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Exposure-Based Online Intervention and Behavioral Parent Training for a Child with Selective Mutism: A Case Report
Tomohisa Yamanaka1, Ryuki Kadekaru1, Masahiko Inoue1
1Department of Clinical Psychology, Graduate School of Medical Sciences, Tottori University, Yonago 683-0853, Japan.
Yonago Acta Medica
|August 23, 2024
Summary
Remote interventions effectively treat selective mutism (SM) in children when clinic visits are difficult. This approach also reduced parental stress through tailored behavioral parent training.
Area of Science:
- Psychiatry
- Child Psychology
- Telemedicine
Background:
- Selective mutism (SM) is often treated with exposure-based practices, but clinic-based interventions face challenges when children refuse attendance.
- Parental stress and interaction difficulties can exacerbate SM symptoms, necessitating integrated support.
Observation:
- An 8-year-old girl with SM received an exposure-based intervention via online technology due to her refusal to visit a clinic.
- Her mother concurrently received behavioral parent training (BPT) specifically designed for parents of children with SM to address her elevated parenting stress.
Findings:
- The child demonstrated reduced nervousness, improved speech frequency, facial expressions, and body motion.
- The child eventually visited the clinic and communicated non-verbally.
- The mother's understanding of SM, parent-child interaction, and parenting stress significantly improved post-BPT.
Implications:
- Internet-based interventions are highly beneficial for SM, mitigating treatment avoidance related to clinic fears.
- Tailored BPT for SM offers valuable support to parents, enhancing their coping mechanisms and interactional effectiveness.
- This integrated approach highlights the potential of telemedicine and specialized parental support in managing pediatric anxiety disorders.
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