In my training, my supervisors have been incredibly kind and compassionate, but they don’t make it a horrible big deal type of thing. They calmly and matter of a factly tell the patient what is going on with their hearing, and then the best method to approach it. Rarely I’ve seen them recommend counseling therapy to patients who have lost their hearing (most of our patients are already aware by the time they come to us) but for those few, they do recommend different therapists and even do a little “counseling” theirselves. Basically letting them know it is an adjustment period so to be patient with theirselves, that we are there for them, and that there are options so they can hear so there is no reason to ever lose hope.