Abstract

PEIXOTO, Ana Cláudia de Azevedo; TORRACA, Francilene  and  GANEM, Natasha. A Case study on the treatment of Selective Mutism on a Spectrum Autistic patient during the Covid-19 pandemic. Rev. bras.ter. cogn. [online]. 2022, vol.18, n.2, pp.223-230.  Epub June 24, 2024. ISSN 1808-5687.  https://doi.org/10.5935/1808-5687.20220020.

This article presents a case study on the treatment of Selective Mutism on a Spectrum Autistic boy. Autistic Spectrum Disorder is de?ned by impairments in communication and social interaction and by restricted and repetitive behaviors and interests that manifest in the childs daily life activities. Selective Mutism, on the other hand, is a social anxiety disorder that affects children mainly during schools entry point, is characterized by the persistent lack of speech and communication with some people, despite the fact that the child has preserved his verbal ?uency. The intervention was based on the theoretical presumptions of Cognitive-behavioral Therapy and has the particularity of having occurred during the Covid-19 pandemic and therefore, strategies adapted to an online format will be presented. The results showed that the adequacy of the techniques, the interdisciplinary work among the Psychiatrist, teachers, and the active participation of the family during treatment, were essential for the patients speech recovery. From communication with people in his family circle, the beginnings of speech in the school environment with friends and teachers, to the return of speech in other instances of the patients life interactions.

Keywords : Selective Mutism; Behavioral-cognitive Therapy; Online therapy.

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