Tinnitus masker issues associated with use of tinnitus maskers: the "safe" level of continuous sound depends on the duration of the sound. For maskers worn continuously, or most of the day, a safe level is no more than 70db, in accordance with EPA maximum safe exposure level for 24-hour environmental sound. Maskers louder than 45db or so (the ambient background level of an average home living area) may start to interfere with understanding conversation (about 60db). Masking of high frequency tinnitus (>6,000hz) is difficult because of the resonance characteristics of the human ear as well as high frequency limitations of in-ear devices.
Body dysmorphic disorder estimated to affect up to 2.4% of the population. It usually starts during adolescence and affects both men and women. The BDD subtype muscle dysmorphia, perceiving the body as too small, affects mostly males. Besides thinking about it, one repetitively checks and compares the perceived flaw, and can adopt unusual routines to avoid social contact that exposes it. Fearing the stigma of vanity, one usually hides the preoccupation. Commonly unsuspected even by psychiatrists, BDD has been underdiagnosed. Severely impairing quality of life via educational and occupational dysfunction and social isolation, BDD has high rates of suicidal thoughts and suicide attempts.