My nine year old daughter was diagnosed with social anxiety and selective mutism at seven years old. unfortunately, I was unable to keep her in therapy because it was outrageously expensive, even with insurance. After having a conference with her teacher the other day, I was made aware of just how it is affecting her academically. She's in fourth grade now. I'm working on getting her into a clinic that is income based but it could take a month or more. She is one of the brighter kids in her class, but I'm afraid she will get lost in the system as she moves into the upper grades. I live in a very small rural area, so mental health care is hard to find, and at least a 30 minute drive away. I need advice from experienced moms, I want to know what to expect and what I can do now before she starts therapy to get her warmed up for it.