Noise Sensitivity: Seeking Help for Anxiety and Treatment Options - Psychiatry

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Noise sensitivity


Hello, about a year ago, I noticed that the noise from my upstairs neighbors became significantly louder.
The following morning, I happened to wake up early and heard the noise, which prevented me from falling back asleep.
Since then, I have become anxious and fearful whenever I hear human-made noises throughout the day (specifically sounds within the building such as neighbors' footsteps, door opening and closing, furniture dragging, or floor impacts; I do not mind sounds made by my cohabitants).
I am currently undergoing psychological counseling and taking anti-anxiety medication, but after a year, it seems to be ineffective.
I would like to know if there are certain tests that can determine whether my hearing is indeed more sensitive than average and requires treatment.
I have considered the possibility that the noise from my neighbors has genuinely increased, leading to my heightened sensitivity, rather than it being solely an issue with me.
However, I still seek formal medical evaluation for confirmation.
Thank you! Additionally, should I consult an otolaryngologist (ENT) about this situation, or is it acceptable to go directly to a psychiatrist? Since the symptoms have persisted for a year, I find it impossible to relax whenever I am indoors, which is truly unbearable.
I hope to learn about the correct treatment options.

Cai, 20~29 year old female. Ask Date: 2023/01/29

Dr. Lin Mianzhang reply Psychiatry


Hello, Miss Tsai: I would like to know if you are living with others.
Are the other residents also disturbed by the same sounds? If they are not bothered, it may indicate that you are particularly sensitive.
If you live alone, we would need objective sound data (for example, measuring the decibel level of the noise created by your neighbor) to determine whether you are overly sensitive or if the noise from your neighbor is indeed excessive.
My hypothesis is that you may be genuinely hypersensitive to sound, as it is unlikely that your neighbor suddenly started making louder noises unless there has been a change in neighbors.
This type of sound hypersensitivity is often related to emotional anxiety and autonomic nervous system dysregulation, and it typically improves significantly with the use of antidepressants.
I recommend that you seek evaluation from a psychiatrist, as they can conduct a comprehensive assessment and develop the most suitable treatment plan for you.
Wishing you peace and good health.

Reply Date: 2023/01/29

More Info


Understanding noise sensitivity, especially in the context of anxiety and mental health, is crucial for finding effective treatment options. It appears that you have been experiencing significant distress due to noise sensitivity, which has led to anxiety and sleep disturbances. This situation can be quite challenging, especially when it feels like external factors are contributing to your discomfort.

Firstly, it’s important to recognize that heightened sensitivity to noise can be a symptom of various underlying issues, including anxiety disorders, stress, or even sensory processing disorders. The fact that you are only disturbed by noises created by neighbors and not by sounds made by those you live with suggests a specific sensitivity that could be linked to your anxiety levels.
In terms of seeking help, it would be beneficial to undergo a comprehensive evaluation. This could include a hearing test conducted by an ear, nose, and throat (ENT) specialist to rule out any physical issues with your hearing. Sometimes, conditions like hyperacusis, where certain sounds are perceived as intolerably loud, can be diagnosed through such evaluations. If your hearing is normal, the next step would be to consult with a mental health professional, particularly one who specializes in anxiety disorders. They can help assess whether your noise sensitivity is a symptom of an anxiety disorder or if it is related to other psychological factors.

You mentioned that you have been undergoing psychotherapy and taking anti-anxiety medications for about a year without significant improvement. It might be worth discussing with your psychiatrist or therapist whether your current treatment plan is adequately addressing your symptoms. Sometimes, adjustments in medication or a different therapeutic approach, such as cognitive-behavioral therapy (CBT), can yield better results. CBT, in particular, can help you develop coping strategies to manage your anxiety and reframe your thoughts about the noise.

Additionally, mindfulness and relaxation techniques can be beneficial in managing anxiety related to noise sensitivity. Practices such as deep breathing exercises, progressive muscle relaxation, or guided imagery can help you calm your mind and body when you are exposed to distressing sounds. These techniques can also improve your overall resilience to stressors in your environment.

Another approach to consider is sound therapy or white noise machines. These devices can mask disruptive noises and create a more soothing auditory environment, which may help you sleep better and reduce anxiety when you are at home.
Lastly, it’s essential to communicate openly with your family and friends about your experiences. Their support can be invaluable as you navigate this challenging situation. If they understand your sensitivity to noise, they may be more accommodating and help create a quieter environment when possible.

In summary, addressing noise sensitivity and its associated anxiety involves a multi-faceted approach. Start with a thorough evaluation from an ENT specialist to rule out any hearing issues, followed by a consultation with a mental health professional to explore treatment options. Incorporate mindfulness practices and consider sound therapy to help manage your symptoms. With the right support and strategies, it is possible to improve your quality of life and find relief from the distress caused by noise sensitivity.

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