{"h1":"Selective Mutism: AbilityScore 100–200 — What's Next","faq":[{"a":"No. The AbilityScore is a structured baseline snapshot of where your child is now, not a severity grade or a label. Only a Pinnacle clinician can interpret what the band means for your child by reading it alongside their history and how they communicate at home.","q":"Does an AbilityScore of 100–200 mean my child's Selective Mutism is severe?"},{"a":"Gently — never by pressure. Selective Mutism is anxiety-based, so demanding, bribing or spotlighting speech usually increases the freeze. Therapists instead build a gradual ladder of easier, low-pressure situations and celebrate small brave steps, including non-verbal ones.","q":"Should I encourage my child to speak more in public?"},{"a":"Usually not. Children with Selective Mutism can speak and often talk freely in comfortable settings like home. The difficulty is anxiety in specific situations, such as school. Your clinician checks for any underlying speech or language needs as part of the assessment.","q":"Is Selective Mutism a speech problem?"},{"a":"Through small real-life wins — a whisper to a friend, a nod in class, easier mornings — and through re-measurement against your child's own AbilityScore baseline, reviewed with your clinician so quiet progress becomes visible.","q":"How will I know if therapy is helping?"}],"lang":"en","slug":"my-child-with-selective-mutism-has-an-abilityscore-of-100-200-what-should-we-do-next","title":"Selective Mutism: AbilityScore 100–200 — What To Do Next","entity":{"key":"selective-mutism","kind":"condition","name":"Selective Mutism","slug":null},"lenses":[{"kind":"stakeholder","label":"Parent","value":"parent"},{"kind":"domain","label":"Emotional","value":"emotional"},{"kind":"intent","label":"Support","value":"support"},{"kind":"lifecycle","label":"Measure","value":"measure"},{"kind":"route","label":"Book-Assessment","value":"book-assessment"},{"kind":"score_band","label":"As 100 200","value":"as_100_200"},{"kind":"empowerment","label":"Early Clarity","value":"early_clarity"}],"parent":{"key":"conditions","label":"Conditions"},"related":[{"lang":"en","slug":"my-child-with-selective-mutism-has-an-abilityscore-of-300-400-what-should-we-do-next","title":"Selective Mutism: AbilityScore 300–400 Next Steps"},{"lang":"en","slug":"my-child-with-selective-mutism-has-an-abilityscore-of-500-600-what-should-we-do-next","title":"Selective Mutism AbilityScore 500–600: Next Steps"},{"lang":"en","slug":"my-child-with-selective-mutism-has-an-abilityscore-of-400-500-what-should-we-do-next","title":"Selective Mutism with an AbilityScore of 400–500: what to do next"},{"lang":"en","slug":"my-child-with-selective-mutism-has-an-abilityscore-of-900-1000-what-should-we-do-next","title":"Selective Mutism AbilityScore 900–1000 — What to Do Next"},{"lang":"en","slug":"my-child-with-selective-mutism-has-an-abilityscore-of-200-300-what-should-we-do-next","title":"Selective Mutism AbilityScore 200–300: Next Steps for Parents"},{"lang":"en","slug":"my-child-with-selective-mutism-has-an-abilityscore-of-0-100-what-should-we-do-next","title":"Selective Mutism AbilityScore — what to do next"}],"summary":"An AbilityScore of 100–200 is a baseline, not a label or a limit. The next step is a clinician-led review to interpret it and build a gentle, anxiety-aware communication plan — because Selective Mutism is about lowering anxiety until words feel safe, not pushing your child to speak.","answer_md":"*An AbilityScore in the 100–200 band is not a verdict — it's a starting point, and a hopeful one, because now you have a clear baseline to grow from.*\n\n## In short\nAn [AbilityScore®](/ask/what-is-the-abilityscore-and-how-is-it-calculated) in the 100–200 band is one structured snapshot of where your child is right now across communication and related skills — it is a baseline to measure progress against, not a label and not a ceiling. For a child with [Selective Mutism](/), the next step is a clinician-led review of that score to shape a gentle, anxiety-aware plan. The aim is steady, comfortable communication — in their own time, with the right support.\n\n## What this means and what to do next\nSelective Mutism (ICD-11 **6B06**) is an anxiety-based difficulty — children *can* speak and often talk freely at home, but freeze in specific settings such as school. It is not defiance, shyness by choice, or a speech problem. So progress is rarely about pushing your child to talk; it's about lowering the anxiety until words feel safe.\n\nWith your baseline AbilityScore in hand, the practical next steps are:\n\n- **Review the score with a clinician** — so you understand exactly which areas it reflects and what to prioritise first.\n- **Reduce pressure to speak** — never bribe, demand or spotlight your child for talking. Praise small, brave non-verbal steps (a nod, a point, a whisper to a friend).\n- **Build a gradual \"ladder\"** — therapists use a stepped approach where your child communicates in slightly braver situations over time, each step easy enough to succeed.\n- **Bring school in early** — consistent, calm expectations across home, therapy and classroom matter enormously.\n\n## The Pinnacle way\nA clinical AbilityScore® and any diagnosis are formed only at a Pinnacle Blooms Network centre, under the care of a qualified clinician — never from an online figure alone. Your clinician will read this baseline alongside your child's history and warmth at home, then map a [speech and communication therapy](/speech-therapy) plan that respects your child's anxiety rather than fighting it. Re-measurement against this same [AbilityScore baseline](/ask/what-is-the-abilityscore-and-how-is-it-calculated) is how we make quiet progress visible, so you always know it's working.\n\n## Trusted sources\nWHO ICD-11 (6B06, Selective Mutism); American Academy of Pediatrics guidance on childhood anxiety; American Speech-Language-Hearing Association (ASHA) on selective mutism; Pinnacle Blooms Network clinical studies.\n\n**Next step —** Turn this baseline into a plan. [Book a clinician review](/enroll) with a Pinnacle speech-language pathologist to interpret your child's AbilityScore and build the next steps together.\n\nThis is general information, not a diagnosis — individual assessment and diagnosis require an appropriately qualified healthcare professional.","canonical":"https://pinnacleblooms.org/ask/my-child-with-selective-mutism-has-an-abilityscore-of-100-200-what-should-we-do-next","editorial":{"reviewed_at":"2026-06-11T20:12:18.613642+00:00","reviewed_by":null,"developed_by":"SETU Consortium · Pinnacle Blooms Network"},"alternates":[{"href":"https://pinnacleblooms.org/ask/my-child-with-selective-mutism-has-an-abilityscore-of-100-200-what-should-we-do-next","lang":"en","indexable":true},{"href":"https://pinnacleblooms.org/ask/my-child-with-selective-mutism-has-an-abilityscore-of-100-200-what-should-we-do-next-te","lang":"te","indexable":true}],"dimensions":[{"key":"conditions","label":"Conditions"}],"meta_title":"Selective Mutism: AbilityScore 100–200 Next Steps","meta_robots":"index, follow, max-image-preview:large","everyday_tip":"Remove the spotlight on talking. Sit alongside your child during play rather than face-on, narrate gently, and leave easy gaps without demanding a reply. Warmly celebrate any communication — a nod, a point, a whisper — so speaking starts to feel safe, not tested.","published_at":"2026-06-10T10:36:00.237648+00:00","reading_paths":[{"key":"understand","items":[{"lang":"en","slug":"how-does-selective-mutism-affect-a-child-s-daily-life","title":"How Selective Mutism Affects a Child's Daily Life","reason":"Same topic"},{"lang":"en","slug":"is-selective-mutism-considered-a-disability","title":"Is Selective Mutism considered a disability?","reason":"Same topic"},{"lang":"en","slug":"is-selective-mutism-genetic-or-hereditary","title":"Is Selective Mutism Genetic or Hereditary?","reason":"Same topic"},{"lang":"en","slug":"what-are-common-myths-about-selective-mutism","title":"What are common myths about Selective Mutism?","reason":"Same topic"},{"lang":"en","slug":"what-are-the-types-or-levels-of-selective-mutism","title":"What are the types or levels of Selective Mutism?","reason":"Same 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Note settings where freezing is total versus partial, and any rising distress, withdrawal or refusal to attend school, which warrants a sooner clinician review.","authority_links":[{"url":"https://icd.who.int/","code":"6B06","label":"WHO ICD-11: Selective Mutism"},{"url":"https://www.asha.org/","label":"ASHA: Selective Mutism"},{"url":"https://www.healthychildren.org/","label":"AAP HealthyChildren: childhood anxiety"}],"last_reviewed_at":"2026-06-10T10:36:00.237648+00:00","meta_description":"Your child's Selective Mutism AbilityScore is 100–200 — here's what the band means and the gentle, clinician-led next steps to build comfortable communicat","related_materials":[],"related_techniques":[]}