Myriam Westcott is an internationally-recognised audiologist, leading the field in the provision of acoustic shock evaluation and therapy.
At DWM Audiology, we provide unique expertise for acoustic shock patients, with the evaluation and management of this disorder.
Our program involves:
A detailed medical history provides a definitive diagnosis of acoustic shock/acoustic shock disorder. As the symptoms are involuntary and subjective, evaluation and diagnosis is carefully considered for each patient.
For patients with severe acoustic shock, many sounds are painful, potentially leading to a temporary exacerbation of their TTTS symptoms. Additionally, patients with severe acoustic shock are often unable to tolerate anything placed in or over their ears without temporary exacerbation of their symptoms.
As a result, an audiological assessment requiring the patient to listen to sounds via headphones/earphones is threatening and can lead to a significant temporary increase in symptoms. This can be a traumatic experience for the patient if the acoustic incident was sustained via headphones or a headset.
Suprathreshold audiological testing, including loudness discomfort testing, and acoustic reflex testing should not be carried out with acoustic shock patients. An involuntary functional hearing loss emerging in the test condition is rare but not an unknown occurrence in these patients.
As part of our program, we carry out an evaluation of the emotional impact of acoustic shock/acoustic shock disorder. This screens for clinically significant levels of depression, anxiety and post traumatic stress disorder or trauma reaction.
Acoustic shock patients are often bewildered and distressed by their symptoms. To provide understanding and reassurance, a detailed explanation of acoustic shock is provided to our patients. This includes a personalised explanation of:
A detailed report is provided when acoustic shock/acoustic shock disorder has been evaluated. This will include:
Symptoms are managed as follows: