
Sometimes a great idea starts off well and then evolves into something else!
This blog post started as a post for Neurodiversity Awareness Week 2026 but there was too much to say. So here is an impromptu extra little treat for you all!
As OTs we are passionate about supporting people with every day activities and ensuring everyone can live their life to the full. One small (but big) thing we do every day is communicate. For those who do not struggle with this, it can be taken for granted.
For some people with autism, and possibly other neurodiversities too (we would love to know!), they can struggle with selective mutism. This means that, despite being able to speak fluently usually, in certain places and situations they find themselves unable to speak or to answer. Selective mutism can also occur as a consequence of sensory overwhelm or high emotions. Often, bystanders, family or friends try to help the overwhelmed person by asking questions or trying to bring reassurance by talking to them. Sometimes, this can cause additional stress and turn out to be unhelpful.
This quick blog post aims to help those who struggle with speaking in times of stress or overwhelm. If this affects you, or someone close to you, please read on before downloading the resource.
How to use these communication cards
Each communication card serves a purpose. It would be valuable to create more than one. Think about what situations you might find yourself struggling to speak and what it is you would be trying to communicate.
If you are unsure, use the following questions:
- What do you need in this situation?
- What would you say if you were able to speak?
- How can someone else help?
- Do you need to leave the situation or do you need some time and space before being able to return?
- Do you need help getting home/ to a safe place?
It would be useful to keep a digital copy of your communication cards on your phone. Or you can print them on paper and laminate them so they last longer in your pocket or bag. Just make sure they are somewhere you can access them to make those difficult situations that little bit more manageable.

If you need any help creating communication cards, or want to discuss other communication issues, do not hesitate to contact Marjolein for more help here.










