Sound Intolerance

Sound intolerance, also called sound sensitivity, rarely indicates excellent hearing.  Sensitivity to sounds occurs when the middle ear muscles and auditory neural pathways are too weak to protect the cochlea from harmful sounds.

Are Sounds or Speech Uncomfortable?

Your Moore Auditory-Visual Questionnaire Report will share intensity of behavioral difficulties related to specific areas of concern improving communication with Cheri, professionals, doctors, and therapists.

Need Help?

The Moore Auditory-Visual Observation Activity Booklets teaches you what to observe and how to observe helping you recognize visual processing difficulties. Schedule a phone consultation with Cheri to share your concerns and learn how she can help.


It is an honor to work with Cheri Moore on her journey with auditory integration therapy.  She has shown a consistent desire to go above and beyond in every aspect of her practice and training.  Cheri’s quest for greater understanding and her thirst for knowledge are demonstrated daily.  It is a pleasure to work with a professional who is so eager to learn and apply new information to help her clients reach their best possible outcomes.

Kathy J Harvey-Jones, MsEd, Audiology, BC-HIS

Development of Sound Intolerance

Prolong decreased stimulation along auditory neural pathways results in what I call, temporary hearing loss.  Thus, too much sound stimulation along weak auditory neural pathways causes discomfort, sound intolerance.  

Auditory Integration Training strengthens your auditory neural pathways just like physical therapy rehabilitates your muscles after an injury.

Stick person with a question mark in the speech bubble

Is there fluid in the middle ear without an ear infection?

  1. Does you speech sound unclear?
  2. Have you ever found stickiness around your child’s ear, which indicates eardrum ruptured?
  3. Do you tug or rub an ear unconsciously?
  4. Does your child wake up crying?
Knife, Fork, and Spoon

Unknown Food Allergies or Intolerances Cause:

  1. Inflamation of the Eustachian Tubes
  2. Physical sensations of ear pain
  3. Fluid in the middle ear without infection
  4. Increased congestion
  5. Ear Infections
hand taking a tissue out of a tissue box

Enlarged Adenoids Block Eustachian Tubes:

  1. Congestion decreases while awake
  2. Congestion increases while sleeping
  3. Snoring
  4. Increases the risk for Central Hearing Loss
  5. Increases the risk for Central Sleep Apnea

Poor ear, nose, and throat health increases the risk of experiencing prolong periods of diminished hearing negatively affecting development.

A Weak Vestibular System:

  • Poor balance
  • Atypical walking like walking on toes or arches back
  • Writes too lightly or presses so hard they break the pencil tip
  • Seeks sensory input:
    • Seeks sounds while also displaying sound intolerance
    • Enjoys carrying or fully heavy objects
    • Likes heavy blankets, bear hugs
    • Enjoys wrestling, jumping, swinging, spinning, and hanging upside down

A weak vestibular system increases the risk of visual processing difficulties. Go to Visual Processing Difficulties to learn more.

young boy on a tire swing

The Inner Ear’s Vestibular System Coordinates Head, Neck, and Eye Movements

You hear a sound, you instinctively turn and look.  What happens when looking results in temporary blurring of vision or a brief feeling of nauseousness?  Most of us either respond by slowly moving the whole body or decide the effort is not worth the cost.

Emotional Consequences of Sound Intolerance

Imagine struggling to perform academically and experiencing limited progress in therapies.  No matter how hard you work, it seems pointless.  You have no idea that your sound intolerance makes it more difficult for you to concentrate, listen, comprehend, and remember what you are taught.  Even though your eyes feel tired and you suffer from headaches after reading, glasses fail to help.  As you get older, print gets smaller compounding your difficulties. You have never heard of visual processing difficulties and vision therapy.  You think, “I must be dumb.”  Sadly, parents begin to believe you are unable to learn.  By the teen years, you start looking for something that helps you feel better.  School is pointless.  Cheri has learned through her work that most clients with sound intolerance also struggled with visual processing difficulties.

Negative Impact of Sound Intolerance on Auditory Processing Skills:

  • Learning and advancing reading skills, including comprehension difficulties
  • Spelling reversals, substitutions 
  • Creative writing
  • Silent non-spoken & spoken word retrieval (test-taking & answering of questions difficult) 
  • Listening skills/waiting turn to speak 
  • Tracking group conversation
  • Short term memory
  • Overall poor language skills 

(Illiadou, Bamiou, Kaprinis, Kandylis, Kaprinis, 2009)

All the above difficulties negatively impact social interactions, self-esteem, and academic performance.

Sharma, M., Purdy, S., Kelly, A., 2009.  Comorbidity of auditory processing, language, and reading disorders.  Journal of Speech, Language, and Hearing Research.  52, 706-722.  doi:  10.1044/1092-4388(2008/07-0226

Research Shows that Auditory Integration Training Improves Sound Intolerance

Use the Moore Auditory-Visual Observation Activities booklet to learn about your loved one’s visual and auditory processing skills.

The Moore Auditory-Visual Questionnaire Report improves communication with Cheri by providing intensity and frequency of your auditory-visual behavioral concerns. 

Schedule a free phone conference with Cheri.

Cheri Moore's Findings Resulted in Improved Responses to Auditory Integration Training and Vision Therapy

Cheri Moore's desire to improve clients' emotional response during auditory integration training resulted in the discovery of a high rate of co-existing visual processing difficulties with sound intolerance, with or without a hearing loss.  After some clients experienced increased visual processing difficulties during AIT, like chronic double vision, Cheri Moore collaborated with optometrists specializing in vision therapy to track client's progress.  Auditory-visual protocols have resulted in improved responses to auditory integration training and vision therapy.

Little boy sitting at kitchen table wearing headphones

FDA Statement On AIT

"Auditory Integration Training remediates impairments in auditory discrimination (sound sensitivity and auditory distortion) associated with Autism, Learning Disabilities, and related disorders - ADD, ADHD, CAPD (Central Auditory Processing Deficits), SPD (Sensory Processing Disorder), Dyslexia."

Are you ready to complete the Moore Auditory-Visual Questionnaire?

Discover what questions to ask and what to observe during visual activities.
Complete questionnaire to receive your Auditory-Visual Report.