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Medication

While pharmacological options may support a broader treatment strategy for Selective Mutism, they are strictly intended for use alongside therapeutic interventions under expert medical supervision. Medication should never be viewed as a primary or standalone remedy.

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When is Medication Considered?

Medication can only be prescribed by qualified health professionals, typically a Psychiatrist or Paediatrician. Opinions on its use in Selective Mutism are mixed, and all agree that medication should only ever be used as part of a comprehensive treatment programme, never as the first or only step. It is usually considered only after less invasive interventions have been tried and reviewed.

Working With Your Medical Team

Decisions about medication should always be made carefully with a medical team who understands your child and has experience using these medications with children who have Selective Mutism and related anxieties. Together you can weigh up the potential benefits, possible side effects and alternative options so that any decision is fully informed and centred on your child’s needs.

Further Reading & Research

How is medication used in the treatment of SM?

Guidance from selectivemutism.org on how medication may be used within a wider treatment plan for Selective Mutism.

Medication issues in Selective Mutism

Specialised research by Dr Kurtz exploring the role of medication in treating Selective Mutism.

When should medication be used to treat Selective Mutism?

Expert insights from the Child Mind Institute on when medication might be considered as part of a treatment plan.

Medication in the Treatment of Selective Mutism

A resource from the SMart Center (DVD/CD-ROM) discussing medication in the treatment of Selective Mutism.

Medication decisions should always be made with a qualified medical team who understands your child and has experience with Selective Mutism. It is important to remember that medication is only one part of a broader, individualised treatment plan.

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