Abstract

Decreased sound tolerance is a condition in which sensitivity to environmental sounds is increased. Hyperacusis, misophonia, and phonophobia are subtypes of this condition. Current literature continues to debate the definition, classification, mechanisms, and management strategies. Tests and self-report measures are available for assessment. Management strategies are based on counseling approaches, sound enrichment therapy, and psychological support. In this context, multimodal approaches increase the effectiveness of the rehabilitation process. Appropriate assessment and guidance of this group of patients, who are not sufficiently recognized despite being common in clinical practice, is of critical significance. The aim of this narrative review is to examine the current literature on disorders of decreased sound tolerance and discuss the definition, classification, mechanisms, and management strategies of these conditions.