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Introduction

Selective mutism is a rare and complex childhood disorder characterized by a consistent failure to speak in specific social situations, despite the ability to speak in other settings. Bilingual children with selective mutism face additional challenges due to the need to navigate between two languages and cultures. Understanding the underlying neurobiological mechanisms of selective mutism in bilingual children is crucial for developing effective interventions and support strategies.

This thesis explores the dynamics of neurotransmitters in the context of selective mutism in bilingual children. Specifically, it examines the role of neurotransmitters in the development and maintenance of selective mutism, as well as their potential as targets for therapeutic interventions. By gaining insight into the neurobiological underpinnings of selective mutism, this study aims to contribute to a better understanding of the disorder and inform clinical practice.

Chapter 1: Introduction
1.1 Introduction
1.2 Background of study
1.3 Problem Statement
1.4 Objective of study
1.5 Limitation of study
1.6 Scope of study
1.7 Significance of study
1.8 Structure of the Thesis
1.9 Definition of terms

Chapter 2: Literature Review
2.1 Overview of selective mutism
2.2 Neurotransmitter systems in the brain
2.3 Neurotransmitter abnormalities in psychiatric disorders
2.4 Selective mutism in bilingual children
2.5 The role of neurotransmitters in language development
2.6 Neurobiological markers of selective mutism
2.7 Treatment approaches for selective mutism
2.8 Challenges in diagnosing and treating selective mutism
2.9 Cultural and linguistic factors in selective mutism
2.10 Gaps in the current literature

Chapter 3: Research Methodology
3.1 Research design
3.2 Participants
3.3 Data collection methods
3.4 Neurotransmitter analysis
3.5 Statistical analysis
3.6 Ethical considerations
3.7 Validity and reliability
3.8 Research limitations

Chapter 4: Discussion of Findings
4.1 Neurotransmitter abnormalities in bilingual children with selective mutism
4.2 Correlation between neurotransmitter levels and symptom severity
4.3 Implications for treatment and intervention
4.4 Future directions for research
4.5 Comparison with existing literature
4.6 Strengths and limitations of the study

Chapter 5: Conclusion and Summary
5.1 Summary of findings
5.2 Implications for clinical practice
5.3 Contributions to the field
5.4 Recommendations for future research
5.5 Concluding remarks

Thesis Overview:

Neurotransmitter dynamics play a crucial role in the development and manifestation of selective mutism, especially in bilingual children. This thesis aims to investigate the neurobiological mechanisms underlying selective mutism in bilingual children, focusing on the role of neurotransmitters in the disorder. The study will involve a comprehensive review of the existing literature on selective mutism, neurobiological markers, and treatment approaches. Data will be collected from bilingual children with selective mutism to analyze neurotransmitter levels and correlate them with symptom severity. The findings of the study are expected to provide valuable insights into the neurobiological underpinnings of selective mutism in bilingual children and inform clinical practice.

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