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  2. The first signs of muteness may include:

    • Unusual silence that interferes with work or school.
    • Social anxiety.
    • Periods of not speaking that last over a month.
    • Difficulty making eye contact.
    • Other communication difficulties, particularly in people who used to be vocal and suddenly are not.
    abilitycentral.org/article/how-recognize-early-signs-muteness
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