top of page

Hear More From Our Clinicians

Every post here is written by a member of the Juniper team, drawing on what we see every day in our work with kids, teens, parents, and adults. Subscribe to get new articles on assessment, parenting, identity, and emotional well-being as soon as they’re published.

Subscribe to the blog & receive occasional updates.

What Is Selective Mutism?

Sep 15
2 min read

Selective Mutism (SM) is an anxiety disorder most commonly identified in young children. Individuals with SM have difficulty speaking, or may be unable to speak at all, in certain situations or with certain people. Children with SM can usually speak normally and comfortably with those they know well, such as family members, but struggle to speak when they feel less at ease, even if they are familiar with the person or setting. Many children with SM have persistent difficulty speaking at school or with peers and teachers, even after months of exposure.


Young child in a peach shirt lies on a mustard sofa, holding a yellow block with a somber, thoughtful expression.
A young girl in a pink shirt lies on a cushioned surface, deeply engrossed with a small yellow object, surrounded by soft, warm-toned pillows.

How selective mutism presents in children


Children with SM present in a wide range of ways. Some are unable to speak a single word at school, even to their parents. Others may speak to a few peers or directly to their teacher. The consistent theme is that they experience significant difficulty with verbal communication in specific situations. This challenge goes beyond shyness. It interferes with their ability to function and fully participate in academic and social environments.


What causes selective mutism?


Selective mutism develops through a combination of individual and environmental factors. Children with SM often have an inhibited temperament and feel discomfort when interacting with people who are not part of their inner circle. When asked a question by someone less familiar, they may be unable to produce words because of heightened anxiety. In many cases, adults respond by speaking for the child. Although this may reduce immediate anxiety for everyone involved, it unintentionally reinforces avoidance and limits opportunities for the child to practice speaking.


Why early intervention matters


It is important for children with SM and their families to engage in treatment as early as possible. Early intervention can lead to significant reduction, or even resolution, of SM symptoms and help children build confidence in their ability to communicate. If you are wondering whether your child's communication difficulties may be connected to a broader developmental picture, a comprehensive psychological assessment can help clarify what is driving the pattern and what support is most appropriate.


If you are concerned that your child may be displaying signs of selective mutism, we encourage you to reach out. Our team at Juniper Psychology Group works with children and families navigating anxiety-based communication challenges, and we are happy to talk through what you are seeing. Submit an inquiry and we will be in touch.

bottom of page