Situational Mutism is frequently misunderstood and under-recognised in autistic girls, where anxiety-based communication shutdown is often masked by social camouflage, compliance, or internalising distress. This presentation explores Situational Mutism through a neurodiversity-affirming and autism-informed lens, highlighting why autistic girls are at particular risk of being mislabelled as “selectively non-compliant,” oppositional, or simply shy.

Drawing on clinical work within Child and Adolescent Mental Health Services (CAMHS), this session will provide a clear, practical framework for understanding the interaction between autism, anxiety, sensory load, demand avoidance, and trauma responses in the development and maintenance of Situational Mutism. The presentation will focus on three core takeaways: (1) recognising subtle presentations of mutism in autistic girls across school and clinical settings; (2) differentiating Situational Mutism from oppositional behaviour, language disorder, and trauma-related shutdown; and (3) implementing compassionate, evidence-informed supports that prioritise safety, autonomy, and relational trust.

Practical strategies will be shared for clinicians, educators, and allied professionals, including assessment considerations, therapy adaptations, school-based supports, and parent coaching approaches that reduce pressure to speak while promoting communication confidence over time. Case examples will illustrate how affirming approaches can shift outcomes for highly anxious, misunderstood girls.

This presentation does not focus on Indigenous communities; however, it is grounded in principles of relational care, cultural humility, and collaborative practice. Delegates will leave with concrete tools to support autistic girls with Situational Mutism in ways that honour neurodiversity, reduce harm, and strengthen each child’s circle of care.