Hearing Loss, Deafness and Anxiety

Written by Jim Folk
Medically reviewed by Marilyn Folk, BScN.
Last updated November 2, 2024

hearing loss, reduced hearing anxiety symptoms

Hearing loss, such as reduced hearing or deafness or feeling like something is plugging one or both ears, is a common anxiety symptom, including anxiety and panic attack symptoms.

Many anxious, hyperstimulated, and stressed people experience hearing loss in one or both ears due to elevated stress.

This article explains the relationship between anxiety and hearing loss symptoms.

Hearing Losss Common Anxiety Symptom Descriptions

  • One or both ears are plugged or feel “stopped up.”
  • Your hearing is diminished or severely reduced.
  • It feels like you’ve gone deaf.
  • It feels like you’ve lost much of your hearing in one or both ears.
  • Your hearing is suddenly muffled or reduced.
  • You can’t hear certain sounds or frequencies like you used to.
  • Sounds are now muted, as if you are hearing underwater.
  • Significant hearing loss.
  • Your ear or ears are “stuffed” or “blocked.”
  • Extra pressure or fullness in one or both ears.
  • It feels like you have become almost completely deaf.
  • It feels like something in the ear canal is blocking sound.
  • Noticeable and unusual hearing loss.

This symptom can affect one ear only, shift and affect the other ear, switch back and forth between ears, or occur in both ears at the same time with the same or varying degrees of intensity.

Hearing Loss can:

  • Occur occasionally, frequently, or persistently.
  • Precede, accompany, or follow an escalation of other anxiety symptoms or occur by itself.
  • Precede, accompany, or follow a period of nervousness, anxiety, fear, and stress, or occur "out of the blue" for no reason.
  • Range in intensity from mild, to moderate, to severe.
  • Come in waves where it’s strong one moment and eases off the next.
  • Occur for a while, subside, and then return for no reason.
  • Change from day to day, moment to moment, or remain as a constant background during your struggle with anxiety disorder.

This symptom can seem more noticeable when undistracted, resting, trying to sleep, or waking up.

All the above combinations and variations are common.

Hearing loss can be so severe that it is detected on a hearing test.

Hearing loss can be accompanied by “ringing in the ears” symptoms.

To see if anxiety might be playing a role in your symptoms, rate your level of anxiety using our free one-minute instant results Anxiety Test, Anxiety Disorder Test, or Hyperstimulation Test.

The higher the rating, the more likely anxiety could be contributing to or causing your anxiety symptoms, including feeling like impending doom symptoms.

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Causes

Medical Advisory

Talk to your doctor about all new, changing, persistent, and returning symptoms as some medical conditions and medications can cause anxiety-like symptoms.

Additional Medical Advisory Information.

The ear, an organ, comprises a complex system of nerves, muscles, bones, and pressure intricately organized to provide sound and balance information to the brain.

Hearing Loss, Reduced Hearing, Deafness Anxiety Symptom

Because of its complexity, diagnosing ear-related problems can be difficult. For example, there can be many causes of this symptom, such as exposure to loud sounds, age, injury to the ear, ear wax buildup, an adverse reaction to medication, high blood pressure, sinus or ear infection, and various other medical causes.

Due to the many causes, it’s best to discuss this symptom with your doctor to rule out a medical cause.

1. Anxiety-Activated Stress Response

Anxious behavior, such as worry, activates the stress response, which secretes stress hormones into the bloodstream, where they travel to specific locations to immediately prepare the body for emergency action – to fight or flee. This instinctual survival reaction is often referred to as the Fight or Flight Response.[1][2][3][4]

Visit the “Stress Response” article for the many ways it can affect the body.

One of the stress response changes affects hearing. For instance, the stress response heightens most of the body’s senses to be more aware of danger. However, not all senses are heightened.

When danger has been detected, the brain works to give us only the information it deems important to survival. Consequently, priority is given to visual information over auditory information, called the McGurk Effect: what you see overrides what you hear.[5][6]

While most senses are on high alert when in danger, hearing is the least important, so it’s somewhat suppressed. This is called “auditory exclusion.” As the degree of the stress response increases, hearing diminishes.

Acute hearing loss is a common symptom of an active stress response.

2. Stress-Response Hyperstimulation

When stress responses occur infrequently, the body recovers relatively quickly from its changes. However, frequently activated stress responses, such as from overly anxious behavior, can prevent the body from completely recovering. Incomplete recovery can leave the body in a state of semi-stress-response-readiness, which we call “stress-response hyperstimulation” since stress hormones are powerful stimulants.

Hyperstimulation is also often referred to as “hyperarousal,” “HPA axis dysfunction,” or “nervous system dysregulation.”[3][4]

Visit our “Hyperstimulation” article for more information about the many ways hyperstimulation can affect the body and how we feel.

Hyperstimulation can cause the changes of an active stress response even though a stress response hasn’t been activated.

Just as an active stress response can cause acute hearing loss symptoms, hyperstimulation can cause chronic hearing loss symptoms.

But that’s not all. Hyperstimulation can cause hearing loss in other ways, too. For instance, hyperstimulation can cause:

  • Nervous System Excitation and Dysregulation: A chronically stimulated nervous system can act erratically and cause all kinds of nervous and auditory system symptoms, such as hearing loss.
  • Homeostatic Dysregulation: Homeostasis is the body’s ability to automatically maintain a stable internal environment despite changes in the external environment. Hyperstimulation can cause homeostatic dysregulation, leading to internal regulation problems, which can affect the nervous and auditory systems, causing hearing loss in one or both ears.
  • Hormone changes: Hormones play a crucial role in homeostasis and many bodily functions. Since stress hormones affect other hormones, hyperstimulation can cause nervous, sensory, and auditory system problems, such as hearing loss.
  • Sleep disruption and fatigue: Hyperstimulation can interfere with sleep and tax the body’s energy resources harder and faster than normal. Sleep disruption and fatigue can affect the nervous, sensory, and auditory systems, causing hearing loss.
  • Chronically engaged sensory systems: Hyperstimulation can overwork sensory systems, causing all sorts of anomalies that affect one, many, or all our senses and how the brain processes them [7][8], including causing hearing loss.

Since each body is physiologically and chemically unique, hyperstimulation can uniquely affect each person.

For example, one person might experience one or two sensory symptoms due to hyperstimulation, whereas another might experience many.

As long as the body is hyperstimulated, it can exhibit chronic hearing loss symptoms.

I (Jim Folk) had many episodes of hearing loss symptoms, and in many ways when I was struggling with anxiety disorder. Sometimes, one ear was affected, and sometimes both were affected.

I also had a friend who had stress-related hearing loss. Whenever he was under stress, he would lose hearing in one of his ears. Sometimes, the loss was dramatic. One time, he lost complete hearing in one ear. As soon as his stress diminished, his hearing returned to normal.

Anxiety- and hyperstimulation-caused stress is a common cause of acute and chronic hearing loss.

3. Other Factors

Other factors can create stress and cause anxiety-like symptoms, as well as aggravate existing anxiety symptoms, including:

Select the relevant link for more information.

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Treatment

When hearing loss is caused or aggravated by other factors, addressing those factors can reduce and eliminate this anxiety symptom.

When hearing loss is caused by an anxiety-triggered stress response, containing anxiety and calming yourself will end the active stress response and its changes. This anxiety symptom will subside as your body recovers from the active stress response.

Keep in mind that it can take up to 20 minutes or more for the body to recover from a major stress response. But this is normal and shouldn’t be a cause for concern.

When this symptom is caused by hyperstimulation, eliminating hyperstimulation will end this anxiety symptom.

You can reduce and eliminate hyperstimulation by:

  • Containing anxious behavior.
  • Reducing stress.
  • Regular deep relaxation.
  • Relaxed diaphragmatic breathing.
  • Regular light to moderate exercise.
  • Getting regular good sleep.
  • Eating a healthy diet of whole and natural foods.
  • Avoiding stimulants.
  • Passively-accepting your symptoms until they subside.
  • Being patient as your body recovers.

Visit our “60 Natural Ways To Reduce Stress” article for more ways to reduce stress.

Recovery Support members can read chapters 5,6, 7, and 14 for more ways to reduce stress.

As the body recovers from hyperstimulation, it stops sending symptoms of hyperstimulation, including hearing loss.

However, eliminating hyperstimulation can take much longer than most people think, causing symptoms to linger longer than expected.

Since worrying and becoming upset about anxiety symptoms stress the body, these behaviors can interfere with and stall recovery.

Passively accepting your symptoms – allowing them to persist without reacting to, resisting, worrying about, or fighting them – while doing your recovery work will cause their cessation in time.

Acceptance, practice, and patience are key to recovery.

Recovery Support

The Recovery Support area of our website contains thousands of pages of important self-help information to help individuals overcome anxiety disorder, hyperstimulation, and symptoms.

Due to the vast amount of information, including a private Discussion Forum, many of our Recovery Support members consider it their online recovery support group.

Therapy

Unidentified and unaddressed underlying factors cause issues with anxiety. As such, they are the primary reason why anxiety symptoms persist.

Addressing your underlying factors (Level Two recovery) is most important if you want lasting success.

Addressing Level Two recovery can help you:

  • Contain anxious behavior.
  • Become unafraid of anxiety symptoms and the strong feelings of anxiety.
  • End anxiety symptoms.
  • Successfully address the underlying factors that so often cause issues with anxiety.
  • End what can feel like out-of-control worry.

All our recommended anxiety therapists have had anxiety disorder and overcame it. Their personal experience with anxiety disorder and their Master's Degree and above professional training give them insight other therapists don't have.

If you want to achieve lasting success over anxiety disorder, any one of our recommended therapists would be a good choice.

Working with an experienced anxiety disorder therapist is the most effective way to treat anxiety disorder, especially if you have persistent symptoms and difficulty containing anxious behavior, such as worry.[9][10][11]

In many cases, working with an experienced therapist is the only way to overcome stubborn anxiety.

Research has shown that therapy is the most effective treatment for anxiety disorder, and distance therapy (via phone or the Internet) is equally, if not more effective, than face-to-face in-person therapy.[12][13][14]

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FAQ

Can hearing loss cause anxiety?

Anxiety is caused by apprehensive behavior. So, no, hearing loss itself doesn’t cause anxiety.

But worrying about a loss of hearing can cause anxiety since worry is an example of apprehensive behavior.

There are many reasons why people become anxious about a loss of hearing, such as:

  • A reduced (or complete) inability to detect sounds that warn of danger.
  • Feeling left out in social gatherings because they can’t hear conversations.
  • Feeling embarrassed because they missed what someone said or was asked of them.
  • Feeling isolated because they can’t hear what’s happening around them.
  • Missing an important alert because they couldn’t hear it.
  • Losing out on an important relationship because the other person wasn’t sensitive to or willing to accommodate the hearing loss.
  • Fear missing the sound of someone breaking in or already in the home.

And so on.

Those who experience hearing loss can develop phobias about certain situations and circumstances that impact their ability to hear clearly.[15][16] Many people avoid situations that they have a hard time hearing.

Many with hearing loss feel justified in their phobias and avoidance because of their physical limitations. While in most situations and circumstances, their justifications may be questionable, others, such as avoiding staying in hotels because of the fear of missing a fire or smoke alarm, may be warranted.

If you have hearing loss and are anxious about it, we recommend talking with one of our recommended therapists to help you address your concerns.

Prevalence

In an online poll we conducted, 67 percent of respondents said they had hearing loss because of their anxiety.

The combination of good self-help information and working with an experienced anxiety disorder therapist, coach, or counselor is the most effective way to address anxiety and its many symptoms. Until the core causes of anxiety are addressed – which we call the underlying factors of anxiety – a struggle with anxiety unwellness can return again and again. Dealing with the underlying factors of anxiety is the best way to address problematic anxiety.

Additional Resources

Return to our anxiety disorders signs and symptoms page.

anxietycentre.com: Information, support, and therapy for anxiety disorder and its symptoms, including the anxiety symptom Hearing Loss, Reduced Hearing, Deafness Anxiety Symptom.

References

1. Chu, Brianna, et al. “Physiology, Stress Reaction.” StatPearls, 7 May 2024.

2. Godoy, Livea, et al. "A Comprehensive Overview on Stress Neurobiology: Basic Concepts and Clinical Implications." Frontiers In Behavioral Neuroscience, 3, July 2018.

3. Elbers, Jorina, et al. "Wired for Threat: Clinical Features of Nervous System Dysregulation in 80 Children." Pediatric Neurology, Dec 2018.

4. Yaribeygi, Habib, et al. “The Impact of Stress on Body Function: A Review.” EXCLI Journal, Leibniz Research Centre for Working Environment and Human Factors, 2017.

5. Tippana, Kaisia. “What is the McGurk effect?” Frontiers in Psychology, 10 July 2014.

6. Gasaway, Rich. “Understanding Stress - Part 6: Auditory Exclusion.” Situational Awareness Matters!™, 22 Feb, 2019.

7. Mariotti, Agnese. “The Effects of Chronic Stress on Health: New Insights into the Molecular Mechanisms of Brain–Body Communication.” Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, Nov. 2015,

8. Z, Fatahi, et al. "Effect of acute and subchronic stress on electrical activity of basolateral amygdala neurons in conditioned place preference paradigm: An electrophysiological study." Behavioral Brain Research, 29 Sept. 2017.

9. Hofmann, Stefan G., et al. “The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-Analyses.” Cognitive Therapy and Research, U.S. National Library of Medicine, 1 Oct. 2012.

10. Leichsenring, Falk. “Is Cognitive Behavioral Therapy the Gold Standard for Psychotherapy?” JAMA, American Medical Association, 10 Oct. 2017.

11. DISCLAIMER: Because each body is somewhat chemically unique, and because each person will have a unique mix of symptoms and underlying factors, recovery results may vary. Variances can occur for many reasons, including due to the severity of the condition, the ability of the person to apply the recovery concepts, and the commitment to making behavioral change.

12. Kingston, Dawn.“Advantages of E-Therapy Over Conventional Therapy.” Psychology Today, Sussex Publishers, 11 Dec. 2017.

13. Markowitz, John, et al. “Psychotherapy at a Distance.” Psychiatry Online, March 2021.

14. Thompson, Ryan Baird, "Psychology at a Distance: Examining the Efficacy of Online Therapy" (2016). University Honors Theses. Paper 285.

15. Carmen, Richard, et al. "Hearing loss and anxiety in adults." The Hearing Journal, April 2002.

16. Ray Moon, Kyung, et al. "Effects of Anxiety Sensitivity and Hearing Loss on Tinnitus Symptom Severity." Psychiatry Investigation, 16 Jan. 2018.