How to treat mutism

Mutism can be treated through psychological therapy, behavioral intervention, medication, family support, language training, and other methods. Mutism is usually caused by psychological trauma, developmental disorders, anxiety disorders, selective mutism, neurological abnormalities, and other factors.

1. Psychotherapy

Cognitive behavioral therapy helps patients identify and change negative thinking patterns, gradually building confidence in language expression. Exposure therapy reduces patients' fear of communication through progressive social scenario simulation. Game therapy is suitable for pediatric patients to stimulate spontaneous language in a non stressful environment.

2. Behavioral intervention

Positive reinforcement training provides rewards to patients when they exhibit speech behavior, enhancing their motivation to express themselves. Social skills training involves learning nonverbal communication methods such as eye contact and gestures through role-playing. environmental adjustments can reduce stressors that trigger silence, such as reducing classroom questioning pressure.

3. Drug therapy

Selective serotonin reuptake inhibitors such as fluoxetine can alleviate accompanying anxiety symptoms. Benzodiazepines are used for short-term acute stress reactions, but strict adherence to medical advice is required. Central nervous system stimulants may be effective for patients with comorbid attention deficit hyperactivity disorder.

4. Family Support

Parents should avoid forced speech and adopt a non judgmental attitude to create a safe environment for expression. Family therapy improves interaction patterns and reduces overprotection or critical behavior. Establish visual communication tools such as image exchange systems as a transitional medium.

5. Language Training

Speech therapists rebuild language function through respiratory training and vocal exercises. Gradual desensitization transitions from speaking alone to group conversations. Assistive communication technology uses electronic devices to help severe patients express their basic needs.

It is recommended to maintain a regular schedule and moderate exercise, and to add deep-sea fish and nuts rich in omega-3 fatty acids to a balanced diet. Avoid excessive intake of stimulating substances such as caffeine. Parents should regularly communicate with schools to develop personalized education plans and record changes in language and behavior for doctors' reference. Regular follow-up visits are required during treatment to assess progress, and intervention plans may need to be adjusted at different stages of development.