Individuals with SM may also experience worries, fears, stress, and physical complaints including aches, pains, or discomfort, reluctance to separate from parents or preferred peer s , sensory sensitivity, and rigid or inflexible behavior.
For toddlers with language delay or speech absence who may also be autistic, early intervention services focusing on speech production can help.
By comparison, a child with SM may continue to remain silent despite extensive warm-up periods, including after multiple playdates with a classmate, years in school with the same peers, or when asked by a friendly peer or adult about their name, age, or favorite interests.