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Unable to Speak: Selective Mutism in Youth

Smith-Schrandt, H.L.; Ellington, E.

Journal of Psychosocial Nursing and Mental Health Services 56(2): 14-18

2018

ISSN/ISBN: 0279-3695
PMID: 29385228
DOI: 10.3928/02793695-20180122-04
Document Number: 571866
It is important for psychiatric nurses to be familiar with the clinical presentation and recommended treatment for selective mutism (SM), as it is a childhood anxiety disorder that is not commonly studied. This article provides a brief overview of its diagnostic criteria, prevalence, assessment, and history. Special attention is given to misconceptions regarding the disorder and differentiation of trauma and oppositional disorders. Two vignettes illustrate varied presentations of SM, with and without comorbid social phobia. Empirically supported behavioral and psychopharmacological treatment is outlined, and considerations for nursing are provided. [Journal of Psychosocial Nursing and Mental Health Services, 56(2), 14-18.].

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