Musical Ear Syndrome (MES) is a condition where individuals perceive musical sounds without any actual external sounds being present. Although it may seem like auditory hallucinations associated with mental health conditions, MES is generally classified as a non-psychotic disorder.
It is most seen in people who have hearing loss or age-related auditory decline. Let’s take a closer look at the causes, symptoms, and management of Musical Ear Syndrome.
Causes of Musical Ear Syndrome

While the precise cause of MES remains unclear, it is often linked to hearing loss, particularly in older individuals, and is unrelated to psychotic conditions such as schizophrenia.
Experts theorize that when hearing ability decreases, possibly due to damage to the auditory nerve, the brain compensates for the lack of sound by generating its own auditory input. Essentially, the brain “fills in the gaps” when real external sounds are not being received. There is currently no definitive cure for MES.
Recognizing Symptoms of MES
The hallmark symptom of Musical Ear Syndrome is the perception of music that isn’t playing. These phantom sounds can vary greatly, from simple tones or repetitive melodies to complex and intricate musical compositions.
Some people report hearing familiar tunes such as hymns or classical music, while others hear more abstract or indistinct musical patterns, even choral voices. Regardless of the type of sound, the music usually feels familiar, and the person experiencing it cannot voluntarily stop or control what they hear.
How to Manage Musical Ear Syndrome
If you believe you may be experiencing MES, consult a hearing specialist. Various management strategies may be suggested, including:
- Hearing aids
- Sound therapy
- Cognitive behavioral therapy (CBT)
- Medications
- Support groups
Although MES can be a disturbing condition, many find relief through proper management techniques. Understanding the cause and nature of the syndrome can also provide significant peace of mind, helping to ease concerns over more serious mental health issues.
To learn more or schedule a hearing evaluation for yourself or someone close to you, reach out to Davies Institute for Speech & Hearing for assistance today.