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What is Selective Mutism? Selective Mutism is an anxiety disorder primarily affecting children, characterized by a consistent inability to speak in certain social situations despite speaking in others. Children with selective mutism may speak at home but remain silent in school or public settings. Prevalence of Selective Mutism: Selective Mutism is relatively rare, affecting about 0.5% to 1% of children. It often emerges during early childhood and can persist if not addressed. Early intervention and support are essential for successful management. Treatment Options for Selective Mutism: Addressing Selective Mutism involves a combination of behavioral therapy, speech therapy, and family involvement. Cognitive-behavioral interventions, such as gradual exposure and positive reinforcement, help children build confidence in speaking.