Funny story. Was talking to the Audiologist before taking my test. He told me he has tinnitus as well. I told him I hear mine when someone talks about it. Otherwise I don't. He said lucky you. Every day I hear a patient talking about it so mine goes on non-stop!
That reminds me of when I was originally diagnosed with hyperacusis.
It was around 2000 and I was working on a fantasy series TV show on an episode featuring gigantic monster lizard. I had created all these rasping and hissing sounds and was playing those for days quite loud, when I started to notice that they became more and more irritating and painful to my ears. And that afterwards this persisted with all sorts of other sounds in the same frequency range including when I was listening to music afterward.
So I went to an audiologist, he tested me out. We discussed it, and he diagnosed me with hyperacusis.
I didn’t know much about it so I started asking will just go away as a permanent. What’s the deal? He said that he had hyperacusis as well. That it doesn’t really go away. He asked me if I had any young kids.
I said yeah at that time a two-year-old.
He had this look of pity and shook his head and said “ sorry to hear it, it’s gonna be rough for you for a while given how loud and piercing kids voices can be…”
He also said I might want to look for a new vocation given I worked in Post Production movie sound.
Needless to say, that was a pretty depressing appointment.
Fortunately, I didn’t have to quit my job andmy hyperacusis turned out to be something that modulated over time. Eventually it got much better and my hearing back to normal not too long after that appointment (months) but it would come and go over the years. Sometimes quite bad sometimes mild. And no matter what I was still having to do long days and nights creating all sorts of sound effects. Never fun having a hyperacusis flareup when you’re doing gun shootouts.
But the other thing about it… and this is supposed to be the same with tinnitus… is that habituation really seems to be a nervous system and mind thing. With both hyperacusis the more you and your nervous system see either the ringing sound or every day sounds in the case of hyperacusis as a threat: the worse your distress and the worse it can get.
That’s why many experts talk about the level of “ tinnitus distress” rather than the tinnitus itself. Just as in pain research some people are put in much more distress than others by the same amount of pain, the amount of stress individuals feel from their tinnitus often isn’t linked to how loud it is.
That’s one reason why some of the top experts in tinnitus seem to emphasize some form of CBT either alone or along with whatever other intervention.
I found out sort of naturally over time that habituation to either my tinnitus or my hyperacusis always happened much faster based on my mental attitude. The natural instinct would be to draw back and seek quiet to protect my ears “ until I feel better” but in fact, it virtually always worked out better when I simply went on with life and immersed myself in my work or anything else.