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A comprehensive hearing evaluation is one of the most powerful steps you can take to preserve cognitive health and reduce dementia risk.
Research from Johns Hopkins and the Lancet Commission identifies hearing loss as the single largest modifiable risk factor for dementia. When hearing declines, the brain works harder to process sound — diverting resources from memory, comprehension, and other cognitive functions.

Schedule a comprehensive hearing and cognitive health evaluation to understand how your hearing might be affecting your memory and thinking. Early intervention gives you the best opportunity to protect your cognitive health for years to come.
Schedule an EvaluationDr. Rawls brings over two decades of clinical experience as a licensed audiologist specializing in the relationship between hearing health and cognitive function. Board-certified and continuously trained in the latest research connecting hearing loss to dementia risk, our practice has helped hundreds of patients understand and address the cognitive impacts of untreated hearing loss. This clinical expertise ensures you receive evidence-based evaluation and treatment recommendations backed by the most current research from institutions like Johns Hopkins and the Lancet Commission.
When hearing declines, your brain reorganizes itself to compensate for missing auditory information. This process, called cognitive load, forces your brain to work harder during every conversation and listening situation. Over time, this constant extra effort can lead to mental exhaustion and may contribute to changes in brain structure. Research using brain imaging shows that people with untreated hearing loss experience faster rates of brain tissue loss in areas responsible for processing sound and speech.
Family members often notice cognitive changes before hearing loss is recognized. You might find yourself feeling mentally drained after social gatherings, avoiding restaurants or group conversations, or having difficulty following discussions even when you can hear that people are talking. Some people experience increased forgetfulness, difficulty concentrating, or feeling overwhelmed in environments that never bothered them before. These signs often improve significantly once hearing loss is properly treated.
Our evaluation process examines both your hearing abilities and how hearing changes might be affecting your daily cognitive function. We conduct detailed hearing assessments that measure not just whether you can hear sounds, but how well you process speech in various listening environments. We also discuss any changes in memory, concentration, or social engagement that may be related to hearing difficulties. This comprehensive approach helps us understand the full impact of hearing loss on your life and develop a treatment plan that addresses both hearing and cognitive health.
Modern hearing aid technology is designed to reduce cognitive load by providing clear, natural sound that requires less mental effort to process. Many patients report feeling less mentally fatigued and more engaged in conversations within weeks of beginning treatment. While hearing aids cannot reverse existing cognitive decline, research suggests they can significantly slow its progression. The key is early intervention—the sooner hearing loss is addressed, the better the outcomes for both hearing and cognitive health.