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Selective mutism
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Selective mutism

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Synopsis

Disinclination or refusal of child or adolescent to speak in some social situations (eg, school), but not in others (eg, home). May be related to social phobia, depression, or anxiety disorder, but not attributable to pathological speech defect, neurological or developmental disorder, or a lack of social language or subject knowledge. Not primarily associated with autism spectrum or psychoses. Commonly observed upon starting school or day care and lasting at least a month, but typically 6-7 months, interfering with successful student outcomes.

Management options include psychotherapy, parent-child interaction therapy (PCIT), SSRIs, MAOIs (phenelzine), and cognitive behavior therapy, all of which are currently under study with mixed results.

Codes

ICD10CM:
F94.0 – Selective mutism

SNOMEDCT:
71959007 – Elective mutism

References

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Last Updated: 10/12/2016
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Selective mutism
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Selective mutism : Anxiety, Emotional stress or trauma, No acute distress, Elementary school
Copyright © 2018 VisualDx®. All rights reserved.