Emotional issues - Being shy, Cultural issues - Gestures meaning different things in different countries, English as an Additional Language - Somebody who was born in Poland might have this, Sensory Impairment - Having hearing or sight loss, Speech and Language Difficulties - A stroke or motor neurone disease might cause difficulties this, Psychological issues - Being depressed or having dementia, Social barrier - Someone from a working class family might experience this speaking to royalty, Environmental barriers - Pulling curtains round to speak to a client on a busy ward can still be this,

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