Hyperacusis Rehabilitation

Sound therapy and CBT for decreased sound tolerance

Written by: Saygı Hospital Health Guide Editorial Board

Last updated: June 17, 2026

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our KBB (Kulak Burun Boğaz) department. Book Appointment →

What is Hyperacusis Rehabilitation?

Hyperacusis is decreased sound tolerance where everyday sounds (running water, dishes, traffic) are perceived as painfully loud. It commonly accompanies tinnitus, migraine, autism spectrum disorder, Williams syndrome, and post-acoustic trauma.

Diagnosis combines uncomfortable loudness level testing, hyperacusis questionnaires (Khalfa Hyperacusis Questionnaire), and audiology to exclude hearing loss. Hyperacusis differs from misophonia and phonophobia.

Treatment uses tinnitus retraining therapy with gradual broadband noise desensitization, cognitive behavioral therapy targeting catastrophic thinking, careful avoidance of overprotection, and addressing underlying anxiety. Hearing protection is restricted to truly loud environments.

Symptoms

Pain from everyday sounds

Avoidance of public places

Anxiety and fear of sounds

Concurrent tinnitus

Headache after sound exposure

Risk Factors

Acoustic trauma history

Tinnitus

Migraine

Autism spectrum disorder

Anxiety and PTSD

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

When sound avoidance disrupts daily life
For pain from ordinary sounds
When social isolation develops
When concurrent tinnitus distresses
When ear protection use is excessive

Treatment Methods

Audiologic LDL testing

Tinnitus retraining therapy

Gradual broadband noise desensitization

Cognitive behavioral therapy

Counseling and education

Anxiolytic management when needed

Which Department to Visit?

You can visit our KBB (Kulak Burun Boğaz) department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About KBB (Kulak Burun Boğaz) Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.