Communication, understanding terms and language

I thought Di Briffa's question about working in Mental Health and Deafness was really interesting and important when she commented and asked in her blog ,

"Some deaf people dont understand what words mean - like anxiety or restless. I try to make words easier to understand by using pictures. What do others do?"

It must be a challenging aspect of her role and even harder, for deaf people to be understood when the communcation of feelings and experiences alone can be difficult to express.

To what extent do you think communication barriers hinder the understanding and acceptance of mental health issues within the Deaf Community and for deaf individuals?

Does this translate to low rates of referral or accessability to mental health or deafness services?