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@aworldinpages

I'm no expert, but what feels wrong to me is the repeat use of "again" to end both sentences. It reads better without.

Also there's a switch of context between introspection about fresh starts and Mia's troubles, so maybe start a new paragraph to separate them?

"Sometimes you don't know how to begin again. How do you make a fresh start?

Mia was struggling and was nowhere close to accepting her misery."