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Selective Mutism

A freeze response to anxiety — not stubbornness.


Selective mutism is an anxiety disorder where a person who can speak freely in certain environments becomes physically unable to speak in others — typically in social or public settings. Crucially, the condition was renamed from "elective mutism" to "selective mutism" in 1994 precisely to emphasize that silence is not a choice. The inability to speak is an involuntary freeze response driven by anxiety. It affects approximately 1 in 140 children and is more common in girls. Without early intervention, it can persist into adulthood or transition into social anxiety disorder and other anxiety conditions.

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