The decision to try adding medicine to a treatment plan for your child with Selective Mutism is often a very agonizing one. No parent ever wakes up and says, “Gee, I’d love to give my young child a psychotropic medication today.” Rather you wrestle with the decision. Do we need it? Will there be side effects? Will it hurt my child in the long run? Will it change their personality? How long will they need to be on it?