MANAGEMENT AND TREATMENT
How is hyperacusis treated?
There isn’t a standard treatment for hyperacusis. Instead, treatments usually involve reducing physical symptoms and teaching coping strategies to handle the mental stress of hyperacusis. Treatments include:
Sound therapy: The goal is to gradually (and safely) expose you to progressively louder sounds until the sound experience becomes more manageable. First, you hear sounds that are at a comfortable low-intensity level. Gradually, the volume increases so you get used to louder sounds over a few weeks.
Cognitive behavioral therapy (CBT): CBT teaches how to deal with the stress and negative feelings associated with loud sounds. It reduces the fear and anxiety associated with hyperacusis. Studies have shown that CBT increases loudness discomfort levels (LDL) in people with hyperacusis.
Tinnitus retraining therapy (TRT): TRT is usually a tinnitus treatment, but it can also treat hyperacusis. TRT includes educating people about their condition and providing counseling and sound therapy. With TRT, you listen to calming sound frequencies called “pink noise” through special headphones. Pink noise is similar to the sound of rain or wind. Pink noise creates a calming, predictable sound environment so that noises you might otherwise experience as jarring aren’t as unpleasant.
Surgery: Your healthcare provider may perform a round and oval window reinforcement to address hyperacusis associated with facial nerve paralysis. The surgery uses tissue behind your ear to support the bones in your inner ear (ossicles) that help regulate sound intensity. This surgery improves LDL.
Can hyperacusis be cured?
There isn’t a cure for hyperacusis, but depending on what’s causing it, your symptoms may improve in time. For example, hyperacusis following surgery may go away once you heal from the procedure. People with Ménière’s disease may notice an improvement if the disease goes into remission.
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