# What an AbilityScore® of 400–500 means in Selective Mutism

Canonical: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-400-500-mean-for-a-child-with-selective-mutism
Publisher: Pinnacle Blooms Network / Bharath Healthcare Laboratories Private Limited

An AbilityScore® of 400–500 for a child with Selective Mutism is a hopeful baseline, not a verdict — it usually reflects an emerging-to-developing profile where real communication ability is present but anxiety still shapes when and where your child speaks. It is a clinician's planning tool, interpreted only at a Pinnacle centre.

*When your child speaks freely at home but falls silent at school, a number can feel daunting — let's turn it into something hopeful and clear.*

## In short
The [AbilityScore®](/ask/what-is-the-abilityscore-and-how-is-it-calculated) is not a pass-or-fail mark and it is never compared with other children — it is a clinician-administered structured snapshot of where *your* child is right now, used to set a starting line and measure progress against. For a child with [Selective Mutism](/), a 400–500 band typically reflects an emerging-to-developing profile: your child has real communication ability and warmth, and is at a stage where anxiety is still strongly shaping when and where they can speak. It is a planning tool — a hopeful starting point, not a verdict.

## What this band tends to describe
Selective Mutism (ICD-11 6B06) is understood as an anxiety-based difficulty, not stubbornness or a choice — children *want* to speak but freeze in specific settings. A 400–500 band usually points to a child who:

- **Communicates fully in safe spaces** (often fluently at home) but speaks little or not at all in school or with unfamiliar adults
- **Uses non-verbal strategies** — nodding, pointing, whispering to a parent — which is a real and encouraging foundation to build on
- **Is ready for graded, confidence-first support**, where speaking is gently shaped step by step rather than forced

This band signals strong potential with clear room to grow — exactly the children who respond well to early, structured, low-pressure intervention. The number's real value is as a baseline: re-measured over time, it shows quiet wins you might otherwise miss.

## The Pinnacle way
An AbilityScore® band and any diagnosis are formed only at a Pinnacle Blooms Network centre, under the care of a qualified clinician — never from an online figure or a single conversation. At your centre, the clinician interprets this band alongside what they observe, rules out other causes, and shapes a graded plan through [speech therapy](/speech-therapy) and confidence-building support — so progress is measured against your own child's earlier baseline, never against other children. Across 70+ centres and 4.95 lakh+ families served, the aim is always the same: your child finding their voice in the wider world.

## Trusted sources
WHO ICD-11 (6B06, selective mutism); American Speech-Language-Hearing Association (ASHA) on selective mutism and anxiety-based communication; American Academy of Pediatrics guidance via HealthyChildren; Pinnacle Blooms Network validated studies.

**Next step —** Turn a number into a plan. [Book an AbilityScore® assessment](/enroll) with a Pinnacle clinician and start your child's confidence-first journey.

This is general information, not a diagnosis — individual assessment and diagnosis require an appropriately qualified healthcare professional.

## Sources
- WHO ICD-11 — Selective mutism: https://icd.who.int/
- ASHA — Selective mutism resources: https://www.asha.org/
- AAP HealthyChildren — childhood anxiety and communication: https://www.healthychildren.org/

## Connected topics and perspectives
- Conditions: https://pinnacleblooms.org/ask/conditions
- Parent: https://pinnacleblooms.org/ask/lens/stakeholder/parent
- Emotional: https://pinnacleblooms.org/ask/lens/domain/emotional
- Assessment: https://pinnacleblooms.org/ask/lens/intent/assessment
- Measure: https://pinnacleblooms.org/ask/lens/lifecycle/measure
- Book Assessment: https://pinnacleblooms.org/ask/lens/route/book-assessment
- As 400 500: https://pinnacleblooms.org/ask/lens/score_band/as_400_500
- Early Clarity: https://pinnacleblooms.org/ask/lens/empowerment/early_clarity

## Related question paths

### Understand the subject
- How Selective Mutism Affects a Child's Daily Life: https://pinnacleblooms.org/ask/how-does-selective-mutism-affect-a-child-s-daily-life
- Is Selective Mutism considered a disability?: https://pinnacleblooms.org/ask/is-selective-mutism-considered-a-disability
- Is Selective Mutism Genetic or Hereditary?: https://pinnacleblooms.org/ask/is-selective-mutism-genetic-or-hereditary
- What are common myths about Selective Mutism?: https://pinnacleblooms.org/ask/what-are-common-myths-about-selective-mutism
- What are the types or levels of Selective Mutism?: https://pinnacleblooms.org/ask/what-are-the-types-or-levels-of-selective-mutism
- What Causes Selective Mutism in Children?: https://pinnacleblooms.org/ask/what-causes-selective-mutism-in-children
- What is Selective Mutism?: https://pinnacleblooms.org/ask/what-is-selective-mutism
- What is Selective Mutism in Early Childhood?: https://pinnacleblooms.org/ask/what-is-selective-mutism-and-what-does-it-look-like-in-early-childhood
- What other conditions often occur alongside Selective Mutism?: https://pinnacleblooms.org/ask/what-other-conditions-often-occur-alongside-selective-mutism
- Early Intervention Outcomes for Selective Mutism Under 7: https://pinnacleblooms.org/ask/what-does-current-research-show-about-early-intervention-outcomes-for-selective-mutism-in-children-under-7
- What is Selective Mutism, and what are its ICD-11 features in early childhood?: https://pinnacleblooms.org/ask/what-is-selective-mutism-and-what-are-its-icd-11-features-in-early-childhood
- What is the ICD-11 classification for Selective Mutism?: https://pinnacleblooms.org/ask/what-is-the-icd-11-classification-for-selective-mutism

### Recognise signs & concerns
- Can Selective Mutism Be Cured?: https://pinnacleblooms.org/ask/can-selective-mutism-be-cured
- Can Selective Mutism Be Prevented?: https://pinnacleblooms.org/ask/can-selective-mutism-be-prevented
- Do Boys Show Selective Mutism Differently?: https://pinnacleblooms.org/ask/do-boys-show-selective-mutism-differently
- Selective Mutism in Girls: https://pinnacleblooms.org/ask/do-girls-show-selective-mutism-differently
- Should I be worried my child might have Selective Mutism?: https://pinnacleblooms.org/ask/should-i-be-worried-my-child-might-have-selective-mutism
- Early Signs of Selective Mutism: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-selective-mutism
- Early Signs of Selective Mutism in a 1-Year-Old Boy: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-selective-mutism-in-a-1-year-old-boy
- Early signs of selective mutism in a 1-year-old girl: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-selective-mutism-in-a-1-year-old-girl
- Early Signs of Selective Mutism in a 12-to-18-Month-Old: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-selective-mutism-in-a-12-to-18-month-old
- Early signs of Selective Mutism in an 18–24-month-old: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-selective-mutism-in-a-18-to-24-month-old
- Early Signs of Selective Mutism in a 2-Year-Old: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-selective-mutism-in-a-2-year-old
- Early Signs of Selective Mutism in a 2-Year-Old Boy: https://pinnacleblooms.org/ask/what-are-the-early-signs-of-selective-mutism-in-a-2-year-old-boy

### Explore causes & influences
- Are boys more likely to have selective mutism?: https://pinnacleblooms.org/ask/are-boys-more-likely-to-have-selective-mutism
- Are girls more likely to have Selective Mutism?: https://pinnacleblooms.org/ask/are-girls-more-likely-to-have-selective-mutism
- What Causes Selective Mutism in Young Children?: https://pinnacleblooms.org/ask/what-causes-selective-mutism-in-young-children
- Early Intervention for Selective Mutism: Advancing UNCRPD and the SDGs: https://pinnacleblooms.org/ask/how-does-early-intervention-for-selective-mutism-advance-un-child-rights-uncrpd-and-the-sdgs
- Contributing Factors for Selective Mutism: https://pinnacleblooms.org/ask/what-are-the-known-contributing-factors-for-selective-mutism-in-early-childhood
- Cost-effectiveness of early therapy for Selective Mutism: https://pinnacleblooms.org/ask/what-is-the-cost-effectiveness-of-early-therapy-for-selective-mutism-in-young-children
- What is the prevalence and public-health burden of Selective Mutism among young children in India?: https://pinnacleblooms.org/ask/what-is-the-prevalence-and-public-health-burden-of-selective-mutism-among-young-children-in-india

### Understand assessment
- What an AbilityScore of 300–400 Means in Selective Mutism: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-300-400-mean-for-a-child-with-selective-mutism
- What an AbilityScore of 500–600 means for Selective Mutism: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-500-600-mean-for-a-child-with-selective-mutism
- AbilityScore® 100–200 in Selective Mutism: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-100-200-mean-for-a-child-with-selective-mutism
- What does an AbilityScore of 700–800 mean for a child with Selective Mutism?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-700-800-mean-for-a-child-with-selective-mutism
- What an AbilityScore of 0–100 Means for a Child with Selective Mutism: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-0-100-mean-for-a-child-with-selective-mutism
- How AbilityScore Tracks Progress in Selective Mutism: https://pinnacleblooms.org/ask/how-does-abilityscore-track-progress-in-a-child-with-selective-mutism
- How Selective Mutism Is Assessed in a Young Child: https://pinnacleblooms.org/ask/how-is-selective-mutism-assessed-in-a-young-child
- How Is Selective Mutism Assessed in Children Under 7?: https://pinnacleblooms.org/ask/how-is-selective-mutism-assessed-in-children-under-7
- What does an AbilityScore of 200–300 mean for a child with Selective Mutism?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-200-300-mean-for-a-child-with-selective-mutism
- What does an AbilityScore of 600-700 mean for a child with Selective Mutism?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-600-700-mean-for-a-child-with-selective-mutism
- What does an AbilityScore of 800–900 mean for a child with Selective Mutism?: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-800-900-mean-for-a-child-with-selective-mutism
- What an AbilityScore® of 900–1000 Means for Selective Mutism: https://pinnacleblooms.org/ask/what-does-an-abilityscore-of-900-1000-mean-for-a-child-with-selective-mutism

### Explore therapy & support
- Selective Mutism with an AbilityScore of 400–500: what to do next: https://pinnacleblooms.org/ask/my-child-with-selective-mutism-has-an-abilityscore-of-400-500-what-should-we-do-next
- Can a child with Selective Mutism attend a mainstream school?: https://pinnacleblooms.org/ask/can-a-child-with-selective-mutism-attend-a-mainstream-school
- Can a Child with Selective Mutism Attend a Regular School?: https://pinnacleblooms.org/ask/can-a-child-with-selective-mutism-attend-a-regular-school
- Can a Child with Selective Mutism Grow Up to Live Independently?: https://pinnacleblooms.org/ask/can-a-child-with-selective-mutism-grow-up-to-live-independently
- How can we support emotional development in a child with Selective Mutism?: https://pinnacleblooms.org/ask/how-can-we-support-emotional-development-in-a-child-with-selective-mutism
- How Is Selective Mutism Diagnosed in a Child?: https://pinnacleblooms.org/ask/how-is-selective-mutism-diagnosed-in-a-child
- How Therapy Supports a Child with Selective Mutism: https://pinnacleblooms.org/ask/how-is-selective-mutism-supported-through-therapy
- Selective Mutism AbilityScore — what to do next: https://pinnacleblooms.org/ask/my-child-with-selective-mutism-has-an-abilityscore-of-0-100-what-should-we-do-next
- Selective Mutism: AbilityScore 100–200 — What To Do Next: https://pinnacleblooms.org/ask/my-child-with-selective-mutism-has-an-abilityscore-of-100-200-what-should-we-do-next
- Selective Mutism AbilityScore 200–300: Next Steps for Parents: https://pinnacleblooms.org/ask/my-child-with-selective-mutism-has-an-abilityscore-of-200-300-what-should-we-do-next
- Selective Mutism: AbilityScore 300–400 Next Steps: https://pinnacleblooms.org/ask/my-child-with-selective-mutism-has-an-abilityscore-of-300-400-what-should-we-do-next
- Selective Mutism AbilityScore 500–600: Next Steps: https://pinnacleblooms.org/ask/my-child-with-selective-mutism-has-an-abilityscore-of-500-600-what-should-we-do-next

### At home & in everyday life
- How can I support my child with Selective Mutism at home?: https://pinnacleblooms.org/ask/how-can-i-support-my-child-with-selective-mutism-at-home