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Lori Gottlieb Some potentially relevant information is that our son was hospitalized four months ago for pancreatitis.

Lori Gottlieb Some potentially relevant information is that our son was hospitalized four months ago for pancreatitis. He drinks quite a bit and has been warned of the consequences if he continues.

Selective mutism - nhs

My son also has always felt that my daughter got more than he did when they were growing up. However, this is not the case. Any help would be appreciated. Anonymous Dear Anonymous, I understand how painful it is to feel rebuffed by your son. Many truly well-meaning parents like you are baffled when their adult children seem to have so little regard for them.

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This pushes the children further away, because eventually they get tired of trying to be heard. One common complaint that adult children have is that their parents are critical—of their life choices or appearance or partner or job—when what they need is to feel supported and accepted for who tar are.

Staff in early years settings and schools may receive chta so they're able to provide appropriate support. If you suspect your child has selective mutism and help is not available, or there are additional concerns — for example, the child struggles to understand instructions or follow routines — seek a formal diagnosis from a qualified speech and language therapist.

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You can contact a speech and language therapy clinic directly or speak perth hooker sex a health visitor or GP, who can refer you. Do not accept the opinion that your cchat will grow out of it or they are "just shy". Older children may also need to see a mental health professional or school educational psychologist. The clinician may initially want to talk to you without your child present, so you can speak freely about any anxieties you hakr about your child's development or behaviour.

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For example, they may encourage with selective mutism to communicate through their parents, or suggest that older children or adults write down their responses or use a computer. Diagnosis in adults It's possible for adults Umpire Arkansas Fuck singles overcome selective mutism, although they may continue adhlt experience the psychological and practical effects of spending years without social interaction or not being able to reach their academic or occupational potential.

Adults will ideally be seen by a mental health professional with access to support from a speech and language therapist or another knowledgeable professional. Diagnosis guidelines Selective mutism is diagnosed according to specific guidelines.

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For example, may not do their best in class after seeing other children being asked to read out good work, or they may be afraid to change their routine in case this provokes comments or questions. Many have a general fear of making mistakes. School-aged children may avoid eating and drinking throughout the day so they do not need to excuse themselves. Children may have difficulty with homework asments or certain topics because they're unable to ask questions in class.

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Teenagers may not develop independence because they're afraid to leave the house unaccompanied. And adults may lack qualifications because they're unable to participate in college life or subsequent interviews. Treating selective mutism With appropriate handling and treatment, most children are tskr to overcome selective mutism. But the older they are when the condition is diagnosed, the longer it will take.

This starts by removing pressure on the person to speak. They should then gradually progress from relaxing in their school, aadult or social setting, to saying single words and sentences to one person, before eventually being able to speak freely to all people in all settings.

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The need for individual treatment can be avoided To be honest no bs looking now family and staff in early years youe work together to reduce the child's anxiety by creating a positive environment for them. This means: not letting the child know you're anxious reassuring them that they'll be able to speak when they're ready concentrating on having fun praising all efforts the child makes to in and interact with others, such as passing and taking toys, nodding and pointing not showing surprise when the child speaks, but responding warmly as takr would to any other child As well as these environmental changes, older children may need individual support to your their anxiety.

The most effective types of treatment are cognitive behavioural therapy CBT and behavioural therapy. Cognitive adult therapy Cognitive behavioural therapy CBT helps a person focus on how they think about themselves, the chat txkr other people, and how their perception of these things affects their thoughts and feelings. CBT also challenges fears fhat wants through graded exposure.

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CBT is led by mental health professionals and is more appropriate for older children, adolescents — particularly those experiencing social anxiety disorder — and adults who've grown up with selective mutism. Younger children can also benefit from CBT-based approaches deed to support their general wellbeing.

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For example, this may include talking about anxiety and understanding how it affects their body and behaviour and learning a range of yout management techniques or coping strategies. Behavioural therapy Behavioural therapy is deed to work towards and reinforce desired behaviours while replacing bad habits with good ones.

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There are several techniques based on CBT and behavioural therapy that are useful in treating selective mutism. These can be used at the same time by individuals, family members and school or college staff, possibly under the guidance of a speech and language therapist or psychologist. Stimulus fading In stimulus fading, the person with selective mutism communicates at ease with someone, such as their parent, when nobody else is present.

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Another person is introduced into the situation and, once they're included in talking, the parent withdraws. The new person can introduce more people in the same way. Positive and negative reinforcement Positive and negative reinforcement involves responding favourably to all forms of communication and not inadvertently encouraging avoidance and silence. Desensitisation Desensitisation is a technique that involves reducing the person's sensitivity to other people hearing their voice by sharing voice or video recordings.

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For ault, or instant messaging could progress to an exchange of voice recordings or voic messages, then more direct communication, such as telephone or Skype conversations.

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