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Hyperacusis and My Misophobia

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1.  Fitting hearing aids to a hyperacusis patient might be a good idea because:
  1. Exposure to loud sounds might acclimatize them.
  2. Closed ear molds would attenuate sound and the gain could be used to control the intensity of sound they are exposed to.
  3. They would hear more speech and be happier with their hearing aids.
  4. It would never be a good idea in a patient with hyperacusis.
2.  The common experiences of hyperacusis patients are:
  1. Pain, Fear, Too Loud, Avoidance of situations.
  2. They are concerned about going some places.
  3. They can describe individual sounds that result in their hyperacusis.
  4. All of the above
3.  Many patients with hyperacusis also have tinnitus. It is important to understand:
  1. How long they have had tinnitus.
  2. Whether loud sounds also make their tinnitus worse.
  3. What their tinnitus sounds like.
  4. Which started first, their tinnitus or hyperacusis first.
4.  What is a reasonable strategy to help a person with hyperacusis hear better?
  1. Tell them not to use earplugs.
  2. Tell them to watch the talkers face.
  3. Use earplugs with open ear molds
  4. Use hearing aids, but reduce the maximum output of the aids.
5.  Which strategies are options to help hyperacusis patients:
  1. Understand the individual problems that they face
  2. Share approaches to help with sleep and concentration difficulties if needed
  3. Indicate that their concerns and fears are reasonable
  4. All of the above

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