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A Treatment Package without Escape Extinction to Address Food Selectivity

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Published on: August 21, 2015

Understanding Selective Mutism in Very Young Children.

Kimberly Renk¹, Kaitlyn Daleandro¹, Madison Verdone¹

¹Department of Psychology, University of Central Florida, 4000 Central Florida Blvd., Orlando, FL 32816, USA.

Behavioral Sciences (Basel, Switzerland)

|July 29, 2025

Summary

Understanding selective mutism in very young children is crucial. This paper clarifies diagnostic criteria and suggests parent-inclusive interventions for better outcomes in early childhood anxiety.

Keywords:

selective mutism young children

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Area of Science:

Child Psychology
Developmental Psychiatry
Speech-Language Pathology

Background:

Psychological symptom presentation in school-aged children is understood, but less so in very young children.
Selective mutism (SM) diagnosis presents challenges due to overlapping symptoms with early speech and language development.
Professionals need adapted approaches for identifying and treating SM in preschoolers.

Purpose of the Study:

To compare Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, Text Revision (DSM-5-TR) and Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood, DC:0-5, criteria for SM.
To examine SM symptoms within the context of early speech and language milestones and disorders.
To propose intervention adaptations for very young children with SM, emphasizing parent involvement and age-appropriate strategies.

Main Methods:

Comparative analysis of diagnostic criteria (DSM-5-TR vs. DC:0-5).
Clinical case examples and theoretical reflection on SM in early childhood.
Review of intervention strategies tailored for preschoolers and their families.

Main Results:

The study highlights the need for nuanced understanding of SM in early childhood, differentiating it from typical speech/language issues.
Comparison reveals potential discrepancies in diagnostic application across different classification systems.
Parent-involved and age-appropriate interventions show promise for successful outcomes.

Conclusions:

Adapting diagnostic thinking and intervention strategies is essential for addressing selective mutism in very young children.
Integrating parent participation and considering developmental capacities enhances treatment efficacy.
This clinical overview aims to improve provider clarity on SM presentation and intervention in early childhood.