Selective mutism is a complex childhood anxiety disorder characterized by a child’s lack of verbal communication in select social environments, such as school. Children with selective mutism possess the ability to speak, but are selective of the settings in which they choose to speak. They will often speak in environments where they feel safe, relaxed, and calm with familiar people such as parents or siblings, but will choose not to speak in environments where they are less comfortable. A common misconception is that selective mutism is a form of autism. Children with selective mutism may demonstrate lack of appropriate social language use that mimics those on the autism spectrum, but selective mutism is not indicative of autism.
