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[quote=Anonymous]OP and others.  DS, 10, has both anxiety and ADHD.  The psychiatrist who manages his ADHD medication definitely felt he had selective mutism.  He did therapy over time with a psychologist and also was on Prozac.  When he was younger, he would not speak to most adults - at all.  Even relatives.  Both the psychiatrist and psychologist encouraged "exposure" - trying to get him to speak in certain situations.  It's only in the past few months that we've seen a substantial change (even after stopping therapy and Prozac).

He, too, used to struggle in social situations with kids, and that's what improved first - substantially.

He now participates in class at school - although he does better in a small group than in front of the entire class.  There was a recent student assembly where he had a speaking part and did it - although he was clearly nervous and mumbled his lines.  It was really amazing to see.  And he now speaks to adults in an audible tone of voice with more than one word answers.

He still has general anxiety, although it's very manageable (for now) and not interfering with activities.  And sometimes, yes, he still is reluctant to talk.

Definitely get treatment -- it's not something that goes away on its own.  Good luck, OP and others.[/quote]

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