selective mutism

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5 Terms

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A.

Consistent failure to speak in specific social situations in which there is an expectation for speaking (e.g., at school) despite speaking in other situations.

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B.

The disturbance interferes with educational or occupational achievement or with social communication.

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C.

The duration of the disturbance is at least 1 month (not limited to the first month of school).

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D.

The failure to speak is not attributable to a lack of knowledge of, or comfort with, the spoken language required in the social situation.

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E.

The disturbance is not better explained by a communication disorder (e.g., childhood-onset fluency disorder), and does not occur exclusively during the course of autism spectrum disorder, schizophrenia, or another psychotic disorder.