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[quote=Anonymous]It's okay.  It will get better.  But, I think right now you need to ease off the play dates.  Selective mutism is anxiety based and I'm sure you can see how playdates could intensify your DD's anxiety.  Are you working with a therapist?  If not, I strongly encourage you to find one.  My DS (now 10) doesn't have selective mutism but he's got severe anxiety.  When it was time for him to start K, we weren't sure we were going to be able to get him to cross the threshold of the school.  We started OT in the spring before K and that really helped DS a lot.  Talk therapy/CBT wasn't effective because, frankly, because the anxiety was so strong he wasn't able to use techniques he learned when he was in the midst of the anxiety producing situation.  I'm not recommending this for your 4 yo but I have to say that when we started him on generic Prozac when he was 6 it was the first time we saw a lessening of the anxiety.  It was a lifesaver for him.  He took it for a couple of years (and was diagnosed with ADHD during that time, the anxiety previously masked it) and has been off of it for a couple of years.  He still has GAD but not nearly at the level he was.  When it gets bad (right before school starts usually), we put him back on it for a while.   HTH.[/quote]

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