{"id":867,"date":"2025-04-11T17:22:03","date_gmt":"2025-04-11T08:22:03","guid":{"rendered":"https:\/\/wako-psy-clinic.com\/kimoto\/?p=867"},"modified":"2025-04-11T17:22:03","modified_gmt":"2025-04-11T08:22:03","slug":"%e5%a0%b4%e9%9d%a2%e7%b7%98%e9%bb%99%e3%81%a8%e3%81%af%e4%bd%95%e3%81%8b%e3%80%81%e7%a5%9e%e5%a5%88%e5%b7%9d%e7%9c%8c%e5%8e%9a%e6%9c%a8%e5%b8%82%e3%81%ae%e5%85%90%e7%ab%a5%e7%b2%be%e7%a5%9e%e7%a7%91","status":"publish","type":"post","link":"https:\/\/wako-psy-clinic.com\/kimoto\/blog\/867.html","title":{"rendered":"\u5834\u9762\u7dd8\u9ed9\u3068\u306f\u4f55\u304b\u3001\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u306e\u5150\u7ae5\u7cbe\u795e\u79d1\u533b\u304c\u89e3\u8aac"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u5834\u9762\u7dd8\u9ed9\u3068\u306f\u4f55\u304b\u3001\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u306e\u5150\u7ae5\u7cbe\u795e\u79d1\u533b\u304c\u89e3\u8aac<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u5b50\u3069\u3082\u306b\u591a\u304f\u898b\u3089\u308c\u308b\u72b6\u614b\u3067\u3042\u308a\u3001\u65e5\u672c\u3067\u306f\u300c\u5834\u9762\u7dd8\u9ed9\u75c7\uff08selective mutism\uff0f\u9078\u629e\u6027\u7dd8\u9ed9\uff09\u300d\u3068\u3044\u3046\u540d\u524d\u3067\u3082\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 \u5834\u9762\u7dd8\u9ed9\u306e\u7279\u5fb4<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5bb6\u5ead\u3084\u89aa\u3057\u3044\u4eba\u306e\u524d\u3067\u306f\u666e\u901a\u306b\u8a71\u3059\u3053\u3068\u304c\u3067\u304d\u308b<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5b66\u6821\u30fb\u5e7c\u7a1a\u5712\u30fb\u521d\u5bfe\u9762\u306e\u4eba\u306e\u524d\u306a\u3069\u3067\u306f\u8a71\u305b\u306a\u3044\u30fb\u58f0\u304c\u51fa\u306a\u3044<\/p>\n\n\n\n<p 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class=\"wp-block-paragraph\">\u3057\u304b\u3057\u7cbe\u795e\u75c5\u570f\u3067\u3042\u308a\u3001\u7dd8\u9ed9\u306f\u524d\u99c6\u75c7\u72b6\u306b\u3059\u304e\u306a\u3044\u3068\u306a\u308b\u3068\u3001\u305d\u306e\u5f8c\u75c5\u614b\u304c\u9032\u5c55\u3057\u3066\u3044\u304f\u53ef\u80fd\u6027\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u305d\u306e\u5834\u5408\u3001\u6025\u6fc0\u306b\u60aa\u304f\u306a\u3063\u3066\u3044\u304f\u3053\u3068\u304c\u3042\u308b\u306e\u3067\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u7dd8\u9ed9\u3068\u3044\u3063\u3066\u3082\u3001\u3053\u306e\u3088\u3046\u306b\u3055\u307e\u3056\u307e\u306a\u30d1\u30bf\u30fc\u30f3\u304c\u3042\u308b\u305f\u3081\u3001\u3042\u307e\u308a\u6cb9\u65ad\u305b\u305a\u65e9\u3081\u306b\u5150\u7ae5\u7cbe\u795e\u79d1\u3078\u3064\u308c\u3066\u304d\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u5c31\u5b66\u524d\u304b\u3089\u5f53\u9662\u3067\u306f\u76f8\u8ac7\u53d7\u3051\u4ed8\u3051\u3066\u3044\u307e\u3059\u306e\u3067\u3001\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Today, I\u2019d like to explain what selective mutism is.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Around this time of year, as the new school year begins, we see many new patients who are having difficulties adjusting. Among them are children with selective mutism.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It\u2019s important to note that the severity of selective mutism can vary, and in more severe cases, mutism may be just the surface symptom, with the underlying condition being closer to a psychotic spectrum disorder, which requires extra attention and care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 What is Selective Mutism?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Selective mutism is a condition in which a child can speak normally in safe environments like at home, but is unable to speak in public or social settings such as school. It\u2019s most commonly seen in children, and is also known in Japanese as \u201c\u5834\u9762\u7dd8\u9ed9\u75c7 (bamen kanmoku-shou)\u201d or selective mutism in English.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 Key Characteristics<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The child can speak normally at home or around familiar people<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In settings such as school, kindergarten, or around strangers, they are unable to speak or produce sound<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It\u2019s not that the child \u201cdoesn\u2019t want to speak,\u201d but that they feel physically unable to speak due to extreme anxiety or tension<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Most cases begin between ages 3 to 8<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 Common Behaviors<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Unable to respond during school roll call<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Falls silent when approached by classmates<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cannot raise their hand or ask questions during class<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Exhibits stiff facial expressions or minimal movement in public<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 Underlying Factors<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Selective mutism is often related to social anxiety, and many children with this condition experience generalized anxiety as well.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mild cases can often be managed with psychotherapy.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, in more severe or atypical cases, mutism may actually be a prodromal symptom of deeper psychiatric conditions, particularly within the psychotic spectrum, which can lead to rapid deterioration if not recognized early.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u25a0 Early Support Is Crucial<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Because selective mutism can present in various ways, it\u2019s important not to take it lightly or delay treatment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If a child is showing signs of mutism in specific settings, early consultation with a child psychiatrist is recommended.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">At our clinic, we welcome consultations starting from the preschool years.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have any concerns, feel free to contact us.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5834\u9762\u7dd8\u9ed9\u3068\u306f\u4f55\u304b\u3001\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u306e\u5150\u7ae5\u7cbe\u795e\u79d1\u533b\u304c\u89e3\u8aac \u3053\u3093\u306b\u3061\u306f\u3001\u795e\u5948\u5ddd\u770c\u539a\u6728\u5e02\u3001\u5150\u7ae5\u7cbe\u795e\u79d1\u5c02\u9580\u30af\u30ea\u30cb\u30c3\u30af\u3001\u304d\u3082\u3068\u30e1\u30f3\u30bf\u30eb\u30af\u30ea\u30cb\u30c3\u30af\u3067\u3059\u3002 \u4eca\u56de\u306f\u3001\u5834\u9762\u7dd8\u9ed9\u3068\u306f\u4f55\u304b\u3001\u306b\u3064\u3044\u3066\u89e3\u8aac\u3057\u307e\u3059\u3002 \u3053\u306e\u6642\u671f\u306b\u306a\u308b\u3068\u3001\u5b66\u6821\u304c\u306f\u3058\u307e\u3063 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-867","post","type-post","status-publish","format-standard","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/wako-psy-clinic.com\/kimoto\/wp-json\/wp\/v2\/posts\/867","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wako-psy-clinic.com\/kimoto\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wako-psy-clinic.com\/kimoto\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wako-psy-clinic.com\/kimoto\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wako-psy-clinic.com\/kimoto\/wp-json\/wp\/v2\/comments?post=867"}],"version-history":[{"count":1,"href":"https:\/\/wako-psy-clinic.com\/kimoto\/wp-json\/wp\/v2\/posts\/867\/revisions"}],"predecessor-version":[{"id":868,"href":"https:\/\/wako-psy-clinic.com\/kimoto\/wp-json\/wp\/v2\/posts\/867\/revisions\/868"}],"wp:attachment":[{"href":"https:\/\/wako-psy-clinic.com\/kimoto\/wp-json\/wp\/v2\/media?parent=867"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wako-psy-clinic.com\/kimoto\/wp-json\/wp\/v2\/categories?post=867"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wako-psy-clinic.com\/kimoto\/wp-json\/wp\/v2\/tags?post=867"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}