When Every Day Sounds Hurt:  Understanding Hyperacusis

When Every Day Sounds Hurt: Understanding Hyperacusis

Hyperacusis can make ordinary sounds feel loud, uncomfortable, painful, or even threatening. In this episode, Dr. Layne Garrett explains what hyperacusis is, why it often overlaps with tinnitus, and why the brain's central gain system may play a major role in sound sensitivity.

You'll learn why avoidance can become a trap, especially when constant earplug use, silence, or withdrawal from normal environments causes the auditory system to become even more reactive. Dr. Garrett also explains what a real clinical treatment plan may include, such as sound desensitization therapy, counseling support, CBT-informed strategies, hearing aids when hearing loss is present, and careful evaluation of loudness discomfort levels.

Dr. Garrett has more than two decades of experience helping patients with tinnitus, hyperacusis, complex hearing loss, auditory load, SNR deficits, speech clarity problems, and REM-verified hearing aid fittings through a medical-model approach.

Read more about hyperacusis and it's treatment here:
Explore more resources about hearing loss, hearing aids and tinnitus in our online learning center.

Schedule with our Northern Utah team of experts.

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Episoder(121)

I've used Lenire for Tinnitus Patients for 2 Years.- Here's What I've Learned

I've used Lenire for Tinnitus Patients for 2 Years.- Here's What I've Learned

After two years as Utah's only standalone full-time Lenire provider, Dr. Layne Garrett breaks down who responds to this FDA-approved tinnitus device — and who doesn't. Two 2025 studies from real US c...

29 Sep 10min

Oticon Reveal: An Audiologist's Honest First Take

Oticon Reveal: An Audiologist's Honest First Take

25 Sep 9min

The 7 Types of Tinnitus: What Your Sound Means

The 7 Types of Tinnitus: What Your Sound Means

Not all tinnitus is the same. The type of sound you're hearing — ringing, hissing, buzzing, a low roar, pulsatile beating, clicking, or music — points toward different origins, different evaluation ap...

22 Sep 9min

5 Common Hearing Aid Problems and How to Fix Them

5 Common Hearing Aid Problems and How to Fix Them

If your hearing aids still feel noisy, uncomfortable, frustrating, or not helpful enough, it can be easy to wonder whether you bought the wrong devices — or whether hearing aids just do not work for y...

18 Sep 11min

Hearing Your Heartbeat in Your Ear? What It Means

Hearing Your Heartbeat in Your Ear? What It Means

A rhythmic whooshing or thumping sound timed to your pulse is a different clinical presentation than standard ringing tinnitus — and it deserves a different evaluation. Dr. Layne Garrett, Au.D., found...

15 Sep 8min

Sound Preference Testing: What It Reveals

Sound Preference Testing: What It Reveals

More than one in three people who invest in hearing aids stop wearing them regularly. Dr. Garrett makes the case that this outcome is almost entirely predictable — and preventable — with two steps mos...

11 Sep 9min

The Tinnitus-Antidepressant Connection: A Clinician's Take

The Tinnitus-Antidepressant Connection: A Clinician's Take

A 2026 study published in the Proceedings of the National Academy of Sciences identified a direct neural pathway from serotonin-producing brainstem neurons to a key auditory relay station. Activating ...

8 Sep 9min

Treating Hearing Loss Before 70: Why Timing Matters

Treating Hearing Loss Before 70: Why Timing Matters

A major 7-year study just found that hearing aids significantly reduced dementia risk — but didn't improve memory test scores. This week, Dr. Garrett unpacks why those findings aren't in conflict, and...

4 Sep 8min

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