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Tips for Speaking with Someone with Hearing Loss

Hearing Loss | Last Active: Nov 23, 2021 | Replies (26)

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@larryplano

Hello, I just came across this discussion titled "Tips for Speaking with Someone with Hearing Loss" and I sincerely appreciate all the suggestions! If only everyone, especially those without hearing loss, could read and absorb them! I had no idea there were support groups for hearing loss and I only came across this discussion after another heart-wrenching family meeting in which my hearing loss was discussed as a major source of deterioration in the family relationship. Since I already wear hearing aids, I wouldn't expect such critical remarks, yet that's where we are and I know many other households experience much the same problems that we do.

For the record, I wear Phonak amplified BTE Bluetooth hearing aids which help somewhat with my hearing loss, but they amplify a lot of unwanted noise as well. Like many with hearing loss, I also lip read somewhat if I am facing someone.

In my situation, I've done my best to deal with my hearing loss over the years, which first became inconveniently noticeable at around the time I turned 55 (10 years ago). My co-worker, who sat right next to me, had a very soft voice that forced me to lean in closer whenever he spoke to me and even then I often had to ask him to repeat himself. At that same time, my wife began expressing frustration over my asking her to repeat herself so often. An audiologist told me I had borderline hearing loss and that the best solution was to be my own advocate, which meant asking people to repeat themselves, speaking up, or even approaching them directly face-to-face. That worked for a few years; then my wife asked me to go for a follow-up hearing test and I've now been wearing hearing aids for around five years.

I have often told others that hearing loss is one of the most unforgiveable handicaps a person can have. Another is ADHD, but that's another topic for another discussion. Frankly, I do not understand why those with hearing loss are often treated so callously, as though they are able to flip a switch and "fix it," but they "apparently" don't care about imposing their handicap on others. That's an incredible way to regard those with hearing loss, yet those are the vibes I've often received from others, including my spouse! In my youth I was exposed to many older folks with hearing loss, including my great-grandparents. They mostly yelled at each other because that's the only way they could hear what the other person was saying. I didn't regard them as being "mean" to each other or otherwise inconsiderate -- I just knew they had severe hearing loss. In the same way, when they spoke loudly to me, I didn't ask them to speak more softly because I knew their loud tone wasn't intentional and I also knew that if they spoke at MY comfort level, they most likely wouldn't have been able to hear their own voices. Can you imagine speaking to someone while not hearing any sound coming out of your voice box? And would you ask anyone to do that so the sound of their voice will have a more pleasing effect on YOUR ears?

The main hurdle I have with hearing loss (relationship-wise) is somehow conveying to those with near-perfect hearing to not only be understanding of those who find themselves asking you to repeat yourself, but to also be understanding of those who are speaking LOUDER than normal because otherwise they may feel like they're whispering. Speaking for myself, I would never intentionally blare my words out to anyone, but if I AM, some gentle hand gestures indicating that I need to turn my volume down would be better received than later pointing out how rude and boisterous I come across with the tenor of my voice.

As a result of our latest family meeting discussing my failure to meet my wife and daughter's expectations with my voice levels, I've decided to do the following: (1) While on the phone (with the Bluetooth audio coming in to my hearing aids), I will either go to a separate room for a private conversation OR I will put the phone on "Speaker" so my wife can hear both ends of the conversation (because apparently I speak too loudly when the audio comes in to my hearing aids), (2) Since it is so difficult for me to speak when I cannot hear my own voice, I will henceforth try to limit conversations. This is the only solution I can come up with for a family member who claims my voice actually hurts her ears and doesn't want to have to put on ear plugs whenever I happen to be in the same room. By the way, this new approach applies even while I'm wearing my hearing aids. I do not always wear them, but it seems like even when I do, I speak too loudly.

I am surprised that I haven't been able to locate any helpful online articles addressing how to deal with folks who, despite wearing hearing aids, speak what is generally considered too loudly. I tried many different combinations on Google, but I couldn't find anything helpful. They all tend to assume that the person speaking too loudly doesn't already wear hearing aids. I'm obviously not an audiologist, but if I were one, I would put together SOMETHING to help guide family members of a loved one experiencing hearing loss AND the accompanying "loud volume" symptom. In the meantime, here are a few items that I personally wish my own family would consider:

1) BLAMING: Please do not insinuate or create an impression that this is your loved one's fault! Trust me, those with hearing loss WANT to hear you clearly and I highly doubt they ever mean to yell at you!
2) UNDERSTAND and accept that those with hearing loss are naturally going to speak louder than those without it! We are supposed to bear with each other, so unless someone with hearing loss sounds like a foghorn and is literally giving you a headache, try to bear with him/her a little without being hyper-critical. When you're trying to do the right thing, yet nonetheless criticized, it hurts. Show some compassion instead of repulsion or rejection.
3) GENTLE GESTURES vs verbal criticism: When the voice volume is simply too high, use some gentle hand gestures to guide the speaker, such as a gesture indicating you're turning down the volume on the radio. Using glaring-eyed frowns or other unbecoming facial gestures, or even calling a family meeting to put the offender in the "hot seat" (after the fact) is counter-productive to maintaining a healthy relationship.
4) GET TESTED: IF the speaker doesn't already wear hearing aids, then by all means gently suggest that he/she would greatly benefit from having a hearing exam. Hearing loss is truly a two-way street and those with hearing loss need to bear SOME responsibility in resolving the problem! So when it becomes fairly obvious there's a hearing problem going on, show your loved ones you care by getting a hearing test, and if the consensus is that you need hearing aids, then prove you care by getting them and wearing them.

In my own situation, I am saddened to say I was wearing hearing aids during a recent phone discussion, yet rules #1-3 above were not applied and the general family consensus seems to be it's my fault. While I will try to accommodate their vocal volume requirements, I think things could have been handled differently. In all fairness, there are some helpful articles out there addressing how to deal with a loved one experiencing hearing loss, such as facing them directly, not speaking to them from another room, reducing background noise, not shouting, etc. Those are all very helpful tips, but I hope what I just added will also be considered because I KNOW it's not just me! Thank you for allowing me to express my feelings!

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Replies to "Hello, I just came across this discussion titled "Tips for Speaking with Someone with Hearing Loss"..."

Hi @larryplano Welcome to Mayo Clinic Connect's discussion group on hearing loss. You are right. HL is grossly misunderstood by those who do NOT have it, and that includes a lot of family members and friends.

Have you discovered The Hearing Loss Assn. of America in your research? If not, I highly recommend connecting with HLAA. Find out if there is an active chapter in your geographical area, and reach out to them if there is one. COVID has disrupted a lot of things, and the HLAA meetings are among them, but most chapters have adapted to using Zoom videoconferencing to hold gatherings/meetings. Many are educational, but some are socially oriented opportunities to talk about "IT". "IT" being how hearing loss affects our lives. The HLAA website is: http://www.hearingloss.org

HLAA is a consumer based group that shares information, educates, advocates and provides peer support. The organization was founded in 1979. It was then called "Self Help for Hard of Hearing People, Inc." (SHHH)I often give this organization credit for saving my life, my marriage, and my sanity...also my career.

My HL was diagnosed in the 60s when there was absolutely no support or help. Even the medical professional, including those in hearing healthcare field, had no clue how to help us, and no encouragement to offer. It was basically "Learn to live with it as nothing can be done for you." Most discouraged the use of hearing aids 'because they didn't do much and were too expensive.' Back then they were analog devices that cost around $400 each.

SHHH/HLAA has opened the world of communication to people with partial deafness. Consumers have not settled for bad answers, and have encouraged the development of better hearing aids, other forms of assistive technology and communication access, etc. The organization made sure that 'communication access' was included in the American's with Disabilities Act'. Still, far too many hard of hearing people don't get the message they need, and HLAA remains a well kept secret unfortunately. Professionals tend to not like groups that advocate and educate in the field they feel they know everything about, so many don't tell their patients about HLAA.

HLAA works hard to get information to the public, but it is a non profit that works hard on little money. The general public looks at hearing loss as a stigma related issue and has a lot of wrong information and attitudes. Those even affect the people who have HL because they are embarrassed to open up about it. Stigma is one of our worst enemies. Sadly, frustration, fear and anger are too.

HLAA is holding a national convention in Tampa next June. The conventions are amazing. Just being in a place where HL is the 'norm' is enlightening. Every meeting is captioned. Many are signed although very few hard of hearing people use sign language. We want to remain in the hearing mainstream and have learned that technology is what keeps us there. Few find sign language an answer. The tech we need goes way beyond hearing aids.

Where do you live? There are close to 48 million people in the United States who have partial deafness. There are many who live close to you. There may even be an HLAA chapter in your area. Please feel free to respond to this thread or personal message me.

No one has to live alone with hearing loss. And family members, friends, and co-workers need to better understand how to help us. There are ways to do that.