Letters: It May Only Look Like Shyness (1 Letter)

TO THE EDITOR:

Re "To Help a Shy Child, Listen" (18 and Under, Sept. 17): Selective mutism is an anxiety-based condition that can be confused with shyness. These children do not talk in uncomfortable situations — often in school, but sometimes even with family members and elsewhere. Those with selective mutism can go an entire school year — or years — without uttering a word. They aren't holding back willfully; they can't help it.

A coordinated care plan is needed for these children, and teachers need to be counseled on how to help a student with selective mutism. It's a long, slow process that takes an emotional toll on the family. My daughter was diagnosed at age 3 and with gradual progress is now beginning to "normalize" at age 6.

Susan Cutrofello Miele

Bronxville, N.Y.

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