The SLP’s Guide to Selective Mutism: Evidence-based Treatment Techniques

This presentation will provide the knowledge and tools to empower speech-language pathologists to take an active role in treating students with selective mutism (SM). We will review several evidence-based techniques and how these skills apply to speech therapy. Examples of activities and ways to target a variety of pragmatic language skills to improve functional communication will be discussed.

Explore Course

Selective mutism (SM) is a complex, anxiety-based disorder that significantly impacts a child’s ability to communicate across settings, especially in schools. While SM is often viewed as a mental health condition, its profound effect on pragmatic language, functional communication, and participation in academic routines makes it a critical area of need for speech-language pathologists (SLPs) to provide intervention.

This engaging and practical webinar will empower SLPs to take an active, confident role in the treatment of students with SM. Participants will explore evidence-based behavioral techniques including shaping, fading, and contingency management, and learn how to integrate them into speech therapy. The presentation also introduces specialized treatment models like Parent-Child Interaction Therapy for SM (PCIT-SM) and the Ritual Sound Approach.

Additional focus will be placed on adjusting environmental, linguistic, and interpersonal variables to promote speaking success. Realistic case studies and therapy activity ideas will help SLPs apply these strategies immediately in their school or clinical practice. Whether you are new to SM or looking to deepen your expertise, this course will provide actionable tools and a deeper understanding of your role in supporting this unique population.

Review the other courses in this series:
The SLP’s Introduction to Selective Mutism - What Is It and What’s My Role?
The SLP’s Guide to Selective Mutism: Assessment Strategies and Diagnosis

All courses will be available on demand by July 15, 2025.

Presenters

Emily Laracy
M.A., M.S., CCC-SLP
Emily R. (Doll) Laracy, M.A., M.S., CCC-SLP/L is a school-based speech-language pathologist and adjunct professor. Emily has worked extensively with students from preschool through high school with selective mutism in 1:1 treatment, intensive week-long treatment programs, school-based settings, and in consultative roles. She currently serves as the speech pathologist representative and secretary of the Selective Mutism Association's Board of Directors. She is the author of the book Treating Selective Mutism as a Speech-Language Pathologist along with several webinars on the same topic. Her research interests include the role of anxiety and mental health on speech and language development, trauma-informed care, and the benefits of co-teaching models.

Learning Objectives

Describe the speech-language pathologist's role in treating selective mutism and rationale for SLP’s involvement with this population
Describe evidence-based treatment techniques
Create and implement an intentional and evidence-based treatment program tailored to the student's individual needs

Agenda

5 minutes	Introduction and disclosures
5 minutes	Brief review of characteristics of SM, red flags, SLP’s role in treatment
20 minutes	Overview of PCIT-SM techniques: CDI, VDI, fade-in process
10 minutes	Cognitive-behavioral therapy techniques adapted for speech therapy: shaping, scaffolding, reinforcement
10 minutes	Therapy factors and considerations, hierarchy of goals
10 minutes	Therapy activities and case studies

Disclosures

Financial Disclosures:	Emily Laracy is the author of Treating Selective Mutism as a Speech-Language Pathologist as well as several webinars on the topic of SM, and receives royalties from these publications. Emily Laracy is receiving an honorarium for this course.
Non-Financial Disclosures:	Emily Laracy is a member of the Selective Mutism Board of Directors.
Content Disclosures:	Emily Laracy has no additional content information to disclose.

ASHA

This course is offered for .1 ASHA CEUs, Intermediate Level, Professional Area

The SLP’s Mini Series on Selective Mutism: From Awareness to Intervention: $65.00
This practical mini-series includes 3 courses and equips school-based SLPs with the confidence and tools to support students with selective mutism. Learn to identify red flags, conduct effective assessments, and implement evidence-based interventions that enhance real-world communication. Includes access to the recorded series and optional ASHA reporting.