The holidays can be an especially difficult time for the millions of Americans living with hearing loss. Dr. Cindy Beyer offers suggestions for dealing with the “invisible handicap” which can easily be intensified at holiday gatherings with families and friends, when many of those with hearing impairment may find conversations both difficult and isolating.

Hearing loss is often labeled ‘the invisible handicap’ because there are no outward signs of a handicap or limitations. As a result, we are unlikely to be aware that accommodations may be needed to avoid a breakdown in communication.

Today’s digital hearing aids are smaller, smarter and more comfortable than ever before. A great gift during the holiday season is to encourage a loved one or a friend with untreated hearing loss to consider the impact it could have on their lives.

Dr. Cindy Beyer, senior vice president of HearUSA, one of America’s largest hearing care and hearing aids companies, said studies have linked hearing loss to stress, frustration, and social isolation.

Here are some suggestions from Dr. Beyer for making holiday meals and celebrations more comfortable and enjoyable for those with hearing impairment and for the people around them.

* Speak clearly and distinctly, but not too fast. Never shout.
* If you’re asked to repeat something, do so without raising your voice and appearing annoyed.
* If your comment or question is still not being understood after repetition, reword it. Some words are easier to understand than others.
* In a group situation, be sure that the person is included in the conversation. If not, bring him or her back in.
* When speaking, look directly at the person and try not to be more than five feet apart.
* Your facial expressions and gestures and your overall body language are important aids in communicating, so try to be sure that you have the listener’s attention and that the room is well lit.
* Conversation is greatly enhanced when there is no distracting background noise from a radio or television.
* Dining out? Choose a quiet restaurant. Noisy conversations and the clatter of dishes and tableware in a crowded dining area are barriers to effective communication.
* Ask if there is anything you can do to make communication easier. For example, conversation will be much easier to understand in a room with carpeting and well-upholstered furniture than in a room with tiled floors, high ceilings or wooden furniture.

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