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A short documentary about a girl who as a child suffered from Selective Mutism. A rare anxiety disorder.
Shining [Julius Lester, John Clapp] on Amazon.com. *FREE* shipping on qualifying offers. In a small mountain village, a young girl named Shining is born. As she grows, Shining runs, plays
A book about selective mutism!
Picture Books for children with Selective Mutism
The following is a list of SMA support groups, organized by state. Some State Coordinators organize in-person support groups in their area. Others wish to
Link to a support group for selective mutism!
More Support Groups & Resources for individuals with conversion disorders:
Organizations Supporting this Disease
FND Hope E-mail: http://www.fndhope.org/support/contact/ Website: http://fndhope.org/
National Alliance on Mental Illness (NAMI) 3803 N. Fairfax Dr., Ste. 100 Arlington, VA 22203 Toll-free: 1-800-950-6264 (Helpline) Telephone: +1-703-524-7600 Fax: +1-703-524-9094 Website: http://www.nami.org/
Social Networking Websites
Conversion Disorder (aka Functional Neurological Disorder) Facebook Group Website: https://www.facebook.com/groups/176857050000/?ref=br_rs
Conversion Disorder Awareness Facebook Group White Hall, MD Website: https://www.facebook.com/groups/ConversionDisorderAwareness/?ref=br_rs
Conversion Disorder Support Group Website: https://www.facebook.com/groups/859712170775277/?ref=br_rs
Organizations Providing General Support
National Mental Health Consumers' Self-Help Clearinghouse 1211 Chestnut Street Suite 1207 Philadelphia, PA 19107-6312 Toll-free: (800) 553-4539 Telephone: (215) 751-1810 E-mail: [email protected] Website: http://www.mhselfhelp.org
Link to a support group for individuals with conversion disorder!
Here is a resource for individuals with conversion disorder!
Psychogenic stuttering treatment:
Treatment is generally very quick and effective for individuals who stutter:
Be encouraging and do not call them out on their stutter being psychogenic. Provide the client with continuous praise and positive feedback especially, when they are not having tension in their speech.
Work on relaxation techniques and work on muscular tension. WE can have the client clench and then relax their muscles.We can use a more tactile approach where we touch their neck or face when stuttering. We would later have them do these relaxation and touch techniques on their own.
Work on continuous airflow with sighing syllables with /s/, /h/, and /b/ consonants that are paired with vowels.
We can also work on reading with nonsense words and phrases.
Start with impersonal information and then move to personal information.
Counsel and listen to what you patient or client has too say.
Citation:
Duffy, J. R., Ph. D. (Director). (2001, April 18). NATIONAL CENTER FOR NEUROGENIC COMMUNICATION DISORDERS TELEROUNDS 60 Psychogenic Speech Disorders in People with Possible Neurologic Disease[Video file].
Psychogenic stuttering and
According to research struggle behaviors can be defined as obvious muscle tension or extra movements in the patients arms, legs, head neck,torso, or eyes. Some other behaviors that you might see are grimacing, lip pursing, and squinting their eyes facial grimacing, eye closing, and neck extension accompanied repetitions( Baumgartner, & Duffy, 1997) .
Citation:
Baumgartner, J., Ph. D., & Duffy, J. R., Ph. D. (1997). Psychogenic Stuttering in Adults With and Without Neurologic Disease. Retrieved March, 2018, from https://www.researchgate.net/profile/Joseph_Duffy/publication/279897923_Psychogenic_stuttering_in_adults_with_and_without_neurologic_disease/links/565493ca08aeafc2aabbe37d.pdf
Stress can cause a psychogenic stutter in individuals:
Stress, depression, and anxiety can cause conversion disorders in individuals. It also can lead to the client displaying a psychogenic stutter. For example, if a client was working three jobs with at least one of those being highly stressful then we could begin to suspect a psychogenic stutter. Especially if it co-occurs with any of the symptoms that I have referenced in my previous slide show (Baumgartner, & Duffy, 1997).
Citation:
Baumgartner, J., Ph. D., & Duffy, J. R., Ph. D. (1997). Psychogenic Stuttering in Adults With and Without Neurologic Disease. Retrieved March, 2018, from https://www.researchgate.net/profile/Joseph_Duffy/publication/279897923_Psychogenic_stuttering_in_adults_with_and_without_neurologic_disease/links/565493ca08aeafc2aabbe37d.pdf
What questions can I ask to determine if it is a psychogenic stutter or not?
Do you have a history of stuttering?
Do you have any additional concerns outside of your stutter?
When did you develop your stutter?
How stressful was your work life?
Have you had depression like symptoms?
Have you ever been assessed for a neurological disease or have you had a neuroimaging evaluation?
Do you or your family members have a history of stuttering?
Tell me about what your stutter is like?
Have you had any struggle behaviors?
When did you stutter first begin and what was happening in your life at that time?
Do you have a headache that goes along with your stutter?
Have you spoken to any other individuals about your stuttering?
Are you having any deficits in any of your sensory abilities?
Do you have a history of head trauma?
(Baumgartner, & Duffy, 1997).
Citation:
Baumgartner, J., Ph. D., & Duffy, J. R., Ph. D. (1997). Psychogenic Stuttering in Adults With and Without Neurologic Disease. Retrieved March, 2018, from https://www.researchgate.net/profile/Joseph_Duffy/publication/279897923_Psychogenic_stuttering_in_adults_with_and_without_neurologic_disease/links/565493ca08aeafc2aabbe37d.pdf
This article looked into both psychogenic stuttering with a neurological disease and psychogenic stuttering without a neurological disease.The study found that psychogenic stuttering can occur in people with a neurological disease and in people without a neurological disease.Men and women can both develop a psychogenic stutter as adults. These individuals have other complaints or issues other than their stutter. People with a psychogenic stutter usually have it in relation to a stressors in their life, and it can occur at a bizarre time in their life. These individuals will respond to behavioral therapy from a clinician and individuals with neurological stuttering will not respond well to the behavioral therapy. The article also stated that if we are able to find a neurological cause to the stuttering when doing neuroimaging then that is enough evidence that the stutter is not psychogenic in nature (Baumgartner, & Duffy, 1997).
Symptoms of individuals with a psychogenic stutter: These individuals will have non-organic language aberrations, bizarre speech, and struggle behaviors. These individuals will also have other complaints besides their stutter such as cognitive, sensory, or motor complaints. They may have a full work up by other professionals that goes to explain why they are having these additional issues. The individuals with psychogenic stuttering may have depression, or anxiety as well (Baumgartner, & Duffy, 1997).
Evaluations for distinguishing between psychiatric and neurological disorders is to do neuroimaging, a psychiatric evaluation if nothing is found in the neuroimaging, we can informally ask the patient questions, and observe the symptoms of the patient to make our diagnosis (Baumgartner, & Duffy, 1997).
Citation:
Baumgartner, J., Ph. D., & Duffy, J. R., Ph. D. (1997). Psychogenic Stuttering in Adults With and Without Neurologic Disease. Retrieved March, 2018, from https://www.researchgate.net/profile/Joseph_Duffy/publication/279897923_Psychogenic_stuttering_in_adults_with_and_without_neurologic_disease/links/565493ca08aeafc2aabbe37d.pdf
This NBC News report, discussed a 28-year-old man began to stutter after a suicide attempt. His doctors believe the cause of his stutter was psychological distress. If true this would make his stutter a psychogenic stutter.
Just because conversion disorder may seem like a psychiatric issue doesn’t meet we should automatically refer these individuals to a psychiatrist.As speech-language pathologists it is important to realize that some patients may not be good candidates for psychiatry or psychology. This could be, because the patient is not ready to be helped or it could be that the patient is just not responding well to psychiatric management. According speech-language pathologist are individuals who can treat conversion disorders in individuals effectively. In fact he had stated that we can do so in a very short amount of sessions (Duffy, 2005).
Citation:
Duffy, J. R. (2005). Motor speech disorders: Substrates, differential diagnosis, and management. St. Louis, Mo: Elsevier Mosby.
We may have to collaborate with an interpreter when working with clients who do not speak English or who speak English. In fact ASHA states that we have an obligation to our patients to provide them with services and that the services should be provided to the patient in the appropriate language for them. This will still be the case if you have an individual with selective mutism who speaks English as a second language or who doesn't speak English at all.