.
Selective Mutism
Published in James Law, Alison Parkinson, Rashmin Tamhne, David Hall, Communication Difficulties in Childhood, 2017
and language therapist and educational psychologist. They recommend to the school that such a child be given a key worker as a personal relationship and a very consistent approach over a period is of the utmost importance. Another great stand-by for teachers will be a recently published booklet by an Essex psychologist entitled `Helping the Child with Elective Mutism ± guidelines for schools'.14 Teachers undertaking such programmes must show empathy and patience, as progress can be painfully slow. To quote Mark Twain, `A habit cannot be tossed out of the window, it must be coaxed down the stairs a step at a time'.
Pharmacotherapy of Anxiety Disorders
Published in Siegfried Kasper, Johan A. den Boer, J. M. Ad Sitsen, Handbook of Depression and Anxiety, 2003
David S. Baldwin, David Bridle, Ekelund Anders
No placebo-controlled or comparator-controlled studies of fluoxetine have been published. There has been one double-blind, placebo-controlled study of fluoxetine in children with elective mutism, which has some similarities to social phobia [50]. Children who had not responded to placebo treatment were randomly allocated to either continue with placebo or switch to fluoxetine at a dose of 0.6 mg/kg/day. There were significant advantages for fluoxetine on parents’ ratings of mutism and global change, but not on ratings made by teachers or health professionals, and most children remained substantially impaired at the end of the treatment period.
Treatment of selective mutism based on cognitive behavioural therapy, psychopharmacology and combination therapy – a systematic review
Published in Nordic Journal of Psychiatry, 2018
SM was originally described by Kussmaul in 1877 and termed ‘aphasia voluntaria’. Later, in 1934, Tramer coined the term ‘elective mutism’. However, these terms are no longer considered accurate, as they suggest a child ‘electively’ or ‘voluntarily’ chooses when and where to speak [3].