Specialist Clinics and Patient Support

Welcome to Hashir International Specialist Clinics for Misophonia, Tinnitus & Hyperacusis. The main aim of our clinics is to deliver specialist care for adults and children who experience misophonia, tinnitus and hyperacusis from anywhere in the world. Our international team of audiologists, psychologists, health psychologists, occupational therapists, behavioural and cognitive neuropsychologists, and neuroscientists have undergone intensive training and supervision to deliver various components of the consultation and treatment package. To learn about our team, click here.

All our consultations are delivered via video calls. The standard private consultations at Hashir International Specialist Clinics & Research Institute span over 4-6 sessions comprising:


The aim of this session is to explore the type and severity of your symptoms to make a diagnosis and develop a comprehensive treatment plan. Assessment is conducted by our senior audiologists who are specialist in misophonia, tinnitus, and hyperacusis rehabilitation.

Psychological Evaluation

In this session, you will see our clinical psychologist who will explore if there is any underlying psychological/psychiatric condition(s) 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.


In educational sessions, you will have the opportunity to talk to our neuroscientists who can explain for you the latest scientific understanding about the mechanism of misophonia, tinnitus and hyperacusis and the research studies on treatment methods.

Occupational Therapy (OT) Evaluation (for children clinic only)

Sensory processing disorder is characterised by difficulty in organising and responding to the information that comes from our senses including our ears. The aim of the paediatric OT session is to assess if your child has a broader sensory processing disorder in addition to their sensitivity to sound.

Health Psychology Evaluation

Our health psychologist will explore if you have a pathological response to misophonia, tinnitus and hyperacusis or to the stress caused by them. She will assess if there are any improvements and behaviour changes that you can achieve in living well with misophonia, tinnitus and hyperacusis, and talk to you about how to maintain your physical and psychological health while you are learning to manage misophonia, tinnitus and hyperacusis. Health psychology support can facilitate strengthening your sense of self-efficacy, confidence, and developing a more realistic belief about your condition and its long-term management.

Long COVID-19 Assessment

Effect of COVID-19 on our hearing and other senses has been established through several research studies. Our behavioural and cognitive neuropsychologist and neuroscientist runs long COVID clinics specifically assessing changes in tinnitus, hearing and hyperacusis and associated implications for memory, cognitive ability and other dysfunctions in patients who are experiencing such symptoms following COVID-19 infection, that have continued after more than 12 weeks.

At the end of the consultation process a comprehensive report will be developed summarising our findings, discussing your diagnosis and proposed treatment approach. All patients will be sign posted to appropriate services for physical examination or tests when needed. Depending on the outcome of the consultation process we will formulate a treatment programme that can address issues specific to tinnitus/hyperacusis/misophonia and/or broader underlying psychological/sensory processing factors.

Most people will be offered a specialised rehabilitation programme based on cognitive behavioural therapy (CBT) for management of misophonia, tinnitus and hyperacusis. This therapy will involve 14 one-to-one sessions via video calls. The first 10 sessions will be weekly. Then the gap between sessions will increase to 2 weeks, 2-month, 3-month, and 6-month. For people experiencing comorbid psychological and/or sensory processing disorders, additional psychological and OT input will be required.

Patient Support

Another programme for patients is peer support that you can join in meetings with expert patients who have undergone the treatment themselves and share their experience of managing misophonia, tinnitus and hyperacusis with you.

Peer support group helps you to
  • Feel less lonely, isolated, or judged
  • Reduce distress, anxiety, or fatigue
  • Talk openly and honestly about your problems caused by misophonia, tinnitus and hyperacusis
  • Improve skills to cope with challenges
  • Stay motivated to manage your conditions or stick to treatment plans
  • Get practical feedback about treatment options.

Research Highlight

For Hearing Healthcare Professionals