No one person will experience pain in the same way as someone else and that is true for “auditory tolerance” as well. We all experience auditory input in our own way and our reactions change based on multiple factors, such as the environment or our mood. Think of hyperacusis as similar to pain tolerance. It should be noted that “misophonia” or a psychologically-based fear/extreme dislike of certain sounds, typically regardless of loudness, will not be addressed in this article but is another very valid sound sensitivity that can be treated with many of the same recommendations ( refer to misophonia resources). This is typically separate from loudness recruitment often associated with hearing loss. This article will primarily focus on what is called “hyperacusis” or an abnormal loudness perception in which every day sounds are perceived as extremely uncomfortable. So what are sound sensitivities and how can I provide services to these students? These difficulties tend to have nothing to do with hearing – so whose job is it to help them? As professionals in the field of audiology and deaf education, it is our duty to be the “auditory experts” and that means thinking above and beyond just hearing loss even if it feels like unfamiliar territory. All of these examples, no matter how minor or major, affect students’ abilities to succeed during the school day. It could be a teenager who becomes outwardly anxious when the school bell rings, or it could be more severe such as a student with autism who wears headphones to cope with extreme sensory overload. It could be a toddler who recently had pressure equalization (PE) tubes placed after having frequent ear infections and now covers her ears when she hears a loud sound. Many professionals in educational settings have encountered children with sound sensitivities. Self-Concept: How the Child with Hearing Loss Sees Himself.Self-Advocacy Skills for Students with Hearing Loss.Listening (Auditory Skills) Development.Legal Issues in Serving Children with Hearing Loss.Hearing Loss – Identification, Impact and Next Steps.Early Childhood: Infants, Toddlers, Preschool.Assessment of Student Skills, Challenges, Needs.He Failed Hearing Screening What’s Next.Opportunities with the Supporting Success Team.
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