Tinnitus
A continuous tone the audiogram won't catch. Worst in silence. Worse still when someone says "try to ignore it."
What makes Auditory Pathway different.
Most clinics can't help with tinnitus, adult APD, hyperacusis, or misophonia — not because the conditions aren't real, but because they aren't set up for them. Here's what's actually different here.
Credentials
EVALUATION Standard
Licensed In
Specialty
Specialized,
not general.
General audiology is built for hearing loss: audiogram, fitting, follow-up. The four conditions below sit beside hearing loss, behind it, or instead of it — and they need a clinician who’s set up for them. Each has its own auditory signature.
Auditory processing
The hearing test comes back "normal." A busy room still feels like a second language. Phoneme-level testing is where it shows up.
Hyperacusis
Everyday sound at painful volume. Not over-sensitivity — the auditory system is reacting in a way it shouldn't.
Misophonia
A specific trigger producing instant, disproportionate response. Neurological pattern, not personality. CBT-based tools interrupt the loop.
Method
Methods many other audiology clinics
don’t have.
Specialty conditions need specialty methods — not the same audiogram run differently. Each technique below requires training, equipment, or scope the average clinic isn’t set up for.
Central Test Battery evaluation
The gold standard diagnostic battery for APD — comprehensive, phoneme-level, and built for adults. Most clinics start at the sentence level. We start at the foundation, where the real differences show up.
Buffalo Model evaluation
Phoneme-level, clinician-led auditory training built directly from your evaluation results. Not an app — structured, face-to-face intervention that works on the auditory pathway itself.
CBT-based management
Identifies and interrupts the distress patterns driving tinnitus, misophonia, and hyperacusis. Focused on changing how the brain responds — for long-term control, not just coping.
What Audiogram Doesn't Measure
Auditory Processing
Noise in, scramble out
Tinnitus
A tone the chart can't hear
Hyperacusis
the cortex turning up the gain
Misophonia
a trigger pattern, not hearing
Pathway
Hearing doesn't stop at the ears.
Every condition this practice treats is invisible to a standard audiogram. The chart says “normal” — your experience says otherwise. Both are true.
The audiogram measures the door. Tinnitus, auditory processing, hyperacusis and misophonia all live further down the pathway — in the brainstem, the cortex, the way attention shapes what you actually hear.
Honesty
We tell you when
we’re not the right fit.
A practice that earns trust by saying what it can’t do. The 15-minute discovery call exists in part so we can refer you to someone better suited — before you’ve paid a thing.
15-min Discovery Call
Out of Scope
Referred out
- Hearing aid fittings → vetted local audiologist
- Surgical / otologic → ENT or otologist
- Outside region → aligned practitioner near you
In Scope
We work together
- Tinnitus, APD, hyperacusis, misophonia
- Evaluation + plan
- Real time. No upsell.
Needs More
Co-managed
- Psychotherapy → we refer, stay on the audiology side
- Existing audiologist → we run alongside, not over
- Medical workup → we coordinate
No referral required to start. No charge if it turns out we’re not the right fit.