What to expect at a misophonia appointment?

When diagnosing for misophonia, it’s important to rule out any other hearing disorders such as hearing loss, tinnitus and hyperacusis. That’s why we conduct a series of tests to check whether you have these conditions too.

Allow about 2 hours for your appointment with us. If you have had your hearing evaluated by an audiologist, we ask that you bring a copy of those results to your appointment and any other pertinent medical history information pertaining to your misophonia. Otherwise, we will go ahead with our full hearing examination.

The Tinnitus and Hyperacusis Clinic is private pay, therefore, we cannot accept health insurance. All payments are due at the time of service. Interest-free options are available if needed.

If you need to cancel or reschedule your appointment, we require a notice of at least two (2) business days. Should you fail to do so, we may charge a Cancel/No-Show fee of $150. Emergency situations are taken into consideration, which includes COVID-19 restrictions and precautions.

Bring a friend!

We invite our patients to bring someone with them to the initial assessment. Studies have shown that patients often only recall about 50% of the information they receive during a visit. While we do everything possible to ensure you leave with a firm grasp of the most important information, we understand it’s helpful to have another person listening too.
Contact us to book your misophonia appointment today!

1. A hearing health history

The first step is to understand and find out about your medical history. There are numerous possible causes of tinnitus, hyperacusis and misophonia, so your information can help to determine whether your family has something hereditary or genetic which might be contributing to your current condition. A hearing loss or tinnitus can also occur in medical circumstances such as allergies, head cold, ear infections and even impacted earwax. We might also enquire whether you have experienced any recent trauma to the head or ears, as any injury to these areas may cause temporary or permanent hearing damage.

2. Ear examination

To examine your ears, we will use an otoscope. This is to check for obstructions such as impacted earwax. This examination is also needed to find out if the hearing loss is due to a medical reason. A certain type of hearing loss is the result of problems with sound traveling from outside the ear to the middle ear.

3. Hearing Tests

The first test is called the Pure Tone Test. You will hear sounds of distinct tones via headphones and will be requested to click a button each time you hear a noise. Gradually the sounds will become quieter in order to determine the softest sounds you can hear. These findings are registered on a diagram called an audiogram.

Next, we will conduct a Speech Audiometry Test. This tests your ability to understand speech without the help of visual clues like lip movements or facial expressions. We will play speech through headphones and ask you to repeat what you have heard.

In addition to the tests above, we also perform testing such as: ultra-high frequencies, tinnitus pitch and loudness match (when applicable), and tests to gauge your uncomfortable loudness levels.

4. Results

When the test is finished, we will explain the results to you using what was discovered and why it has an effect on your life. We will now be able to see if hearing loss has any effect on your current condition.

Consultation about your misophonia

Based on your hearing test results and the information you give us about your specific symptoms, we will go through a detailed case history about you, your misophonia, and how it affects your quality of life.

We look at why specific sounds are more bothersome to some people than others.  You will learn the basic concepts behind management and treatments of misophonia.