We offer video consultations to explore the type and severity of your symptoms and to make a diagnosis and develop a comprehensive treatment plan. Our main speciality is cognitive behavioural therapy (CBT) for management of misophonia, tinnitus and hyperacusis.
The aims of this assessment session are to (1) explore the type and severity of your symptoms, (2) assess if your symptoms are related to an underlying medical, audio-vestibular, or psych-social problem, (3) make a diagnosis and develop a comprehensive treatment plan, (4) sign post you to other medical or psycho-social services when needed. Assessment is conducted by our senior audiologists who are specialists in misophonia, tinnitus, and hyperacusis rehabilitation. All patients should undergo an assessment prior to any treatment at Hashir International Institute.
In educational sessions, our neuroscientists will discuss with you the latest scientific understanding about the mechanism of misophonia, tinnitus and hyperacusis and the research studies on treatment methods. We will let you know if you might require an educational session.
Our clinical psychologists will carry out a more in-depth investigation to see 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. We will let you know if you might require psychological evaluation.
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. We will let you know if you might require an OT evaluation.
Health psychology evaluation
Our health psychologists will assess if there are any 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 their long-term management. We will let you know if you might require a health psychology evaluation.
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. The first 10 sessions will be weekly. Then the gap between sessions will increase to 2 weeks, 1-month, 3-month, and 6-month. Following the assessment session, we will let you know if you might require specialised CBT.
Depending on the outcome of the assessment session 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. Following the assessment session, we will let you know if you might require psychology or OT sessions in addition to your CBT for misophonia, tinnitus and hyperacusis.
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. This is offered to all patients who undergo specialised CBT treatment package when needed. Individual patient support sessions help you to feel less lonely, reduce distress, you can talk openly and honestly about your problems caused by misophonia, tinnitus and hyperacusis and the difficulties that you may be experiencing due to your CBT treatment, improve skills to cope with challenges, stay motivated to manage your conditions, how to stick to treatment plans, and get practical feedback about your treatment!
Comprehensive clinical reports
We provide a comprehensive assessment report summarising our findings, your diagnosis, and the proposed treatment approach. At the end of the treatment, we provide a treatment progress report comparing the severity of your symptoms and their effect on you before and after the treatment.
Research on the Results of Our Premier Therapy Package
Results from 48 patients who received Hashir International Institute’s premier therapy package of 14 CBT sessions for tinnitus, hyperacusis or misophonia show that CBT delivered via video calls is very effective in reducing the impact of tinnitus, hyperacusis and misophonia.
Dr. Hashir Aazh was very kind and professional. Highly recommended
Encouraging first appointment which gave me a great deal of hope for the future.
It was a great relief to finally see someone with a comprehensive understanding of misophonia.
Great service and effective treatments. Good value for your money.
I met with Dr. Hashir Aazh once and we continued the rest of the sessions via Skype which was just as excellent and still enabled me to take away the valuable tools I needed. Dr Aazh is very sincere and I have learnt so much about myself through these life changing sessions.
Excellent service. Dr. Aazh is very professional and knowledgeable.
outstanding initial session! many thanks to Dr. Aazh
Outstanding initial session. Dr.Aazh is clearly a skilled clinician with the ability to provide CBT type therapy from an audiologist’s perspective given his experience and thorough understanding of Tinnitus.
Highly recommend his professional services via Skype.
I have had 10 sessions of CBT with Hashir. I learned much about myself and the way I react to tinnitus. Hashir is very personable, listens well and has considerable knowledge and experience.
Very informative and engaging
Hashir has really helped me. I didn’t think that I’d be able to get through the sessions as I am very busy with work but needed help. He has been very flexible and supportive. I would highly recommend him.
I received 6 sessions of CBT for Hyperacusis from Hashir and have made considerable improvements from the techniques he has taught me. I feel my condition is vastly more manageable and I very much expect to improve further by continuing to practise and implement them. Hashir is very knowledgable on these topics, explains things very clearly and is excellent at focusing my mind to the path of recovery. Highly recommended!
Personable, professional and supremely competent.
Hashir is remarkably professionally skilled, patient and thorough in tackling tinnitus and hyperacusis issues. His clarity, dedication and systemic approach instil a lot of confidence and trust. As such I would warmly recommend him to anyone seeking support, not least given the often misleading and/or unsubstantiated information on the subject. With Hashir, you are in safe hands.
Dr. Aazh offers a great combination of empathy and authority. Throughout our sessions, this led to both insight and empowerment. Highly recommended.
After the stress of lockdown in March my long standing, reasonably well managed tinnitus got significantly worse and then hyperacusis started. They were making my life an absolute misery, I pretty much was unable to cope with anything
I have seen Hashir for a zoom consult regarding my newly developed Tinnitus. He is thoroughly professional and was very calm and understanding towards my condition. I am Thankful to him for seeing me and all the advice I was given and if I need any CBT I would be back to him.
I started treatment for my Tinnitus with Hashir back in July after having severe, constant Tinnitus following an accident in October 2020 - It hadn't improved from then until July and it was having a severe impact on every aspect of my life and mood.
When I started treatment with Hashir I was in quite a bad place with bilateral tinnitus. With his help and support, I've managed to get myself in a much better place. I really can't thank him enough.