Many autistic children, teenagers, and adults experience strong reactions to everyday sounds. These reactions can include physical discomfort, distress, anxiety, or intense emotional responses to specific noises. A recent review paper helps clarify how hyperacusis and misophonia commonly occur alongside autism, and why sound sensitivity can have such a powerful impact on daily life.
In 2025, a review led by Ali A. Danesh examined what is currently known about decreased sound tolerance in people with autism spectrum disorder (ASD), with a focus on hyperacusis and misophonia.
Sound sensitivity is common in autism
The review highlights that reduced tolerance to sound is very common in autistic individuals. This can affect participation in school, work, social activities, and everyday routines.
Importantly, the authors distinguish between two different types of sound sensitivity:
Although these can overlap, they involve different mechanisms and often require different support strategies.
Why sound sensitivity affects daily life so strongly
For many autistic people, the nervous system processes sensory information differently. Sounds that others can ignore may feel intrusive, overwhelming, or threatening.
The review explains that sound sensitivity can reduce:
Over time, this can lead to avoidance, fatigue, anxiety, or withdrawal, particularly when environments are noisy or unpredictable.
Possible biological and neurological links
Rather than viewing sound sensitivity as a behavioural issue, the paper explores possible biological and neurological factors that may link autism with hyperacusis and misophonia.
These include:
While research is still evolving, the review emphasises that sound sensitivity is grounded in brain function, not choice or attitude.
Why this distinction matters
Recognising the difference between hyperacusis and misophonia is important. A child or adult who finds sounds physically painful may need a very different approach from someone whose reaction is emotional and trigger-specific.
The review highlights the need for:
This is especially important in autism, where sensory experiences vary widely between individuals.
What this means for families and individuals
This research supports several reassuring messages:
Early recognition and appropriate support can make a significant difference to quality of life.
Implications for care and support
Although this paper is a review rather than a treatment study, it supports approaches that:
At Hashir Tinnitus Clinic, we work with autistic children and adults experiencing hyperacusis or misophonia using thoughtful, individualised approaches that prioritise safety, understanding, and dignity.
Learn more
If you would like to read the original review paper, it is available here:
Danesh, A. A., Kaplan, J., Barvo, C., & Dobuler, A. (2025). Outlook on hyperacusis and misophonia in autism spectrum disorders. Journal of Hearing Science.
https://doi.org/10.17430/jhs/211236
If sound sensitivity is affecting you or a family member with autism, we are always happy to discuss assessment and supportive care options during an appointment.
