Elective mutism is a rare disease, and still its nosologic disease nature has not been clearly clarified. The authors experienced dramatic improvement in a 15-year-old boy with elective mutism by 6 weeks of fluoxetine treatment. His symtoms started 4 years ago and vivid social phobic symptoms were accompanied in adolescence. From these findings, we noticed the possibility of using fluoxetine generally in elective mutism patient and reviewed the nosologic concept of elective mutism in social phobic aspect.
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