Diplacusis, sometimes referred to as double hearing, causes sounds to be heard at different pitches or times in each ear. While often linked to existing hearing loss, diplacusis can affect anyone and can be more common than people realize.
What Is Diplacusis?

Diplacusis occurs when the ears process sound differently, leading to an unusual auditory experience. The condition is typically classified into two main types:
- Diplacusis echoica: This form creates an echo effect, where sounds arrive at different times in each ear.
- Diplacusis dysharmonica: A more common form, this causes pitch differences, making the same sound seem out of tune in each ear.
There is also diplacusis monauralis, a less common variation where double hearing occurs in just one ear.
Recognizing the Symptoms
People experiencing diplacusis may notice:
- Sounds that seem off-pitch between ears
- Echoes or overlapping sounds
- Difficulty distinguishing speech in crowded places like River City Coffee and Goods
- Frustration when listening to music or following conversations
What Causes Diplacusis?
Several underlying issues can contribute to this condition, including:
- Hearing loss: Often a primary factor, particularly due to aging or noise exposure
- Ear infections: Temporary changes in hearing caused by fluid buildup
- Ear trauma: Damage from injuries or exposure to loud sounds
- Blockages: Earwax buildup or foreign objects affecting sound perception
- Neurological conditions: Disorders affecting auditory processing
How Can Diplacusis Be Treated?
The best course of action depends on the root cause. Common management options include:
- Hearing aids: When hearing loss is the culprit, hearing aids can restore balance between ears.
- Clearing blockages: If an infection or wax buildup is responsible, medical intervention can resolve symptoms.
- Sound therapy: Techniques like auditory training or masking sounds can help retrain the brain to process sounds more effectively.
- Hearing protection: Reducing exposure to loud environments and using earplugs can prevent further damage.
If you experience sudden hearing changes, consulting a hearing professional is essential. Early diagnosis can lead to better outcomes and improved quality of life.
For those in Evansville struggling with symptoms of hearing loss or diplacusis, Hearing Healthcare Center, Inc. is here to help. Schedule a hearing test today to take the first step toward a clearer, more balanced hearing.