Our Services
At Hashir International Institute, we help you with assessment and management of your misophonia, tinnitus or hyperacusis via private consultations with our specialists. Our main speciality is cognitive behavioural therapy (CBT) for misophonia, tinnitus and hyperacusis in children and adults.
Assessment
Assessment is conducted by our senior audiologists who are specialists in misophonia, tinnitus, and hyperacusis rehabilitation. They will assess the type and severity of your symptoms, make a diagnosis, and develop a comprehensive treatment plan.
Psychological evaluation
Our clinical psychologists will explore if there are any underlying psychological/psychiatric conditions that might require separate treatment. This is different from the anxiety or stress symptoms related to the experience of tinnitus, hyperacusis, noise sensitivity and misophonia.
Education
In educational sessions, our neuroscientists will discuss the latest scientific understanding about the mechanism of misophonia, tinnitus and hyperacusis and the research studies on treatment methods.
Occupational therapy (OT) evaluation
The aim of our OT sessions is to assess if you or your child have a broader sensory processing disorder, autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), neurodevelopmental disorders, and/or emotional regulation difficulties in addition to sensitivity to sound and/or tinnitus.
Health psychology evaluation
Our health psychologist will assess if there are any improvements and behaviour changes that you can achieve to cope well with misophonia, tinnitus and hyperacusis, and talk to you about how to maintain your physical and psychological health throughout the treatment process. Our health psychologists will help you to feel more confident and develop a more realistic belief about your misophonia, tinnitus and hyperacusis and its long-term management.
Cognitive behavioural therapy (CBT)
We are one of the few institutes in the world that offer an evidence-based specialised rehabilitation programme based on cognitive behavioural therapy (CBT) for management of misophonia, tinnitus and hyperacusis for children and adults. Our premier therapy package comprises 14 one-to-one sessions via video calls.
Multidisciplinary care
Depending on the outcome of the assessment we will formulate a treatment programme that can address issues specific to tinnitus/hyperacusis/misophonia and/or broader underlying psychological/sensory processing factors. For people experiencing comorbid psychological and/or sensory processing disorders, additional psychological and OT input will be provided throughout the treatment.
Patient support sessions
Between your main CBT sessions, you will have access to our dedicated patient support officers who will help you to practice and master the CBT techniques that you learn from your CBT sessions for managing misophonia, tinnitus and hyperacusis.
Comprehensive clinical reports
We provide comprehensive assessment report and treatment progress report summarising our findings, your diagnosis, and the treatment approach.
Research and training
At Hashir International Institute, we conduct multidisciplinary research to assess, treat, and prevent misophonia, tinnitus and hyperacusis. For healthcare professionals, we provide training courses, workshops, and masterclasses. We are a member of The CPD Certification Service in the UK.
We are an independent research institute and UK- wide specialist clinic based in Guildford and London. The main aim of our private clinics is to deliver specialist care for adults and children who experience distressing misophonia, tinnitus and hyperacusis from anywhere in the world. After a decade of research, we have developed our premier therapy package which comprises targeted cognitive behavioural therapy (CBT) for misophonia, tinnitus and hyperacusis combined with consultations with a multi-disciplinary team of audiologists, psychologists, occupational therapists, and neuroscientists.
Research on our premier therapy package has shown very good results in helping patients to manage their symptoms and significantly improve their quality of life.
Several researchers from Hashir International Institute presented at the 36th World Congress of Audiology that took place in Paris, from the 19th to 22nd of September 2024. The French Society of Audiology, French Society of Otorhinolaryngology,...
The British Society of Hearing Aid Audiologists organised a roadshow event for hearing healthcare professionals in Northern Ireland on 27th September 2024 at Belfast. The aim of this event was to share best audiology practices, continuous...
In this press release, the “Book of Abstracts” for research presentations given by oto-rhino-laryngologists, audiologists, psychiatrists, psychologists, speech and language therapists, hearing aid dispensers, social workers, neuroscientists,...
Our director, Dr Hashir Aazh, is a pioneer in audiologist-delivered CBT for managing misophonia, tinnitus and hyperacusis. Dr Aazh is recognised as the number one expert in hyperacusis in Europe (2 nd in the world) during the years 2013-2023 from an independent ranking of biomedical experts (click here to view source ).
Dr Hashir Aazh, Associate Professor of Audiology, in collaboration with our global network of scientists, is leading research on topics related to social cognition and brain activities in misophonia, effect of sleep disturbances on tinnitus, cognition, mood and hyperacusis, and machine learning and AI for differential diagnosis of misophonia and hyperacusis. We also offer specialist training courses, ethical review of the research proposals, research design, research sponsorship, and supervising MSc and PhD students.
The III World Tinnitus Congress and the XIV International Tinnitus Seminar will take place on 13 – 15 April 2025 in Warsaw, Poland. International Tinnitus Seminar was initiated and first held by Barbara Goldstein and Abraham Shulman in 1979 in New...
After the success of the First International Conference on Pharmacology & Gene Therapy for Tinnitus in June 2024, we are pleased to announce the second conference planned for October 2025. The aim of this conference is to bring together...
This is a hybrid training course for qualified healthcare professionals. It starts with 3 days face-to-face lectures on 10-12 March 2025 at Birkbeck college, University of London, followed by 12-month online training course and clinical...
The aim of this conference is to bring together researchers and clinicians from the fields of hearing science, pharmacology, and gene therapy to share their perspectives and scientific discoveries that can guide future development of tinnitus...
A window into the vibrant world of academic exploration and innovation happening within our institution In this webinar, students at different levels including undergraduate, and postgraduate will take the virtual stage to share their latest...
A recent study conducted by scientists at Duke University delves into the distinctions between misophonia, and general difficulties in emotional management. Their research uses cognitive restructuring and neurostimulation techniques to...
Ever wondered about the impact of Cognitive Behavioral Therapy (CBT) on your brain’s response to trigger noises, if you have Misophonia? Watch this YouTube series as we delve into this intriguing subject. Our session will feature...
Have you ever questioned if it is possible to control our responses to certain noises? Perhaps you have made a sound which has created an extreme reaction in a loved one and wondered why? For people with Misophonia, it can feel completely...
Hyperacusis is the perception of certain everyday sounds, such as domestic noise or noise in public places, as too loud or painful in such a way that it causes significant distress and impairment in social, occupational, recreational, and other...
Tinnitus is the perception of sound (e.g., ringing, buzzing, whistle, humming, clicks, etc) in the absence of acoustic stimuli external to the body. Tinnitus can lead to emotional distress, cognitive dysfunction, autonomic arousal, behavioural...
Misophonia is characterized by perceiving certain sounds linked to oral function (e.g., chewing), nasal sounds (e.g., breathing), and repetitive sounds such as tapping or clicking as disgusting or annoying leading to profound emotional,...
Joanna Barker (Audiologist, Specialist in Tinnitus, Hyperacusis and Misophonia Rehabilitation) will be hosting this Patient Education online meeting. The third meeting in the series is planned for 25th November 2024 6:30 to 7:30 PM (UK time). Our...
Joanna Barker (Audiologist, Specialist in Tinnitus, Hyperacusis and Misophonia Rehabilitation) will be hosting this Patient Education online meeting. The second meeting in the series is planned for 28th October 2024 6:30 to 7:30 PM (UK time). Our...
Joanna Barker (Audiologist, Specialist in Tinnitus, Hyperacusis and Misophonia Rehabilitation) will be hosting this Patient Education online meeting series from September 2024. The first meeting is planned for 30th September 2024 6:30 to 7:30 PM...
Expressing her own inner sense of how much sounds can be multiplied and intensified in her head, the 45 years old artist, Shohreh Pakdaman, illustrate in her painting a boundary between her safe zone and the intolerable which is “the edge of...
This illustration is about living with tinnitus. The 23 years old artist from the UK, Eleanor Ponté, has tinnitus. When it first came, she would freeze, in her room, alone and it would be terrifying. However, she has found immense relief and comfort...
Dark Spooky House (DSH) is a thought experiment designed to help us understand how our emotions and bodily sensations can be misinterpreted by our brain leading further anxiety and tinnitus distress. We often interpret our negative emotions as alarm...
A patient in our clinic used to describe how he felt very small and lonely in the face of tinnitus. He had vivid images of “being like a hopeless lonely shrimp in the sea which was about to be taken over by deadly waves of a tsunami”. In his last...
Juliet preferred the most terrifying situations over losing Romeo in Shakespeare’s Romeo and Juliet (1597). As they say: “love can blind people”. It is not only love that can blind us. Fear does that too. We need to learn how to prevent our...
Contract type: Permanent We offer full-time, part-time and “term time only” contracts. Term time contracts are typically 38 to 40 weeks. Staff on term time contracts take their annual leave during school holidays and they get paid for the hours...
Contract type: Permanent We offer full-time, part-time and “term time only” contracts. Term time contracts are typically 38 to 40 weeks. Staff on term time contracts take their annual leave during school holidays and they get paid for the...
Given that Cognitive Behavioural Therapy (CBT) is considered one of the few evidence-based tinnitus treatments and given the fact that relatively few healthcare professionals are properly prepared to deliver such treatment, it is only logical that self-help approaches have been advocated. In creating a self-help guide, Dr Hashir Aazh and Professor Brian C.J. Moore combine cutting-edge knowledge of auditory science and theoretical frameworks in modern psychology with the insight they have acquired from clinical encounters about the complexities of the human experience of tinnitus and how to help people to deal with it. But that’s not all! Aazh and Moore’s unique style of writing teaches us complex concepts in an entertaining manner. The book introduces a cast of characters from Beauty and the Beast to Moby Dick, from Dante to Muhammad Ali, and from Sigmund Freud to Rumi, Buddha and Epictetus. Packed with metaphors and practical tips, the authors draw a realistic picture of what the recovery from tinnitus-related distress looks like, and then dive into the deep and explore the variety of experiences of tinnitus and their complexities.
Get the book
See our Senior Paediatric Occupational Therapist for hyperacusis and/or misophonia assessment and treatment in children with or without a broader sensory processing disorder, autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), neurodevelopmental disorders, and/or emotional regulation difficulties.
