Children with selective mutism typically have the most difficulty communicating in the school environment. Most parents will need to be involved in the school treatment program, however you can also help your child with other skills such as understanding and managing their anxiety and other emotions, change their anxious patterns of thinking, and improving their communication outside of school. Children with selective mutism will often have deficits in their social skills as well as friendship difficulties, which is another important area that you can help your child with.