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keyworker or verbal intermediary, which increases to include more people
                                                                                                 Suggested reading
                 and varied places. Anxiety scales also vary and may include numbers from
                 zero to five,  with zero being very easy and five  being very difficult, or     Johnson  M & Wintgens A,  2001, The Selective Mutism Resource Manual,
                 pictures such as a  big smile, denoting lower anxiety, to a  worried face,         Speechmark Publishing, Brackley.
                 denoting higher anxiety.                                                        Shipon-Blum E,  2003,  The Ideal Classroom Setting for the Selectively
                    All  of this takes time and a lot of small steps belore verbalization           Mute Child, Self-published.
                 actually  occurs.  Patience is  key.  The earlier selective mutism is  diagnosed   Kervatt, Gail,  1999, The Silence Within, Sell-published.
                 and treated, the easier the transition from  non-communication to verbal
                 communication will be.
                                                                                                 Other organizations
                    For   parents  of  a  child  with  selective  mutism,  this  book  is  intended  to
                 give  hope that there is someone like Ryan out there who will  be a  kind and   SMIRA (Selective Mutism  Information and  Research Association),
                 understanding friend  to  your child.  For  parents whose  children  attend  class   13  Humberstone Drive, Leicester,  LE5 ORE,  UK
                 with  a  child  who  is  extremely  shy  or                                         email:  smira.leicester@ntlworld.com
                                             suffering  from  selective  mutism,
                 perhaps your child  could  be  that friend!  It  is  important for  parents to   SMG-CAN (Selective Mutism Group-Childhood Anxiety Network),
                 realize  that  getting  help  for  their child  in  the  setting  where  anxiety  is  most   www.selectivemutism.org
                 prevalent,  namely school,  is  necessary in  order to  overcome this.          The Selective Mutism Foundation Inc, PO Box 13133, Sissonville.
                    Lastly,  for  the child  who  has selective  mutism,  this book  may initially   ww 25360-0133, USA
                 arouse  negative  emotions,   reminding  them  of the  fact  that  they  are,  in  fact,   Freedom from Fear, 308 Seaview Ave,  Staten Island,  New York  10305 USA
                 unable to  speak  in  school.  However,   having  this  book  on  hand  during  their   Phone: (718) 351-1717, fi@aol.com
                 recovery  allows the  child  to  read  the  book in  its                        ASHA  (American Speech-Language-Hearing Association), www.asha.org
                                                     entirety  or to skim  only  a
                 few   pages,  while  coming  back  to  the  topic  as  they  begin  to  feel  more
                 comfortable. The choice is  theirs!

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