Hyperacusis and Misophonia

Helping children and adults hear more easily.

Decreased Sound Tolerance Disorders

Hyperacusis is an over sensitivity to sound that has perceptual, psychological, and social dimensions. Hyperacusis can be related to the loudness of the sound and/or to emotional reaction (annoyance or fear) to sound. There is a growing awareness that children, as well as adults, experience symptoms of hyperacusis or misophonia, which are real and are experienced by almost 9% of the population.

Evidence gathered over the past two decades suggest hyperacusis may be related to increased gain in the central auditory pathway and to increased anxiety or emotional response to loud sounds. Not everyone with hyperacusis needs treatment from a professional. However, there are many people who have benefited from seeing a hyperacusis specialist, most of whom work in audiology departments that specialize in hyperacusis.


Various counseling and sound therapy approaches have proven to be successful in treating hyperacusis. If you think you may be experiencing hyperacusis or misophonia, please contact us to schedule a consultation.

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Not everyone with hyperacusis needs treatment from a professional. However there are many people who have benefited from seeing a hyperacusis specialist most of whom work in Audiology departments that specialize in hyperacusis. Various counselling and sound therapy approaches have proven to be successful in treating hyperacusis. Interested in hearing more? Read a recent NPR interview on misophonia by two of Dr. Danesh’s colleagues, Dr. Jaffe and Dr. Johnson.



Are you experiencing hyperacusis or misophonia? Please contact us to schedule a consultation.

Recent Tinnitus & Hyperacusis Articles written by Dr. Danesh and collegues

  1. Aazh H, Hayes C, Moore BCJ, Danesh AA, Vitoratou S. (2022).Psychometric Evaluation of the Hyperacusis Impact Questionnaire (HIQ) and Sound Sensitivity Symptoms Questionnaire (SSSQ) Using a Clinical Population of Adult Patients with Tinnitus Alone or Combined with Hyperacusis. J Am Acad Audiol. 2022 Feb 23. doi: 10.1055/a-1780-4002. Epub ahead of print. PMID: 35196727.https://pubmed.ncbi.nlm.nih.gov/35196727/

  2. Danesh AA, Howery S, Aazh H, Kaf W, Eshraghi AA (2021).Hyperacusis in Autism Spectrum Disorders. Audiology Research, 11(4):547-556.https://doi.org/10.3390/audiolres11040049

  3. Aazh H, Danesh AA, Moore BCJ (2021).Self-reported Tinnitus Severity Prior to and During the COVID-19 Lockdown in the UK. J Am Acad Audiol. 2021 Oct;32(9):562-566. doi: 10.1055/s-0041-1731733. Epub 2022 Feb 17. https://pubmed.ncbi.nlm.nih.gov/35176799/

  4. Aazh H, Danesh AA (2021).ONLINE FEATURE | Trilogy of Papers: Audiologist-Delivered Cognitive Behavioral Therapy for Tinnitus and Hyperacusis. Audiology Today, March-April Online Issue, https://www.audiology.org/audiology-today-marchapril-2021/online-feature-trilogy-papers-audiologist-delivered-cognitive

  5. Aazh, H & Danesh, AA (2020).Internet-based Cognitive Behavioral Therapy for Tinnitus: Insights from Health Care Professionals. The Hearing Journal. First published online Wednesday, December 30, 2020 Internet-based Cognitive Behavioral Therapy for Tinnitus: In… : The Hearing Journal (lww.com)

  6. Aazh H, Danesh AA, Moore BCJ.Internal Consistency and Convergent Validity of the Inventory of Hyperacusis Symptoms. Ear Hear. 2020 Nov 30. doi: 10.1097/AUD.0000000000000982. Epub ahead of print. PMID: 33259445.

  7. Aazh, H & Danesh, AA (2020).Tinnitus and Insomnia, The Hearing Journal: June 2020 – Volume 73 – Issue 6 – p 14,15. https://journals.lww.com/thehearingjournal/Fulltext/2020/06000/Tinnitus_and_Insomnia__Management_via.5.aspx

  8. Danesh, AA & Aazh, H (2020).Misophonia: A Neurologic, Psychologic, and Audiologic Complex. The Hearing Journal. Vol 73, pp20-23. https://journals.lww.com/thehearingjournal/Fulltext/2020/03000/Misophonia__A_Neurologic,_Psychologic,_and.5.aspx

  9. Aazh, H., Landgrebe, M., Danesh, AA & Moore, BCJ.Cognitive Behavioral Therapy For Alleviating The Distress Caused By Tinnitus, Hyperacusis And Misophonia: Current Perspectives. Psychol Res Behav Manag. 2019 Oct 23;12:991-1002https://www.ncbi.nlm.nih.gov/pubmed/31749641

  10. Danesh, AA (2019).Incorporating Tinnitus Management Services into your Audiology Practice. The Hearing Journal. Vol 72, pp22-23.

  11. Aazh, H., Landgrebe, M & Danesh, AA. (2019).Parental mental illness in childhood as a risk factor for suicidal and self-harm ideations in adults seeking help for tinnitus and/or hyperacusis. Am J Aud. https://pubs.asha.org/doi/10.1044/2019_AJA-18-0059;https://www.ncbi.nlm.nih.gov/pubmed/31184510

  12. Porcaro, C.K., Alavi, E., Gollery, T., & Danesh, A.A. (2019).Misophonia: Awareness and Responsiveness Among Academics. Journal of Postsecondary Education and Disability, 108-118, 32 (2). https://www.ahead.org/professional-resources/publications/jped

  13. Aazh, H., Langguth, B. & Danesh, AA (2018).Parental separation and parental mental health in childhood and tinnitus and hyperacusis disability in adulthood: a retrospective exploratory analysis. Int J of Aud. 2018 Oct 1:1-6. doi: 10.1080/14992027.2018.1514470. https://www.ncbi.nlm.nih.gov/pubmed/30272507

  14. Aazh, H., Danesh, AA & Moore, BCJ (2018).Parental mental health in childhood as a risk factor for anxiety and depression among people seeking help for tinnitus and hyperacusis. J of Am Acad Aud. https://www.ncbi.nlm.nih.gov/pubmed/30446035

  15. Aazh H, Knipper M, Danesh AA, Cavanna AE, Andersson L, Paulin J, Schecklmann M, Heinonen-Guzejev M, & Moore BCJ (2018).Insights from the Third International Conference on Hyperacusis: Causes, Evaluation, Diagnosis, and Treatment. Noise Health. 2018 Jul-Aug ;20(95):162-170. http://www.noiseandhealth.org/article.asp?issn=1463-1741;year=2018;volume=20;issue=95;spage=162;epage=170;aulast=Aazh;type=0

  16. Ocak, M, Eshraghi, R, Danesh, AA, Mittal, R & Eshraghi E (2018).Central Auditory Processing Disorders in Individuals with Autism Spectrum Disorders. Balkan Medical Journal, June 2018. https://www.researchgate.net/publication/326028400_Central_Auditory_Processing_Disorders_in_Individuals_with_Autism_Spectrum_Disorders?ev=project

  17. Danesh, AA, Shahnaz, N, & Hall, JW (2018).The Audiology of Otosclerosis. Otolaryngol Clin North Am. 2018 Apr; 51(2):327-342. https://pubmed.ncbi.nlm.nih.gov/29397946-the-audiology-of-otosclerosis/?from_term=Danesh+tinnitus&from_pos=1 https://www.ncbi.nlm.nih.gov/pubmed/29397946

  18. Danesh, AA (2019).Hyperacusis and its Management. https://www.floridaaudiology.org/wp-content/uploads/2018/09/Danesh_Hyperacusis_2018.pdf

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