Triggers And Treatments For Noise Anxiety

Medically reviewed by Nikki Ciletti, M.Ed, LPC
Updated October 25, 2023by BetterHelp Editorial Team

Most people will experience some level of frustration at certain sounds occasionally, such as the neighbor’s barking dog or incessant construction noise from the street. For some people, however, responses to certain sounds may include more intense or severe feelings such as anger, fear, and even pain. Noise annoyance, noise sensitivity, or noise anxiety can have a variety of triggers depending on the individual and any other mental or physical health conditions they may have. Read on to learn more about them and explore treatment options.

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What Is Noise Anxiety?

Sound anxiety refers to a family of conditions that cause everyday sounds to trigger intense emotional—and sometimes even physical—reactions, ranging from sudden and overwhelming panic to aggravation and fury. People who react this way to sounds may have a disorder that requires treatment.

Those living with sound anxiety may experience extreme discomfort or emotional distress in crowded, noisy environments such as shopping centers or airports. They may even feel uncomfortable or disturbed in relatively quiet environments such as classrooms or offices, depending on their specific trigger sounds.

In some cases, noise annoyance is a symptom of other mental health conditions like depression, or it may coincide with some types of neurodivergence such as attention-deficit hyperactivity disorder (ADHD) or autism spectrum disorder. In others, it may be caused by physical conditions affecting the auditory system, such as physical injury or chronic migraines. In still others, it qualifies as its own disorder. Some noise-anxiety related disorders and conditions include:


This is an anxiety disorder categorized as a specific phobia: the fear of sound. Specific phobias in general are fears that are persistent, unwarranted, and not caused by usual fear stimuli (such as things that are inherently dangerous). Those with phonophobia may fear sounds that are considered normal or hardly noticed by others, such as traffic or construction noise, the sound of someone cooking or cleaning, or particularly loud or excited speech. Note that the word “phonophobia” can also be used to describe sensitivity to sound caused by migraines, which is not considered a sound anxiety condition. People with this condition may benefit from exposure therapy.


This is not currently officially classified as an anxiety disorder but is recognized as part of the decreased sound tolerance syndrome category. People with misophonia may have intense, spontaneous, and disproportionate reactions to specific sounds that are typically considered normal and/or non-threatening. Some of the most common triggers include the sound of chewing, heavy or loud breathing, the ticking of clocks, or the tapping of keys on a keyboard. Reactions to these sounds can range from intense anger or aggravation to overwhelming discomfort or anxiety.


This is another decreased sound tolerance syndrome. It’s defined simply as an unusual physical sensitivity to sound. People with this condition experience physical discomfort and even pain when exposed to noise above a particular decibel threshold, which can vary from person to person. This condition is often comorbid with tinnitus and is also a common symptom of Bell’s palsy, Meniere’s disease, multiple sclerosis, Lyme disease, and other illnesses.

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Common Noise-Anxiety Triggers

Sound hypersensitivity conditions can be triggered by a wide range of sounds, even those that are considered innocuous or barely noticeable by others. These trigger sounds may include breathing through the mouth, chewing, tapping, the jingling of keys, or a dripping faucet. Other people may be triggered by louder but still generally non-threatening environmental noises, such as thunder, traffic, or sirens. These conditions can manifest differently for everyone, so taking note of your own personal triggers if you experience noise annoyance may be helpful.

Diagnosis And Treatment For Noise Anxiety

Noise annoyance as a whole has no specific diagnostic criteria per the DSM-5. To identify any of these conditions in an individual, a qualified healthcare provider will usually do the following:

  • To diagnose phonophobia, the provider will follow diagnostic criteria for a specific phobia. 
  • To diagnose misophonia, a provider may look for the presence of intense, impulsive, aversive physical reactions (such as aggression) paired with a loss of self-control, along with the recognition that the reaction is disproportionate and that it causes personal distress.
  • To diagnose hyperacusis, pure-tone audiometry is typically used. It’s a behavioral test that uses medical equipment to send tones into the individual’s inner ear and measure for extreme sensitivity to certain noises, alongside a questionnaire that asks for details on symptoms.

The most common treatment for conditions related to sound hypersensitivity is some form of psychotherapy. Cognitive behavioral therapy, for instance, may be used to help an individual recognize and reframe distorted thoughts related to their sound sensitivity triggers, treat them for any anxiety disorders they may be experiencing, and generally work to improve their mental health. Exposure therapy may also be recommended, which involves slowly introducing triggering sounds to lessen reactions over time through desensitization. 

If another condition is causing the person’s noise annoyance symptoms, this condition will typically be addressed first or in conjunction. A person living with hypersensitivity to sound may also find that certain accommodations can help them avoid triggers or their effects, such as the use of noise-canceling headphones, ear plugs, relaxation techniques, white noise machines, or scheduled low-stimulation time throughout the day.

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Seeking Support For Noise Annoyance Issues

Seeking professional treatment for hypersensitivities can help you manage your symptoms and improve your quality of life. If you’re hesitant to pursue in-person care because of nervousness around triggers during your commute or at the provider’s office, online therapy might be a better option for you. With talk therapy from an online therapy platform like BetterHelp, you can meet with a licensed therapist via phone, video call, and/or in-app messaging from the comfort of home, where you can control your surroundings. Studies suggest that online therapy can be just as effective as in-person therapy for treating phobias, anxiety disorders, and other psychiatric conditions, such as obsessive compulsive disorder, while also being more cost-effective. In other words, professional support is available, regardless of the format you may choose. If you’re interested in online therapy, see below for client reviews of BetterHelp counselors. You can view our policy and rights reserved before you sign up. 

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“Rachael is very strong support, especially during tough, high-stress times, as she ensures and maintains a non-judgemental stance. She confidently tells her advice and recommendations to attempt to de-escalate the situation at hand and discusses and agrees on the next best steps to move forward. I would highly recommend her as she has been very kind and understanding”.

“Sam has been tremendously helpful to me, and I am so thankful that BetterHelp paired me with him. In just a few sessions, Sam has helped me get to the root of long-running anxieties, and because of our conversations, I am already living a less anxious and more joyful life. I appreciate that he offers his insights and impressions of what I’m dealing with, but he never pushes his views above what feels true to my experience. I trust him and feel I have made profound progress with his help”.


There are a range of conditions characterized by extreme, disproportionate reactions to everyday sounds or loud noises. They may qualify as their own disorder or may be symptoms of another health condition. Treatment, sound therapy, and lifestyle accommodations are available.

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