People reading this thread that I titled: Hyperacusis, As I See It. Please do not be discouraged by negative thinking people that have hijacked it with their misinformation and lack of understanding of what tinnitus is. This is because of their lack or experience. I mostly advise on noise induced tinnitus and when it is accompanied by hyperacusis because I'm familiar with them.
When a person develops tinnitus due to exposure to loud noise they may also get hyperacusis. It is true the cochlea in the middle ear becomes damaged - however, I prefer to say affected but nevertheless it is the same thing. Some people do not know, the cochlea sends a signal to the brain that a fault or anomaly has occurred and it's picked up by the Limbic system. Here, this signal is generated into a noise that we call tinnitus. The Limbic system controls our emotions: love, hate, fear, pleasure. The tinnitus has now become a part of a person's mental and emotional wellbeing. This is the reason counselling, as part of TRT and CBT can be so helpful in helping a person to accept the tinnitus and not be afraid of it. In many instances through counselling, the brain gradually pushes the tinnitus further into the background where its perception becomes less noticeable and is called habituation. I have written articles about this that are on my started threads.
Please refer to my post at the beginning of this thread on hyperacusis and how it can affect a person's mental and emotional wellbeing. When a person develops hyperacusis due to noise trauma, some of the sensory hair cells attached to the cochlea, about 15,000 of them, become damaged (affected) which may or may not result in some hearing loss. The cochlea also sends a fault signal to the brain and is picked up in the auditory centre. Here, gateways that allow sound to pass through, have suddenly opened up wide, resulting in certain sounds or all sounds being oversensitive even painful. As mentioned in many of my posts, this oversensitivity can improve by itself over time but in more severe circumstances, professional help is needed by wearing white noise generators as part of TRT, to desensitise the auditory system using sound therapy to gradually close down the gateways to normal.
If hyperacusis is not treated, other problems can occur. Phonophobia and Misophonia, that I have written about in my post: The Complexities of Tinnitus and Hyperacusis. Counselling, sound therapy, medication, relaxation exercises - or a combination of them can help a person to cope better with tinnitus.
The thing that is not helpful to someone affected with tinnitus, hyperacusis or both: is having a negative and defeatist attitude to treatment and believes nothing will improve the quality of their life. Tinnitus forums can be good they can also be bad, if you associate with or read posts by negative thinking people.
I wish you well.
Michael