Semin Hear 2014; 35(02): 121-130
DOI: 10.1055/s-0034-1372528
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Tinnitus, Hyperacusis, and Misophonia Toolbox

Jill B. Meltzer
1  North Shore Audio-Vestibular Lab, Highland Park, Illinois
Melanie Herzfeld
2  Hearing and Tinnitus Center, Woodbury, New York
› Author Affiliations
Further Information

Publication History

Publication Date:
29 April 2014 (online)


The management of tinnitus, hyperacusis, and misophonia can be a challenge to the audiologist, physician, and psychologist, as well as the patient and their family. Assisting the patient in identifying cognitive distortions or misperceptions can aid in the transition from one who suffers from these conditions to one who is able to manage them. Although there is no cure, it is inappropriate to tell patients that nothing can be done. The audiologist can help the patient learn techniques to lower the emotional impact of tinnitus. For those with an interest in tinnitus and sound sensitivity management, many tools are available. Most importantly, knowing when to refer is paramount. Compiling a referral list of medical and allied health providers, as well as audiologists who specialize in tinnitus, hyperacusis, and misophonia management, is in the best interest of the patient. Being familiar with the ever increasing list of available products and devices is necessary to build the tinnitus toolbox. This article will review current treatments, trends, and tools that may assist in patient education and tinnitus habituation. Some attention also will be paid to other sound sensitivities such as hyperacusis and misophonia.