This document provides an overview of an approach to diagnosing communication problems in organizations. It discusses how communication is essential for coordinating activities, sharing knowledge, and preventing mistakes. However, communication often fails due to a lack of clarity in roles and instructions. The document then presents a model for diagnosing communication issues that focuses on addressing the motivational needs of communicators and receivers. It examines how communication can support competence, autonomy, and relationships. Barriers to communication are identified, and examples are given of how communication anxiety manifests in avoidance, withdrawal, and disruption. The document concludes with recommendations for improving communication through preparation, notification, coordination, confirmation and affirmation.