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Hyperacusis in the Military - Support, Causes & Treatments

What is Hyperacusis and Why Does It Matter in the Military

Hyperacusis is a hearing condition that causes affected people to be highly sensitive to everyday sounds. For many of those affected, even normal noise levels, like a door closing or a car engine, can feel painfully loud or overwhelming. While this condition is relatively rare in the general population, it is notably more common in military veterans and service members.

Why Veterans Are Disproportionately Affected

Military environments, like training and combat,  often involve high-intensity noise exposure, from gunfire and heavy machinery to explosive devices. These sounds can damage the auditory system, leading to hearing loss, tinnitus, and in many cases, hyperacusis. Service members are typically trained to operate under high-stress conditions, but prolonged exposure to intense sound can result in long-term auditory injuries.

Why Veterans Are Disproportionately Affected

Condition

Description

Hyperacusis

Abnormal sensitivity to sound, even normal sounds, may be painful.

Tinnitus

Perception of ringing or buzzing with no external sound

Hearing Loss

Decreased ability to hear, typically from damage or age-related factors

 

Symptoms & Causes of Hyperacusis in Veterans

Veterans affected by hyperacusis often report a wide range of symptoms. This condition can negatively impact daily functioning, particularly in social and operational settings. Recognising the symptoms early is crucial for effective management and rehabilitation.

Common Symptoms in Military-Affected Individuals

The experience of hyperacusis varies by individual, but the most frequently reported symptoms include:

  • Ear pain or pressure during routine noise exposure
  • Irritability or anxiety in response to common sounds
  • Avoidant behaviours, such as withdrawing from social situations
  • Difficulty concentrating, especially in busy environments
  • Fatigue caused by constant noise monitoring

Underlying Causes Caused by Military Environments

Cause

Explanation

Acoustic trauma

Exposure to loud sounds such as gunfire or IED blasts

Head or brain injuries

Common in combat zones; may damage auditory processing centres

Medication side effects

Ototoxic drugs are sometimes used in field treatments

Our Partnership with Tinnitus UK

At Veterans Welfare Group, we understand that treating hearing conditions like hyperacusis requires more than just medical solutions.  That’s why we’ve developed a collaborative relationship with Tinnitus UK, a leading organisation dedicated to supporting those with sound-related conditions.

How Tinnitus UK Can Help Veterans with Hyperacusis?

Tinnitus UK have an extensive background in research, support, and education around auditory conditions. Many of the individuals they support experience not just tinnitus, but co-occurring conditions like hyperacusis, especially within the ex-military community.

The Sound Off Course for Veterans

One of our key initiatives to support veterans living with hyperacusis is our specially designed course, Sound Off, a structured programme tailored specifically to those affected by noise-related hearing conditions. Developed by our team at Veterans Welfare Group, this course offers a practical, supportive, and non-clinical space for veterans to regain control over their auditory health.

What the Course Covers

The “Sound Off” course blends education, peer support, and coping strategies in a way that’s accessible and relevant to military life. The curriculum is designed to help veterans understand and manage their condition with confidence.

Topics include:

  • Understanding hyperacusis, tinnitus, and noise sensitivity
  • Managing anxiety linked to sound exposure
  • Coping techniques for everyday environments
  • Building routines that support hearing health
  • Navigating hearing services and referrals

 

You can learn more or sign up directly here: Sound Off Course

Treatment & Management for Hyperacusis

Veterans experiencing hyperacusis often benefit from a combination of therapies, rather than relying on a single intervention. Treatments can be tailored to suit the individual’s needs, especially when symptoms are linked with PTSD, tinnitus, or hearing loss.

Core Treatment Options

Primary treatment modalities include:

  • Cognitive Behavioural Therapy (CBT): Targets negative reactions to sound and reduces distress
  • Sound Therapy: Gradual exposure to neutral sounds to increase tolerance
  • Tinnitus Retraining Therapy (TRT): Combines counselling with sound therapy to help the brain reclassify noise as non-threatening

Assistive Technologies & Hearing Protection for Hyperacusis

Treatment Option

Purpose & Considerations

Hearing Aids

May help reduce sound sensitivity and manage tinnitus

Custom Sound Generators

Deliver low-level sound to desensitise the auditory system.

Hearing Protection Devices

Useful in high-risk environments, but must be used correctly

Misuse of hearing protection, such as wearing earplugs constantly, can actually worsen symptoms over time. Veterans are advised to follow guidance from audiologists or hearing professionals to strike a balance between protection and habituation effectively.

Additional Veterans Welfare Group Support

Veterans dealing with hyperacusis may also be managing tinnitus, PTSD, anxiety, and long-term injury recovery. To address these overlapping concerns, we offer structured support in three key areas:

  • Mental Wellbeing: One-to-one guidance, group therapy, mindfulness, and emotional resilience programmes
  • Rehabilitation Services: Custom plans that integrate physical recovery with psychological support
  • Legal Assistance: Help navigate MOD hearing-related claims and access veterans’ entitlements

Conclusion

Hyperacusis remains a serious and under-recognised challenge for many veterans. With proper education, accessible therapy, and structured support, it is entirely possible to manage this condition and regain confidence in everyday life.

At Veterans Welfare Group, we are committed to supporting ex-Armed Forces members suffering from hyperacusis through partnerships, programmes like Sound Off, and wraparound support tailored to the needs of former service members.