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Reply to "Therapy setting failing, but therapist is awesome – what to try?"

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[quote=Anonymous]My DD is 5 and has anxiety/social anxiety.  She talks more at home than in other settings, and we are working with a selective mutism diagnosis as a spin-off to the anxiety.

She has been in speech therapy with an SLP who just really "gets" her since March.  She agrees that my DD's anxiety is hampering her wanting to talk as opposed to her having a language disorder.  While I agree that selective mutism is generally not treated with speech therapy, therapy with our SLP has been SO much more than that – it's play therapy, teaches her to trust another adult besides us, and has been very beneficial for ramping up her challenges, then lowering them so that she can desensitize her anxiety.  We also do psych therapy.

The positive?  She just did two weeks of camp (her SLP happened to be one of the counselors on site) and she actually participated in front of a group, answered questions, talked, made friends, played and had an awesome time! The negative?  Therapy sessions now suck – I know it's not our SLP because DD loved her at camp and still cuddles with her during therapy.

But she cries, hates the room, no longer wants to really play the same things and is generally shutting down during therapy (very tiny room and her performance anxiety goes off the charts – the feeling of "I'm here to work on something that scares me" kicks in big time).  During camp, she was following directions, taking instruction, playing with other kid and just generally did freaking awesome.  But our therapy setting suddenly just seems to be a complete downer for her.

Our SLP said we can shake things up and next week meet at a playground close by, and she is the most amenable, "let's try something new" type of person, but I am worried.  What else can we do?  Has anyone else had this happen?[/quote]

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