What is the difference between hyperacusis and misophonia?

Rebecca Grome

Au.D.

Ears4U Hearing Services

They're both sound sensitivity conditions, but they work quite differently. Hyperacusis is a reduced tolerance to sound in general — everyday noises like traffic, running water, or conversation can feel uncomfortable or even painful. Misophonia, on the other hand, is a strong emotional or physical reaction to very specific sounds, often things like chewing, breathing, or tapping. The trigger isn't necessarily loud — it's the particular sound itself that causes the response. Both conditions can significantly affect daily life, and both benefit from professional evaluation to make sure the right management approach is put in place.