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The development of stuttering commonly occurs before puberty, between two and five years of age. The technical term is persistent developmental stuttering (PDS). There is also acquired or neurogenic stuttering, which occurs after brain damage. The neurogenic sufferer may have had a stroke or head trauma before acquiring a stutter. PDS is usually most noticeable at the beginning of a phrase, word or complex sentence. Associated with this is the anxiety the sufferer feels, which tends to elevate the problem. However, at repeated readings of the same material, the frequency of stuttering tends to decline due to adaptation and consistency. PDS is a very common disorder. Around 1% of the population suffer from the complaint, including an estimated three million people in the United States and a total of 55 million worldwide. There is no difference based on social class, and stuttering can severely hinder communication to cause very serious social problems for the individual. Stuttering may be an inherited problem passed on from generation to generation. The recovery rates for a PDS sufferer are about 80%, and the recovery rate is considerably more frequent in girls than in boys. It is not clear to what extent recovery depends on the efforts of the patient as opposed to the help of speech
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