Case Report

Treatment Complexity in a Twin Adolescent Pair with Selective Mutism: A Case Report

Volume: 46 Number: 2 June 29, 2024
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Treatment Complexity in a Twin Adolescent Pair with Selective Mutism: A Case Report

Abstract

Selective Mutism (SM) is a disorder characterized by the individual's persistent inability to speak in specific social situations (e.g., school) where speech is expected, even though the individual is able to speak in other situations. It is a rare anxiety disorder and is often seen in children between the ages of 4-8. The presence of SM in family members is important in terms of both etiology and clinical course. While family burden is a factor that increases the incidence of SM, according to some research results, the clinical symptoms of twin cases diagnosed with SM are more severe than those of non-twins. A positive family history negatively affects the prognosis of SM and increases resistance to treatment. In this article, the diagnosis and treatment process of 14-year-old monozygotic twin adolescents who have been followed up with the diagnosis of SM for a long time will be discussed. The main treatment methods for SM are medication and psychotherapy. It is known that psychotherapeutic interventions in particular vary depending on individual differences. The most important purpose of this article is to draw attention to the differences in treatment interventions of twin SM cases and to evaluate the clinical features of the cases in the light of the literature.

Keywords

Supporting Institution

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Ethical Statement

Written informed consent for the presentation and publication of the case was obtained from the patients and their parents on the condition that the patients' anonymity must be preserved.

Thanks

The authors would like to thank the patients and their family for collaborating in the study.

References

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Details

Primary Language

English

Subjects

Mental Health Services

Journal Section

Case Report

Authors

Publication Date

June 29, 2024

Submission Date

April 4, 2024

Acceptance Date

May 31, 2024

Published in Issue

Year 2024 Volume: 46 Number: 2

DOI

https://doi.org/10.7197/cmj.1464394

IZ

https://izlik.org/JA83FN35JS

Cite

RIS / Bibtex
AMA
1.Şireli Ö, Pakoz SM, Soyhan M, Mercan Işık C, Abanoz E, Uzun Çiçek A. Treatment Complexity in a Twin Adolescent Pair with Selective Mutism: A Case Report. CMJ. 2024;46(2):152-155. doi:10.7197/cmj.1464394