Some people have especially sensitive hearing and are unable to tolerate ordinary levels of noise. This can occur in both people who have a hearing loss as well as those who don't.
There are different components which can contribute to sensitive hearing such as hyperacusis, misophonia and phonophobia. In treating these, it is important to diagnose which is present and, if a person is experiencing more than one, which is dominant.
What is hyperacusis?
Hyperacusis is the term used to describe the abnormal discomfort of everyday sounds that some people experience. It is due to an alteration in the central processing of sound in the auditory pathways where there is an abnormally strong reaction from exposure to moderate sound levels.
People affected by hyperacusis have increased sensitivity to certain everyday sounds and are unable to tolerate ordinary levels of noise. Hyperacusis can affect both those who have a hearing loss and those who don’t. People with vestibular conditions may also be affected. Hyperacusis can have a big impact on daily activities.
What is misophonia?
Misophonia is the intense dislike of being exposed to a certain sound. A person's auditory pathways may be functioning normally, but there is an abnormally strong reaction of the limbic (emotional system) and autonomic nervous system (body control system) to which the auditory system is connected.
Sounds which may affect someone with misophonia can include: eating/chewing, swallowing, rustling papers or repetitive sounds like tapping on a keyboard. The sounds may seem quiet to other people, but for someone experiencing misophonia, the sounds may cause a strong emotional reaction, such as anger or anxiety.
What is phonophobia?
Phonophobia (fear of sound) is a strong dislike of certain sounds. Often normal environmental sounds like traffic, kitchen sounds, doors closing, or even loud speech, cannot be tolerated. The sound does not have to be loud to be problematic.
Where can I get further information and support?
- Please contact us for more information - email us: info@meandve.org.uk or give us a ring: 01306 876883 to chat with a member of our team
- See your GP for advice if you have any question or concerns about your symptoms. They may refer to a specialist if neccessary.
- Join us at one of our online Vestibular Insights webinars
- Read more about hyperacusis and sound sensitivity, including information about treatment, on the NHS website (external link)
- Become a member to receive regular information, resources and updates
- Donate to support our work and help us continue supporting people with vestibular conditions
Please note, Ménière's & Vestibular UK can provide general information, but is unable to provide specific medical advice. You should always check with your medical professional for information and advice relating to your symptoms/condition. You should consult your GP, consultant or therapist for professional guidance before you begin, change, temporarily suspend or discontinue any treatment/procedure, medication, exercise or diet. Ménière's & Vestibular UK cannot advise on individual cases nor accept any liability resulting from the use of any treatments/procedures referred to on this website.