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Treatment is more likely to be successful if started early before the child assumes a ‘non-speaking identity.’ The most effective way of helping can be through a programme in which teachers and parents participate. Such a programme is based on a ‘step-by-step’ approach which aims at reducing the child’s anxiety about speaking through a technique known as ‘stimulus fading’. This involves moving the child by manageable small steps from a situation where there has been no speech to a situation where there is speech. The child’s co-operation is essential and is gained by making the exercise enjoyable and rewarding. Another method which may be effective is play therapy and play with puppets.
What are the causes?
| Inheritance patterns and prenatal diagnosis 
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