Abstract
Selective mutism is a rare childhood anxiety disorder characterized by the inability to speak in certain social situations in which speech is expected, despite speaking fluently in other situations. The average age of onset for selective mutism is 2 to 5 years old, but symptoms may not be noticed until starting school. The cause is still not known and the prevalence varies between 0.03% and 1%. Psychopharmacology and psychotherapeutic approaches are recommended in the treatment. Although the treatment is difficult, early diagnosis is one of the good prognostic factors. In this case report, we aimed to discuss the psychiatric and sociocultural functionality of a 17-year-old adolescent with selective mutism. Our case is remarkable as she has not been treated for many years. Her treatment continues with psychopharmacological and psychotherapeutic interventions. Recognition of selective mutism and getting support on this issue will help to solve the problem.
Keywords
References
- Steains SY, Malouff JM, Schutte NS. Efficacy of psychological interventions for selective mutism in children: A meta-analysis of randomized controlled trials. Child Care Health Dev. 2021;47(6):771-81.
- Hua A, Major N. Selective mutism. Curr Opin Pediatr. 2016;28(1):114-20.
- Rogoll J, Petzold M, Ströhle A. [Selective mutism]. Nervenarzt. 2018;89(5):591-602. German.
- American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. American Psychiatric Publishing; 2013.
- Driessen J, Blom JD, Muris P, Blashfield RK, Molendijk ML. Anxiety in children with selective mutism: a meta-analysis. Child Psychiatry Hum Dev. 2020;51(2):330-41.
- Manassis K, Oerbeck B, Overgaard KR. The use of medication in selective mutism: a systematic review. Eur Child Adolesc Psychiatry. 2016;25(6):571-8.
- Smith-Schrandt HL, Ellington E. Unable to speak: selective mutism in youth. J Psychosoc Nurs Ment Health Serv. 2018;56(2):14-8.
- Lang C, Nir Z, Gothelf A, Domachevsky S, Ginton L, Kushnir J, et al. The outcome of children with selective mutism following cognitive behavioral intervention: a follow-up study. Eur J Pediatr. 2016;175(4):481-7.
- Oerbeck B, Overgaard KR, Stein MB, Pripp AH, Kristensen H. Treatment of selective mutism: a 5-year follow-up study. Eur Child Adolesc Psychiatry. 2018;27(8):997-1009.
- Percinel İ, Yazici KU. [Fluoxetine treatment in preschool cases with selective mutism: Discussion through two cases]. Turk J Child Adolesc Ment Health. 2014;21(2):123-30. Turkish.
- Rodrigues Pereira C, Ensink JBM, Güldner MG, Lindauer RJL, De Jonge MV, Utens EMWJ. Diagnosing selective mutism: a critical review of measures for clinical practice and research. Eur Child Adolesc Psychiatry. 2021;[Epub ahead of print]. doi: 10.1007/s00787-021-01907-2.
- Driessen J, Blom JD, Muris P, Blashfield RK, Molendijk ML. Anxiety in children with selective mutism: A meta-analysis. Child Psychiatry Hum Dev. 2020;51(2):330-41.
- Steinhausen HC, Wachter M, Laimböck K, Metzke CW. A long-term outcome study of selective mutism in childhood. J Child Psychol Psychiatry. 2006;47(7):751-6.
Abstract
Selektif mutizm, başka durumlarda akıcı konuşmaya rağmen, konuşmanın beklendiği belirli sosyal durumlarda konuşamama ile karakterize, nadir görülen bir çocukluk çağı anksiyete bozukluğudur. Selektif mutizm için ortalama başlangıç yaşı 2 ila 5 yaş arasındadır, ancak çocuklar okula başlayana kadar semptomlar fark edilmeyebilir. Nedeni tam olarak bilinmemektedir; yaygınlığı %0,03 ile %1 arasında değişmektedir. Tedavisinde psikofarmakoloji ve psikoterapötik yaklaşımlar önerilmektedir. Tedavisi güç olmakla birlikte erken tanı iyi prognostik faktörlerden biridir. Bu olgu sunumunda, selektif mutizmli 17 yaşındaki bir ergenin psikiyatrik ve sosyokültürel işlevselliğini tartışmayı amaçladık. Olgumuz uzun yıllar tedavi edilmediği için dikkat çeken bir vaka olma özelliğine sahiptir. Tedavisi psikofarmakolojik ve psikoterapötik girişimlerle devam etmektedir. Selektif mutizmin fark edilmesi ve bu konuyla ilgili destek alınması sorunun çözümüne fayda sağlayacaktır.
Keywords
References
- Steains SY, Malouff JM, Schutte NS. Efficacy of psychological interventions for selective mutism in children: A meta-analysis of randomized controlled trials. Child Care Health Dev. 2021;47(6):771-81.
- Hua A, Major N. Selective mutism. Curr Opin Pediatr. 2016;28(1):114-20.
- Rogoll J, Petzold M, Ströhle A. [Selective mutism]. Nervenarzt. 2018;89(5):591-602. German.
- American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. American Psychiatric Publishing; 2013.
- Driessen J, Blom JD, Muris P, Blashfield RK, Molendijk ML. Anxiety in children with selective mutism: a meta-analysis. Child Psychiatry Hum Dev. 2020;51(2):330-41.
- Manassis K, Oerbeck B, Overgaard KR. The use of medication in selective mutism: a systematic review. Eur Child Adolesc Psychiatry. 2016;25(6):571-8.
- Smith-Schrandt HL, Ellington E. Unable to speak: selective mutism in youth. J Psychosoc Nurs Ment Health Serv. 2018;56(2):14-8.
- Lang C, Nir Z, Gothelf A, Domachevsky S, Ginton L, Kushnir J, et al. The outcome of children with selective mutism following cognitive behavioral intervention: a follow-up study. Eur J Pediatr. 2016;175(4):481-7.
- Oerbeck B, Overgaard KR, Stein MB, Pripp AH, Kristensen H. Treatment of selective mutism: a 5-year follow-up study. Eur Child Adolesc Psychiatry. 2018;27(8):997-1009.
- Percinel İ, Yazici KU. [Fluoxetine treatment in preschool cases with selective mutism: Discussion through two cases]. Turk J Child Adolesc Ment Health. 2014;21(2):123-30. Turkish.
- Rodrigues Pereira C, Ensink JBM, Güldner MG, Lindauer RJL, De Jonge MV, Utens EMWJ. Diagnosing selective mutism: a critical review of measures for clinical practice and research. Eur Child Adolesc Psychiatry. 2021;[Epub ahead of print]. doi: 10.1007/s00787-021-01907-2.
- Driessen J, Blom JD, Muris P, Blashfield RK, Molendijk ML. Anxiety in children with selective mutism: A meta-analysis. Child Psychiatry Hum Dev. 2020;51(2):330-41.
- Steinhausen HC, Wachter M, Laimböck K, Metzke CW. A long-term outcome study of selective mutism in childhood. J Child Psychol Psychiatry. 2006;47(7):751-6.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Report |
| Authors | |
| Publication Date | August 30, 2022 |
| Submission Date | March 24, 2022 |
| Published in Issue | Year 2022 Volume: 24 Issue: 2 |
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