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Particularly in young children, SM can sometimes be confused with an autism spectrum disorder, especially if the child acts particularly withdrawn around his or her diagnostician, which can lead to incorrect treatment.There have been attempts to categorize, but there are no definitive answers yet due to the under-diagnosis and small/biased sample sizes.Many people are not diagnosed until late in childhood only because they do not speak at school and therefore fail to accomplish assignments requiring public speaking.In a severe form known as "progressive mutism", the disorder progresses until the person with this condition no longer speaks to anyone in any situation, even close family members.Selective mutism is by definition characterized by the following: Selective mutism is strongly associated with other anxiety disorders, particularly social anxiety disorder.

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