Dissociative Mutism in Childhood: Need to break the silence
Dissociative mutism is very rare in childhood. We present here a case of complete mutism of six months duration in a seven-year-old male child. Normal neurological and otorhinolaryngological examination pointed towards psychological nature of the problem and warranted a psychiatric evaluation. Detailed psychiatric evaluation could identify the stressor and psychotherapy provided relief within a few days. Dissociative mutism in childhood, if identified and referred early for psychiatric evaluation, can reduce the distress and duration of dysfunction associated with the disorder. Besides, it can also reduce unnecessary investigations and burden on the health care system.