Hyperacusia?

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I was diagnosed with this recently.
Earplugs and avoidance help, but like my Doc said...I can't live in earplugs.
Does anybody have other recommendations?

https://en.wikipedia.org/wiki/Hyperacusis#Treatment

The most common treatment for hyperacusis is retraining therapy which uses broadband noise. Tinnitus Retraining Therapy (TRT), a treatment originally used to treat tinnitus, uses broadband noise to treat hyperacusis. Pink noise can also be used to treat hyperacusis. By listening to broadband noise at soft levels for a disciplined period of time each day, patients can rebuild (i.e., re-establish) their tolerances to sound. Another treatment method is the Berard Auditory Integration Training. When seeking treatment, it is important that the physician determine the patient's Loudness Discomfort Levels (LDL) so that hearing tests (brainstem auditory evoke response) or other diagnostic tests which involve loud noise (MRI) do not worsen the patient's tolerance to sound. If people have access to medical care, steroids are used to treat hyperacusis within 72 hours of the onset of the condition. Treatment is necessary because sounds over 85db are harmful, and entertainment in some public places, such as live music, have sound levels of around 110 to 120 db, (Examples of sound pressure and sound pressure levels).

Ok. When they talk about decibel levels are they actual or perceived? I hadn't really thought of it as hazardous if I found sound too loud but others around me did not.
Does anybody know why perceived loud sound can trigger meltdowns?

For testing purposes, I suspect that they mean actual decibels. But, they should understand the amplified perception that ASDs give to the actual decibels. It sounds to me like the therapy starts at a low volume and slowly increases to a point where normal volumes (for NTs) become acceptable to the patient. But, I haven't tried it (I should), so I don't know for sure.

Why not?

Are you kidding?
If they make earplugs for kids I might try them next. I have very small ear canals and all but one type of earplugs make my ears sore. Sometimes very sore. And I can't find the ones That fit best anymore. I had gun muffs too but they disappeared and I cannot afford another pair.

No, I wasn't kidding. Since most people's anatomy allows them to wear earplugs for long periods, I wondered why you were different.
I wasn't to know that you have small ear canals, considering that I've never met you.

Oh! Thanks. I didn't know anybody might consider wearing earplugs all the time an option, but some jobs require it, don't they?
I remember now a doc said this is a cranial nerve crowding problem, hence the crowded ear canals. And surgery is not an option in my case.
I am not having a good day. Some things I'd rather forget.