In college, I decided that I was going to be open about my impairment when I realized I certainly hadn't been able to hide it. Before every class, I took a moment to introduce myself to the instructors one-on-one. After explaining my situation, nearly all of my instructors expressed their understanding and offered to work with me/communicate via email or in a non-public manner. As educators, they've encountered students with all sorts of impairments, whether they be mental or physical. It's part of their job to be open to being more accommodating for people who are struggling. I wish I'd taken time to be open and honest with my teachers long ago. If I had, maybe hearing the term "popcorn reading" wouldn't still make my heart skip a beat after the PTSD caused by high school English classes. Even now as I function in the corporate world, I'm open with my employer and clients when I'm presented with a difficult situation, and it's been incredibly beneficial. On a side note, have you experimented with DAF apps/software? When I'm in conference calls, I leave a headphone in with a DAF app running and it helps tremendously. I realize, however, DAF doesn't affect everyone in the same way.