選擇性緘默症 - Selective Mutism

nlj1216

Any parents who has a child diagnosed with selective mutism and recovered?  Mind to share some of your experiences.  THanks

DollyCC

朋友個女有，在家成日講野，一回校啞左禁。佢去遊戲治療

nlj1216

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How old is your friend's daughter? How long has your friend's daughter attended child play therapy?  And what are the noticeable difference?  Is she now talking at school?  

DollyCC

小朋友現在4歲，而家慢慢進步，在學校開始有講野，都做左幾個月遊戲治療。家長亦要改變同小朋友相處方法。因為唔講野始終係心理問題唔係生理問題。

nlj1216

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Thanks for your reply.  In terms of parents, what does parent have to do?  We are in a struggle.  We are not sure how to draw a line in training our child with selective mutism to be independent/self discipline/self-motivated and to be able to share her feelings with her parents more openly?

nlj1216

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How many months/sessions have your child attended child play therapy?  How was he initially and how was he after the therapy?  May I know does your child attend one to one therapy or group therapy?  And may I know where is the centre that you go to?  Thank you

Natronma

我囡都是有selective mutism. 不過沒正式diagnose,是我後來看資料找到這名稱，她現巳15歲，社交正常，不過對陌生人慢熱一點。不用太担心，她小時在學校是啞巴一名，有老師以為她不懂說話，有老師以為她無禮貌，在高小開始有改善，給她多參加不同活動，以建立信心

nlj1216

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Thank you.

My daughter after 5 therapy session has slight improvement.  Quicker warm up time.  Most concerning is school environment - where she speaks to certain teachers, and talks to certain kids.  Still long way to go.... the pressure and struggle for us is primary 1 as you know the expectation from schools, people ...etc,.  

Does your daughter share school life at home and talk about her feelings?  My daughter doesn't share much about her feelings which is bothering me and sometimes she doesn't want to challenge herself when she finds certain things difficult or others can do better than her...she tries to avoid it.  I find it hard as I am not sure whether it is selective mutism or parenting issue or by nature - and how we should help her to build confidence etc,.

I feel terribly distressed that I know my daughter has the ability but has difficulty in being herself due to anxiety.  

Natronma

same as your daughter, except that she would talk about her school lfe.  But her confidence is fair when she's young and this also hinders her academic performance a bit.  But improves after about 10 years old.  So don*t get too worried,as I have also read  from books that they'd overcome it as age grows.BTW, have your daughter been diagnosed with selective mutism or you just guess it?  How old is she?Actually it'great that you know about this diagnosis, since I only come across this term few years ago and had been really confused about her behaviours whe she's young.

chrislpy

我懷疑我2歲半的女兒患此症，請問我可以去邊度搵治療給她？

Natronma

去健康院問下, 叫佢地轉介

HappyCheerBaby

孩子有選擇性緘默性症真的令人擔心，遊戲治療可以疏導孩子心理問題，我身邊有朋友及親戚用過幾堂，家長自己又上埋遊戲治療家長班，又搵到合適又有經驗既治療師，的確孩子唔同咗。

chrislpy

我囡囡2.5歲，都評估左有此症，我自己搵私家醫生評既，佢之後會有治療提供俾我囡，但我今日聯絡過小童群益會，佢就話我囡咁細個其實唔駛咁早做評估，又話佢地既遊戲治療最細都要3歲先有得上，話我過份緊張，但係學校老師同我反映過，全班小朋友，只有我囡一個咁唔同，我覺得如果咁早就發現到我囡有問題，點解要等佢年紀再大點才開始治療呢？我唔知我咁諗是否正確，請你地俾吓意見我

nlj1216

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She has been diagnosed with selective mutism.  
I found out that she got bullied at school - pinched and some classmates of hers even manipulate her behaviour back home.  I feel so so upset that I know my daughter is perfectly fine and academically fine too, but anything to do with speech she would have difficulty with - e.g. answering questions.  I know she is not shy and people including parents' of her classmates find her expressions odd ........ I can't share with them that she has selective mutism.  

nlj1216

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Read on another forum that support is minima for kids wth selective mutism.

I waited for 8 months after the referral from MCH for my first initial meeting with the therapist (not to mention that she asked me on my own synopsis...and then I told her SELECTIVE MUTISM....she asks me why I think so, and she asked me why I wouldn't suspect its AUTISM and ask me for the differences)  I was shocked indeed that I was providing her with the details and then was told again to wait for months again for second therapist opinion.  She only jog down notes based on what I said....and didn't really give constructive suggestions for what I can do during this period!  So now, I am sending my daughter to private therapist to conduct play therapy instead of waiting.....

nlj1216

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Personally I think better do the assessment @K1 as your daughter will be very verbal by then and its difficult to judge in nursery.

chrislpy

我印左一些有關資料俾老師，希望幫到老師於學校應怎樣處理我女兒，如果我囡感受到老師係對佢好，而唔係成日迫佢講野，可能佢會對快些接納老師

Maryworshiper

Selective Mutism暫時真的比較少老師認識。

我以前在某中學工作時(我曾在中學做支援SEN的社工)遇到過一個個案，
不停被老師、甚至家長打、駡，覺得他沒有禮貌，目中無人。
經過有愛心的老師及我長期介入後，
知道，原來學生的家庭整天"家嘈屋閉"，學生自幼稚園一出聲便被駡"收聲"之類，
於是漸漸變得不說話。
最終，足足用了一年時間，學生才開始在學校會說簡短的話及慢慢變得開心一點，有笑容。

Selective Mutism實在是每個個案都不同，
相信以上提到的不同個案，每個都有不同的經歷、原因、心理在小朋友裡面。
家長們加油!只要打開小朋友心結便能開他們"金口"，