{"h1":"Selective Mutism, AbilityScore 300–400: Next Steps","faq":[{"a":"No. It is simply your child's own baseline today — a structured snapshot of where they are, not a measure of their worth or their future. It gives your clinician a clear starting point for a personalised plan, and children in this band often progress steadily with gentle, consistent support.","q":"Is an AbilityScore of 300–400 a bad result for Selective Mutism?"},{"a":"No. Selective Mutism is anxiety-based, so therapy works by lowering the anxiety so words can come on their own. Pinnacle uses graded, low-pressure steps — building confidence from safe people and places outward — never pressure to perform.","q":"Will therapy force my child to speak?"},{"a":"Progress shows in everyday wins — a word in a new setting, easier mornings, less freezing — and in objective re-measurement against your child's own baseline, reviewed with your clinician rather than guessed.","q":"How will I know the plan is working?"}],"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","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 300 400","value":"as_300_400"},{"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-100-200-what-should-we-do-next","title":"Selective Mutism: AbilityScore 100–200 — What To Do Next"},{"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-600-700-what-should-we-do-next","title":"Selective Mutism AbilityScore 600–700: 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-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 300–400 is your child's own starting baseline for Selective Mutism, not a verdict. The next step is a clinician-led planning session to set gentle, anxiety-reducing goals and re-measure progress over time. Only a Pinnacle clinician forms the clinical score and any diagnosis.","answer_md":"*An AbilityScore in the 300–400 band is not a verdict — it's a clear starting point, and a hopeful one. Here's what it means and what comes next.*\n\n## In short\nYour child's AbilityScore of 300–400 is simply their **own baseline** today — a structured snapshot of where they are with [Selective Mutism](/selective-mutism), not a measure of their worth or their future. The next step is a planning conversation with your Pinnacle clinician to turn that baseline into a personalised therapy plan, and to set the small, real-life goals that will show progress. With consistent, gentle support, children in this band very often move forward steadily.\n\n## What this band means\nSelective Mutism is an anxiety-based difficulty: your child *can* speak — often freely at home — but freezes in certain settings such as school or with unfamiliar adults. A score in this band typically reflects speaking that is comfortable in safe spaces but limited in higher-pressure ones. The goal of therapy is never to force words; it is to lower the anxiety so words can come on their own.\n\nA practical next-step plan usually includes:\n\n- **A clinician review** of the baseline, so the plan fits *your* child, not a generic template\n- **Graded, low-pressure exposure** — building speaking confidence in tiny, achievable steps from safe people and places outward\n- **Home and school alignment** — your warmth and your child's teacher working from the same gentle playbook\n- **Re-measurement** against this baseline over time, so quiet progress becomes visible\n\n## When to act sooner\nIf alongside the mutism you notice loss of skills your child once had, signs of significant distress, withdrawal from people they trust, or difficulty being understood even at home, mention these to your clinician promptly so the plan can be adjusted.\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 form or a single number. The 300–400 band is your child's starting line, and our [speech and communication therapy](/speech-therapy) is built around reducing anxiety and growing confident communication. To understand how this baseline is read, see [how the AbilityScore is calculated](/ask/what-is-the-abilityscore-and-how-is-it-calculated). Across [our network](/), 700+ therapists and 25 million+ therapy sessions inform how we support children just like yours.\n\n## Trusted sources\nWHO ICD-11 (6B06, Selective Mutism); American Speech-Language-Hearing Association (ASHA) guidance on Selective Mutism; American Academy of Pediatrics child anxiety resources; Pinnacle Blooms Network clinical studies.\n\n**Next step —** Turn this baseline into a plan. [Book a follow-up planning session](/enroll) with your Pinnacle clinician to agree the next set of gentle, confidence-building goals.\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-300-400-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-300-400-what-should-we-do-next","lang":"en","indexable":true},{"href":"https://pinnacleblooms.org/ask/my-child-with-selective-mutism-has-an-abilityscore-of-300-400-what-should-we-do-next-te","lang":"te","indexable":true}],"dimensions":[{"key":"conditions","label":"Conditions"}],"meta_title":"Selective Mutism AbilityScore 300–400: Next Steps","meta_robots":"index, follow, max-image-preview:large","everyday_tip":"Lower the pressure to speak: narrate together, play side-by-side, and warmly accept gestures, whispers or single words. Celebrate any attempt without spotlighting it — confidence grows fastest when speaking feels safe, not demanded.","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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home.","authority_links":[{"url":"https://icd.who.int/browse11","code":"6B06","label":"WHO ICD-11: Selective Mutism"},{"url":"https://www.asha.org/practice-portal/clinical-topics/selective-mutism/","label":"ASHA: Selective Mutism clinical guidance"},{"url":"https://www.healthychildren.org","label":"AAP HealthyChildren: childhood anxiety"}],"last_reviewed_at":"2026-06-10T10:36:00.237648+00:00","meta_description":"An AbilityScore of 300–400 with Selective Mutism is a hopeful starting baseline. 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