First, identify the situations where the child exhibits selective mutism. Provide the child things he/she could say in response to questions asked ahead of time. In each situation, ensure to pause after asking a question so that the child has a chance to respond. The questions asked could also be designed such that responding leads to a highly preferred outcome (example, Would you like fruit cake or ice cream for dessert?). Ensure to praise the child when he/she responds to questions or things said. Also ensure that he/she comes in contact with the natural reinforcers that would come with answering the question (e.g. being delivered ice cream after saying the words).

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