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Auditory hallucinations present a significant challenge. Despite advances in treatment with novel antipsychotic agents, there are still a significant number of non-responders to standard therapy. We describe the case of a young patient with treatment resistant auditory hallucinations, with positive outcomes after being fitted with auditory sound generators commonly used for the treatment of tinnitus. As far as we are aware, this is only the third case so far described in the literature.

Objective:

To assess the influence on speech intelligibility of various signals used in tinnitus sound therapy.

Materials and methods:

We measured, in normal hearing subjects, the intelligibility of speech in the presence of three different sound therapy signals: wide-band noise, a recording of moving water, and a combination of tones.

Results:

For a given level of stimulation, speech intelligibility was worst in the presence of wide-band noise, compared with the other sound therapy signals. When the stimulation level of the three different signals was increased, speech intelligibility deteriorated more rapidly with wide-band noise, compared with the other two signals. The combination of tones had the least influence on speech intelligibility.

Conclusion:

The use of different tinnitus sound therapy signals can lead to significantly different effects on the intelligibility of speech. The use of natural sound recordings or combinations of tones may provide the patient with more flexibility to change the stimulation level during treatment.

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The use of tinnitus sound generators for auditory hallucinations

Influence of tinnitus sound therapy signals on the intelligibility of speech

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2 results

The use of tinnitus sound generators for auditory hallucinations

Influence of tinnitus sound therapy signals on the intelligibility of speech