What is it about?

This report presents the background and rationale for a progressive intervention for treatment of debilitating sound intolerance (hyperacusis). Persons with debilitating hyperacusis characteristically engage in sound avoidance behaviors, including overuse of sound-blocking protective devices and unhealthy avoidance of typical daily sounds. Our intervention, described in companion reports that include a trial of the intervention, transitions affected individuals from counter-productive sound avoidance to enriching sound treatment under safe and controlled conditions that promote resolution and lessening of their hyperacusis problem.

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Why is it important?

The transitional intervention overcomes counter-productive barriers to the use of sound-enriching treatments that have historically been challenging for persons with debilitating hyperacusis to use successfully to overcome their life-altering sound intolerance.


This is the first of 4 companion reports in a collection that also includes detailed descriptions of the counseling protocol and the loudness-suppressing protective sound management and therapeutic sound treatment components of the transitional intervention. These preliminary reports provide the introduction to a successful field trial of the transitional intervention, which is highlighted by dramatically improved sound tolerance for running speech and a return to normal daily sound exposures at treatment end.

Craig Formby

Read the Original

This page is a summary of: Background and Rationale for a Transitional Intervention for Debilitating Hyperacusis, Journal of Speech Language and Hearing Research, May 2024, American Speech-Language-Hearing Association (ASHA),
DOI: 10.1044/2023_jslhr-23-00352.
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