In attempts to treat selective mutism a number of different approaches have been used. From the idea that it is caused by a trauma recent opinion has moved away, and attempts to treat it have followed accordingly. The factors that are most intensively studied at present are underlying anxiety problems. In the few cases in which an underlying trauma is discovered to be the source of the problem, counseling to help treat the underlying problems is recommended. When the family of the child is involved in decisions about his or her treatment of any kind are generally found to be more effective.
Selective mutism is treatable with medication In some cases,. Fluoxetine (Prozac), which is one of the selective serotonin reuptake inhibitors (SSRIs) is the drug that has been studied most often as a treatment for selective mutism. Treatment with medication is more successful in younger children. Overall, fluoxetine has been found to reduce the symptoms of selective mutism in about three-fourths of children. Other drugs used to treat anxiety and social phobia disorders may also be effective in certain cases.
