Our Services
At Hashir International Institute, we help you with assessment and management of your misophonia, tinnitus or hyperacusis via private consultations with our specialists. Our main speciality is cognitive behavioural therapy (CBT) for misophonia, tinnitus and hyperacusis in children and adults.
Assessment
Assessment is conducted by our senior audiologists who are specialists in misophonia, tinnitus, and hyperacusis rehabilitation. They will assess the type and severity of your symptoms, make a diagnosis, and develop a comprehensive treatment plan.
Psychological evaluation
Our clinical psychologists will explore if there are any underlying psychological/psychiatric conditions that might require separate treatment. This is different from the anxiety or stress symptoms related to the experience of tinnitus, hyperacusis, noise sensitivity and misophonia.
Education
In educational sessions, our neuroscientists will discuss the latest scientific understanding about the mechanism of misophonia, tinnitus and hyperacusis and the research studies on treatment methods.
Occupational therapy (OT) evaluation
The aim of our OT sessions is to assess if you or your child have a broader sensory processing disorder, autism spectrum disorder (ASD), attention deficit hyperactivity disorder (ADHD), neurodevelopmental disorders, and/or emotional regulation difficulties in addition to sensitivity to sound and/or tinnitus.
Health psychology evaluation
Our health psychologist will assess if there are any improvements and behaviour changes that you can achieve to cope well with misophonia, tinnitus and hyperacusis, and talk to you about how to maintain your physical and psychological health throughout the treatment process. Our health psychologists will help you to feel more confident and develop a more realistic belief about your misophonia, tinnitus and hyperacusis and its long-term management.
Cognitive behavioural therapy (CBT)
We are one of the few institutes in the world that offer an evidence-based specialised rehabilitation programme based on cognitive behavioural therapy (CBT) for management of misophonia, tinnitus and hyperacusis for children and adults. Our premier therapy package comprises 14 one-to-one sessions via video calls.
Multidisciplinary care
Depending on the outcome of the assessment we will formulate a treatment programme that can address issues specific to tinnitus/hyperacusis/misophonia and/or broader underlying psychological/sensory processing factors. For people experiencing comorbid psychological and/or sensory processing disorders, additional psychological and OT input will be provided throughout the treatment.
Patient support sessions
Between your main CBT sessions, you will have access to our dedicated patient support officers who will help you to practice and master the CBT techniques that you learn from your CBT sessions for managing misophonia, tinnitus and hyperacusis.
Comprehensive clinical reports
We provide comprehensive assessment report and treatment progress report summarising our findings, your diagnosis, and the treatment approach.
Research and training
At Hashir International Institute, we conduct multidisciplinary research to assess, treat, and prevent misophonia, tinnitus and hyperacusis. For healthcare professionals, we provide training courses, workshops, and masterclasses. We are a member of The CPD Certification Service in the UK.
We are an independent research institute and UK- wide specialist clinic based in Guildford and London. The main aim of our private clinics is to deliver specialist care for adults and children who experience distressing misophonia, tinnitus and hyperacusis from anywhere in the world. After a decade of research, we have developed our premier therapy package which comprises targeted cognitive behavioural therapy (CBT) for misophonia, tinnitus and hyperacusis combined with consultations with a multi-disciplinary team of audiologists, psychologists, occupational therapists, and neuroscientists.
Research on our premier therapy package has shown very good results in helping patients to manage their symptoms and significantly improve their quality of life.
Dr Aazh explains the implications of “pain hyperacusis” which is characterized by experiencing pain at lower sound levels than listeners with no hyperacusis would. Hyperacusis was featured in a recent BBC article. The sensation of pain or...
World hearing day is planned for 3rd March 2024 by the World Health Organisation (WHO). The theme for this year is “Changing mindsets: Let’s make ear and hearing care a reality for all!” World Hearing Day 2024 will focus on raising awareness...
Relationship Between Sleep Quality and Day-to-Day Impact of Tinnitus: A Pilot Study There is currently no study to assess the relationship between night-to-night variations in sleep and the subsequent impact of tinnitus, using multiple repeated...
Our director, Dr Hashir Aazh, is a pioneer in audiologist-delivered CBT for managing misophonia, tinnitus and hyperacusis. Dr Aazh is recognised as the number one expert in hyperacusis in Europe (2 nd in the world) during the years 2013-2023 from an independent ranking of biomedical experts (click here to view source ).
Dr Mercede Erfanian, our research fellow, in collaboration with our global network of scientists, is leading research on topics related to social cognition and brain activities in misophonia, effect of sleep disturbances on tinnitus, cognition, mood and hyperacusis, and machine learning and AI for differential diagnosis of misophonia and hyperacusis. We also offer specialist training courses, ethical review of the research proposals, research design, research sponsorship, and supervising MSc and PhD students.
A window into the vibrant world of academic exploration and innovation happening within our institution In this webinar, students at different levels including undergraduate, and postgraduate will take the virtual stage to share their latest...
Take part in our 2024 art competition which is aimed to help with raising awareness about misophonia, tinnitus and hyperacusis and Win a Prize! The Sound Off art competition is planned in conjunction with the 7th International Conference on...
We are very pleased to confirm that the 7th International Conference on Hyperacusis and Misophonia (ICHM7) will be held as a face-to-face event in Warsaw, Poland from 15 to 17 September 2024. Following their hugely successful international...
The aim of this conference is to bring together researchers and clinicians from the fields of hearing science, pharmacology, and gene therapy to share their perspectives and scientific discoveries that can guide future development of tinnitus...
National Tinnitus Awareness week 2024 is planned for 5th to 11th February. Its aim is to raise awareness about tinnitus and factors related to it among public as well as healthcare professionals. Consistent with this, Patients and Doctors...
A recent study conducted by scientists at Duke University delves into the distinctions between misophonia, and general difficulties in emotional management. Their research uses cognitive restructuring and neurostimulation techniques to reduce...
Ever wondered about the impact of Cognitive Behavioral Therapy (CBT) on your brain’s response to trigger noises, if you have Misophonia? Join us for our January lunchbreak YouTube series as we delve into this intriguing subject. Our session...
Have you ever questioned if it is possible to control our responses to certain noises? Perhaps you have made a sound which has created an extreme reaction in a loved one and wondered why? For people with Misophonia, it can feel completely...
Finding Calm in the Chaos My advice for navigating school when you have sound sensitivities I’m Rebecca, and if you’ve read my blogs before then you’ll know that misophonia has been a part of my life for two decades. I’m now a support...
What happens when you finish CBT for Misophonia Are you cured? Does it go away? Do you need therapy forever? I’m Rebecca, and misophonia has been a part of my life for over two decades. Having finished a programme of CBT with the Hashir Institute...
How to talk to friends, family, and colleagues about your misophonia, from my perspective One of the questions I get asked the most while talking to others with Misophonia is “How do you tell people you have it?”. I completely understand...
A recent study by scientists at Duke University looked into how misophonia, a strong reaction to certain sounds, is different from general difficulties in managing emotions.
Ash and her colleagues from the University of Iowa and Newcastle have collaborated to piece together another missing puzzle related to misophonia. This study aimed to understand the relationship between misophonia and a behaviour known as mimicry....
Banker and her colleagues in New York conducted a study, exploring if misophonia could be connected to the way people try to control their social interactions in situations they can’t control, and whether they have a stronger dislike for social...
Given that Cognitive Behavioural Therapy (CBT) is considered one of the few evidence-based tinnitus treatments and given the fact that relatively few healthcare professionals are properly prepared to deliver such treatment, it is only logical that self-help approaches have been advocated. In creating a self-help guide, Dr Hashir Aazh and Professor Brian C.J. Moore combine cutting-edge knowledge of auditory science and theoretical frameworks in modern psychology with the insight they have acquired from clinical encounters about the complexities of the human experience of tinnitus and how to help people to deal with it. But that’s not all! Aazh and Moore’s unique style of writing teaches us complex concepts in an entertaining manner. The book introduces a cast of characters from Beauty and the Beast to Moby Dick, from Dante to Muhammad Ali, and from Sigmund Freud to Rumi, Buddha and Epictetus. Packed with metaphors and practical tips, the authors draw a realistic picture of what the recovery from tinnitus-related distress looks like, and then dive into the deep and explore the variety of experiences of tinnitus and their complexities.
Get the bookBenefit from MisoPhys (Misophonia physiology education) consultation session by our neuroscientist, Dr Mercede Erfanian, based in the Netherlands. In this session, you will learn about underlying mechanism of misophonia, its brain basis, comorbid conditions, and treatment options.