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Question
Posted by: Elaine | 2010/09/15

Selektiewe mutisme ( Sosiale angsversteuring)

My dogter (Gr1) het verskeie behandelings gehad.
Spelterapie, Sielkundige &  Psigiater.
Geen vordering.
Praat nog geen woord by skool.
Medikasie ''n ramp !
Kan u help ?

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Our expert says:
Expert ImageCyberShrink

Hmmm. Social anxiety disorder ( sosiale angsversteuring )might make one feel shy and uncomfortable when talking in public, but usually not totally mute, and Selective Mutism implies a person is mute / unspeaking in some situations and not in others.
I would not expect play therapy to be the best first step ( though it is beloved by some teachers ) and what is needed is a good skilled assessment by a child psychiatrist or child psychologist ( probably even more useful here ), as it is onl with a good diagnosis that one can plan effective treatment.
I wouldn't expect medication to help.
Its unusual if you have consulted both a psychologist and a psychiatrist and no benefit has resulted - I wonder whether they were specialist CHILD shrinks, or adult shrinks who see an occasional child. If these were properly trained child shrinks, I wonder whether they were given enough time to explore, assess and treat ?

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3
Our users say:
Posted by: Pikkie | 2010/11/26

My niggie se dogter het ook selektiewe mutisme, sy is nou in GrR, hulle het haar ingeskryf by Tina Cowley leersentrums, sy het lees sentrums reg oor die land. Vandat sy dit begin het, het die dogtertjie met haar juf begin praat, en is daar ''n duidelike vordering...

Reply to Pikkie
Posted by: Elaine | 2010/09/17

Waar kry ek ''n : properly trained child shrink ???
My dogtertjie praat na 9 maande nie eers met haar
juf. nie. (En sy is baie lief vir haar juf.)

Reply to Elaine
Posted by: cybershrink | 2010/09/15

Hmmm. Social anxiety disorder ( sosiale angsversteuring )might make one feel shy and uncomfortable when talking in public, but usually not totally mute, and Selective Mutism implies a person is mute / unspeaking in some situations and not in others.
I would not expect play therapy to be the best first step ( though it is beloved by some teachers ) and what is needed is a good skilled assessment by a child psychiatrist or child psychologist ( probably even more useful here ), as it is onl with a good diagnosis that one can plan effective treatment.
I wouldn't expect medication to help.
Its unusual if you have consulted both a psychologist and a psychiatrist and no benefit has resulted - I wonder whether they were specialist CHILD shrinks, or adult shrinks who see an occasional child. If these were properly trained child shrinks, I wonder whether they were given enough time to explore, assess and treat ?

Reply to cybershrink

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