Mindfulness Based Tinnitus Stress Reduction
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Mindfulness Based Tinnitus Stress Reduction
By Dr. Jennifer Gans
Hyperacusis means that normal sounds—like clinking dishes, traffic, or voices—may feel much too loud or even painful. It is not hearing loss. Instead, it is how the brain reacts to sound. Many people with tinnitus (ringing in the ears) also have hyperacusis.
✓ The brain’s ‘gatekeeper’ (thalamus) lets in too many sound signals.
✓ The hearing part of the brain (auditory cortex) turns the volume up too high.
✓ The stress center (amygdala) reacts with fear and worry.
✓ Stress or trauma can make these reactions stronger.
People with hyperacusis may avoid social events, feel anxious in noisy places, or feel stressed by everyday sounds. This can make daily life harder and sometimes lonely.
✓ Learn the facts: Hyperacusis is not dangerous, even if it feels uncomfortable.
✓ Use gentle background sound (like soft music or nature sounds). Avoid total silence.
✓ Practice relaxation: deep breathing, mindfulness, or calming exercises.
✓ Work with a professional on trauma reactions that may keep your brain stuck in fear.
✓ If anxiety is strong, medication can sometimes help calm the nervous system.
Hyperacusis is real and can be difficult, but it is not a sign of something dangerous. With the right support, education, and calming strategies, your brain can learn to handle sound more normally again.