““ ELECTIVE MUTISM Social anxiety appears in many forms, some of which are only now coming to light. Socially anxious children, for example, are usually thought of as quiet and reserved and of course “shy.” But some children, though they function fairly well in their home environment, have great difficulty talking in social situations. Donny was one such child. At fourteen, he managed quite well at home, but never talked to his peers. His parents encouraged him to join in group activities, and even sent him off to an overnight camp. But he remained silent, even when he became lost in the woods. The child was alone for several hours; dusk was approaching, and he began to get cold, but he still could not bring himself to call out. The counselors were near enough for him to attract their attention and yet he remained mute. Alarm bells went off for Melanie when she noticed that her daughter at age three had trouble talking with people outside their home. When the little girl went to see Santa Claus, and he asked her what she wanted for Christmas, she became hysterical and couldn’t respond verbally. And the problem continued: She would speak only with the immediate family, and never to peers or potential playmates. Elective mutism is a very specific symptom of social anxiety. Fear turns into panic which inhibits speech; the elective mute is capable—physically—of speaking to outsiders, but anxiety prevents him or her from speaking. Only recently has there been any media attention paid to this syndrome, and research in this area has just begun. After an article appeared in a New York-area newspaper, however, someone who had expressed interest in starting a self-help group for elective mutes was besieged with phone calls from desperate relatives, eager to get help for their silent family members. I have worked with people of all ages who suffer from varying degrees of elective mutism. From my perspective, elective mutism is treatable relatively easily in childhood or early adolescence. But treating the adult is very difficult because of the pervasive progression of the problem.””
