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High Quality Content by WIKIPEDIA articles! Selective mutism (SM) is a severe childhood anxiety disorder in which a person who is normally capable of speech is unable to speak in given situations, or to specific people. In the Diagnostic and Statistical Manual of Mental Disorders, selective mutism is described as a rare psychological mental disorder in children. Children and adults with the disorder are fully capable of speech and understanding language, but can fail to speak in certain social situations when it is expected of them. It is in presentation an inability to speak in certain situations. They function normally in other areas of behavior and learning, though appear withdrawn and some are unable to participate in group activities. As an example, a child may be completely silent at school, for years at a time, but speak quite freely or even excessively at home.