Why Are Things Sounding Harsh/Coarse/Rough — Almost Like a Broken Speaker?

Sorry to hear this @Jon R..

I don't think you will get any certain answers to this. And certainly no medical answers. The chances of that are close to non.

What I can tell you is that I had the same experience as you:

I've had all the same issues as you, and somewhat similar timeline - with no particular reason.

This "condition" is totally unpredictable at times, especially at the stage you are now. You are "only" 4 months down the road if I understand you correct. That's not a long time.

For me, I slowly started feeling noticeably better around maybe 1 year mark. Non-linear progression, and many setbacks. Personally I see setbacks as temporary and unavoidable in this process, and also necessary in the rewiring of the brain.

You should think of a setback not as you getting worse permanently, but a step on the road. It will feel like a step back, but that's not necessarily the case...

...and try not freaking out. You should get help if you have issues with not getting out of the flight and fight mode, because that only makes it worse. Catastrophic thinking is fuel to this condition.

Forget about ENTs. You should rather have counselling, for instance with someone that is skilled in CBT. It might be of help over time. But this just takes a lot of TIME to see more better days than bad days.
Did you ever get improvements from your setbacks? How long did they last?
 
Did you ever get improvements from your setbacks? How long did they last?
My advice to you is to calm down regarding your setback. What you are doing now is quite the opposite - which is pure fuel to your mind. Won't do you no good. A setback lasting anywhere from a few days to a few weeks is very common - and for most they go down to baseline.
 

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