Mental Illnesses
Barriers to communication
Conversation starters
Social cues
Assertive communication
100

This mental illness often makes socialization difficult by causing isolation, reduced motivation, amplified self‑doubt, and thoughts like ‘I’m a burden.’ Social interactions may feel exhausting or pointless — often linked to chemical imbalances or stressful life events

What is depression?

100

This barrier happens when strong emotions like stress, anger, or sadness make it hard to listen carefully or express yourself clearly in social situations.

What is a psychological barrier?

100

This is an example of a conversation starter you can ask about the weather....

·The weather was gorgeous this weekend, what did you do?

·Do you remember the last time we got this much snow?

·It's been so hot lately, how do you stay cool?

100

This nonverbal cue shows emotions like happiness, sadness, or anger through changes in the face. Smiles, frowns, raised eyebrows, or tears can all signal how someone is feeling, even if they don’t say it out loud.

What are facial expressions?

100

This assertive communication skill involves stating your needs and feelings directly, without being aggressive or passive. It helps others understand you clearly while respecting their perspective.

What is expressing yourself clearly?

200

This disorder can affect socialization by creating unpredictable shifts in mood and energy. During manic phases, someone may be overly talkative, impulsive, or socially intrusive, while depressive phases may cause withdrawal and isolation. These cycles are often connected to biological mood regulation differences.

What is bipolar disorder?

200

This barrier arises when differences in language, values, or social norms make it hard to understand each other, such as when gestures mean different things across cultures

What is a cultural barrier?

200

This is an example of a conversation starter you can ask about the weekend...

For the later part of the week, you can ask people about their weekend plans.

·Do you have anything fun planned for the weekend?

·Are you going anywhere this weekend?


For the first part of the week, you can ask people about how their weekend went.

·Did you have a good weekend?

·Did you see any movies this weekend?

200

This social cue signals attention and interest when someone looks at you while speaking. Too little of it may seem like disinterest, while too much can feel intimidating or uncomfortable

What is eye contact?

200

This technique reduces blame by focusing on your own feelings and experiences. Instead of saying ‘You never listen,’ you might say ‘I feel unheard when I’m interrupted.

What are ‘I’ statements?

300

This group of disorders causes a fear of being judged or rejected often causes avoidance, and it can lead to overthinking conversations or dread around group settings. These difficulties are often fueled by heightened sensitivity in the nervous system or past negative social experiences.

What are anxiety disorders?

300

This barrier occurs when external conditions like loud noise, poor acoustics, or physical distance make it difficult to hear or focus on the message

What is a physical barrier?

300

This is an example of a conversation starter you could have about someone's appearance...

Nice new hair cut

I like your shoes

That color shirt looks great on you!

300

This cue changes the meaning of words depending on how they are spoken. A friendly tone can make a simple phrase sound warm, while sarcasm or anger can make the same words feel negative

What is tone of voice?

300

This assertive communication skill allows you to decline requests without guilt. For example, saying ‘I appreciate you asking, but I can’t help right now’ shows respect for yourself and the other person.

What is saying no politely?

400

This disorder can make socialization difficult because heightened vigilance in social settings may cause people to feel unsafe or triggered by crowds, noise, or unexpected touch. Trusting others can be very difficult, even when it’s desired — often linked to past traumatic experiences.

What is PTSD or a trauma‑related disorder?

400

This barrier arises when limited access to technology, poor internet connection, or lack of assistive devices prevents clear communication

What is a physical barrier?

400

This is an example of a conversation starter you can have about sports...

How about them yankees?

·Do you play any sports?

·Did you see the Savanah bananas play last weekend?

·What's your favorite sports team?

·What do you do to stay in shape?

400

This cue involves the physical distance between people. Standing too close may feel intrusive, while standing too far away may seem distant or uninterested. Respecting this invisible boundary helps communication feel safe

What is personal space?

400

This aspect of assertive communication means setting limits in a kind but firm way. For example, saying ‘I can’t take on extra work right now’ protects your energy while maintaining respect

What is setting boundaries?

500

This group of disorders can make socialization difficult due to symptoms like hallucinations, delusions, or disorganized thinking. Conversations may feel confusing or overwhelming, and trust can be hard to build. These challenges are often linked to disruptions in brain chemistry and perception

What is schizophrenia or another psychotic disorder?

500

This barrier occurs when someone’s own anxiety, low self‑esteem, or fear of rejection prevents them from speaking up, even when they want to connect

What is a psychological barrier?

500

This is an example of a conversation starter you can ask about entertainment (movies, books, tv, music...)

·What was the last book that you read?

·What is your favorite movie that you saw this year?

·What is your favorite type of music?

·What TV shows are you currently watching?

500

This broad category of cues includes posture, gestures, and movement. Crossing arms may signal defensiveness, leaning forward can show interest, and fidgeting may reveal nervousness.

What is body language?

500

This assertive communication skill involves giving full attention, nodding, and summarizing what the other person said. It shows respect and makes dialogue more balanced.

What is active listening?