Yu pikin mumu na sɔm say dɛn? Dɛn kɔl am Selective Mutism - lɛ wi tɔk bɔt am!

Yu smɔl pikin kin tɔk bɔku tin na os, i kin rid nɔ stɔp, ɛn i kin tɔk lawd wan ivin we i de ple. Bɔt we dɛn de go skul, fambul dɛn os, ɔ pati, i tan lɛk se dɛn mɔt nɔ tɔk natin? Yu tink se dɛn kin jɔs nɔd dɛn ed ɛn nɔ de tɔk we pɔsin aks dɛn sɔntin? Yu kin tink se dis na shem, ɔ traŋa, ɔ jɔs smɔl smɔl fɔ tɔk bad bɔt. Bɔt i kin bi sɔntin we dip pas dat, we na wan sik we pɔsin kin gɛt we i de fred ɛn wɔri . Tide, wi go tɔk bɔt dis kɔndishɔn we dɛn kɔl ‘Selective Mutism.’

Wetin na Sɛlɛktiv Mutism?

Fɔ tɔk am simpul wan, Selective Mutism na wae yu nɔr ebul fɔ tɔk na sɔm soshal sityueshɔn dɛm, na say dɛm wae yu nɔr kin fil fayn ɔr frayd. Dis nɔto bay wilful . Na say dɛn we yu fil se yu sabi ɛn sef, lɛk na os, yu kin tɔk ɛn nɔ gɛt ɛni prɔblɛm. Bɔt na say dɛn lɛk skul ɔ na say dɛn we strenja dɛn de, i kin tan lɛk se yu vɔys dɔn stɔp.

Dis difrɛn frɔm pɔsin we jɔs de shem. Selective mutism na wan sik wae de mek pɔrsin wɔri. Bɔku tɛm i kin bigin we dɛn smɔl, arawnd di ej 5. Bɔku tɛm, pikin dɛn we nɔ de go skul ɛn pikin dɛn we de na fɔs gred kin no am. Bɔt, i kin afɛkt yɔŋ pipul dɛn ɛn big pipul dɛn bak.

Dɛn se dis sik kin bɔku smɔl pan gyal pikin dɛn pas bɔy pikin dɛn. Bɔt dat kin bi bikɔs ɔf di we aw di sosayti de si tin. Bɔt, na tin we nɔ kin apin so ɔltɛm. I nɔ rich wan pan ɛvri 100 pipul dɛn.

Wetin na di sayn dɛm fɔ pɔrsin wae gɛt selective mutism?

di wɔd "selective" na di nem sho se dis na sɔntin we kin apin nɔmɔ na sɔm sityueshɔn dɛn we dɛn dɔn pik . Dat min se yu kin tɔk witout ɛni prɔblɛm pan tin dɛn we yu fil fayn. Bɔt, pan tin dɛn we yu nɔ kin fil fayn ɔ yu kin fred, i kin rili at fɔ tɔk, if i nɔ kin izi fɔ tɔk.

Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Sɔm pipul dɛn nɔ kin ebul fɔ tɔk atɔl, ɛn ɔda wan dɛn kin tɔk smɔl, ɛn dɛn nɔ kin tɔk bɛtɛ.

Wan stet we pɔsin nɔ ebul fɔ tɔk ɔ nia am

Dis min se yu fɔ avɔyd fɔ tɔk as yu ebul, ɔ fɔ stɔp am ɔltogɛda. I kin tan lɛk dis:

• Yu fil se yu nɔ ebul fɔ tɔk. Dis kin apin bikɔs yu maynd kin tranga bikɔs yu de fred pasmak ɛn wɔri pasmak. Pan ɔl we i kin tan lɛk se yu nɔ want fɔ tɔk, dis nɔto sɔntin we yu kin du bay wilful, i kin jɔs apin.
• In bɔdi tɛns ɛn i tan lɛk se dɛn dɔn ston am. Lɛk dia we dɛn kech na layt ɛn fred.
• Wan blank ɛksprɛshɔn de na di fes .
• Avɔyd fɔ kɔntakt yu yay.
• I de avɔyd ɔ nɔ de tek pat pan sɔshal intarakshɔn . Imajin, we di ticha aks sɔntin na klas, dis pikin de luk na grɔn we di ɔda pikin dɛn de ansa.
• Dɛn nɔ de aks fɔ tin dɛn we dɛn want. Fɔ ɛgzampul, dɛn kin go tɔylɛt na skul we dɛn nɔ aks di ticha, ɛn dɛn kin ivin aks fɔ sɔntin na dɛn klos.Sɔm tɛm dɛn de bak we yu fɔ pis .
• I de biev di we aw i de ambɔg am bay wilful fɔ avɔyd fɔ tɔk (e.g., fɔ strɛch, kray).

Kɔmyunikeshɔn we nɔto wɔd

• Insted of wod , dem de yuz saund we evribodi andastan, laik "Uu huun" (yes) and "Ah ah" (no).
• Fɔ mek dɛn nɔ tɔk , dɛn kin rayt tin dɛn ɛn du tin dɛn lɛk fɔ sho yu sɔntin na buk .
• Yuz jes ɛn fes ɛksprɛshɔn insted ɔf wɔd (e.g., nɔd, pɔynt).

Fɔ tɔk smɔl ɔ fɔ tɔk smɔl

• Na tɛm fɔ ansa.
• Dɛn kin ansa wit wan ɔ tu wɔd ɔ yuz sɛntɛns dɛn we rili shɔt.
• Dɛn kin mumu, dɛn kin tɔk smɔl smɔl, ɔ tɔk smɔl smɔl ɛn dɛn kin wispa.
• Tɔk wit chenj vɔys (e.g., lɛk rɔbɔt, ɔ bay we i chenj di pitch fɔ dɛn nɔmal vɔys).

Wetin mek dis selektiv mutism kin apin?

Masta sabi pipul dɛn stil nɔ ɔndastand gud gud wan wetin mek dis kin apin, bɔt dɛn tink se sɔm tin dɛn kin ɛp fɔ du dis.

Ɔda tin dɛn we kin apin to pɔsin in maynd

Sεlektiv mutism de strכng wan wit כda mental hεlth kכndyushכn dεm. Nɔto dɛn tin ya nɔmɔ kin mek dɛn gɛt dis sik, bɔt pipul dɛn we gɛt dɛn kayn sik ya kin gɛt sɔm kayn sik we dɛn kɔl selective mutism.

• Sɔshial Anxiety Disorder: Dis kin rili kɔmɔn pan pipul dɛm wae gɛt selective mutism. Masta sabi pipul dɛm se bitwin 75% ɛn 100% pan pipul dɛm gɛt ɔl tu.
• Phobias: Fɔ fred pasmak fɔ difrɛn tin dɛn.
• Ɔda prɔblɛm dɛn we kin mek pɔsin wɔri.
• Ɔtizm Spɛktrum Disɔda.
• Separation Anxiety: Fɔ fred pasmak fɔ lɛ yu mama ɛn papa separet.
• Post-Traumatic Stress Disorder (PTSD): Saykolojik distres wae kin apun afta wan traumatik ivent.

Famili istri ɔ di tin dɛn we pɔsin kin gɛt frɔm in jɛnɛtiks

Wae pɔrsin kin wɔri kin rɔn na famili. Pɔrsin wae gɛt selective mutism kin gɛt in fambul wae de nia am (mama ɔ papa, in brɔda ɛn sista, pikin) wit dis sik ɔr ɔda kayn wɔri sik.

Ɔda prɔblɛm dɛn we kin mek pɔsin nɔ ebul fɔ tɔk fayn

Sɔm pikin dɛn kin gɛt sɛlɛktiv mutism bikɔs dɛn kin wɔri bɔt aw dɛn de tɔk ɔ i nɔ kin izi fɔ ɔndastand wetin ɔda pipul dɛn se (e.g., auditory processing disorders , learning delays).

I kin kam bak bikɔs i nɔ izi fɔ tɔk, lɛk we i nɔ ebul fɔ tɔk fayn . Sɔm pikin dɛn kin gɛt selective mutism bikɔs dɛn nɔ lɛk dɛn yon vɔys ɔ dɛn kin fred aw dɛn de sawnd we dɛn de tɔk.

Sɔshial tin dɛn we de apin

Sɔm sɔshal tin dɛn kin mek pikin dɛn gɛt sɛlɛktiv mutism bak.

• We ɔda pipul dɛn de buli yu.
• Sɔm bad bad tin dɛn we kin mek pɔsin fil bad ɔ we dɛn kin trit dɛn bad.
• Famili prɔblɛm (e.g., filin, wɔd, ɔ bɔdi abiuz na os).
• Fɔ muf go na kɔntri ɔ rijyɔn usay dɛn de tɔk difrɛn men langwej.

Wetin na di poshubul kɔmplikeshɔn dɛm fɔ sɛlɛktiv mutism?

Dis tin kin ambɔg yu layf difrɛn we dɛn.

• Sɔshial awkward, fɔ de yu wan, ɔ fɔ de fa frɔm ɔda pipul dɛn.
• Divεlכpmεnt כf כda kכndyushכn כ simptom dεm wae de kam wit wri hat.
• Impekt pan di edyukeshɔn aktiviti ɔ di wok we dɛn de du .

Aw yu kin no bɔt dis?

Bɔrku tɛm, na pɔrsin wae sabi bɔt mɛntɛl hεlth, lɛk saykayatrist ɔr sayɛnsman kin no se pɔrsin wae gɛt sɔm kayn mutism. Speech-Language Pathologist ɔ Speech Therapists kin ɛp bak fɔ pul ɔda sik dɛn ɛn mek dɛn no bɔt di sik.

Dɔktɔ kin no bɔt dis sik bay we i de luk di sayn dɛm ɛn aw i de biev. Dɛn go aks yu (ɔ yu pikin) kwɛstyɔn bɔt dɛn tin ya ɛn ɔda tin dɛn we kin mek dis apin.

Bɔrku tɛm, yu dɔktɔ go yuz kwɛstyɔn ɛn chɛklist fɔ no if yu gɛt dis sik. Akɔdin to di American Psychiatric Association’s DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, fifth edition text revisionTM) , fɔ mek dɛn no se yu gɛt sɛlɛktiv mutism, yu fɔ mit dɛn fayv krayteria ya:

1. Nɔ de tɔk ɔltɛm na soshal sityueshɔn usay dɛn de ɛkspɛkt yu fɔ tɔk, bɔt prɔblɛm nɔ de fɔ tɔk ɔda tɛm.

2. We pɔsin nɔ de tɔk, dat kin afɛkt di we aw pipul dɛn de liv dɛn layf, di we aw dɛn de lan buk, ɔ di we aw dɛn de wok .

3. Di nɔ ebul fɔ tɔk kin las fɔ pas wan mɔnt.

4. Nɔto fɔ tɔk nɔto bikɔs yu nɔ ebul fɔ tɔk ɔ ɔndastand di men langwej we ɔda pipul dɛn de yuz.

5. Di prɔblɛm fɔ tɔk nɔ kin bi bikɔs ɔf ɔda prɔblɛm we de mek pɔsin nɔ ebul fɔ tɔk, lɛk fɔ tɔk smɔl smɔl . Dɔn bak, e nɔr kin jɔs gɛt fɔ du wit ɔtizm spɛktrum disɔda , skizofrenia spɛktrum disɔda, ɔr ɔda saykotik kɔndishɔn.

Yu tink se tritmɛnt de? Yu tink se dɛn go ebul fɔ mɛn am kpatakpata?

If yu gɛt tritmɛnt, dɛn kin ridyus di kayn sik ɛn di frɛkuɛns we dɛn kin gɛt. If dɛn no ɛn trit dɛn kwik, sɔm pipul dɛn kin ivin gɛt kɔmplit rizɔlt fɔ di sik.

Di tritmɛnt dɛn we dɛn kin yuz mɔ na:

Mental wɛlbɔdi tritmɛnt

Mental hεlth tεrapi (especially Cognitive Bihayvכral Tεrapi כ CBT) .) na di fɔs tritmɛnt we dɛn kin yuz. Na in bak de mek di tin dɛn we pɔsin kin du pas ɔl. Bihayvya tɛrapi de ɛp yu fɔ ɔndastand ɛn bia wit de wɔri ɛn ɔda tin dɛm wae de mek yu fil bad wae kin mek yu gɛt sɔm kayn mutism. E kin ɛp yu bak fɔ kɔntrol de disruptiv bihayvya wae kin kam wit de sik.

We dɛn de trit pikin dɛn wit dis tritmɛnt, i impɔtant fɔ mek dɛn involv di wan dɛn we de kia fɔ dɛn (mama ɛn papa, di wan dɛn we de kia fɔ dɛn). Dɛn sɔpɔt rili impɔtant fɔ mek di tritmɛnt go bifo.

Spich Tɛrapi

Spich therapy involv fɔ wok wit pɔsin we de mɛn pipul dɛn we de tɔk. Dis kin ɛp mɔ we di sɛlɛktiv mutism de wit di prɔblɛm we de wit di prɔblɛm we i de tɔk.

Di mɛrɛsin dɛn we dɛn kin yuz

If mɛntɛl hεlth tεrapi ɔr tɔk tεrapi nכmכ nɔr de woke, dεn kin yuse mεdikeshכn bak as pat pan de tritmεnt.

Di mɛrɛsin dɛn we dɛn kin yuz mɔ fɔ sɛlɛktiv mutism na SSRI (Selective Serotonin Reuptake Inhibitors) . Pan ɔl we dɛn kin yuse dɛn tin ya mɔ fɔ trit pwɛl hat, dɛn kin ɛp bak wit wɔri hat sik lɛk selektiv mutism. Ɔda mɛrɛsin dɛn bak kin ɛp. Yu dɔktɔ (ɔ yu pikin in dɔktɔ) kin tɛl yu mɔ bɔt dɛn tin ya ɛn ɛp yu fɔ pik di rayt wan fɔ yu.

I bɛtɛ fɔ aks yu dɔktɔ bɔt di sayd ɛfɛkt dɛn we di mɛrɛsin dɛn kin gɛt.

Wetin kin apin if mi ɔ mi pikin gɛt sɛlɛktiv mutism?

If pikin gɛt dis sik, i kin afɛkt dɛn skul wok, di we aw dɛn kin tɔk to dɛn padi dɛn, ɛn aw dɛn kin ebul fɔ mek padi dɛn. Sɔntɛnde, pikin dɛn kin want fɔ sɛt mɔt, ivin pan tin dɛn we rili impɔtant.

If yu gɛt selektiv mutism as big pɔsin, i kin kɔntinyu fɔ gɛt bad bad tin dɛn. I kin mek i nɔ izi fɔ mek padi ɛn bil rilayshɔnship (sɔshial, pɔshɔnal, lɔv). I kin afɛkt yu stɔdi ɛn wok bak.

Fɔ bɔrku pipul dɛm, i kin tan lɛk se de sik kin dɔn wae dɛn de ol. Bɔt sɔmtɛm, di sayn dɛm kin kɔntinyu ɛn kin falamakata ɔda kayn wɔri hat (especially social anxiety).

If dɛn no am ɛn trit am kwik, di rizɔlt kin rili fayn. If dɛn no am ɛn trit am we dɛn smɔl, bɔku pipul dɛn kin pul dis sik ɔr kin bia wit am ɛn liv wit am. Dɔn i nɔ go rili afɛkt dɛn layf.

Bɔt if dɛn nɔ no am ɛn nɔ trit am, di tin we kin apin nɔ kin so fayn. Dis nɔto denja, bɔt di bad tin dɛn we kin apin kin rili bad.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt sɛlɛktiv mutism?

Bɔt i sɔri fɔ no se dɛn nɔ kin ebul fɔ stɔp di we aw pipul dɛn kin du tin we dɛn kin pik fɔ mut. Masta sabi pipul dɛn nɔr ɔndastand gud gud wan wetin kin mek i kam, so no we nɔr de fɔ ridyus di risk fɔ mek i apin.

Aw a go ɛp mi pikin if i gɛt selektiv mutism?

Yu kin fil bad we yu pikin nɔ de tɔk na sɔm kayn tin, we yu se "tɔk, tɔk" bɔt i nɔ de tɔk. Dis pwɛl at kin mɔna yu pikin we i de tray tranga wan fɔ avɔyd fɔ tɔk, lɛk we i de kray.

Bɔt, di impɔtant tin fɔ mɛmba na dat, sɛlɛktiv mutism na mɛntɛl hεlth kɔndishɔn. I nɔto sɔntin we yu pikin go ebul fɔ kɔntrol. Bɔt, yu kin kɔntrol yu pikin in kɔndishɔn ɛn aw yu kin ansa to dɛn sik dɛn.

Na sɔm impɔtant tin dɛn we yu go mɛmba:

• Mek yu pikin fil fayn ɛn sef. Nɔ push ɔ rɔsh dɛn na say dɛn we dɛn go fil se dɛn de fred ɔ wɔri. I nɔ fayn bak fɔ tɔk bɔt dis prɔblɛm bifo dɛn, bikɔs i kin mek dɛn shem ɛn fred mɔ.
• Ridyus di fred ɛn wɔri, dɔn go bifo. Start bay we yu ɛnkɔrej yu pikin fɔ tɔk wetin i tink di we aw i go fil fayn. Fɔs, smɔl smɔl, mek dɛn no aw fɔ tɔk to dɛnsɛf, dɔn ɛp dɛn fɔ tɔk.
• Peshɛnt ɛn gi yu pikin tɛm fɔ tɔk. If yu tɔk fɔ dɛn, dɛn go fil lɛk se dɛn de mek mistek. Dis go mek i nɔ izi fɔ dɛn fɔ lɛf fɔ fred ɛn wɔri we dɛn de tɔk. Ɛp dɛn fɔ ɔndastand se i fayn fɔ tink bifo dɛn ansa, ɛn fɔ tek dɛn tɛm.
• Prez di tray we i de tray. If yu pikin tɔk, prez am fɔ dat. Gi am blɛsin (wit wɔd) fɔ wetin i du. Mek i fil fayn fɔ tɔk.
• Nɔ tray fɔ ɛnkɔrej dɛn bay we yu de pɔnish dɛn. Pikin dɛm we de fred se dɛn go pɔnish dɛn if dɛn nɔ de tɔk kin gɛt prɔblɛm fɔ tɔk bikɔs dɛn go fred mɔ.

Us kayn tin "trigger" selektiv mutism?

Sεlektiv mutism "triggers" na situeshכn כ rizin dεm we mek pכsin wit dis kכndyushכn kin mכr lεk fכ nכ tכk. Sɔm ɛgzampul dɛn we pipul dɛn kin yuz na:

• I kin fil lɛk se ɔda pipul dɛn de nia so, i kin tan lɛk se dɛn de go insay dɛn yon bɔda .
• Ɔda wan dɛn de tɔk lawd wan ɛn biev rud rud wan.
• Strenja dɛn, nyu pipul dɛn.
• Di kayn bɔdi we ɔda pipul dɛn gɛt, fɔ ɛgzampul , pipul dɛn we rili lɔng ɛn we gɛt big luk.
• Di jes ɔr bihayvya wae ɔda pipul dɛn kin du, e.g., pipul dɛm wae kin tan lɛk se dɛn de wɔri, nɔr lɛk padi, ɔr de mek bad jes .
• Ples dɛn we gɛt mɔ pipul dɛn ɛn mɔ nɔys.
• Ples dɛn we gɛt fɔ du wit mɛmori dɛn we de mek pɔsin fil sɔri ɛn we nɔ fayn.
• Ples dɛn we a nɔ ɛva go bifo.
• Kɔmplit nyu, ɔ situeshɔn dɛn we di pikin dɔn gɛt ɛkspiriɛns we nɔ bin dɔn wok bifo.

Dis na jɔs sɔm pan di tin dɛn we kin mek pɔsin gɛt dis sik. Sɔm pipul dɛn kin gɛt difrɛn, mɔr patikyula trigger pas dɛn wan ya. Trig kin chenj bak as tɛm de go.

Selektiv mutism na wan kayn ɔtizm?

Nɔ, Selective Mutism ɛn Autism Spectrum Disorder na tu difrɛn tin dɛm. Bɔt pipul dɛm wae gɛt ɔtizm kin gɛt sɔm kayn sɛlɛktiv mutism.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Selective mutism na wan sik we pikin nɔ kin ebul fɔ tɔk bikɔs i de fred ɔ wɔri. Bɔrku tɛm, i kin bigin as ali as skul ej, bɔt i kin afɛkt yɔŋ pikin ɛn big pipul dɛn bak. E fayn fɔ ɔndastand se pikin dɛm wae gɛt dis sik nɔr de trangayes ɔr nɔr de ansa. I nɔto sɔntin bak we dɛn go ebul fɔ kɔntrol fɔ dɛnsɛf.

If yu tink se yu pikin kin gɛt selective mutism, tɔk to dɛn pikin dɛn ɔ ɔda pɔsin we de kia fɔ wɛlbɔdi biznɛs. Tritmɛnt dɛn de we dɛn kin gɛt, ɛn di mɔ we dɛn bigin fɔ trit am kwik kwik wan, na di mɔ i go fayn. If yu ɛnkɔrej ɛn sɔpɔt yu pikin, i go lan fɔ tɔk fɔ insɛf ɛn nɔ go lɔs in vɔys bikɔs i de fred ɔ wɔri.

` Selektiv mutism, nɔr de tɔk, pikin dɛn maynd wɛl bɔdi, wɔri, sɔshal phobia, tɔk dizayd, pikin dɛn bihayvya