ISLTS provides specialist selective mutism assessment and support for children, young people and adults across the UK.
While selective mutism is often identified in early childhood, it can continue into adolescence and adulthood if left untreated. Our experienced therapists support individuals at every stage of life, tailoring assessment and intervention to the unique needs of each person.
We work nationally with families, schools, colleges, universities and workplaces through in-person and online appointments, helping individuals build confidence and reduce the anxiety associated with speaking.
Our service includes:
- Selective mutism assessment and diagnosis support
- Therapy and intervention planning
- Support for schools, colleges and workplaces
- Parent and family guidance
- Online appointments available nationwide
Selective mutism is an anxiety disorder where a person is unable to speak in certain social situations, despite speaking comfortably in others. Early identification and support are associated with significantly better outcomes. Our assessments are holistic, person-centred, and needs-led, ensuring that we understand the indvividual’s communication within the context of their personality, environment, strengths and vulnerabilities.
With the right understanding, support and gentle strategies, individuals with Selective Mutism can grow in confidence and communication over time.
Our Selective Mutism Diagnosis Process
Assessment and treatment plans are always tailor-made for every indvividual we work with.
- Free phone consultation
Our Selective Mutism diagnosis process starts with a free 20 minute telephone consultation with a specialist Speech and Language Therapist. We listen, ask key questions, and advise whether a Selective Mutism assessment pathway maybe appropriate. - Questionnaires
If we decide a Selective Mustism assessment pathway is appropriate, we send questionnaires to gather more information. For children and young people, the questionnaire will be sent to parents/carers and to the individual’s educational placement. - Review & discussion
Your therapist reads and analyses the information, then discusses it with you (and the educational placement where appropriate) to build a clear picture of the individual’s communication profile. - Outcomes & recommendations
We confirm whether Selective Mutism is the right formulation and provide clear recommendations and suggest the next steps.
Support Options
If we feel Selective Mutism is not the correct diagnosis, we will telephone you to explain our decision and discuss potential next steps, including signposting.
If we do make a Selective Mutism diagnosis, you can choose one of the options below depending on the level of support you need:
Option 1: Support recommendations (no diagnostic report)
- General support strategies for managing Selective Mutism
- Signposting
Option 2: Full diagnostic report & therapy recommendations
- Detailed written report with diagnostic conclusion
- Formulation of communication profile
- Recommendations for ongoing support/adjustments at home, work and education
- Therapy recommendations + general strategies
- Signposting
Option 3: Full diagnostic report + therapy recommendations + up to 6 hours intervention
- Everything in Option 2
- Detailed intervention plan with bespoke targets
- Therapy resources (where appropriate) + guidance on measuring progress
- Up to 6 hours used flexibly (e.g. review meetings, liaison, coaching, modelling strategies, and direct work where clinically needed)
How intervention is typically delivered
For many children, the Speech and Language Therapist’s role is primarily consultative – working closely with families, schools and other professionals through multi-agency review meetings, email, phone or Zoom support, monitoring progress and helping to problem-solve challenges as they arise. We maintain a strong focus on practical strategies that can be used consistently across both home and educational settings.
Sometimes, more direct involvement is needed, for example where there are additional speech, language or communication needs, or where therapists need to model approaches such as sliding-in and shaping with parents, carers or education staff.
For teenagers and adults, therapy is typically more functional and goal-led, focusing on real-life situations that matter to the individual. This may include speaking in education, work, social or everyday settings, building confidence around communication, understanding the role of anxiety, and breaking goals into manageable, achievable steps with supportive guidance throughout the process.
Pricing
Phone Consultation – Initial 20 minute phone call with a specialist Speech & Language Therapist – Free
Not Selective Mutism outcome – Review of questionnaires and professional reports, feedback with explanation, signposting and next steps – £127.50
All 3 of the below options include – Questionnaires + clinician review:
Option 1 – Support recommendations (no diagnostic report): strategies + signposting – £250
Option 2 – Full diagnostic report + therapy recommendations – £350
Option 3 – Full diagnostic report + therapy recommendations + up to 6 hours intervention – £700
Payment for your selected option is required prior to support/assessment. A payment plan over 3 payments is available for Option 3. In some cases, there may be an additional travel cost (we aim to keep this to a minimum).
Post-diagnostic Support
We offer ongoing support for children, young people and adults with diagnosed or suspected Selective Mutism, including those seeking assessment, workplace support or help managing everyday communication challenges.
Additional services include:
- Support for adults seeking diagnosis and specialist guidance
- Therapy and confidence-building support
- EHCP advice and reports
- Exam speaking and listening component exemption support
- Advice and support around key life events and transitions
- Training and guidance for educational settings and workplaces
- Parent, family and employer support
Further ongoing therapy packages are also available where appropriate.
Why Choose ISLTS?
Independent Speech & Language Therapy Services (ISLTS) is led by highly specialist Speech and Language Therapists with over 25 years of clinical experience supporting children, young people, adults and their families.
We are trusted by families, schools, universities, workplaces and local authorities to deliver clear, ethical and evidence-based assessment and support pathways tailored to the individual.
Our focus is not simply on providing a diagnosis, but on developing a thorough understanding of each person’s unique communication profile, ensuring that practical, supportive recommendations make a meaningful difference in education, work, relationships and everyday life.
Selective Mustism Diagnosis – Next steps
If you have concerns, simply start the process with our free phone consultation. We’ll talk through your concerns and guide you toward the most appropriate support. Get in touch today.
