An introduction to the issue of selective mutism a neurological disease report
Previous studies have included SM groups of 37—54 individuals. Commonly, the child speaks normally at home with the family, but the opposite situation, where the child speaks at school but not at home, has also been described.
Looking forward, introduction of more such periods could increase the utility of passive audio capture in structured clinical intervention programs such as Brave Buddies. Echolalia or echopraxia SM Schizophrenia, Catatonic type 1.
Selective mutism and intelligence
Overall, the findings indicate an early age of onset of SM, estimated to be when the child is in preschool, aged 2—5 years. One important aspect in case B was that one should keep a possibility of malingering in such group of patients. All assessments including evaluation of cognitive or developmental function had been performed by a licensed psychologist either at the referral clinic or at the CNC. All of our patients had no signs or symptoms suggestive of organicity. His medications were changed to 4 mg of risperidone SL at night, 20 mg of fluoxetine once a day, 1 mg of lorazepam in the morning, 1 mg at noon, 2 mg at night, and 10 mg of Thorazine GlaxoSmithKline Pharmaceuticals, Brentford, Middlesex, United Kingdom at night. Now in fourth grade, Chloe has made much progress and recently read a report on video. The time period was chosen to coincide with the introduction of a computerized medical record system at the CNC in , making data retrieval easier. H—J Correlations plotted for same measures v. Excessive motor activity that is apparently purposeless and not influenced by external stimuli 3. In some cases an evaluation of the cognitive function was based on the overall clinical impression of the child. The literature on mutism, including psychiatric, neurologic, toxic-metabolic, and drug-induced causes, is also selectively reviewed.
All of our patients had no signs or symptoms suggestive of organicity. Twelve age-matched controls without any reported diagnoses were recruited from the community, ages 5—8 7 female, 5 male.
Selective mutism vs social anxiety
The study group was a clinic-based cohort and the representativeness of the cases cannot be confirmed. From Monday—Thursday, we found that the most vocalizations occurred during the Outdoor Play activity as compared to other activities. We found an uneven girl:boy ratio, with more girls than boys presenting the condition. The literature on mutism, including psychiatric, neurologic, toxic-metabolic, and drug-induced causes, is also selectively reviewed. His medications were changed to 4 mg of risperidone SL at night, 20 mg of fluoxetine once a day, 1 mg of lorazepam in the morning, 1 mg at noon, 2 mg at night, and 10 mg of Thorazine GlaxoSmithKline Pharmaceuticals, Brentford, Middlesex, United Kingdom at night. Mutism occurs in a number of conditions, both functional and organic, and a proper diagnosis is important for the management. In each of the three scenarios, children with SM and control groups differed in mean vocalization counts per 5-min block. On the day of discharge, he continued to be talkative and interacted with staff and fellow patients. He refused medications by mouth but did not resist intramuscular IM injections. He would however maintain his routine daily chores and his vegetative functions were maintained. Human raters also coded data from the video as validation; their counts were compared to LENA counts and Pearson's r was calculated as 0.
There might be subgroups within the SM patient group and those who were assessed at our clinic are particularly the subgroup with SM and a comorbid ASD. Cognitive behavioral therapy has also demonstrated efficacy in this population, consistent with conceptualizations of SM as an anxiety disorder 24 On admission, it was observed that the patient had rashes present on dorsum of left hand.
A diagnosis of schizophrenia was entertained, and he was started on risperidone 6 mg per day and lorazepam 4 mg per day.
based on 49 review