Actualidad y consejos sobre salud auditiva / News and tips on hearing health

What is hyperacusis? Symptoms and treatment

Hyperacusis is a condition characterized by heightened sensitivity to everyday sounds. People with this hearing disorder are unable to tolerate noises that do not bother others. In this article, we describe the symptoms of hyperacusis and how it is treated.

Hyperacusis: an intolerance to noise

Patients suffering from hyperacusis experience discomfort when exposed to certain sounds, and the nature of their reaction depends on the physical characteristics (i.e. the spectrum and intensity) of each noise.

This reduced tolerance can also cause them stress and physical pain. Unlike phonofobia (also known as ligyrophobia), which is an anxiety disorder, hyperacusis is a condition that originates in the ear canal.

People with hyperacusis have an intolerance to sound

In 60% of cases, hyperacusis is accompanied by tinnitus, although Spanish online magazine Gaceta Audio states that only 1.5% of the general population has decreased tolerance to everyday sounds for which they require medical treatment.

Most common symptoms of hyperacusis

People with hyperacusis have decreased tolerance to sounds of over 90 dB, whereas someone with normal hearing is comfortable with sounds of up to 120 dB. This hypersensitivity to everyday noises can a have a huge impact on a patient’s life, and even the sound of fabric rubbing together can cause them discomfort or even pain.

The sound of rubbing against different objects such as a cloth can cause pain or discomfort for people with hyperacusis

In cochlear hyperacusis, the most common form of this hearing disorder, people not only have an intolerance to noise but can also suffer ear pain, panic attacks, emotional distress and crying spells, tinnitus and a feeling of fullness in the ear canal. These symptoms can lead to elevated levels of stress and anxiety, as patients become fearful of hearing the noises that trigger these episodes.

The causes of hyperacusis

Research on the causes of hyperacusis is ongoing, and it is linked to a dysfunction of the auditory nervous system. Some of the most frequent causes of this disorder are:

  • Prolonged exposure to excessively loud noise
  • Exposure to sudden blasts of high-decibel sounds, such as a gunshot
  • Ménière’s disease
  • Temporomandibular joint disorder (TMJ), which affects the jaw
  • Damage or scarring after ear surgery
  • Migraine
  • Depression
  • Brain injuries
  • Williams Syndrome
  • Chronic ear infection
  • Tinnitus

People with hyperacusis may or may not suffer hearing loss, as it bears no relation to an individual’s hearing threshold.

Treating hyperacusis

Once the patient has been diagnosed with hyperacusis, the medical specialist will recommend treatment to help reduce the impact of sound sensitivity on their life. Sound therapy is the most successful course of treatment and aims to retrain the auditory nerve to become desensitized to the everyday sounds that are so unbearable. The patient will gradually become re-accustomed to normal levels of sound through exposure to white noise, which is used at a louder volume in each therapy session. The length of treatment varies from person to person.

Sound therapy to re-educate the auditory nerve - hyperacusis

Do you know anyone who suffers from hyperacusis? Feel free to tell us all about it. Leave a comment below!


  1. تمريض منزلي

    I found this article very interesting about s hyperacusis, it has all info i want to know, thanks for sharing this info

    • Piedad Díez

      Thank you for your comment. Best regards.

  2. Di

    Greetings — Thank you for this article. I found it very interesting. Since moving to Spain a few years ago, I have become ultra sensitive to sounds. Or, perhaps Spain is just a lot more noisy than where I lived before. I want to know if I have hyperacusis, and understand the connection between it and depression/anxiety. Does hyperacusis cause depression/anxiety, or the other way around? Thank you.

  3. Sara Babaie

    Sound therapy did nothing for me except agitate me further

    • Kiversal

      Thanks for sharing your experience with us, Sara. We are sorry sound therapy didn’t work for you and instead made you feel more agitated. Consider exploring other therapeutic options or discussing your experience with a healthcare professional for alternatives.

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