1. Be clear

– Allow patients to ask questions

– As they are not fluent in english, try your best to communicate with the patient themselves using simple gestures, watching body language, and/or using translation services  

2. Listen

– Ask about the patient’s concerns

– Paraphrase what they tell you

– Go back and forth and pay attention to how they speak to you. 

– Because there is a language barrier, it is really important to pay attention to their body language while listening. 

3. Consider culture

– Important to consider there may be customs in their culture that differ from your own so it is important to discuss any potential differences and ask for informed consent at the beginning of treatment but also continually throughout the session. 

4. Confirm understanding

– What is your patient anticipating, discuss goals, and ensure mutual understanding

5. Watch your body language

– Try to keep your body open and always face the patient

– Get to their level when speaking to them.