Abstract
Selective Mutism (SM) is identifi ed as consistent failure to speak in specifi c settings and situations in which there is an expectation for speaking though speech capacity is not impaired. Combined interventions that would integrate medication and psychotherapeutic approaches are recommended for treatment. Since it has long been believed that SM was an anxiety-based disorder and currently being categorized within anxiety disorders regarding the latest publication of DSM-5 diagnostic classifi cation, behavioral and cognitive-behavioral therapies in specifi c have been among the most frequently used treatment options for the disorder, lately. Selective serotonin reuptake inhibitors (SSRIs) are the most commonly used psychopharmacologic agents in the treatment of SM due to their anxiolytic effects. This article aims to discuss the effect of fl uoxetine on the symptoms along with the presentation of diagnostic and treatment processes of two girls with selective mutism who had applied to our unit while they were preschoolers.
Keywords: Selective mutism, preschool children, fl uoxetine.
