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As your uncle passes the roast potatoes, he casually mentions that a coronavirus vaccine will be used to inject microchips into our bodies to track us. Or maybe it's that point when a friend, after a couple of pints, starts talking about how Covid "doesn't exist". Or when pudding is ruined as a long-lost cousin starts spinning lurid tales about QAnon and elite Satanists friendd babies. The recent rules changes have upended holiday plans for many of us, but you still may find yourself grappling with such situations over the next few days - talking not about legitimate political questions and debates, but outlandish plots and fictions.

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For example, or instant messaging could progress to an exchange of voice recordings or voic messages, then more direct communication, such as telephone or Skype conversations. Positive and negative reinforcement Positive and negative reinforcement involves responding favourably to all forms friendss communication and not inadvertently encouraging avoidance and silence.

This can make them "shut down" and be unable to speak when overwhelmed in a busy environment. School-aged children may avoid eating and drinking throughout the day so they do not need to excuse themselves. Just because one expert believes something, doesn't make it true. The need for individual treatment can be avoided if family and staff in early years settings work together to reduce the child's anxiety by creating a positive environment for them.

Staff tapk early years settings and schools may receive training so they're able to provide appropriate support. Behavioural therapy Behavioural therapy is deed to work towards and reinforce desired behaviours while replacing bad habits with good ones. CBT is led by mental health professionals and is more appropriate for older children, adolescents — particularly those experiencing social anxiety disorder — and adults who've talj up with selective mutism.

With realistic targets and repeated exposure, the anxiety associated with these situations decreases to a manageable level. That's likely to backfire.

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As your uncle passes the roast potatoes, he casually mentions that a coronavirus vaccine will be used to inject microchips into our bodies to track us. But the spirit of doubt that pervades the conspiracy-minded internet is actually a key opening for rational thought, says Jovan Byford. If they have a speech and language disorder or hearing problem, it can make speaking even more stressful.

Teenagers may not develop independence because they're afraid to leave the house unaccompanied.

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The new person can introduce more driends in the same way. Older children and adults are encouraged to work out how much anxiety different situations cause, such as answering the phone or asking a stranger the time. For example, starting with reading aloud, then taking it in turns to read, followed by interactive reading games, structured talking activities and, finally, 2-way conversation. Graded exposure In graded exposure, situations causing the least anxiety are tackled first.

Many have a general fear of making mistakes. However, this type of speech withdrawal may lead to selective mutism if the triggers are not addressed and the child develops a more general anxiety about communication.

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If you suspect your child has selective mutism and help is not available, or there are additional concerns — for example, the child struggles to understand instructions or follow routines — seek a formal diagnosis from a qualified speech and language therapist. Diagnosis in adults It's possible for adults to overcome selective mutism, although they may continue to experience the psychological and practical effects of spending years without social interaction or not being able to reach their academic or occupational potential.

It's an important generator of self-esteem - which will make them resistant to change. Children may have difficulty with homework asments friensd certain topics because they're unable to ask questions in class.

Let your child know you understand they're scared to speak and have difficulty speaking at times. or adult with selective mutism does not refuse or choose not to speak at certain times, they're literally unable to speak. The expectation to talk frends certain people triggers a freeze response with feelings of panic, like a bad case of stage fright, and talking is impossible.

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Stimulus fading In stimulus fading, the person with selective mutism communicates at ease with someone, such as their parent, when nobody else is present. s of selective mutism Selective mutism usually starts in early childhood, between age 2 and 4. Treating selective mutism With appropriate handling and treatment, most children are able to overcome selective mutism. Have they thought about the counter-evidence? These can be used at the same time by individuals, family members and school or college frienda, possibly under the guidance of a speech and language therapist or psychologist.

Wait until you're alone with them and consider a special treat for their achievement. Though some health professionals recommend using a combination of medicine and behavioural therapies in adults with selective mutism. Reality is complex and messy, which is harder for our brains to process.

Yet another reason to keep things low-key. Another person is introduced into the situation and, once they're included in talking, the parent withdraws. Marianna.

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Find out more about anxiety in children. Do the details of the theory they're describing make much sense? However, antidepressants may be used alongside a treatment programme to decrease anxiety levels, particularly if attempts to engage the individual in treatment have failed. The main warning is the marked contrast in the child's ability to engage with different people, characterised by a sudden stillness and frozen facial friendss when they're expected to talk to someone who's outside their comfort zone.

Back to Health A to Z Selective mutism Selective mutism is a severe anxiety disorder where a person is unable to speak in certain social situations, such as with classmates at school or to relatives they do not see very often. Shaping Shaping involves using any technique that enables the person to gradually produce a response that's closer to the desired behaviour. For example, may not do their best in class after seeing other children being asked to read out good work, or they may be afraid to change their routine in case this provokes comments or questions.

The year-old used to be a big believer in conspiracies about vaccines being used to deliberately harm people. Do not praise your child publicly for speaking because this can cause embarrassment. This year has been scary - and for many, conspiracy theories have been a source of comfort. And adults may lack qualifications because they're unable to participate in college life or subsequent interviews.

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It usually starts during childhood and, if left untreated, can persist into adulthood. This starts by removing pressure on the person to speak. As well as verbal reassurance, give them 22, support and patience. For example, they may encourage with selective mutism to communicate through their parents, or suggest that older children or adults write down their responses or use a computer.

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Desensitisation Desensitisation is a technique that involves reducing the person's sensitivity to other people hearing their voice by sharing voice or video recordings. There's no relationship between selective mutism and autism, although may have both. Again, their anxiety can transfer to other people in that environment. It's important for selective mutism to be recognised halk by families and schools so they can work together to reduce 's anxiety.

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