Selective Mutism is often misunderstood or overlooked, particularly in young children who may be described as “very shy” or “slow to warm up.” In reality, selective mutism is an anxiety-based condition in which a child experiences such intense anxiety that they are unable to speak in certain situations where speech is expected, despite speaking comfortably in other settings.
Children with selective mutism are not choosing not to speak and are not being oppositional. Their silence is driven by anxiety that interferes with their ability to communicate. As a result, a child with selective mutism may struggle to ask for help, greet and thank others, answer questions, request permission to use the bathroom, or participate verbally in school or social activities.
While some children may appear to “grow out of” shyness, selective mutism typically requires intervention—particularly when it is impacting a child’s functioning, independence, or access to learning and social connection.
Early, specialized intervention can significantly improve outcomes for children with selective mutism.
Dr. Murray provides evidence-based treatment for selective mutism using an adaptation of Parent-Child Interaction Therapy specifically designed for selective mutism (PCIT-SM). Treatment begins with a thorough assessment to understand the situations in which anxiety interferes with speech and the factors that maintain avoidance.
Early, specialized intervention can significantly improve outcomes for children with selective mutism.
PCIT-SM is a structured, parent-involved approach that helps children gradually increase verbal engagement through “brave talking” exposures. Parents receive coaching and guidance to support communication in ways that are supportive, predictable, and developmentally appropriate.
Because selective mutism most often affects children in school and community settings, treatment frequently includes collaboration with educators and caregivers outside of therapy sessions. Intervention may involve school consultation, educator training, and carefully planned exposures in real-world environments to support generalization of skills and meaningful progress.
Dr. Murray works closely with families, teachers, and school teams to develop consistent, supportive plans that help children build confidence, increase verbal participation, and engage more fully in daily activities.
