“Talking in 5 Sessions” - Zachary did not talk to his mother. He talked only to father and sister. No other person. He was totally shut down. Dad described his son as his “little butterfly”. Mom said her son “broke the glass door” that trapped her son verbally. Typically, effective treatment requires hard and sustained work. Each family has their individual learning curve. This case was exceptional.

“We feel we gave birth to a whole new person”

"Sophie" never talked in school until 4th grade. No one heard her voice besides parents, grand- parents, and sister. Mom said "we would do anything to set her free; nothing worked". Now it's "overwhelmingly positive". This interview highlights the reality that in most cases one to one counseling with a young child with selective mutism is unproductive. Think about it. The child has no initiative (motivation) for healing, and the therapist most often goes into enabling mode when the child is mute in session. (Of course there’s an exception to every rule). The Berent Treatment Method utilizes the leverage of the parents to nurture the child through the complex, insidious, and ingrained avoidance-dependence dynamic.

When considering treatment for social and performance anxiety thoughtful evaluation would say that a model adapted to the specific needs of this specific anxiety is productive rather than trying to fit the condition into rigid restrictive existing models; most noticeably the nonsensical promises and absurd research perpetuated by the CBT community. I want to be very clear. Behavior and cognition are very important variables to consider in treatment but if you miss the emotion-physiological connection you are playing the wrong game. A productive model is going to have several tools. Since 1978 one of the tools that I have integrated into therapy is the utilization of mind states. The objective of this podcast is to introduce you to each state.