Hearing loss affects one’s ability to communicate, which can cause stress, fatigue, social isolation, and, in turn, depression. Along with depression, clients with untreated hearing loss are known to experience anxiety, relationship problems, low self-esteem, and other negative emotions. However, hearing aids have been found to help combat these issues. A study by the National Council on the Aging (NCOA) found that those with untreated hearing loss were more likely to report depression, anxiety, and paranoia, and they were less likely to participate in organized social activities compared to those who wear hearing aids.