​Paediatric Social Phobia and Selective Mutism


Selective mutism is a disorder in kids where they fail to speak in certain circumstances, whereas they have are capable of normal communication in others. Selective mutism coexists with anxiety in kids where the child may feel ashamed to publicly interact with people. This causes social anxiety; such kids remain silent despite negative repercussions which may include punishment, shame and social ostracism.

Selective mutism is often accompanied by other anxiety disorders such as separation anxiety disorder, social anxiety disorder (formerly called social phobia), agoraphobia, and panic disorder, as well as by shyness and anxiety. This disorder generally occurs in children by the age of five. However, it starts to formally represent itself when the child starts school and begins social interaction. In school, the child will lack assertiveness and confidence. Often, a child with selective mutism will designate a friend or close family member to serve as an intermediary of communication and interact with him or her only.​

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