353 | Selective Mutism and CCPT: Trusting the Process

Episode summary

In this episode, I respond to Erin's question about working with a selectively mute child. I explain that selective mutism isn't a separate diagnosis—it's rooted in paralyzing anxiety. Once we understand that, we can approach it with CCPT through safety, trust, and pacing. I share how progress often begins with small steps like laughter, gestures, or simple sounds, and why those moments signal meaningful movement toward emotional freedom.

I also discuss two common missteps: allowing parents in the playroom and directing play. Both undermine the child's autonomy and reinforce anxiety rather than helping the child overcome it. Instead, I outline how to set boundaries gently, sit in the discomfort of waiting, and use reflective language to communicate trust and acceptance. By trusting the process, we give anxious children exactly what they need—time, safety, and the opportunity to heal at their own pace.