As the school year kicks off, many children are navigating new routines, relationships, and expectations. While most adjust with time and support, others may be quietly struggling—often in ways that don’t match the traditional “red flag” behaviors we’re trained to spot. Early detection of mental health issues in children can make a critical difference, and sometimes, the signs are more subtle than we think. Here’s what to watch for—and what to do when something doesn’t feel quite right.

In clinical and educational settings, it’s increasingly common to encounter children with complex communication profiles. Among these, Selective Mutism (SM) and Autism Spectrum Disorder (ASD) are two diagnoses that may co-occur—or be easily confused. While SM and ASD are distinct conditions, emerging evidence suggests a notable degree of overlap, both in behavioral presentation and in the supports that can help children thrive. Here are several key takeaways for professionals: