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Compare diagnoses

Side-by-side criteria and differential flags.

Ask this

Which diagnosis best fits duration, episodicity, and exclusions?

Selective mutism

Consistent failure to speak in specific social situations (despite speaking in others)

Open record

Social anxiety disorder

Marked fear/anxiety about ≥1 social situation with possible scrutiny by others

Open record

ICD-10 code

AF94.0

BF40.10

Category

AAnxiety & Fear-Based

BAnxiety & Fear-Based

Core threshold (DSM-5-TR criteria)

AFull criteria not included in this record

BFull criteria not included in this record

Additional criteria

AFull criteria not included in this record

BFull criteria not included in this record

Key features

AA. Consistent failure to speak in specific social situations (despite speaking in others) B. Interferes with educational/occupational achievement or social communication C. Duration ≥1 month (not first month of school)

BA. Marked fear/anxiety about ≥1 social situation with possible scrutiny by others B. Fears acting in a way that will be humiliating, embarrassing, or negatively evaluated C. Social situations almost always provoke fear/anxiety

Common specifiers

AWith anxious temperament

BPerformance only

Differential flags

ACommunication disorder (language deficits in all contexts); ASD (pervasive social communication deficits); Social anxiety disorder (comorbid in most cases)

BAgoraphobia (fear of escape/help rather than scrutiny); Panic disorder (unexpected attacks); GAD (worry across multiple domains)

Severity specifier

ANot listed

BNot listed

Differential review

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