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    My child has selective mutism but has just started speaking to his teacher. Is it still worth pursuing treatment?

    Selective mutism varies in severity. When a child’s selective mutism starts to resolve, there will often be some (often subtle) aspects of the child’s communication that need to be improved. These include their voice volume, moving from using a whisper to using their vocal chords, initiating speech rather than only speaking when prompted, increasing the length of their responses, being assertive, asking for help, joining in discussions, talking in front of larger groups, and generalising talking to other teachers and staff. Furthermore, children with a history of selective mutism have potential to regress in the future unless they are encouraged to communicate in all of the above situations to a level that produces minimal anxiety.