TELL ME IT WILL BE OK
Dawn Friedman welcomes Dr. Melissa Giglio, a CBT therapist and director of Central Health Partners Child Development in Hong Kong, to discuss selective mutism (SM). Giglio explains SM as an anxiety disorder in which children who speak fluently at home are persistently unable to speak in specific settings, often mistaken for stubbornness, and distinguishes shyness from social anxiety and SM using persistence and functional impairment. They emphasize collaborating with schools, using gradual exposure without “rescuing,” helping children habituate, and coaching parents to stay calm, supportive, and non-accommodating while building distress tolerance and confidence. The conversation addresses anxious parents, concerns about traumatizing exposure, demand avoidance and providing perceived control with continued expectations, common comorbidities (including ADHD), when medication may help, and the need for evidence-based, systemic treatment involving parents and schools. Giglio shares resources (Bravery Grows book, a six-month journal) and intensive one-to-one camps in Hong Kong and Maine, plus outcomes when SM is untreated. 00:00 Podcast Welcome 00:17 Meet Dr Giglio 01:47 What Is Selective Mutism 02:44 Why The Name Changed 03:37 Misconceptions And Oppositionality 04:22 How Parents First Notice 05:23 Shy Vs Social Anxiety 06:53 When Anxiety Becomes Persistent 09:43 Supporting Exposure Without Rescue 11:55 Handling Meltdowns And Tiny Steps 13:27 Anxious Parents And Trauma Fears 16:12 PDA And Demand Avoidance Nuance 20:00 Comorbidity And Medication Questions 22:23 Overlearning Through Exposure 22:54 Finding Proper SM Treatment 23:47 Parents As Co Therapists 27:08 Coaching Without Accommodating 28:15 Books And Journals Tools 31:25 Intensive Exposure Camps 33:37 Wins And Progress Stories 35:16 Risks Of Late Identification 37:23 Let Kids Do Hard Things Working with Dr. Giglio at Main Child Therapy Center [https://www.mainechildtherapycenter.com] Grab her book, Bravery Grows [https://bravemightyminds.com] Follow her on Instagram [https://www.instagram.com/drmelissagiglio/] Mentioned in this episode: 🌟 READY TO FIND YOUR ROOM TO BREATHE? Parenting has never been more challenging especially for empathetic parents of sensitive kids. TELL ME IT WILL BE OK: The Practice is a weekly, guided practice that gives quiet, calm, reflective space for you to connect with your wisdom and intuition. For July, we're writing about and exploring the topic of ANGER -- ours, our own, and what we are trying to understand about it. 🧡 This is not a list of things you’re doing wrong. 🧡 This is not advice. 🧡 This is a place to remember what you already know. Learn more and get a free session by going to OpenBookParenting.com
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