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Treatment for Children with Selective Mutism outlines the sequence and essential elements to guide clinicians through a comprehensive, integrated program for young children who display symptoms of SM.
Often described as 'social phobia's cousin' and misdiagnosed as autism, selective mutism is a debilitating fear of speaking in some situations experienced by some children. The disorder usually presents in children before the age of five, but it may not be recognized until the child starts school. When requested to speak, children with selective mutism often look down, blush, or otherwise express anxiety that disrupts their engagement with people and activities. Selective mutism is related to social anxiety and social phobia, and more than 90 percent of children with selective mutism also manifest symptoms of one of these problems. This book is the first available for parents of children with selective mutism. It offers a broad overview of the condition and reviews the diagnostic criteria for the disorder. The book details a plan you can use to coordinate professional treatment of your child's disorder. It also explains the steps you can take on your own to encourage your child to speak comfortably in school and in his or her peer group. All of the book's strategies employ a gradual, 'stepladder' approach. The techniques gently encourage children to speak more, while at the same time helping them feel safe and supported. Angela E. McHolm, Ph.D., is director of the Selective Mutism Service at McMaster Children's Hospital in Hamilton, ON. The Selective Mutism Service offers outpatient psychiatric consultation to families and professionals such as school personnel, speech and language pathologists, and mental health clinicians who support children with selective mutism. She is assistant professor in the Department of Psychiatry and Behavioural Neurosciences in the Faculty of Health Sciences at McMaster University in Hamilton, ON.
Helping Children with Selective Mutism and Their Parents: A Guide for School-based Professionals provides information that can help readers to better understand and combat selective mutism, offering evidence-based strategies for enhancing a child's verbal participation at school and in other types of social and academic activities.
Selective mutism (SM) is an anxiety disorder in which individuals are unable to communicate in certain environments or contexts (such as at school or in the community) despite having appropriate speech and language skills in other settings. By drawing on their extensive knowledge of language development, language complexity, and therapeutic approaches, speech-language pathologists (SLPs) can provide life-changing results for children with SM. Treating Selective Mutism as a Speech-Language Pathologist is a comprehensive yet accessible resource designed to bridge the gap in the current SM literature and empower SLPs to treat this disorder effectively. This valuable professional resource has tools for SLPs at every stage of their careers, from new clinicians preparing for potential cases of SM to experienced SLPs looking to expand their knowledge base. The first three chapters of Treating Selective Mutism as a Speech-Language Pathologist offer a base of understanding by exploring the roots and characteristics of SM. The text then walks clinicians through effective assessment and diagnosis strategies. The final chapters provide evidence-based treatment strategies, as well as practical guides and activities, for supporting children with SM. Key Features: * Ready-to-use activities, handouts, and forms that can be reproduced and implemented during a therapy session * Up-to-date empirical evidence regarding the etiological factors of SM * Overview of the collaborative team approach necessary for treating SM * Suggestions regarding specific assessment materials and a specific protocol to guide data collection during assessment * Specific, evidence-based treatment strategies provided in a clear, easy-to-understand manner Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.
For anyone who needs to understand, assess or manage selective mutism, this is a comprehensive and practical manual that is grounded in behavioural psychology and anxiety management and draws on relevant research findings as well as the authors' extensive clinical experience. Now in its second edition and including new material for adolescents and adults, The Selective Mutism Resource Manual 2e provides: an up-to-date summary of literature and theory to deepen your understanding of selective mutism a wealth of ideas on assessment and management in home, school and community settings so that its relevance extends far beyond clinical practice a huge range of printable online handouts and other resources case studies and personal stories to illustrate symptoms and demonstrate the importance of tailored interventions. This book is essential reading for people who have selective mutism as well as for the clinicians, therapists, educators, caseworkers and families who support them.
Selective mutism in children is characterized by persistent refusal to speak in one or more social situations (e.g., at school or among strangers), notwithstanding the demonstrated ability to use language at home. The range of treatment options has recently expanded to include promising behavioral, psychopharmacological, and multi-modal approaches in addition to psychodynamic and family systems therapy. Toward overcoming the traditional intractability of the disorder, the authors exhort clinicians - psychologists, psychiatrists, pediatricians, counselors, social workers - to familiarize themselves with all of the options in order to expand their repertoires and individualize treatment strategies. Comprehensive in scope, this book presents the major therapeutic approaches and offers alternatives to professionals working with selectively mute children.
Charli never says a word outside her house. She only speaks to her mother and father, and if her nana and poppy come over, it takes her a long time to say any words. One day, Charli's best friend from school, comes over to play. Lily, who brings a big sack of toys to share, must rely on Charli's mother to ask choice questions that encourage Charli to practice talking. As her mother gives her choices, Charli soon begins to open up and talk to Lily. Charli chooses which colored marker she wants to use, what she wants to draw, and whether she wants to borrow one of Lilys markers. Charli and Lily are having so much fun! Charli's Choices is a beneficial, interactive childrens book for educators, children, and parents that offers valuable insight into selective mutism as a little girls mother teaches her, through specific questions, how to communicate successfully with others.
This handbook examines advances in the evidence-based behavioral family intervention, parent-child interaction therapy (PCIT). It surveys innovative adaptations tailored to specific diagnostic concerns, client populations, treatment settings, and delivery formats. Chapters provide rationales for adaptation, reviews of relevant research, and discussions of advantages and challenges. Case studies illustrate the implementation of the adaptations and help to make new techniques concrete. The handbook offers practical descriptions of the adaptations to PCIT, comprehensively reviews treatment outcome literature, and integrates cutting-edge implementation science into an exploration of the current dissemination strategies in PCIT. The handbook concludes with a consideration of the questions that remain to be addressed to extend the reach of PCIT among traditionally underserved families and to continue to advance the science and practice of children’s mental health interventions. Featured topics include: PCIT for children with callous-unemotional traits. PCIT for families with a history of child maltreatment. Group PCIT. PCIT for military families. The PCIT CALM program for treating anxiety in young children. PCIT for American Indian families. Transporting and disseminating PCIT internationally. Using technology to expand the reach of PCIT. The Handbook of Parent-Child Interaction Therapy is a must-have resource for researchers, professors, instructors, clinicians, and graduate students in child and school psychology, child psychiatry, and social work as well as such related disciplines as developmental, clinical, counseling, and community psychology, family studies, and mental health services and agencies.
Selective mutism is a childhood anxiety disorder characterised by a child's inability to speak and communicate effectively in select social settings, such as school. These children are able to speak and communicate in settings where they are comfortable, secure, and relaxed. Most children with selective mutism also have social phobia or social anxiety: they fear social interactions where there is an expectation to speak and communicate. Finding Your Voice highlights the different challenges a child with selective mutism might face, and provides effective, research-based behavioural intervention plans. Tips for engaging and motivating children are provided, focusing on a gradual, step-wise approach to increased speech, as well as fun and engaging activities that can be used at each step of treatment.
Cognitive-Behavioral Play Therapy (CBPT) incorporates cognitive and behavioral interventions within a play therapy paradigm. It provides a theoretical framework based on cognitive-behavioral principles and integrates these in a developmentally sensitive way. Thus, play as well as verbal and nonverbal approaches are used in resolving problems. CBPT differs from nondirective play therapy, which avoids any direct discussion of the child's difficulties. A specific problem-solving approach is utilized, which helps the child develop more adaptive thoughts and behaviors. Cognitive-behavioral therapies are based on the premise that cognitions determine how people feel and act, and that faulty cognitions can contribute to psychological disturbance. Cognitive-behavioral therapies focus on identifying maladaptive thoughts, understanding the assumptions behind the thoughts, and learning to correct or counter the irrational ideas that interfere with healthy functioning. Since their development approximately twenty-five years ago, such therapies have traditionally been used with adults and only more recently with adolescents and children. It has commonly been thought that preschool-age and school-age children are too young to understand or correct distortions in their thinking. However, the recent development of CBPT reveals that cognitive strategies can be used effectively with young children if treatments are adapted in order to be developmentally sensitive and attuned to the child's needs. For example, while the methods of cognitive therapy can be communicated to adults directly, these may need to be conveyed to children indirectly, through play activities. In particular, puppets and stuffed animals can be very helpful in modeling the use of cognitive strategies such as countering irrational beliefs and making positive self-statements. CBPT is structured and goal oriented and intervention is directive in nature.
