<b>INTRODUCTIONb>Selective mutism (SM) is characterised by limited or a lack of speech in selected social settings. Recent reviews suggest that cognitive-behavioural therapy (CBT) is an effective and promising treatment approach for SM. However, there is still a lack of studies documenting the applicability of CBT for SM in diverse populations. The goal of the present study was to examine the use of a web-based CBT programme ('Meeky Mouse') among Singaporean children diagnosed with SM.

<b>METHODSb>Five children with SM (one boy and four girls aged 6-11 years) participated in the 14-week 'Meeky Mouse' programme, in addition to being prescribed with an unchanged dosage of fluoxetine 10-20 mg daily. The progress made by the children throughout the course of the programme was documented by the therapist.

<b>RESULTSb>Post treatment, four out of the five children demonstrated improvements in the frequency of speech during therapy sessions at home, in school and at other social situations.

<b>CONCLUSIONb>Findings from the present study provide support for the use of a web-based CBT programme in improving speech and decreasing the severity of SM among affected children.

Child ; Cognitive Therapy ; methods ; Female ; Fluoxetine ; therapeutic use ; Humans ; Internet ; Male ; Mutism ; therapy ; Singapore ; Social Environment ; Speech ; Surveys and Questionnaires ; Telemedicine ; methods ; Treatment Outcome ; User-Computer Interface