Treatment for Children with Selective Mutism: An Integrative Behavioral Approach

Paperback | November 21, 2012

byR. Lindsey Bergman

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Selective Mutism (SM) is an impairing behavioral condition in which a child fails to speak in certain social situations despite speaking regularly and normally in other situations. SM presents a significant mental and public health problem due to impact on the social, emotional, and academicfunctioning of young children at a critical point in their development. SM is closely related to childhood social phobia, but it cannot be treated in the same way because of the young age of the children affected, their lack of speech in the treatment setting, and the need for significant schoolinvolvement in treatment.Treatment for Children with Selective Mutism outlines the sequence and essential elements to guide clinicians through a comprehensive, integrated program for young children who display symptoms of SM. This approach utilizes behavioral interventions targeting gradual increases in speaking acrosssettings in which the child initially has difficulty. The integrated nature of the therapy refers to the goal of incorporating input from the clinician with that from the parents and teacher, as well as others impacted by the lack of speech. Exposure exercises are based on behavioral techniques such as stimulus fading, shaping, and systematic desensitization that also allow for a less intense or gradual exposure to the speaking situation. These techniques are combined and used flexibly with a behavioral reward system for participationin treatment. The approach was developed by Dr. R. Lindsey Bergman as part of the UCLA Childhood OCD, Anxiety, and Tic Disorders Program. The treatment protocol consists of 20 sessions, 60 minutes each, delivered over the course of 24 weeks. Treatment for Children with Selective Mutism is aninvaluable guide for mental health professionals who deliver CBT-based treatment to children and want to help those with SM.

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From the Publisher

Selective Mutism (SM) is an impairing behavioral condition in which a child fails to speak in certain social situations despite speaking regularly and normally in other situations. SM presents a significant mental and public health problem due to impact on the social, emotional, and academicfunctioning of young children at a critical ...

R. Lindsey Bergman, Ph.D., is Associate Clinical Professor of Psychiatry, Associate Director of the UCLA Child OCD and Anxiety Program, and Director of the Pediatric OCD Intensive Outpatient Program at UCLA. Dr. Bergman specializes in cognitive behavioral treatment for children with selective mutism, OCD, and related disorders. Dr. B...
Format:PaperbackDimensions:144 pages, 10 × 7 × 0.68 inPublished:November 21, 2012Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195391527

ISBN - 13:9780195391527

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Table of Contents

1. Introductory Information for Therapists2. Pre-Treatment Assessment and Psychoeducation (Parent Only Session)3. Session 1: Introduction to Treatment and Rapport Building4. Session 2: Rapport Building, Reward System, Feelings Chart5. Session 3: Class Chart, Talking Ladder, Exposure Practice6. Sessions 4-9: Intermediate Exposure Sessions7. Session 10: Treatment Midpoint Sessions8. Sessions 11-14: Intermediate Exposure Sessions9. Session 15: Continued Exposure and Introduction of Transfer of Control10. Sessions 16-17: Continued Exposure with Additional Focus on Transfer of Control11. Sessions 18-19: Continued Exposure and Transfer of Control / Review of Progress12. Session 20: Relapse Prevention and Graduation13. Additional Treatment ConsiderationsAppendix A: Suggested Exposure ExercisesAppendix B: Pre-Treatment MaterialsAppendix C: Treatment FormsReferencesAbout the Author