Selective mutism is a specific anxiety disorder where a child speaks freely in some environments, usually at home, yet becomes unable to speak in others. With more parents and educators searching for early developmental red flags, recognising the earliest signs is more important than ever. If you’re concerned about your child’s communication, at Bridges Therapy Centre, we offer specialised selective mutism therapy in London with our child psychotherapists.
Understanding Selective Mutism
Selective mutism occurs when a child consistently finds themselves unable to speak in settings where communication is expected. This isn’t refusal or defiance. It is an anxiety-driven freeze response that makes speaking feel physically impossible. Children with selective mutism often want to talk but become overwhelmed by social pressure, new environments, or unfamiliar people.
Key Early Signs to Look For
One of the clearest early signs is a sharp contrast in communication between home and outside environments. A child may talk openly with parents and siblings but fall silent at school, with relatives, or during playdates.
Physical signs also play a major role. Children may appear tense, withdrawn, or expressionless when expected to speak. They may avoid eye contact, cling to caregivers, or rely on gestures instead of words. These signs typically become more noticeable when a child starts nursery or school, where social and verbal expectations increase.
Another common early indicator is difficulty participating in group activities. Children might not answer questions, may whisper only to a trusted friend, or avoid activities that require them to speak. Left unaddressed, this can affect self-esteem and learning.
Why Early Support Matters
Selective mutism is highly treatable, particularly when identified early. Therapeutic approaches such as gradual exposure, behavioural strategies, and supportive communication techniques help children build confidence without pressure. Early intervention can prevent long-term social anxiety and allow children to feel more secure and expressive in all environments.
Selective Mutism London
If you’re noticing potential signs, seeking professional guidance can make all the difference. At Bridges Therapy Centre, we provide compassionate, evidence-based selective mutism therapy in London, helping children gradually overcome anxiety and find their voice. Get in touch with our experts today by calling us on 02080884818, or email us at info@bridgestherapycentre.com.
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