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Selective mutism is a childhood anxiety disorder characterized by a consistent inability to speak in specific social situations despite having the ability to speak normally in other settings. A child with selective mutism may speak freely and comfortably at home with parents and close family members but remain completely silent in school, public places, or unfamiliar social environments. This condition is not caused by a lack of language skills, hearing impairment, intellectual disability, or deliberate refusal to speak. Instead, it is closely associated with severe social anxiety and emotional distress. Selective mutism usually begins before the age of _____ _________ __________ _________ __________ ___ _____ _____ ____.
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