Not everyone with a communication difference thinks of themselves as disabled. That's their choice to make. But whether or not someone uses that label, workplaces still have a responsibility to make communication accessible for everyone.
This year marks the 36th anniversary of the Americans with Disabilities Act (ADA). In honor of that, I’m thinking a lot about what it actually looks like to build a workplace that welcomes people who communicate differently, and why it's good for everyone, not just the people who need the accommodation.
What Do We Mean by "Communication Differences"?
When people hear “communication disorder,” they often picture something narrow, like a stutter or hearing loss. But communication differences show up in a lot of forms, and some are easy to miss if you don't know what you're looking for.
Speech and language differences can include things like aphasia (difficulty producing or understanding language, often after a stroke or brain injury) or dysarthria (slurred or slowed speech caused by muscle weakness).
Hearing differences include hearing loss and auditory processing disorders, where someone can hear sound but has trouble making sense of it, especially in noisy environments.
Neurodivergence is another major piece of this picture, and one that doesn't get talked about enough in workplace conversations. Autism, ADHD, and other forms of neurodivergence can shape communication in ways that are easy to misread. A neurodivergent employee might communicate very directly and be seen as blunt. They might need extra processing time before responding and be seen as disengaged. They might avoid eye contact and be seen as evasive or uninterested. None of that means the person is struggling to do their job. It means their communication style is different from what a supervisor might expect, and that mismatch can quietly strain the relationship on both sides.
This is one of the more overlooked accommodation needs out there. Most employers are prepared to think about a wheelchair ramp or a hearing aid. Far fewer are prepared to think about how someone processes and delivers language, or how to adjust a working relationship so that a supervisor and employee actually understand each other. That gap is exactly why we wanted to include it here.
When your communication differs from what's expected, the world doesn't always adjust for you. Barriers show up at work, in meetings, in one-on-ones with a manager. Over time, that adds up to real isolation. It can also lead to real friction between an employee and their supervisor, not because anyone is doing anything wrong, but because nobody named what was happening or built in a way to work around it. That's exactly why accommodation matters. It isn't a nice-to-have. It's the difference between someone being able to fully participate at work and someone being quietly shut out of it.
Accommodations Worth Knowing About
There's no single fix here, because communication needs vary so much from person to person. Below are some accommodations that can make a real difference, along with who they tend to help.
- Voice amplification devices. For someone who has trouble projecting their voice, a small amplifier can make it much easier to be heard and understood in meetings or on the phone.
- Augmentative and Alternative Communication (AAC) devices (more from the Job Accommodation Network). These are tools, ranging from picture boards to speech-generating apps, that support people with speech, hearing, or cognitive differences. The right device depends entirely on the person using it.
- Closed captioning. Adding captions to meetings, videos, and presentations opens the door for people who are hard of hearing, and honestly helps most people follow along better anyway.
- ASL interpreters. For Deaf individuals whose primary language is American Sign Language, an interpreter isn't just a nice extra. It's how they access the conversation at all.
- Job restructuring (more from the Job Accommodation Network). Working with HR, some roles or workflows can be adjusted, like shifting certain tasks from verbal to written communication, so an employee can do their best work.
- Communication style adjustments for neurodivergent employees. These accommodations look different than most people expect. They might include written follow-ups after verbal meetings, advance notice of topics before a discussion, extra processing time before a response is expected, or simply a supervisor learning not to read a direct communication style as rudeness. These changes are often low-cost and can go a long way toward easing tension in a supervisor-employee relationship.
Asking for What You Need
Most workplaces don't have these accommodations built in from the start. That means employees often have to be the ones to ask for them, and that conversation can feel intimidating, especially if someone hasn't talked about their communication difference at work before. It gets even harder when the need isn't obvious to others, which is often the case with neurodivergence. There's no visible sign that tells a supervisor, “This employee needs something different from me.” That has to be communicated, and most employees don't know how to start that conversation or whether it's even safe to have it.
That's exactly why the ADA exists. But beyond legal compliance, employers should genuinely want their workplaces to work for everyone on the team. The Job Accommodation Network (JAN) offers solid, practical guidance for employees who want to request, and negotiate, accommodations.
How Cleveland Hearing & Speech Center Can Help
CHSC offers services designed to support communication differences at work, from interpreting to hearing aids to speech-language evaluation. Our goal is simple: give people the tools and clarity they need to communicate and engage fully, at work and everywhere else.
Related Services and Resources
- Speech-Language Pathology Evaluations to identify exactly what someone needs and how to ask for it
- Interpreting Services
- Vocational Rehabilitation Services at the Community Center for the Deaf and Hard of Hearing
- Hearing Evaluations to identify what accommodation fits your needs
- Hearing Aids and Other Hearing Services
Source: askjan.org


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