Selective mutism - an overview of the condition and etiology: is the absence of speech just the tip of the iceberg?

The inability to speak in certain situations, as one may briefly characterize selective mutism (SM), according to the most recent classifications (DSM-5, ICD-11) belongs to the anxiety disorder spectrum. The onset of mutism in early childhood may impair further development and adversely affect educational achievements. It is essential that psychiatrists, as well as other physicians, speech therapists, nurses and teachers are familiar with this disorder, since the early start of treatment is associated with better prognosis.

Letter to Editor. The importance of anxiety component in the etiopathogenesis of selective mutism, classified as an "anxiety and fear-related disorder" in the upcoming 11th Revision of the International Classification of Diseases. Substantive comments. Comment on the article The controversy around the diagnosis of selective mutism - a critical analysis of three cases in the light of modern research and diagnostic criteria by Justyna Holka-Pokorska et al.

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