Tinnitus & Sound Sensitivity (Hyperacusis)

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Tinnitus is the perception of sound without an external source. It is commonly described as ringing, buzzing, humming, or hissing in the ears or head. The sound may vary in pitch and loudness, and can be constant or intermittent. Tinnitus may affect one ear, both ears, or seem to come from inside the head. 

Tinnitus is a common symptom rather than a disease itself. It is often associated with hearing loss or previous noise exposure. In some cases, it may be related to other ear or medical conditions, such as ear infections, balance disorders, excessive ear wax, or jaw (TMJ) problems. Certain medications may also trigger or worsen tinnitus as a side effect. 

People experience tinnitus differently. For some, it becomes less noticeable over time, while for others it can be distressing and affect concentration, sleep, emotional wellbeing, and quality of life. 

A sound level meter measures how strong a sound is, providing an objective measurement in decibels (dB). However, how loud a sound feels to us is not determined solely by this measurement. 

When sound enters the ear, it is converted into nerve signals that travel to the brain. There, the signals are processed by a complex network of auditory pathways before we consciously perceive sound. This processing influences how loud a sound is perceived. 

Hyperacusis is a condition in which the brain becomes unusually sensitive to sound. As a result, everyday sounds that are comfortable for most people may seem excessively loud, uncomfortable, or even painful. 

The reduced tolerance to sound can have a significant impact on daily life, affecting work, social activities, concentration, and emotional wellbeing. Many people with hyperacusis also experience tinnitus, although the two conditions can occur independently. 

Everyone experiences tinnitus and sound sensitivity differently. Our assessment explores the possible contributing factors, the onset and progression of your symptoms, their impact on your daily life, and any associated hearing, balance or other ear-related concerns. A comprehensive hearing assessment is performed, and additional questionnaires or measures may be used to better understand how tinnitus or sound sensitivity is affecting you. 

Management is informed by the well-established neurophysiological model of tinnitus and sound sensitivity. Counselling focuses on promoting a better understanding of your condition and addressing common misconceptions, while providing practical strategies to help you manage your symptoms in everyday life. Management may also include structured sound therapy and follow-up appointments where appropriate. If your assessment suggests an underlying medical condition, we will recommend further medical assessment or referral.