Question

A 9-year-old boy is brought to the clinic by his parents because of his declining school performance over the past 6 months. The patient's teacher informed them that he refuses to talk in class and only uses gestures. His grades are declining because he does not work with other students in group projects or take part in oral presentations. However, he usually does well on written assignments and tests. His father says he is quite talkative at home and speaks clearly and fluently. The child is enrolled in cognitive behavioral therapy. Which of the following medications would be a first choice if a medication is needed to better manage his condition?

A. Clomipramine
B. Buspirone
C. Fluoxetine
D. Guanfacine
E. Clonazepam

Answer 1

The first choice medication for managing the 9-year-old boy's condition of selective mutism is fluoxetine (Prozac), a selective serotonin reuptake inhibitor (SSRI). SSRIs help reduce anxiety and improve communication skills.

Step-by-step explanation:

The 9-year-old boy's symptoms, including refusing to talk in class and only using gestures, indicate a possible selective mutism, which is an anxiety disorder. The first choice medication for managing selective mutism is usually fluoxetine (Prozac), a selective serotonin reuptake inhibitor (SSRI). SSRIs like fluoxetine increase the levels of serotonin in the central nervous system, helping to reduce anxiety and improve communication skills.