Hi Smcclafferty. I’m sorry to learn that you’re having a tough go of it. How long have you had hyperacusis? Mine has improved modestly. Some sounds that were painful, like the dings of microwave and toaster oven, are now tolerable. Dish clattering is still the worst of the household sounds, so I still must put on earmuffs while loading/unloading the dishwasher or gathering pots/pans/bowls for cooking. I live in NYC, so I use earplugs in the street. I will take them out once I’m in Central Park where I walk daily. Sadly, hyperacusis has changed my life, but I’m managing as best I can. It hasn’t yet been a year since my acoustic trauma, so I’m waiting to see further improvement before commiting to expensive conditioning therapy.