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Roughly 4% of school-age children stutter at one time or another. Another observation that supports the genetic hypothesis is the concordance rate observed in monozygotic twins. Families may share similar environmental variables, which may account for the speech disorders. Stuttering tends to run in families, which in itself is not evidence for the genetic hypothesis. A genetic hypothesis was that stuttering may partly be an inherited disorder, at least in some individuals. An early environmental hypothesis was that parents expected the boys to excel in verbal skills and thus put undue pressure on them. More female than male children recover from stuttering. Roughly four males stutter for every female who does. A well-established fact about the prevalence of stuttering is its gender ratio. It can be found in individuals with intellectual disabilities and in those who are gifted. Stuttering can be found in all walks of life. A child may stutter for a few days or weeks, and then the stuttering may suddenly disappear or gradually subside. Stuttering in early childhood fluctuates across time. Stuttering in early childhood fluctuates across him. The prevalence is probably still higher in pre-school children. However, they rarely do, but the effort of these and other adult reactions is an intensified unpleasant feeling that the child associates with his or her own speech problem. Stuttering is more prevalent in school-age children than in the general population. In the United States, roughly 1% of the general population stutters. However, some research suggests that it may be more prevalent in some societies than in others, but it is doubtful that stuttering is unheard of in any society. Stuttering occurs in almost all societies of the world. For example, a young adult client I treated had the greatest difficulty saying "pepperoni", so he never ordered pepperoni pizza, which he loved, but ordered mushroom pizza, which he hated. In the past, if the person has had trouble speaking in that situation, then he or she expects the same trouble to occur in the future in that situation. Consistent stuttering on certain words and in certain speaking situations creates apprehension and anxiety about speaking and speaking situations. Many genetic syndrome are associated with language disorders of varying severity. Some parents may "keep their cool" and not respond, at least for a while. Some parents may "keep their cool" and nor respond, at least for a while. Some may give such suggestions as "take a deep breath and say it" or "think of what you want to say before you say it", believing that such strategies will help the child. Generally, people who stutter tend to avoid strangers, formal audiences, counters where services or products are bought, telephones, restaurants, and self-introdutions or other introductions. People who stutter then eagerly relieved and confirm it. Repeated stuttering on certain words or in certain speaking situations eventually lead to the avoidance of those words and speaking situations.
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