Psychosocial Adjustment and Depression in Adult-Onset Hearing Loss: A Case Study Approach

Abstract

Adult-onset hearing loss is a significant yet often overlooked psychosocial stressor, particularly in low-resource settings where access to rehabilitative and mental health services is limited. This case study presents the psychological formulation and intervention of a 36-year-old male construction worker who developed moderate-to-severe bilateral sensorineural hearing loss, followed by persistent depressive symptoms, irritability, and social withdrawal. An eclectic, phase-based intervention was implemented, integrating Cognitive Behavioural Therapy (CBT), Supportive Psychotherapy, and Psychoeducation, with modifications to accommodate hearing impairment. Therapy focused on emotional validation, restructuring maladaptive cognitions, behavioural activation, and family involvement. Clinical progress was evident in improved mood, interpersonal communication, and occupational engagement. The case underscores the complex interplay between sensory disability and emotional well-being and highlights the efficacy of adaptable, low-cost psychological interventions within public healthcare systems. Findings reinforce the importance of culturally and contextually sensitive mental health support for individuals navigating the psychosocial impact of sudden sensory loss.