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How is selective mutism in teenagers?

Selective mutism in teenagers can look different from how it presents in younger children. By adolescence, many teens have lived with selective mutism for years, which can make the silence more ingrained and harder to change without structured support. Unlike younger children, teenagers are often more aware of their condition and may feel embarrassment, shame, or frustration about their difficulties.

Common features in teenagers include:

  • Limited or no verbal participation in class discussions
  • Avoiding social events or group activities due to fear of speaking
  • Reliance on texting, writing, or gestures instead of verbal communication
  • Co-occurring anxiety or depression from prolonged silence
  • Increased risk of academic and social isolation.
Although it can be more challenging, treatment for teenagers is still highly effective. Therapy often focuses on anxiety reduction, confidence-building, and structured speaking opportunities. Parents and schools play an essential role in supporting progress. Contact us now.