Disorder of the child’s speech outside the home
When your child speaks enthusiastically at home and speaks sweetly, he also communicates and plays with his friends, but a few days after starting school, you are informed that your child is at school. It does not knock and whatever science and other school agents try, it does not open its mouth that it does not.
This situation is definitely strange and unbelievable for you because as soon as the child enters the house, he starts talking and the normal process of life continues. This is something that may occur in children due to anxiety caused by an unknown situation or other condition and is called a selective dumb disorder or selective silence.
What is the chosen lollipop?
Lullaby Selective Lullaby or Selective Silence refers to the persistent inability to speak in certain social situations, such as school, in which the child is expected to speak. Usually, the child avoids talking in situations such as school, community, and with adults outside the home. Although he speaks easily at home with siblings and at least one parent.
This disorder usually comes to the attention of those around it when it affects and even disrupts the child’s normal life and hinders the child’s educational, learning or communication progress. It is important to note that at the time of entering school or kindergarten or preschool, children may spend some time in silence, and in this case, such a situation can not be attributed to lazy choice, and this disorder should be at least a month.
It takes time to diagnose the selected larynx. This disorder is not primarily due to lack of information or discomfort about the use of spoken language and is used to diagnose selective lameness in children when there is no better justification for not speaking and is actually due to stuttering, pervasive developmental disorder, schizophrenia, or other disorders. Are not psychological.
Girls are more affected
The age of onset of this problem is usually 4 to 6 years old and it often appears outside the house and in rare cases, the child is silent at home and speaks outside the house. Interestingly, girls are more likely than boys to have selective lameness disorder.
In many cases, children who are in transition, such as entering kindergarten or school, may now have a mild disorder that resolves on its own within a few months. These children are usually prone to anxiety and shyness and are also prone to depression. In cases where the symptoms are mild, complete and early recovery usually occurs with or without treatment, and the younger the age and the shorter the duration of the disease, the better the recovery.
Why are they silent?
This disorder is considered an anxiety disorder, so the same factors that cause anxiety disorders, especially social anxiety, also cause this disorder. Genetics plays a very important role in the development of this disorder as well as anxiety disorders. Parents should be aware that anyone who has this genetic factor does not necessarily develop selective lameness, but the presence of anxiety in the mother and parents, high dependence and depression in the family provides the bedrock for the occurrence of this disorder.
It is interesting to know that 95% of these children have social anxiety and that is why it is said that this disorder is a subtype of social anxiety. Because children may be ridiculed by their peers for the disorder, there is a 29 percent chance that the disorder will be associated with a coping disorder. It is estimated that one-third of these children are prone to anxiety disorders and depression associated with this disorder.
mainly caused by anxiety disorders. It used to be said that the disorder was caused by physical or emotional trauma, but now this theory is not very valid.
Treatment with behavioral interventions
Unfortunately, there are few findings and studies on the treatment of this disorder, but behavioral interventions are the mainstay of treatment. A variety of behavioral interventions are used to treat this disorder, such as family education, cognitive-behavioral therapy, especially behavioral therapies. It is recommended that these children go to kindergarten. If behavioral interventions do not work, medication can be used. As mentioned, 95% of these children have social anxiety, and usually, a group of drugs called SSRIs, such as fluoxetine, which is used to treat social anxiety, is also used to treat selective laryngitis.
At younger ages, the disorder lasts from a few weeks to several months, but if left untreated by the age of 10, the course of treatment will be longer. One of the side effects of this disease is that when the child does not recover, he becomes aggressive and stubborn due to the problems he finds in school and is harassed by his peers, or the child may even refuse to go to school. Parents need to be educated
The share of genetics in anxiety disorders is high and usually, these children show depression, anxiety, and dependence on the mother. In fact, mothers who have anxiety disorders and show extreme protection of the child provide the basis for the occurrence of this disorder in a child who is prone to infection. For this reason, parental education plays a crucial role in the treatment process. At a younger age, it is necessary for parents to work with the therapist in order for the treatment process to go well.
The silence that is from anxiety
Such children are either completely silent or talk very little or whisper, use monosyllabic words such as “ohum” and try to convey their meaning and need to others through non-verbal communication. They sometimes use sign language or even eye contact to meet their needs. Children with selective lameness disorder are more likely to lack speech in stressful situations, and when in a stress-free environment, they happen to speak well and have no problems.
Because the child suffers from a lack of speech in social and stressful environments, this disorder is considered a kind of demographic phobia. This disorder is a subset of anxiety disorders so children may also show other symptoms or anxiety disorders, such as separation anxiety.
A history of delayed onset of speech or speech abnormalities is seen in these people, which in most cases these problems are mild. When looking at a child’s history, there are signs of shyness, clinging to the mother and not speaking in the presence of strangers.
