Just like the spoken word, you can make sign language more meaningful by altering your moves to create something more touching or, the opposite, distressing. On this podcast we speak to Paula Garfield from Deafinitely Theatre which has recently adapted a hard-hitting play about mental health to include a strong emotionally coded visual language that all audiences can understand. 4.48 Psychosis, by playwright Sarah Kane, is at the New Diorama Theatre in London until October 13. Presented by Damon Rose Scroll down to Related Links for a transcript Subscribe to Ouch as a podcast Email ouch@bbc.co.uk, tweet @bbcouch or find us on Facebook