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    I am a support person working with a 16-year-old child with SM, who cannot talk to me. Is there anything that you can suggest for me to engage this child?

    Engaging a child of this age can be very difficult and will take a lot of time. Two basic things that would help are to find an interest or hobby to do together that will help them to relax. The second strategy would be not to ask any questions at all, to chat a lot, be very friendly, and use humour and silliness to engage them. Don’t expect a response right away; you will need to be patient and persistent.

    I would also be encouraging the family to seek treatment from a clinical psychologist to work on their anxiety and communication.