Reduced sound tolerance is an atypical experience of discomfort to sound exposure that can range from annoyance to severe disability. There are three main types: hyperacusis is discomfort to normal or loud sounds; misophonia/phonophobia is discomfort to specific sounds; and recruitment is discomfort to loud sounds due to hearing loss. Therapies may be necessary to retrain the brain to process sounds normally and increase tolerance. Treatment options include amplification, sound generators, and therapies for retraining tolerance.