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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Best Treatment For Selective Mutism ?

My daughter who is 13yrs has selective mutism . It was detected when she was 7 yrs old. We gave her Prozac for six months when she turned 9 yrs. It helped in reducing her anxiety and she began talking in school. From last one year we are observing that she has become very moody and totally disinterested in life. Please help ??
Sun, 23 Jan 2011
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Psychiatrist,  's  Response
Hi

Any transitions, be it onset of puberty or change of school or any such major changes in children of this age may bring about such changes. She will need to be assessed by a psychiatrist so that the cause of the problem can be found out.

Usually, the best evidence for treating children of this age for problems like this is for talking therapy (CBT or family therapy) depending on the problem. As my colleague has suggested, if the problem is severe, then only should medication be considered and medication in this age will need to be VERY CAREFULLY MONITORED.

Please consult a psychiatrist and if possible and available, seek out CBT/family therapy depending on the outcome of the assessmnt by a psychiatrist.
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What Is The Best Treatment For Selective Mutism ?

Hi Any transitions, be it onset of puberty or change of school or any such major changes in children of this age may bring about such changes. She will need to be assessed by a psychiatrist so that the cause of the problem can be found out. Usually, the best evidence for treating children of this age for problems like this is for talking therapy (CBT or family therapy) depending on the problem. As my colleague has suggested, if the problem is severe, then only should medication be considered and medication in this age will need to be VERY CAREFULLY MONITORED. Please consult a psychiatrist and if possible and available, seek out CBT/family therapy depending on the outcome of the assessmnt by a psychiatrist.