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How Loud Should I Talk to a Hard of Hearing Person?

by Neil Bauman, Ph.D.

A mother wrote:

My son has the typical ski-slope hearing loss associated with LVAS. His loss at 250-500 Hz is 30-40 dB, then it jumps back up to 10 dB at 1000 Hz. At 1500 Hz it drops down to 60 and it continues dropping from there. Not to sound stupid, but when his hearing aids aren’t in, is it necessary for us to speak a lot louder to him so that he can hear us? I get so confused and can’t quite get it through my head what he is hearing. Help!

I’m not surprised that you are confused. It is difficult to know what a hard of hearing person actually hears and understands.

There are two main factors at play. One is hearing. The other is understanding what you hear.

Since your son has the typical ski-slope loss, he hears low-frequency sounds at near-normal levels. This means that unless a person is talking very softly, he will hear people talking just fine since most of the volume of speech is in the (loud) low-frequency vowel sounds. Thus, you don’t need to speak loudly or shout at him for him to hear you. Just speak up in a clear normal voice.

This solves the hearing aspect. However, what you really want to know is how well he understands what he hears. This is a whole different ball game.

Since most of the intelligence of speech is carried in the (soft) high-frequency consonants which he doesn’t hear, if you speak in a normal voice, or worse yet, mumble, he may not understand a thing you say.

If you speak up and talk louder, he will hear the high-frequency sounds better, but then the low-frequency sounds will be too loud for him (and you too). Thus, the best strategy is to speak up just a bit. At the same time, speak slowly and clearly–with emphasis on good articulation. By doing this, he will be more able to speechread many of the sounds his ears miss. It will also give his brain time to put all this together and decipher what you are saying.

One more thing–and this is important–few people realize that high frequency sounds rapidly “fall out of the air” with increasing distance, Thus, if you talk to him from any distance at all, he won’t hear the high frequency sounds. As a result, speech will sound like so much gibberish. However, if you get close, and talk to him from 1 or 2 feet away, he will catch much more of these high frequency sounds–and thus his understanding will greatly increase.

A good rule of thumb is you can call to him to get his attention from a distance–but you need to get right up to him–nose to nose so to speak–so he has the best chance to understand what you are saying.

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Ototoxic Drugs Exposed

Ototoxic Drugs Exposed 3-volume set You don’t have to let drugs damage your ears leaving you with hearing loss, tinnitus, hyperacusis, ear pain, dizziness, vertigo or other ear problems. This book set reveals how you can greatly reduce your chances of getting these conditions.

Buy This 3-volume Set Now

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If your ears ring, buzz, chirp, hiss, click or roar, you know just how annoying tinnitus can be. You do not have to put up with this racket for the rest of your life. This book teaches you many things you can do to help bring your tinnitus under your control so it no longer bothers you.

Learn More/Buy The Book Now

Sounds Now Too Loud for You?

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Hearing Phantom Sounds?

Phantom Voices Ethereal Music & Other Spooky SoundsWhen hard of hearing people begin hearing phantom voices or music, they immediately worry they are going crazy. It never crosses their minds that they are sane and are just experiencing Musical Ear syndrome.

Click here to learn more about the strange phantom sounds of Musical Ear syndrome and what you can do about them.

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Center for Hearing Loss Help

Neil G. Bauman, Ph.D.
1013 Ridgeway Drive, Lynden,
WA 98264-1057 USA
Email: neil@hearinglosshelp.com
Phone: 360-778-1266 (M-F 9:00 AM-5:00 PM PST)

© 2025 Center for Hearing Loss Help – Help for your hearing loss, tinnitus and other ear conditions

"The wages of sin is death, but the gift of God is eternal life [which also includes perfect hearing] through Jesus Christ our Lord." [Romans 6:23]

"But know this, in the last days perilous times will come" [2 Timothy 3:1]. "For there will be famines, pestilences, and [severe] earthquakes in various places" [Matthew 24:7], "distress of nations, the sea and the waves roaring"—tsunamis, hurricanes—Luke 21:25, but this is good news if you have put your trust in the Lord Jesus Christ, for "when these things begin to happen, lift up your heads [and rejoice] because your redemption draws near" [Luke 21:28].