Dr. Elisa Shipon-Blum welcomes Jennifer Brittingham, LPC, back on the podcast to discuss the prevalence of eating, sleeping, toileting, and behavioral difficulties associated with Selective Mutism – otherwise known as the ‘Quad’. Get out your pen and paper, because this 99-minute episode is jam-packed!

(0:00) - Intro

(1:19) - What is the QUAD

(4:07) - Results from the SMart Center's study on the QUAD

(9:15) - Eating issues

(30:49) - Sleeping issues

(52:40) - Toileting issues

(1:14:01) - Difficult behaviors + tips for parents

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Listen to previous episodes of Unspoken Words:

• Ep 1 - More Than Mutism
• Ep 2 - S-CAT: A whole person approach
• Episode 3 (Part 1, Part 2)
• Episode 4 (Part 1, Part 2, BONUS FAQ)
• Ep 5 – Back to School
• Ep 6 – Medication

Relevant resources:

• Research – The “QUAD”: Eating, Sleeping, Toileting and Difficult Behaviors in Children with Selective Mutism
• Brochure – What is Selective Mutism