DanMalcore

Registered: 04/25/05
Posts: 918
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| | 02/09/07 at 04:07 AM | Reply with quote | #1 |
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Up in the middle of the night and I can't get back to sleep so I thought hum... why don't I catch up with my reading on the message board. A comment that earMan22 made yesterday may have been very enlightening. It is possible that the phenomena of Soft Sound Sensitivity (also known as Selective Soft Sound Sensitivity) may be an off shoot of an obsessive compulsive disorder (OCD) or obsessive compulsive personality disorder (OCPD). This is where I am coming from on this: Most people who complain about chewing noises are not bothered by the noise of their own chewing. That is revealing. The individual fixates on other individuals eating sounds but is almost oblivious to the sounds of their own chewing and swallowing. At times the individuals reaction is so strong that they begin to tremble perhaps due to an anxiety/fear/panic response. Checking my online Webster's Dictionary tells me that the word 'obsess' means to preoccupy intensely or abnormally. The word 'compulsive' suggests an irresitible impulse. Is it possible that these individuals are intensely preoccupied (abnormally) to eating sounds in a way that is irresitible to them? Is it possible that these patients need counseling by a healthcare professional who treats obsessive compulsives like a psychologist or psychiatrist possibly with the help of common OCD drugs like Paxil, Prozac, Luvox, Anafranil or Zoloft? If that were true, the correct treatment for these individuals is not any kind of sound therapy (i.e. broadband sound). To play this out would mean that these individuals may appear to have a perceived sound sensitivity but the real problem might be an undiagnosed case of Obsessive Compulsive Disorder (OCD) or Obsessive Compusive Personality Disorder (OCPD). One final point. I can remember, like it was yesterday, what my experiences/thoughts/feeilngs where when my hyperacusis was severe. Trying to endure the sounds of my own eating made me abandon my morning granola cereal for a period of time. The sound of other people eating was not an issue with me because I had a hard enough time handling the sounds of my own eating. How do others feel about this? Dan |
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shawns Registered: 06/19/05
Posts: 21
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| | 02/09/07 at 05:02 AM | Reply with quote | #2 |
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I'm sure there is something to this theory. But it would surprise me if anyone with just OCD would actually think they need to go through Noise Enrichment therapy like a hyperacusic. Eating crunchy foods can be a problem for me. For instance I cut carrots up into small pieces to avoid the loud crunches and snap! sounds. Snack bag sounds bother me more than the crunchy snacks themselves.
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DanMalcore

Registered: 04/25/05
Posts: 918
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| | 02/09/07 at 08:24 AM | Reply with quote | #3 |
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I'm sure there is something to this theory. But it would surprise me if anyone with just OCD would actually think they need to go through Noise Enrichment therapy like a hyperacusic. People with OCD would not but people who feel, or have been told that they have soft sound sensitivity might be advised to have sound therapy (i.e. TRT, broadband pink noise, listen to sound therapy tapes). My son has OCD and these individuals have a fixation problem that is hard to break. People who do not fixate on the sound of their own eating but cannot tolerate the sound of other people eating may have a form of OCD of OCPD. Dan
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LynnMcLaren Registered: 04/28/05
Posts: 7,638
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| | 02/09/07 at 01:26 PM | Reply with quote | #4 |
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Hi Dan, ((((( Smiles )))) Interesting what you wrote.... When my hyperacusis was at it's worse... I didn't eat much at all and lost lots of weight fast... But then I started eating again and it was super loud in my head.. And that was at first with softly eating.. Then I eventually decided from reading others posts back then.. And the information on hyperacusis.. That eating noise wasen't loud enough no matter how bad it sounded.. To cause hearing loss... I don't think it does because of how it sounds in ones head.. I mean has anyone suffered true hearing loss from eating ??? Or listening to others eat or others speaking with H ??? It feels like it can.. but I just don't think it really does... But as you wrote that even with severe H though your eating bothered you.. The sound of others eating was not an issue.. Did I get that right ???? My family is not a sit down normal like dinner eating family.. My kids are picky eater's and don't eat like big dinners.. And my husband eats big lunchs at work and thats his main meal during the day... So I never really had to do the sit down thing and listen to others eat except like Thanksgiving ect... And at my worst of H I wasn't around people much if at all.. But I remember that voices.. what came out of peoples mouths was far terrible worse... then what people ate...... I don't remember other people eating being a big issue for me back then.. But words were.. So you think maybe why is because we are too preoccupied with handling our own sounds we make... Yet what came out of their mouth's with speaking and the sounds others made seemed worse in the way.. I could not prepare for the suddeness of the dynamic range of the assault.. I had no volume control of others.. Plus I did things slowly and delibrately quietly with forthought of makeing any sounds... and they didn't.. But when it came to others eating.. It wasen't like SSSS with me.. Yet the soft's sounds of like turning a doorknob at one time assualted my ears... I'm just pondering what you wrote.. What it all means Dan... Can you expain further ???? I know your a busy person and last night was one of thoses nights.. But that sounds very interesting to me... (((( Smiles )))) Dan wrote... Quote: One final point. I can remember, like it was yesterday, what my experiences/thoughts/feeilngs where when my hyperacusis was severe. Trying to endure the sounds of my own eating made me abandon my morning granola cereal for a period of time. The sound of other people eating was not an issue with me because I had a hard enough time handling the sounds of my own eating. __________________ Take Care
Lynn |
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Celia Registered: 05/11/05
Posts: 32
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| | 02/09/07 at 03:48 PM | Reply with quote | #5 |
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Perhaps some sounds can seem louder than ususal because of an anxious focussing on them Anxiety and stress can cause all sorts of reactions. Perhaps anxiety and OCD medication can help relieve the reactions and the feelings but they must be caused by something like difficult circumstances, confusing problems, relationship difficulties or general nervousness about anything strange like meeting strangers or going into an unknown future, an unfamiliar place or job... I tend to think whatever problem causes the stress needs to be understood at least, if not dealt with or come to terms with. Then the stress should be less - especially if environmental factors can be changed. The problem with OCD is it seems to be a reaction to stress that's irrational and continues automatically after the things that originally caused worry have gone or been dealt with.. Like worrying out of habit Or cleaning something again and again even when it's already clean! I think there's more than enough stress-creating situations in the world than anyone and everyone can cope with so it's not surprising personal stress levels are so high - even when own life's going well we see bad things happen elsewhere and feel helpless or guilty or very upset. But when our own lives are a big struggle full of stress and nerves get uptight or hyperactive... not surprisingly noises seem more of a problem than usual, especially ones with emotional negatives associated with them |
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| | 02/09/07 at 05:51 PM | Reply with quote | #6 |
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I hardly want to respond here....BUT....I have now over 300 patients who have been using sound therapy for SSS during the past ten years. The vast majority of them have tried many different forms of medications and counseling therapies. Including treatment for OCD. I would guestimate that only about 10 percent have been diagnosed with the label: OCD by a psychiatrist or other medical professional. In their case histories, though, I can see the vast majority have been prescribed many different drugs. Drugs have side effects, in most cases. Sound as therapy has far fewer side effects. Often eating or breathing noises, of only a FEW people, are the main irritant....but that irritant is persistent over many decades for some people. They cannot get over it, apparently. Some of those 300 have suffered from SSS for over 40 years. Reading their stories and case histories, you might be surprised to see that for most of them, the ONLY aspect of abnormality is the SSS. They do not have the 'other' habits of typical OCD subjects. For many of them, there appear to be family inheritence patterns. Using sound as therapy is not very complex. And it is always, for me, the chance to provide very liberal trial period to see if sound therapy can be of help. And for me, I do not keep one dime to subjects with SSS who want to try sound therapy. I could offer you, Dan, the fact that only a handful of those 300 people, of all ages, have returned the units and received a full refund of their deposit. Maybe less than five. Sound as therapy is very useful, I think, for SSS, but again, this is one clinician's reflection of ten years of experience.......not a 'real' study or double-blind research, etc. I would add that onset appears to be pre-puberty or puberty. I wonder, too, from what area of the nervous system this condition arises, too, but it surely does seem to have some involvement with the auditory system. MJ |
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JenMcK Registered: 03/01/06
Posts: 489
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| | 02/09/07 at 07:54 PM | Reply with quote | #7 |
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How long does it take for these ear units to work on SSS? __________________ ~~~~ Jen ~~~~ |
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| | 02/09/07 at 11:00 PM | Reply with quote | #8 |
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Jen, I think for those who can benefit, they tend to realize it very quickly. Other people really do struggle to achieve benefit. For some, it seems that a real 'team' approach is needed: counseling, drugs, and the use of sound or ambient noise increase, i.e., background music, iPod, CD personal player, etc. Others have even more challenges to overcome to find any improvement. Some find their conditions fluctuate, sometimes ok, other times very bad. I wish we knew more about it or could interest some research scientists to focus on SSS. mj |
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XEmmaX Registered: 02/20/07
Posts: 22
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| | 02/20/07 at 10:05 AM | Reply with quote | #9 |
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Hi Dan I'm glad you have brought this up. I have had a problem fixating on other peoples mannerisms, habits etc all my life. I cannot stand certain sounds, particulary repetitive sounds, for example breathing, lip licking, voices (anything related to people really). The sounds make me want to (hurt) myself (or the person making them ;o)) as they are irritating to the very highest level. In the past I have had to remove myself from the situation or i'll explode, or (which I find very bizzare) I will mimic the noise, which sort of stops the noise annoying me quite so much. I also have mild-severe OCD (depending on the time) and I feel that personally your views are correct. However, does SSSS not count as the same problem, as it is 'selective' afterall and nothing to do with the loudness of the particular noise in question? Great topic __________________ Em x |
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DanMalcore

Registered: 04/25/05
Posts: 918
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| | 02/20/07 at 09:09 PM | Reply with quote | #10 |
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Lynn said: But as you (Dan) wrote that even with severe H though your eating bothered you.. The sound of others eating was not an issue.. Did I get that right ???? Yes, Lynn (sunshine), you have it right. I was never bothered by the sounds of other people eating. Marsha said: The vast majority of them (SSS individuals) have tried many different forms of medications and counseling therapies. Including treatment for OCD. I would guestimate that only about 10 percent have been diagnosed with the label: OCD by a psychiatrist or other medical professional. Marsha, Even though these individuals have, for the most part, not been diagnosed with OCD does not convince me for one moment that this is not a significant part of their problem. Again, this is just my view, but I have heard from many of these individuals over the years and I see this as an obsessive fixation to a particular sound - in this case - eating sounds. That does not discount the fact that some form of sound therapy may help them, it may very well help. But professional help that patients with OCD receive may help just as much, if not more. XemmaX said: I'm glad you have brought this up. I have had a problem fixating on other peoples mannerisms, habits etc all my life. I cannot stand certain sounds, particulary repetitive sounds, for example breathing, lip licking, voices (anything related to people really)... I also have mild-severe OCD (depending on the time) and I feel that personally your views are correct... We are all searching for answers. I don't know who is correct. However, it may very well be that SSS (Soft Sound Sensitivity) belongs more in the realm of a unique form of OCD which manifests itself as an obsessive fixation to eating sounds. Dan |
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XEmmaX Registered: 02/20/07
Posts: 22
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| | 02/21/07 at 03:58 AM | Reply with quote | #11 |
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Thanks for your response Dan, I've been thinking about this overnight. So I know for a fact that I have OCD and I know for a fact that certain repetitive noises and facial experessions (lick lipping) are toturess to my ears/eyes. What I don't know is if my problem is related to OCD. If it was in fact SSSS, surely the particular noise would ALWAYS irritate me, but I find that if my mind is occupied on something else it (sometimes) does not have the same level of irritation to me. For example, my partners voice can sometimes grate on me to an unbearable level, but if we are out in Company, because I am thinking more about the conversation with others, his voice does not irritate me. I am very confused about this, and don't know where to begin with getting help, as I am unsure if the problem is OCD or SSSS. I most certainly have all the charateristics of SSSS, but noises I make myself never irritate me, and I find that at work only 1 person irritates me, and at home only my mother irritates me (it is always centered around the noises/expressions of 1 person, never multiple people). So this would suggest that it is fixation. I have tried habituation but this offers no relief for me, the only relief for me is to remove myself from the situation in question. Obviously this has a huge impact on my life and can be hugely embarassing. Where do I start with establishing where the root of the problem is? __________________ Em x |
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DanMalcore

Registered: 04/25/05
Posts: 918
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| | 02/21/07 at 04:37 AM | Reply with quote | #12 |
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XemmaX said: For example, my partners voice can sometimes grate on me to an unbearable level, but if we are out in Company, because I am thinking more about the conversation with others, his voice does not irritate me. When you have an 'irritating' sound (not loud, but irritating) you have developed a method to mask the sound (cover it up with a not-irritating sound). For example, you said: "if someone is eating crisps, I either have to leave the room or eat crisps". That is a coping mechanism which can work very well. I think individuals who fixate on certain soft sounds need to develop skills to mask those sounds. I also know that individuals with this problem can develop a fear of these sounds. Not because they are loud, but because they are very upsetting to them. Again, the culprit usually seems to be eating sounds. One clinician suggests sound therapy. This might help but I think the individual needs to mentally develop coping skills so they do not obsess over the 'irritating' sounds. It is very possible that this patient may find great help seeking the kind of treatment that OCD patients require. Dan |
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XEmmaX Registered: 02/20/07
Posts: 22
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| | 02/21/07 at 04:51 AM | Reply with quote | #13 |
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mmmmm interesting. I don't think I can stop being irritated, trying to stop something that has been a problem all my life is surely frutile. However, I'm not sure my coping mechanism is a good way forward either. I cannot, after all, mimic my partners voice, it would be cruel and embarassing. Habituation doesn't work either, so I think the only was forward for me is 1)Continueing to avoid irritating situations where possible, and 2) Learning a calming technique to adopt in times where avoidance/mimicing is not an option. Does anyone have any techniques for this? Bearing in mind the anger/torment can be that bad I literally feel like my eyes will turn yellow and my hair will fall out - lol. Finally, I think I mimic for the following reasons 1) To mask the noise 2) To almost let the person know (without saying it) that they are making disgusting noises. 3) Because I am so concerned that my mimicing noise may have been noticed that my mind moves to 'Oh hope they didn't notice that' from the feeling of frustration. It is also interesting to note that I HAVE to mimic louder, it can never be quiet or in another room. I think the decription above re-assualt on my ears is a great explanation. Thanks again Dan __________________ Em x |
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LynnMcLaren Registered: 04/28/05
Posts: 7,638
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| | 02/21/07 at 03:10 PM | Reply with quote | #14 |
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Hi Em X, (((( Smiles )))) Even though what I had / have is hyperacusis disorder not SSSS... What you wrote about with masking the sound... Fighting sound with sound.... Though usually with SSSS it seems to be more masked or battled at a higher volume.. Like turn up the volume over the softer sounds.. But hyperacusis disorder.. I have read about this happening with others but at a very low level of sound.. Usually like pink noise broadband based noise.. And when I was able to myself... And I've read about people doing TRT with this feeling themselves.. Like it might smooth it out some.. By a competeing sound .. yet for hyperacusis a very very low volume.. broadband based competeing steady sound.... Thought the sounds are still real terrible to hear.. Either way in H.. It makes it somewhat easier to bear in a way then the same sound made in complete quiet.. Where it stands out more... It could be the shifts in sound from quiet to heard... That makes it even so much more noticable in hyperacusis or harder to deal with in the hyperacustic ear... Like a re-assualt.. Kind of like what you wrote about as well... It's interesting in theses two conditions... SSSS and hyperacusis.. Like an overlap of same in a certain way.. but different tolerances of loud.. and of course some sounds.. And you could kind of call that masking the shifting of sounds because a sudden sound is a shock to the ear... What they call the dynamic range.. As one that has read others stories.. But of course all I know about SSSS is what I have read on the board.. Thats all I know.. But I just see this parallel in a way.. Not sure what it means in the way of brain/ hearing... It's just something I've noticed.... Wonder what it means ??? __________________ Take Care
Lynn |
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peamer Registered: 01/27/07
Posts: 14
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| | 02/21/07 at 03:50 PM | Reply with quote | #15 |
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First ... Dan ... thanks for alerting me to this discussion. It's right on target. I'm new … only recently learned that there's a name for what's been bothering me all these years. The OCD connection sounds as though it could be meaningful. I saw a TV piece on autistic children regarding their difficulties to loud noises and thought, 'ah-ha' ... that's me ... to some degree. Seems that it's possible, if not probable, that we all possess bits and pieces of many so-called disorders ... to some degree. Are we suffering from so many disorders, or are we (through technology and better science), better defining the in's and out's of all of our complex natures? I've always had 'bionic' hearing ... have always been able to hear things others cannot. My parents, who were less than kind, would tell me I was 'crazy', that I was being a brat, make fun of me and even do things like turn up music loud to tease me. Cool, huh? I grew up with thinking I needed to hide and be ashamed. I never heard anyone else talk about a hearing problem like this, so I swallowed it. I developed various coping tactics. Some good; some not. My husband and I have been married for 25 years. He's wonderful … important because he’s the opposite of parents ... he cares about my well-being … very aware the issue ... in no small part because he's the target for a lot of the grief. Namely, he has what we cheerfully call a 'hollow head'. Have you ever noticed there are some people whose heads just amplify a lot of eating noises whether or not their mouth is open? Bless his heart, his apple or granola eating can send me up a wall. We've have often discussed whether this is a physical or psychological problem … often wondered if what my parents did to me caused me to have a serious psychological reaction to sound. Overall, I'm one of 'those' personalities. Meaning ... although generally a well-balanced, well-directed, self-actualized, sensible person, I'm sensitive. I'm 58 now and I've had to work hard to achieve balance. I've always had racing, tripping heartbeats, quasi anxiety attacks and have been over-sensitive to others' opinions ... and have had this darn sensitive hearing. Are these physical or psychological issues? I've always had hormone issues, meaning that I was extremely emotional during the years surrounding onset of menstruation, childbirth and menopause. (Sounds drove me really nuts during those times!) The menopause issues led me to hormone replacement therapy and anti-depressants, which helped very much ... and, surprise ... they helped the hearing issues too. The anti-depressants I take are occasionally prescribed for OCD. Psychological and hearing improvements from the meds occurred over 5 years ago, and I got somewhat comfortable with the remaining level of hearing problems. However, I can still get irritable about bothersome sounds ... things like those boomboxes you've all mentioned (what's up with that? why aren't those things outlawed?), a neighbor's radio, revving motorcycles, etc. Years ago, without knowing anything about my hearing being a diagnosable 'issue', my husband bought several cd's with white noise, softly singing birds, etc. Planting those around the house helped tremendously. Building on that over the years, and now with all the new technology (white noise machines, iPods, etc.), I've come up with some tactics that seem to work. I use my iPod a lot! A lot! I can control the sounds. I have all manner of soothing music, white noise, singing birds, thunderstorms, gentle humming ... on and on ... including good old rock n roll that I can control the volume on. It masks the worst of sounds. [By the way, these tactics are not to be confused with trying to block out the noises of the world entirely. That was a path I went down years ago, and it leads to nowhere. I read somewhere that no matter how much you muffle your ears, your ears WILL find the sound. It's somewhat the same as, no matter how small the pinhole of light in a darkened room, your eyes WILL find that light. Trying to block all noise causes frustration and anger, not to mention increased sound sensitivity when you remove the sound blocking devices.) Further to the OCD connection ... sometimes noise truly becomes an obsession. I can actually start shaking or trembling, or feeling sick if I believe I'm not going to be able to deal with the noise. Is this physical pain, or an obsession? I often wonder if the level of obsession is in direct proportion to the amount of control I can exert over the situation. Is this a control issue? Sometimes that seems to be correct ... then I go through a month or two when sound simply hurts my ears. Anyway, when I get seriously uptight, I plug into my iPod. I believe what I've done is create my own therapy and desensitizing program. Because I have the option to mask irritating or painful noises, my stress has gone way down, and sometimes I turn around and realize I got through a whole day without noises bothering me. I no longer feel helpless … no longer the victim because of loud noises. I've created positive association. When a noise starts bothering me, I know I’ve got options. I have the option of trying to tolerate the sound (which is good practice). If I can no longer tolerate it, because of either irritation or pain, I know I can mask it. I've become conditioned to know that the iPod will bring relief, so when the iPod begins, I immediately relax because I know I'm going to be okay. The more often I have those positive experiences, it seems the longer I am able to tolerate noise. I’m much less stressed. I can see a marked difference, particularly in social situations where it’s inappropriate to plug in an iPod. I used to feel like I needed to run from the room when someone was, for instance, mangling tortilla chips at a party. I can stand back a bit now, practice deep breathing and try to get in touch with the comfort level I can achieve with an iPod. It's a very positive cycle. Humans are complex. This thing we have to live with is complex, as are many, many afflictions. I don't think there is going to ever be one answer or one perfect solution. Through persistent exploration and patience, sprinkled with a fair amount of disappointment, I think I've reached a decent quality of living. I would recommend everyone trying everything possible. If a doctor looks at you cross-eyed when you try to explain, find another doctor. If your friends and/or mate doesn't stand up tall by your side regarding this, find new friends. If cotton balls don't work, try foam earplugs. Whatever. Keep trying. Keep thinking outside the box. Try to get to a place where you don't worry about this, but are always using your energies to cope and solve. The constant worry and frustration can cause anger, and anger is the enemy. Anger makes one irritable about everything...including sound.  On a technical note: You can find white noise and all of these masking options for your iPod on iTunes, or just go internet hunting for white noise cd's. I've purchased a few and downloaded them into my iPod. Also, a very important device for me has been the "Sleep-Eze" hearing devices. (Just plug that name into Google. Several companies sell them. I got mine from theearplugstore.com) They are little hearing aid-type devices which produce gentle white noise. Each has its own battery and volume control; no cords, so it looks like you're wearing hearing aids. Hardly visible. These are wonderful ... wonderful ... for places like airports, malls and stores. I can turn up the volume just enough to white-wash the loudest noises (lots of noises in public places just plain hurt), without shutting out the environment. It's never a good idea to be out in public with max hearing protection. You need sound to help you navigate and to stay out of harm's way. One more thing: does any one know of activist groups who are working to decrease the noise level in our world? I would love to find such a group and get involved. I am absolutely positive that a good part of what we all experience is pure craziness. Our world has become way too loud! |
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Darcy

Registered: 11/18/06
Posts: 913
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| | 02/21/07 at 04:34 PM | Reply with quote | #16 |
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Quote: One more thing: does any one know of activist groups who are working to decrease the noise level in our world? I would love to find such a group and get involved. I am absolutely positive that a good part of what we all experience is pure craziness. Our world has become way too loud! I agree -- our world has become way too loud, and I too would be interested in knowing about activist groups that are working to decrease the noise level. Local noise ordinances are not enough, and are typically too lenient. Considering all the technology we have, it seems like leaf blowers don't really have to be so loud. Darcy |
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| | 02/21/07 at 05:00 PM | Reply with quote | #17 |
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I think that Dan is very much on the mark in his assessment. And - with all due respect to Marsha - I think she really may have missed the boat on this one. Well what of the 300 "SSS" patients she has treated with those rather costly devices who have not returned them, you might wonder. My thinking is that their OCD might well be the reason they are holding on to the devices in the belief that they might be experiencing (or hope to soon experience) some small modicum of relief. You see, in the absence of objective testing in a controlled environment, it is all-too-convenient for a clinician to assume that the resistance of a patient with obsessive compulsive tendencies to give up those devices, which after all are symbols of a potential path to relief, is an indication of successful treatment. I just did MedLine searches on "soft sound sensitivity syndrome" and on "selective soft sound sensitivity" ... and drew blanks both times. Can somebody give me an idea of where these terms originated? Thank you - sp |
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LynnMcLaren Registered: 04/28/05
Posts: 7,638
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| | 02/21/07 at 05:17 PM | Reply with quote | #18 |
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Hi Sp, (((( Smiles )))) If my memory serves me well.. I believe Dan suggested it ...with that in the way he thought it should be changed from SSS to SSSS in the definition... which I think reads selective soft sound sensitivity.... Because I think it was because the sounds seemed selective.. There is a thread somewhere on this board about this... Not sure where to find it.. Maybe typeing in SSSS or SSS but I'm not sure how long ago that was... It may be in archive somewhere... It had something to do with Sound Fixation but that's not the thread.. But it would explain it lots better then I can , in that thread.... If it can be found... But otherwise... I think this definition was discussed and agreed on .. I believe back then.. Was like this...This is soft sound sensitivity to selective stimuli. What you would find on the homepage supplement.. In description.. Thats the best I can do.. __________________ Take Care
Lynn |
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Darcy

Registered: 11/18/06
Posts: 913
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| | 02/21/07 at 05:38 PM | Reply with quote | #19 |
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Quote: I just did MedLine searches on "soft sound sensitivity syndrome" and on "selective soft sound sensitivity" ... and drew blanks both times. Can somebody give me an idea of where these terms originated? SP, Hmmmmm..... Memory problems? You did a posting recently regarding the person who came up with the term "soft sound sensitivity syndrome." Have you forgotten? Darcy |
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LynnMcLaren Registered: 04/28/05
Posts: 7,638
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| | 02/21/07 at 05:43 PM | Reply with quote | #20 |
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Ya... That is true (((( Smiles )))) What Darcy wrote.... Because I think you may have wrote about it or seen that thread back then as well as we talked about it alot back then.. SSS was changed to SSSS and it was agreed on by the author of that that SSSS could work better.. I'm pretty sure that's what happened.. back then... __________________ Take Care
Lynn |
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| | 02/21/07 at 08:34 PM | Reply with quote | #21 |
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Darcy posted: Hmmmmm..... Memory problems? You did a posting recently regarding the person who came up with the term "soft sound sensitivity syndrome." Have you forgotten? .......... Yes, Darcy. I have forgotten. Had I remembered, I would not have asked. Now will somebody please give me a history of this term. Where did it start? Who first coined the term? Frederick Martin? Jay Hall? Rich Tyler? Pawel Jastreboff, perhaps? Possibly somebody from the Oregon group - Robert Johnson, Billy Martin, or maybe Jack Vernon? I confess that I never heard of "SSS" prior to seeing Marsha post about it here on this board, but clearly if in Marsha's audiology practice alone there are more than 300 patients who have purchased wearable devices from her to treat their "SSS," the disorder must have been formally recognized and described by an audiology authority somewhere. But I just can't find it. Help me out here, folks. Thank you. sp |
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LynnMcLaren Registered: 04/28/05
Posts: 7,638
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| | 02/21/07 at 08:50 PM | Reply with quote | #22 |
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Hi Sp, (((( Smiles ))) Maybe not.. Just like how hard it was getting any notice and information from our doctors and providers with our hyperacusis.. Except there are providers out there though " few " main stream doctors for H.. That comes with medication.. Talk therapy.. And earplugs with most main stream doctors.. I bet it's even less and harder to find.. Help for or info on SSSS.. Then it is for H... As well as research and interest... Sp wrote.... Quote: the disorder must have been formally recognized and described by an audiology authority somewhere. But I just can't find it. Help me out here, folks. __________________ Take Care
Lynn |
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| | 02/21/07 at 09:07 PM | Reply with quote | #23 |
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Lynn posted: Maybe not.. Just like how hard it was getting ... .......... I'm just looking for the answer to a very simple straightforward question, Lynn. Maybe I didn't phrase it quite right. I'll try again. Who first coined the term "soft sound sensitivity" to describe the condition Dan was referring to in the opening post in this thread. I cannot find it in the audiology literature. Thank you. sp |
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DanMalcore

Registered: 04/25/05
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| | 02/21/07 at 09:36 PM | Reply with quote | #24 |
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Stringplayer posted: Now will somebody please give me a history of this term. Where did it start? Who first coined the term? Frederick Martin? Jay Hall? Rich Tyler? Pawel Jastreboff, perhaps? Possibly somebody from the Oregon group - Robert Johnson, Billy Martin, or maybe Jack Vernon? I confess that I never heard of "SSS" prior to seeing Marsha post about it here on this board There have been a group of individuals who have never fit the classic symptoms of hyperacusis. These individuals have normal LDL's but there are specific soft sounds which are intolerable. Not intolerable because they are too loud, but intolerable because they are unacceptable sounds to their ears. For lack of a better term it has been described as a soft sound sensitivity to a specific sound or SSS. By far the most common offensive sound for these patients are the sounds of other people eating. These patients fixate on this sound - it consumes them. Usually these individuals have no problem with the sounds of their own eating but cannot accept the sounds of other people eating. This is not a sensitivity to loud sounds, it was a sensitivity to soft sounds. Every month I hear from at least a couple people who complain of this problem. For some, it has deeply effected their lives (can't even eat with their family or spouse). Marsha suggested TRT could help these individuals. I, quite frankly have been at a loss. Clearly these people do not have hyperacusis. I have turned this every which way I can trying to figure it out over the years. I am more and more convinced that this as an obsessive fixation to a particular sound - in this case - eating sounds. Stringplayer I have never seen a thing written about this from anyone in the medical community but it is a significant problem for some patients. To me, this seems to be more appropriately attributed to a form of OCD. I am puzzled why some of these patients start shaking or convulsing when they hear the sound of others eating (perhaps a form of a panic attack). Some become so enrage at the person producing the sounds of eating or chewing that they get up and leave in the middle of the meal. Some develop a lifestyle that excludes anyone from eating with them. My heart goes out to these individuals. My suggestion, and it is only a suggestion, is that the obsession they develop over the sounds of other people eating seems more like an Obsessive Compulsive Disorder. I am not convinced that sound therapy will help these individuals. Like everyone else, I am searching for answers for these individuals. I am curious what your thoughts might be on this sp. Dan One point worth adding here. The term soft sound sensitivity is not a correct term in my view. The individuals I have just talked about have a sensitivity to eating sounds not other soft sounds. Furthermore, for individuals to think that a sensitivity to whispering (which is currently mentioned in another post) is a soft sound sensitivity is wrong. People who are sensitive to whispering are individuals who have severe hyperacusis. Unless a patients LDL's are in the 30-40 decibel range one cannot say, in a believable way, that they are sensitive to whispering. It is understandable for the hyperacusis patient to say, from time to time, or at the end of the day that there ears are wore out. However, for a hyperacusis patient to suggest they are sensitive to whispering or that they have something called soft sound sensitivity (which means nothing to a clinician) when their LDL's are in the 50+ range makes no sense. We have to be careful about all of this. |
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| | 02/21/07 at 11:36 PM | Reply with quote | #25 |
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Dan posted: I am not convinced that sound therapy will help these individuals. Like everyone else, I am searching for answers for these individuals. I am curious what your thoughts might be on this sp. ............. OK, Dan. It's your board ... and you asked. As I said before I agree with you that "SSS" (or whatever it is to be called) is much more likely an OCD variant than an expression of auditory pathology. You asked for my thoughts on the subject. Well, a participant on this board just e-mailed me with an answer to my question regarding who coined the term "Soft Sound Sensitivity Syndrome," and I think that it is absolutely unconscionable for a clinician - any clinician - to identify a syndrome and then conveniently presume that syndrome to have an auditory etiology that allows him or her to treat patients with devices that are relatively inexpensive to the clinician but very costly to the public... and moreover do it without setting up any sort of formal prospective study with well-defined outcomes measures and independent analysis of data to see whether or not the patients are truly deriving any benefit. Those are my thoughts. sp |
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XEmmaX Registered: 02/20/07
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| | 02/22/07 at 04:03 AM | Reply with quote | #26 |
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Dan, As an OCD sufferer I whole heartedly agree with your last post. I KNOW that sound therapy will offer me no benefits, as with me, it is almost when I 'notice' the noise that it starts to annoy me, then it gets louder, and then annoys me more and more until I simply cannot bear it any longer. I too have escaped many situations before I am reduced to tears, although escaping is unfortunately not always an option. For me, it seems to follow a set of rules that I have somehow set myself without wanting too - 1) The source of irritation is always centered around 1 or a few people. For example, if 'the person' who I deem the source of irritation is eating crisps, they will annoy me more then the person sitting on the other side of me who is eating crisps louder. 2) The source of irritation can shift, for example when I was living my parents I simply couldn't stand the sound of their spoons hitting the cereal bowl downstairs in the morning, however when I moved back home several years later this was no problem at all. 3) The source of irritation can be so unbearable, but if I hear an identical noise, that doesn't come from the source of irritation then it does not irritate me. For example if I hear someone clearing their throat, but they are not the person who in my eyes irritates me, then I am relieved as this is an acceptable noise. 4) I have noticed that if someone irritates me there is no acceptable way for them behave, for example it annoys me if they eat too fast, it annoys me if they eat to slow, it annoys me WHATEVER they are doing!!!!! 5) Generally I seem only able to be be irritated by one thing at a time I have been, and am still baffled by this condition that has been present ever since I was old enough to know what noise was. It affects my life enormously because the sources of irritation are so far reaching. The source of irritation can be anything I unwillingly decide is a source of intolerance. So..... if this is an obsession, which I believe it is, how on earth do I deal with it. At the moment things are very hard as my evenings are spent 'listening' for my partner to slop his mouth (as if he is thirsty and dying for a drink). He doesn't have any bad habits but still I find things that annoy me, and it ruins our time together, making me frustrated and snappy. Finally, and this is just an example. I remember a time when I worked in an office and a woman right down the office would eat 2 apples each morning, she would cut them up into slices. I became so enraged by her eating the apple that the actual irritation even spread to me having to leave the room when she was simply cutting the apple up. The source or irritation spread from her eating to even the sound of her preparing to eat. I used to have to go into the toilets and either breath hard, make loud mimicking noises or punch a wall. This is not normal behavior. I want to learn ways of dealing with this... I just don't know where to start. 'sigh' Are there any supplements that may help me? For example I notice B vitamins are supposed to be beneficial for both OCD and SSSS..... does anyone else have any suggestions? Thanks everyone __________________ Em x |
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| | 02/22/07 at 05:09 AM | Reply with quote | #27 |
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XEmmeX posted [in part]: So..... if this is an obsession, which I believe it is, how on earth do I deal with it. ............. I have read your post thoroughly, XEmmeX. And I am very sensitive to your situation and to your distress. Here are my thoughts. I agree that your "SSS" is likely an auditory manifestation of your OCD. And in that regard, unless the OCD is fully addressed, even in the event that something could possibly be done to desensitize your auditory system through the use of sound therapy, your OCD will just manifest itself in another organ system. So how you deal with the "SSS" really depends on where you are with your psychotherapy. In my opinion, the first step would be to ask your psychotherapist what his or her opinion is regarding whether or not your "SSS" is, indeed, part of your OCD. Your psychotherapist clearly knows you much better than any of us out here in cyberspace and should be able to lend some valuable insight. And if you are not in therapy, then I would establish or re-restablish a relationship with a knowledgeable experienced psychotherapist to get his or her input and assistance in this important matter. Might sound therapy have a role - even though you insist that it does not? I do not know, but I certainly would not go ahead with any sort of sound therapy unless it is done with an audiologist and your psychotherapist working hand-in-hand. And even then, instead of some costly TRT devices, I would be much more tempted to use an iPod with a $15 pink noise CD as the source of sound, the volume of which would be increased very very slowly over time (i.e., several months) - starting out with the iPod earbuds in your ears, but the iPod volume in the "off" position. Again, all to be done under the supervision of your psychotherapist and audiologist. Finally, I think it would be highly irresponsible of an audiologist - any audiologist - to tackle this type of complex matter without the assistance of and frequent input from a psychotherapist. This is a psychological problem, not an audiological one. Hope this helps. sp |
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XEmmaX Registered: 02/20/07
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| | 02/22/07 at 06:00 AM | Reply with quote | #28 |
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Thanks Sp, really appreciate your feedback. I am not currently in therapy, but am awaiting CBT which I begin shortly. For info I am in the UK and healthcare (particularly mental health) is not dealt with very well. I'm not even sure if this CAN be dealt with. I simply cannot resist being highly aggravated by certain sounds. I think it is impossible to stop yourself from being irritated, as the irritation is an almost natural thing. I find it even more confusing that it seems to be only certain people (i.e. those I am around most and love most) that seem to irritate me the most. Almost like I tune into their individual mannerisms as I am with them more. I think personally that the only way forward for me, is to stop trying not to be irritated and instead try and find a way that I can deal with the irritation better. Its like with OCD, we are told not to try and stop the thoughts, but accept them. Maybe I need to adopt the same approach with this? I think I need to - 1) Accept that things irritate me immensely and habuation will never work 2) Learning coping mechanisms, calming breathing etc 3) Learn to not show my anger - (this will be hard as it is almost automatic to the person who is irritating me) 4) Avoid the irritation where possible Just my thoughts. __________________ Em x |
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| | 02/22/07 at 10:22 AM | Reply with quote | #29 |
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I recently visited again and found this thread. 1) I created the term Soft Sound Sensitivity Syndrome 2) With Dan's suggestion, I changed it to Selective Sound Sensitivity Syndrome While I have much to say about the ten year history of collecting data and case histories, on using sound-as-therapy for the auditory component of this syndrome, and the outcomes of treating over 300 subjects with sound, it is all going into a paper that will be published that you can read. I agree with Dan there are elements of OCD that seem to be present, although this is not my specialty area as an audiologist. There are several psychiatrists that have been involved in the ongoing research over ten years, one was a highly regarded OCD specialist at a major teaching hospital, another is a pediatric psychiatrist specializing in anxiety-related conditions, not to mention a couple neurologists, psychologists, other audiologists, and so on. The syndrome has been brought to various conventions and discussed in different formal settings. One tantilizing area is the relationship between the temporal lobe which houses the end-organ of neurological 'home' for the auditory system. When there are temporal lobe defects or problems, it has been well noted in the literature that people react with rage, emotional changes, sudden reactions, and so on. This is a place for potential 'crossed-wires' in a complex system where auditory pathways may interact with other functions of the central nervous system. Another possible area to consider is the work that shows from Salvi and Lockwood that the limbic area of the brain, the emotional center in many ways, is highly linked to auditory pathways, and the phenomena of 'persistent' auditory memory may be involved with the triggering of 'feelings' that result from exposure to certain noises. One key element is that the subjects seem to anticipate the sound (i.e., dinner is being prepared in the kitchen, therefore watch out, eating noises are coming) and begin to react long before the actual exposure. Dan, I do not disagree at all with the idea that OCD or OCD like behaviors play a role in this syndrome. I am like the field biologist, bringing back new flowers from my explorations in a very narrow niche of types of flowers, and trying to bring attention to their existence. One of the problems is, the medications you can try to OCD do not always seem to work very well, at least for the people I hear from, and the fundamental fact is, young children and those medications and long term effects on the developing body and brain are very poorly understood. The side effects of many OCD drugs are difficult to tolerate for fully consicous adults, such as muscle cramps, sleepiness, digestive problems, etc etc.......and even more so for children. Many medical providers and parents are not pleased with 'drugging' children although now we have 4.4 million children in this country alone on pills for Attention Deficit / Hyperactive Disorder Deficit. And yesterday, on the news, a warning about sudden heart reactions to those pills...........apparently some children, so sad, have died from taking those pills. It is very challenging, I think, to set aside one condition or symptom from another in a complex human being. Some here who suffer terribly from hyperacusis also feel panic, endure insomnia, or painful joints, headaches, skin conditions, thyroid problems, and on and on. How much their hyperacusis and the other symptoms or conditions they experience are related, is unknown. I appreciate the discussion Dan, about 4S, as just this week, I had submitted an article to a journal and received back a very kind and helpful response from the publisher with ideas on how to improve it for submission. As you know, I am a clinical audiologist not a research PhD, but nonetheless, look at the new flowers I found. Marsha Johnson, MS |
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| | 02/22/07 at 10:47 AM | Reply with quote | #30 |
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XEmmaX posted [in part]: Thanks Sp, really appreciate your feedback. ......... You are quite welcome! ............ I am not currently in therapy, but am awaiting CBT which I begin shortly. For info I am in the UK and healthcare (particularly mental health) is not dealt with very well. ............ There is a very knowledgeable and experienced psychologist from Ireland named Dr. Laurence McKenna, who practices in London at the Royal National Throat Nose and Ear Hospital. Dr. McKenna has considerable expertise in cognitive behavioral therapy and in addition has long focused much of his work on patients with disorders of the auditory system. He is one of the two Directors of the European Course on the Management of Tinnitus and Hyperacusis to be held this coming April in Cambridge. I have attended four or five of Dr. McKenna's excellent lectures addressing various psychological aspects of tinnitus and hyperacusis - and (equally importantly) several years ago I took an intensive "one-on-one" comparison course from Dr. McKenna on the merits of an assortment of Irish brews at the corner table of a Nottingham pub. (He won - I couldn't walk straight when we left the building!) XEmmaX, if you can get an appointment with Dr. McKenna, I assure you that it will be worth your while. All the best! sp |
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Rob Registered: 05/02/05
Posts: 2,701
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| | 02/22/07 at 03:45 PM | Reply with quote | #31 |
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Emma, peamer, Dan, sp, Marsha, and The Gang -- I'm aware of no evidence to suggest that a sensitivity to selected sounds or to soft sounds is anything other than obsessive compulsive behavior. I do not believe this type of sensitivity has any basis in audiology, nor do I believe it can be fixed by treating it as if it were an offshoot of hyperacusis. A hyperacusic patient wears the generators used in TRT, or works with pink noise, to desensitize over time to sound. But an individual who is sensitive to selected sounds made by some, but not all others and often not by himself/herself, is by definition not sensitive to sound in the same way that a hyperacusic is sensitive to sound. Thus, a patient with hyperacusis is sensitive to the sound of a fork dropping in the sink. This is so whether he drops the fork himself or whether someone else does so. The hyperacusic is sensitive to the sound itself, not to the context in which the sound is made. In my view, the name Selective Sound Sensitivity Syndrome is not indicative of the experience of many individuals who have posted about their struggle with this challenge on the board. These individuals are not sensitive to selective sounds or to certain soft sounds; in fact, their reactions seem to come right out of the obsessive compulsive's playbook. This is not to minimize their experience, as I believe that it can be extremely difficult for them, but merely to distinguish it from hyperacusis. A hyperacusic feels pain when confronted with many sounds, and the world has uniformly become far too loud. An obsessive compulsive individual experiences a mix of anger, rage, frustration, fear, unbearable annoyance, and irritation at certain sounds, made by certain people, but the sounds themselves do not appear to be physically painful. I believe the folks who have this challenge, then, are describing a psychological condition which has manifested itself thru auditory means. What is obsessive compulsive behavior? The "obsessive" part of this anxiety disorder refers to the involuntary, unwanted, intrusive and seemingly uncontrollable thoughts that recur in the sufferer's mind. The "compulsive" part of this disorder refers to the role the brain plays in trying to manage an obsession, dismiss it, or make the obsession less powerful. The brain often tries to relieve the anxiety associated with the obsession by performing certain repetitive rituals. The problem for sufferers of this disorder is that the compulsion to perform these rituals may only temporarily help to resolve or alleviate the obsession. More often, the ritualistic behavior can itself make the sufferer feel even more anxious if it becomes too time-intensive. One in five individuals with OCD have obsessions alone, but the majority of OCD sufferers have obsessions and accompanying compulsions. Some hallmarks of OCD are that the individual's compulsive behavior takes up at least one hour per day, interferes with one's daily activities, and causes tremendous anxiety. The onset of OCD usually occurs during adolescence or young adulthood. This condition is frequently misdiagnosed and underdiagnosed. It can be misdiagnosed as autism, for instance, or overlooked because it occurs with depression, attention-deficit disorder, and other disorders. OCD can also be underdiagnosed because folks who suffer from it can feel deeply embarrassed by their thoughts and learn to be somewhat successful at hiding some behaviors associated with the condition. It isn't uncommon for someone with OCD to see several doctors and spend over nine years seeking treatment before even receiving a proper diagnosis. One study shows that it took an average of 17 years from the time OCD presents in an individual until he or she receives proper treatment for it. Doctors commonly believe OCD is a medical disorder. Some psychologists believe the anxiety inherent in OCD is caused by the individual feeling a lack of control which leads back to feelings he or she first experienced in infancy or early childhood. Indeed, these feelings can lead to changes in brain chemistry and can sometimes run in families. Studies show that serotonin, a chemical in the brain, may be distributed differently in individuals who suffer from OCD, and using PET scans a group of researchers have shown that activity in the basal ganglia differs in folks with OCD than in normal individuals. Patients with obsessive compulsive disorder should realize that while treatment is not quick (as it can take time to find the right therapist and, if called for, the appropriate medication) and while there is no cure, OCD is very treatable, even when the behavior has exhibited for years. This challenge can often be successfully treated thru a combination of behavioral therapy and/or medication. By "successfully treated", I mean that the incidence of obsessive thinking and ritualistic, compulsive behavior can be greatly reduced. I'd like to assure Emma that she does not have to live with this challenge for the rest of her life. An extremely helpful approach which is undertaken by working with a behavioral psychologist is a therapy known as "exposure treatment and response prevention". In my view, this approach is far more likely to help retrain the brain than working with broadband noise generators. The following links may shed a bit more light on this very practical behavioral approach to OCD. Many patients with OCD also find that the above behavioral approach can be combined with cognitive therapy. In cognitive therapy for OCD, the patient's catastrophic thoughts and resultant sense of responsibility are examined and challenged. The following links shed a bit of light on this aspect of treatment. Therapy which addresses the behavioral and cognitive components, as well as medication can be extremely helpful in treating OCD. Primarily, antidepressants are prescribed which affect the neurotransmitter serotonin (e.g., Luvox, Prozac, Paxil, Celexa, Zoloft) or a combination of serotonin and norepinephrine (e.g., Clomipramine aka Anafranil). See this link for more information about medication used to treat OCD. A study from the University of Pennsylvania notes that Clomipramine was more effective in treating OCD than the SSRIs listed above -- although there were more accompanying side effects. It can take up to three months for antidepressants to provide full symptom relief, and the doses used for OCD are often higher than that used to treat depression. Keep in mind that medication alone will likely only provide partial relief, and symptoms commonly reoccur when the meds are discontinued. That's why it is usually important to combine meds with the behavioral and cognitive approaches discussed above. See these links for more information about OCD and for help in choosing a therapist. For techniques on self-managing obsessive compulsive behavior, see these links: Finally, for more detailed information about OCD here are two excellent links. The first provides some helpful and somewhat technical information. While it is written with physicians in mind, it is easily understood. The second link is from the National Alliance on Mental Illness. If an obsessive compulsive patient chooses to use broadband therapy to treat this psychological challenge, my suggestion (like stringplayer said, above) is that he or she use the pink noise CD rather than expensive wearable noise generators. Not only is the pink noise CD inexpensive, but it covers a much wider frequency range than the wearable generators. As such, it would partially cover up a wider range of bothersome environmental sounds. peamer seems to have been partly helped by using white noise and other background sound to accomplish the same thing. However, as stringplayer also suggests, it is crucially important to fully address obsessive compulsive behavior. In my opinion, one would not effectively be able to do so by primarily working with an audiologist or otologist, even a well-intentioned one. This challenge is far more effectively dealt with by finding the appropriate behavioral psychologist and, at best, working with an audiologist or otologist as a second line of defense (and only in concert with the psychologist). I wanted to say thank you to those pals of mine who communicated supportive things to me over the past few weeks. I haven't made up my mind whether to continue posting regularly or not, but please rest assured that I will ultimately make the right decision for me. This decision may even involve letting myself be pulled back to the board from time to time, as I did today. Someone who knows of my abiding interest in psychology thought I might be interested in reading this thread and, after doing so, I decided to chime in. I appreciated the thought that others -- Dan, stringplayer, Marsha, Emma, and peamer -- put into the thread and wanted to add my own views. I hope they will be helpful. There are a couple of other threads I plan to add my voice to over the next week or so. One concerns very interesting information posted by stringplayer regarding Neuromonics -- my interest there is more technical and theoretical -- and another is a thread I'd like to start for newcomers to The Hyperacusis Network. Rob |
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| | 02/22/07 at 04:32 PM | Reply with quote | #32 |
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Thank you Rob. Please be clear that I have never suggested TRT for this situation. What I call 4S does not qualify as hyperacusis. TRT was intended for tinnitus and hyperacusis. 4S is NOT hyperacusis. And that why, in most instances, people with 4S are not going to find much that is helpful here on a Hyperacusis Board. If a person has misphonia or fear of sounds, TRT has been used as prescribed by Dr. Jastreboff's method, in some cases. There is a link between Tinn and OCD. That part is present in the clinical observations of many different T & H specialists. Based on your info and literature from the research, again, there is evidence to show that perhaps OCD focal areas in the brain are in the same areas that relate to the auditory system pathways. The connection with OCD and 4 S in my clinic has been present for ten years. I have collected data and detailed case histories on hundreds of people, from ages 5 and up. The vast majority of pediatric cases have had psychological intervention or are having it. Most have tried or are using medications. Most have received evaluation from at least 3 medical specialists. Fact is, for many, as you say, they learn quickly even as children to 'hide' their inner perceptions because professionals and family members often ridicule or dismiss, even kindly, those sensations. They are 'frowned' upon. But again, this really does not live in this space, as this space is for hyperacusis. I am quite devoted to this topic, but it probably does not interest the average person wtih hyperacusis......nor should it, any more than African Tic Fever. Marsha Johnson, MS |
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LynnMcLaren Registered: 04/28/05
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| | 02/22/07 at 04:36 PM | Reply with quote | #33 |
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Oh My Goodness, (((( Smiles )))) It's alot to read above that I missed by being off the computer.. First I'll start with... My memory hasen't failed me.. Oh good... Thats a good sign... And I remember the thread of discussion over all of this when it was changed. Though it was a long time back and may no longer be on the board because of the 24 pages thing back then.. But neverless.... It was a very productive discussion and the results came out rather agreeable though nobody will agree " 100 percent all the time " with everybody anyway.. But at least I'm glad to know... I remember alot.. And I did remember that happening... Quote: 1) I created the term Soft Sound Sensitivity Syndrome 2) With Dan's suggestion, I changed it to Selective Sound Sensitivity Syndrome __________________ Take Care
Lynn |
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LynnMcLaren Registered: 04/28/05
Posts: 7,638
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| | 02/22/07 at 04:53 PM | Reply with quote | #34 |
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Yes.. I do remember you mentioning working on that long time ago... Even yesterday I though of it... We talked about it on the board alot back then.. And lots of people back then was looking forward to it being put out there.. Their stories and maybe for someone to bring attention... in this world or the medical world.. To this disorder.. And you step'd up to the plate..... I remember mentioning to you back then.... That thats a mighty big project your takeing on and time consuming as well... But somebody has to do it and I don't see any other volunteers out there at this time.... And anyone else who started a message board for thoses suffering with SSSS.. I mean that has to count for something.. Marsha Wrote... Quote: While I have much to say about the ten year history of collecting data and case histories, on using sound-as-therapy for the auditory component of this syndrome, and the outcomes of treating over 300 subjects with sound, it is all going into a paper that will be published that you can read. __________________ Take Care
Lynn |
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| | 02/22/07 at 05:12 PM | Reply with quote | #35 |
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Marsha posted: Please be clear that I have never suggested TRT for this situation. .......... I agree, Marsha. You never suggested TRT for "4S." But you did suggest TRT devices. ......... What I call 4S does not qualify as hyperacusis. TRT was intended for tinnitus and hyperacusis. 4S is NOT hyperacusis. ............ Right. I agree. ........... And that why, in most instances, people with 4S are not going to find much that is helpful here on a Hyperacusis Board. ............ Right again. But they do find you, Marsha. They do their Google searches, and they find you through your posts on this board. And you sell them TRT devices. sp |
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LynnMcLaren Registered: 04/28/05
Posts: 7,638
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| | 02/22/07 at 05:29 PM | Reply with quote | #36 |
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It's interesting the theories in research going on out there... Maybe with a strong auditory componet as it's sounds that seem to bother them though not in a hyperacustic way but it does seem to focus alot on hearing certain sounds... They can't seem to tune out.. It's interconnected in some way.... It's interesting reading though... But I know the dangers that can come from certain medications for certain people.. And medications do not work for everybody and they did not on my daughter for her condition... in behavior and makeing things better for her either... It made it worse more then anything.. She's been medication free since trying all they suggested back then... From what you write.. It seems and we shall know more when your papers come out.. That there may be more then one way to treat someone with SSSS maybe not in a cure as I don't believe there is a cure right now like in the way there is no cure or real cure for hyperacusis.. So it may be more for SSSS finding relief from their symptoms.. A way to cope.. Desensitize their sensitivitys in some way... To people , situations, sounds that bother them.. On the way to finding a cure or what works the most or best for SSSS.. There is still more research to be done on this disorder... And someone has to be the cheerleader for SSSS though thats a figure of speech as I know your education and years of hand on expirence.. goes way beyond that.. I don't want to be demeaning to you at all.... In any way...This board is not about that.. We all want one thing for sure... To find a cure , the pandora box of relief and fix... For SSSS... I'll wait till your papers come out and see what has been learned about this disorder ... so far.... What Marsha wrote.... Sounds agreeable enough to me...... Quote: Dan, I do not disagree at all with the idea that OCD or OCD like behaviors play a role in this syndrome __________________ Take Care
Lynn |
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myztiphyd

Registered: 11/12/06
Posts: 202
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| | 02/22/07 at 06:58 PM | Reply with quote | #37 |
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Dang! Thanks Rob for the extremely thorough and informative post!
D. __________________ "I have gone to find myself. If I return before I get back, please hold me here till I arrive"  |
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LynnMcLaren Registered: 04/28/05
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| | 02/22/07 at 07:03 PM | Reply with quote | #38 |
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Just real fast.. I wanted to say.. (((( Smiles ))) I just read about the works of Salvi and Lockwood about the limbic area of the brain/ emotional centers / highly linked to auditory pathways. It just reminded me about Dr Jastreboffs book on Tinnitus which also write's about hyperacusis in there but... He writes about the limbic system activation as well.. aversion reactions.. habituation of reaction..perception in the neurophysiological model.. And I know with hyperacusis as well a person can feel that anger and I've heard the word rage over another person makeing sounds because of the effect it has on our hearing.. But like even Rob mentioned the word feeling pain with hyperacusis and then it could even be at a later stage of H felt discomfort with certain sounds when one has improved alot over time... With H... But I still am not sure what a person with SSSS feels or hears or how it causes them discomfort.. I know how a hyperacustic person hears sounds/ what it sounds like/ because of my hyperacusis expirence but with SSSS.. I'm not sure what they feel happeing in there brain/ears with sound or how it sounds to them in a maybe a certain frequency way.. percieved pain how they hear it to be abnormal.. Unless I could be SSSS for a day.. I could hear what they here.. feel what they feel. Try to describe it in that way... If it was a frequency factor or like the P and S thing for Jen or... I just don't know how the offending sound sounds for them when they hear it..... Sharp, cutting spitting of words, frequencies just a description.. Or how their brain process's it / in hearing it.. And maybe not all are effected in the same way with symptoms.... Like not all people with hyperacusis may be effected in the same way with what bothers them most.. Like they can handle that sound but they can't handle that sound.. Some variation.. like in any disorder with a common link... Weither tinnitus, hyperacusis, autism, even SSSS... So reading those papers will be highly interesting.. Thats why it would be interesting reading other people stories of how they precieve the sounds heard.. But it's surely not a normal thing weither neurological / auditoral / behavioral /emotional what ALL the areas of involvement may be..... That need's to be treated in some way maybe differently in different cases of SSSS people.. But the limbic possible involvement Yet it's interesting the link to auditory pathways ... In disorders of sound... Marsha wrote... Quote: Another possible area to consider is the work that shows from Salvi and Lockwood that the limbic area of the brain, the emotional center in many ways, is highly linked to auditory pathways, and the phenomena of 'persistent' auditory memory may be involved with the triggering of 'feelings' that result from exposure to certain noises. One key element is that the subjects seem to anticipate the sound (i.e., dinner is being prepared in the kitchen, therefore watch out, eating noises are coming) and begin to react long before the actual exposure. __________________ Take Care
Lynn |
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Rob Registered: 05/02/05
Posts: 2,701
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| | 02/22/07 at 07:04 PM | Reply with quote | #39 |
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Hello, Lynn. I wanted to clarify a point I made earlier today. It isn't unusual for psychological challenges to express themselves physically. My view regarding the challenge described in this thread lines up with what Dan and stringplayer wrote about it. To my way of thinking, the auditory component here is a physical expression of a primarily psychological challenge. Desensitization, in the sense the word is used in the treatment of hyperacusis, doesn't appear to play a role here. Time and again, we've heard individuals describe how the sound of their own lip smacking (for example) does not bother them but the same sound made by a spouse or a sibling can drive them to distraction. Because there are times when lip-smacking does not bother the individual, they need not desensitize to that particular sound. (They do not experience sound in the same manner that a hyperacusic does.) The greater likelihood is that, thru a combination of behavioral therapy and medication, they can learn effective strategies to challenge their thinking, modify their behavior, and alter their brain chemistry. Hi, Marsha. I may have inadvertently implied that you suggested TRT to treat this particular challenge. You have never done so. For the reasons I gave earlier today, I do not believe the use of wearable generators represents the best way to effectively treat what is, in my opinion, a psychological challenge. Even if a patient found that using broadband noise to treat this challenge was helpful, my view is that the use of an inexpensive pink noise CD with a far wider frequency band than that of the generators would be much more efficacious. As I wrote earlier, I'd recommend that patients work with a psychotherapist who has successfully treated obsessive compulsive behavior and is familiar with the very successful blend of behavioral and cognitive approaches, as well as the various medicines which affect either the neurotransmitter serotonin or a combination of serotonin and norepinephrine. As a last line of defense, and only under the guiding hand of a psychotherapist, would I suggest that a patient with this disorder work with an audiologist or otologist. To do otherwise (beware an inelegant analogy coming up) would be sort of like working with Arturo Toscanini to produce a rap record. Those are just my views. Howdy, Deb. Many thanks. Rob |
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LynnMcLaren Registered: 04/28/05
Posts: 7,638
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| | 02/22/07 at 07:16 PM | Reply with quote | #40 |
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Oh Hi.. (((( Smiles )))) I read your post Rob.. And then I saw you mention Deb.. And I couldn't find her till I looked up there... But I just read your post and I do agree on some points of the emotional effecting the physical as in any disorder and yes there may be an OCD involvement factor it does seem.. But I have to read it in depth later as I will have company soon and need to clear the pool table off for my husband and his co/worker.. Untill then.. See ya later... __________________ Take Care
Lynn |
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myztiphyd

Registered: 11/12/06
Posts: 202
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| | 02/22/07 at 07:19 PM | Reply with quote | #41 |
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Right Arm Rob! Outta State Dude!
keep on keepin' on... your on the right path
Deb __________________ "I have gone to find myself. If I return before I get back, please hold me here till I arrive"  |
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Registered: Member deleted
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| | 02/22/07 at 08:30 PM | Reply with quote | #42 |
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Rob: You and I might like to sit down and talk over the chicken and the egg theory: does the 'feeling' world regulate the 'physical' world, or does the physicological functioning of the system produce psychological affects? Let's give some examples: mother-in-law staying for 2 weeks = headache? Or hormone fluctuations = weepiness? Or near-miss car wreck = heart pounding, furious rage Or chemical poisoning = loss of memory with frustration? We have talked before about how you cannot separate mind-soul-body. Very difficult to do with hyperacusis, anyway. NEXT: sound or the use of sound as desensitization does not seem to work in this population. That is a hyperacusis protocol. Sound in hyperacusis can make people MORE tolerant to sound. In 4S, not so. Sound can make them more comfortable, but does not act as a desensitizer. At least in my experience. You say: "Even if a patient found that using broadband noise to treat this challenge was helpful, my view is that the use of an inexpensive pink noise CD with a far wider frequency band than that of the generators would be much more efficacious." Now we can talk this over, really, here. I like pink noise. Nothing wrong with a CD. But if you want to use sound as ambient noise 'softener', the sound works BEST when it is delivered right into the ear. Ear level sound, bilateral, with a volume control for each ear if possible. If cost were not a factor, there is no question that ear level, in the canal type units are by far the most effacacious. Turn the head, the sound is there. Bend over, the sound is there. Go potty, the sound is there. Patients very quickly habituate to the devices and the sound. Often do not realize they are on, and jump in the shower! So, how do we create a broadband signal generator that can be worn at the ear level, is comfortable, reliable, produces a comforting noise, for people who do not have hyperacusis? Because we have them for people with hyperacusis, as Jane and Bonnie have been saying over on the other thread. They LIKE their devices and are happy to have them. You have good ideas...........tiny units that go into the ears or hide behind the ears are extremely useful. Much better than a cd player or something that plays a cd that hangs around the neck and has cords. So what can we come up with? My generous friend from Microsoft offered me many units of an MP3 player thingy that is the size of a pack of gum more or less, with nice earphones and a couple hours of broadband noise, and he says these can be obtained for less than $40 at tech stores. What about those? Would they work? MJ |
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Rob Registered: 05/02/05
Posts: 2,701
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| | 02/22/07 at 11:39 PM | Reply with quote | #43 |
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Marsha, I'm all for making patients more comfortable, and if in your experience the use of sound (or noise, in this case) can help a number of your patients in that regard that's great news. We agree on that part, and what you're saying is supported by "peamer's" very interesting post earlier in this thread. While the use of broadband noise for the purposes of desensitization won't help this particular type of patient, broadband noise can help some patients to feel more comfortable. Where we may diverge (I'm not sure) is the next part. In my view, the primary thing that will help these patients to feel more comfortable is engaging in successful behavioral psychotherapy and/or using the appropriate meds. Not only can these things help a patient with OCD to feel more comfortable, but they can genuinely help patients get beyond this particular challenge and live productively. I'm suggesting that the role of the audiologist in the treatment of OCD is secondary, not primary. That doesn't mean audiologists or otologists do not have a role to play here. Your experience indicates that they may. I agree with you again on your thoughts about a pink noise delivery system or, as you wrote, that "the sound works best when it is delivered right into the ear." If the cost factor was removed then delivering broadband sound via ear canal type units would likely be ideal, as you say. But as we know, cost is a factor for most patients. So, the questions become: Is there a delivery system which allows broadband pink noise to be used as an ambient noise "softener" for patients who suffer from this particular challenge? Can a device be located on the market to which patients can quickly habituate? Put on your party hat, because the answer to both questions is yes. I know of two types of devices which fit the bill. One is more ungainly (as it includes wires and a CD player) and one is not. The "open air" variety of earphones, where the earpads lay flat against the ear, rather than cup or enclose it, work perfectly fine. The user can be assured of consistent broadband sound which never changes. With a little legwork, the patient can locate an open air earphone which is perfectly comfortable. I use this type of delivery system for myself in the treatment of hyperacusis. My open earphones combine excellent fidelity with comfort. I wear them for eight hours a day, every day. I can hear everything going on in my immediate environment. I can walk around with them. I can hold conversations, watch TV, and listen to music while wearing them. My buddy stringplayer thinks they look ungainly -- and to me, that is merely an added bonus. The best news of all is that I am significantly less sensitive to sound than when I started therapy. Last year, believe it or not, I actually recorded my own vocals and piano in a recording studio at the same time I was working with pink noise. I have even mixed while wearing these headphones and participated in engineering mastering sessions. Fidelity is important to me, but it would not be nearly as important for the sort of patients we've been describing in this thread as they are not hyperacusic -- or to be fair I should say that I don't believe they are hyperacusic. Which leads us to the second type of delivery system -- the ideal system for your patients, in my opinion. The ideal delivery system would be either the MP3 players your friend from Microsoft has offered you or an iPod. Either unit would be excellent. I'd recommend that you acquire a couple of the Network's pink noise CDs (made by someone who bears an uncanny resemblance to me) and ask your friend to show you how to download them as MP3 files onto the MP3 players. Then, I'd place the unit in "repeat" mode to enable your patients to have virtually uninterrupted pink noise for as long as they like. Alternatively, you could download the pink noise file from the pink noise CD to an iPod as either an MP3 file or (for better fidelity) a WAV file. (Hyperacusics would be best served by downloading pink noise to the WAV format, but this would not be a concern for OCD patients.) I hope these suggestions are helpful. Audio technology being what it is, there is very little, if anything, in terms of broadband noise or the aurally reconstituted music used in Neuromonics, that cannot be replicated in a recording studio for far less than the thousands of dollars these things currently cost. Rob |
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peamer Registered: 01/27/07
Posts: 14
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| | 02/23/07 at 12:51 AM | Reply with quote | #44 |
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Being new, I may not fully understand the argument you two are having, but I'd like to suggest a few things: One, this condition is very multi-faceted and not black and white. I believe I lean much more in the SSSS direction, but I can firmly state that sound also hurts my ears sometimes...that I have episodes that have nothing to do personal ideas about being irritated. "P's" often hurt my ears; sometimes "D's"; sometimes "S's". Certain birds chirping madly in the Spring REALLY hurt my ears, buzzing table saws hurt my ears whether I'm standing next to them or am a block away. I always thought it was a "certain decible" issue??? Based on personal experience, I suggest that people most certainly possess parts of either in different degrees. Whether it's aural, limbic, neurological, psychological, physiological or whatever, it seems all potential therapeutic modalities should be considered for all. While an accurate diagnosis is no doubt critical, in the final analysis it seems that application of whatever provides relief would be just as critical. Two, as I said in my first (and only) post ... I'm finding that white noise, ear plugs, hearing "aids" with white noise, and a whole variety of soothing music, etc. is acting to desensitize my irritation with sounds. I'm working on this alone. The doc who administers my anti-depresssant meds is aware of my irritation with sound as a by-product of anxiety and stress. (I'm going to be talking with him soon about all that I've learned on this site.) I don't know if you're referring to the same sort of thing that I'm doing with noise making devices, but what I've been doing is working for me. The success of it, I believe, is due in great part to the willingness to do something constructive and to concentrate on letting go of anger, frustration and fear. Sometimes that's easier said than done, and I certainly do not intend to be preaching that anyone 'should' be able to do that. My experience was that I got so sick of feeling awful about this ... and I got old enough to realize that I wasn't going to go crazy or die from it ... that I just made a commitment to try to outsmart it. My little plan seems to be working. Today was a very successful day. When I walked into my studio to paint, the neighbors were making tons of noise. In the past, this would have set off a panic button in my stomach, causing anxiety, sometimes trembling and often nausea. Today I was able to say, "okay ... they are doing that again. Let me see how long I can tolerate it without support." Knowing I could put in the white noise at any moment, I was able to get focussed on my work. I worked very successfully for 4 hours. Then the neighbors got really loud (banging doors and cupboards which made me jumpy), I was getting fatigued with my work, but needed to stay and complete about another hours' worth. So I plugged in before the anxiety "juices" started messing with me. The white noise masked, I relaxed, benefiting from knowing I could be comfortable. It worked. The more successes I have, the more relaxed I become in a variety of situations. It sounds like behavior modification or desensitization to me. Third. May I respectfully say that some of the posted squabbling is somewhat disconcerting. By that I mean, I rather feel as though you are bickering over us as insensitive parents might argue about their child's affliction in front of the child. I would be more pleased if you bickered off-line, then reported the outcome in the professional manner that I know you must certainly possess. Regardless, thank you for all that you do. Clearly, you care about this. |
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Registered: Member deleted
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| | 02/23/07 at 01:20 AM | Reply with quote | #45 |
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"I'm suggesting that the role of the audiologist in the treatment of OCD is secondary, not primary. " Could not agree more. However, again, many of these patients have been examined for OCD by psychiatrists and psychologists and were not found to have it. Another important contribution is that there are a substantial number who have tried drugs or who are on drugs, and who have not experienced any relief in their symptoms. Specifically OCD drugs. And finally, does the small unit like you are using have a pause in its output? It would be best if there was a smooth continuous sound presentation. The generous fellow could not achieve that, sadly. It is kind of awakening when the sound stops and then starts again. I am not sure why we need to decide here if 4 S is physiologic, psychologic, or both? Again, it really does not belong here on the hyperacusis board. MJ |
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LynnMcLaren Registered: 04/28/05
Posts: 7,638
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| | 02/23/07 at 01:56 AM | Reply with quote | #46 |
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Hi Peamer, (((( Smiles )))) See thats why I can't say that based on possible limbic involvement or just the unknowns of this disorder and I'm not an expert on this in anyway. I'm just a person that has been around along time and read others thoughts on this and what other SSSS people have said on the board.... That in some cases that de-sensitization of the sensitivity to whatever is bothering a person in sounds may be a possiblity not just for comfort reasons.. May truely help in some Neurophysiological brain central processing limbic whatever else may be going on up there way.. I don't know but.. You wrote.. Quote: I'm finding that white noise, ear plugs, hearing "aids" with white noise, and a whole variety of soothing music, etc. is acting to desensitize my irritation with sounds. Which I don't think is as defind as in hyperacusis or tinnitus in the way of longtime research... And theres alot of unknowns regarding hyperacusis as well besides what they do know... Whatever may help one.....Whatever may work for someone.. Thats why I'm not ruling anything out for anyone even if say pink noise white noise , TRT won't help everyone.... doesn't mean it can't help someone at all. Maybe in conjuction with other therapies such as for OCB... As there could be different componets to this disorder involved... And thats why it would be interesting reading the result papers of data and case histories collected.. Quote: While I have much to say about the ten year history of collecting data and case histories, on using sound-as-therapy for the auditory component of this syndrome, and the outcomes of treating over 300 subjects with sound, it is all going into a paper that will be published that you can read. ..on this condition because only the people who have this condition can answer the question of what has helped them , who they have seen or taken in medication before and how that worked for the... And how many have been treated for OCB and how that has worked for them as well... I would like to read what the SSSS suffers have to say about this.. In collective data and case histories.. Overtime... What they have found helpfull.. to them... If they were getting their needs met anywhere else.. they would not seek out Marsha for help at all.... And Marsha has spent more time with this disorder... Then anyone else I know about... And just your story is like one part of the collective data.. I mean sound therapy doesn't work for everyone with hyperacusis disorder. And it has worked better for some then others over the years of continued use as well.. And how we know that is because hyperacustic people will tell others what they have tried and what has worked well for them overtime... See that's what I want to hear from all of you... (((( Smiles )))) Peamer Wrote.. Quote: "P's" often hurt my ears; sometimes "D's"; sometimes "S's". Certain birds chirping madly in the Spring REALLY hurt my ears, buzzing table saws hurt my ears whether I'm standing next to them or am a block away. I always thought it was a "certain decible" issue??? __________________ Take Care
Lynn |
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peamer Registered: 01/27/07
Posts: 14
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| | 02/23/07 at 02:04 AM | Reply with quote | #47 |
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Marsha: Not sure if I understand you correctly. If you meant to say that "4S" doesn't belong on the HA board, I wouldn't agree with that. If all of this hadn't been on the HA board, I'd never have found this wonderful connection. There is so much power in 'belonging' ... in not feeling like you're the odd man out. To belong is a gift. peamer |
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XEmmaX Registered: 02/20/07
Posts: 22
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| | 02/23/07 at 03:43 AM | Reply with quote | #48 |
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Rob, I just wanted to say thanks for your earlier post, it was very interesting. Over the past year I have been trying to understand my behavior and learn about the problems I have to deal with on a day to day basis. Knowledge alone is a huge help. Although I have suffered with OCD for 11 years, (not to mention other sorts of related mental health issues) I was only diagnosed in April 2006. I have Pure O, which means I have no compulsions (although I suppose my mimicking could be a compulsion as it gives a degree of relief). This meant that OCD went undiagnosed for years. I hope that Pure O will become more recognized by medical professionals in the UK. I think that my problem is better looked at as a psychological one, but must say that when I read the information on SSSS (on the page 4 types of Sensitivity) I thought that this had been written for me!!! I couldn't believe it as it was me, me, me all over. I notice this page has been removed? Is this due to this debate? Although we are all baffled by the link with OCD and SSSS, there certainly is one, I am living proof. Psychological or not, it exists. I would therefore like to leave my email address and if anyone wants to discuss this issue in the future, for research or just an insight please feel free to contact me. amy.callow78@hotmail.co.uk Thanks for all your comments ) __________________ Em x |
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XEmmaX Registered: 02/20/07
Posts: 22
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| | 02/23/07 at 03:53 AM | Reply with quote | #49 |
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For those interested in other peoples comments/research into this link, you may want to have a look at the thread I started on SIAD stuckinadoorway.co.uk It is a forum for OCD sufferers, the link is in forums/OCD treatments/alternative and natural treatments and the post is called Advice needed from SirCeaser (OCD & SSSS) http://www.stuckinadoorway.org/forums/showthread.php?t=14698 (Not sure if the link will work) Interesting findings. __________________ Em x |
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LynnMcLaren Registered: 04/28/05
Posts: 7,638
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| | 02/23/07 at 03:55 AM | Reply with quote | #50 |
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Wow Mx, (((( Smiles )))) Your right about that.. I wonder what that means.... Is there changes to be made in the works... On the 4th type .. I didn't notice that of recent.. You wrote.. Quote: I think that my problem is better looked at as a psychological one, but must say that when I read the information on SSSS (on the page 4 types of Sensitivity) I thought that this had been written for me!!! I couldn't believe it as it was me, me, me all over. But you have been diagnoised with mild OBC... That's interesting.. How is the therapy for OBC helping your SSSS.. Maybe there are different variations of SSSS... Different ways of what treatment would be of the most help.. I'm just baseing this on everything I have read above.. __________________ Take Care
Lynn |
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