title: Resolution of hyperacusis associated with depression, following lithium administration and directive counselling.
abstract: BACKGROUND
  Hyperacusis may be described as a decreased threshold for discomfort from sound. It may have a serious impact on an individual's lifestyle, as a result of decreased sociability and inability to spend time with family and friends due to intolerance of sound.
  
  
  METHODS
  We present a case of hyperacusis associated with depression, with no other audiological abnormality. The patient reported greater difficulty during the depressive episode.
  
  
  METHODS
  Audiological investigation was undertaken, followed by counselling and medication for depression.
  
  
  CONCLUSIONS
  The pathophysiological mechanism of hyperacusis in depression is discussed. Outcomes following treatment with directive counselling and lithium (an antidepressant) are described. Research indicates that both hyperacusis and depression can be caused by hypoactivity of 5-hydroxytryptamine (also known as serotonin) in the brain. The patient reported improvement which cannot be explained solely on the basis of counselling. Enhancement of serotonin activity due to lithium, prescribed for depression, may also play a role in alleviation of hyperacusis.
authors.affiliation: Speech and Hearing Unit, Department of Otolaryngology-Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
authors.forename: D
authors.initials: D
authors.lastname: Attri
authors.forename: A N
authors.initials: AN
authors.lastname: Nagarkar
mesh_terms: D000928:Antidepressive Agents / Q000627:therapeutic use; D001299:Audiometry; D003863:Depression / Q000150:complications / Q000188:drug therapy*; D037001:Directive Counseling; D005260:Female; D006801:Humans; D012001:Hyperacusis / Q000523:psychology / Q000628:therapy*; D018020:Lithium Compounds / Q000627:therapeutic use; D057566:Self Report; D012701:Serotonin / Q000502:physiology; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000928:Antidepressive Agents; D018020:Lithium Compounds; D012701:Serotonin