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Selective Mutism can be described as an extreme form of anxiety characterized by a child's inability to speak in select settings or with select people where speech is expected however speaking with ease in other settings. Some common settings may include school, after school care, and social gatherings. Many children with Selective Mutism can be observed struggling to communicate non-verbally as well by a decrease in eye contact, tense body posturing, low or no social gesturing of waving, nodding, smiling or pointing.

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