(Cleveland) — When you watch the “thank you” video made by the three Cleveland women held captive for a decade, it’s hard not to notice their voices.

Instead of sounding like women in their 20s and 30s, Amanda Berry, Gina DeJesus and Michelle Knight speak and sound more like girls in middle school.

 Watch the video released by the women

Cleveland Psychiatrist Dr. Nancy Musarra says that’s not surprising

Musarra says the women were abducted at such a young age that they did not experience the normal social and emotional interactions of being teenagers.

Dr. Musarra says they were not able to develop their identities, establish who they are, or gain a sense of accomplishment.

Therefore, she says, Knight, Berry and DeJesus will have to slowly work themselves back into the “normal world”.

Dr. Musarra believes the trio will be able to go out and socialize and do normal things. But she believes they will want to go out with someone they trust.

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