SELECTIVE MUTISM

A mother just wrote me to ask, "My five-year-old boy is poor in talking and expressing his ideas. Academically he is very good (writing, memory, recognizing pictures) and he gets good ("A") grades in school. But he is talking little. He asks questions only about his favorite things and he sometimes forms sentences incorrectly. When he plays with others, he can't answer them in arguments. He just cries and shouts "I won't play with you!" The other children take advantage of him and make him cry. Is this normal and will he be alright in the future? Or what can we do to help him speak fluently and express himself?"

My answer: Obviously it's impossible to make a diagnosis over the internet without observing the child. But your letter describes a bright child who CAN talk but doesn't, especially in certain situations. You don't imply he is overly shy, he apparently plays with others and goes to school. He might have what is called selective mutism which is a neurological problem that can respond to behavioral and speech therapy. Google "selective mutism" and see if the descriptions fit your boy. Also tell his doctor what you told me.

This answer is  NOT intended as a substitute for professional medical care. ALWAYS consult your physician or childcare expert if you have any questions concerning yourself or your family's well being.

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