Can hearing or balance problems be related to stress or fatigue?

Stress, tiredness, and anxiety can sometimes make hearing and balance symptoms feel worse, even if your inner ear is healthy. For example, stress may heighten awareness of tinnitus (ringing in the ears) or increase the sensation of imbalance. Your audiologist will take these factors into account during your assessment and may recommend relaxation strategies, physiotherapy, or referral to other specialists if needed.