Why might neural hearing loss cause a person to speak unusually loudly?

In the context of speech disorders, neural—or sensorineural—hearing loss involves dysfunction of the nerve pathways or sensory cells responsible for hearing.12

Unlike individuals with conductive hearing loss, who can often hear their own voices clearly through bone conduction and therefore tend to speak quietly, those with neural hearing loss experience a diminished ability to perceive both external sounds and their own voices. Because they cannot adequately monitor the volume of their own speech, they often compensate by speaking in an overloud and screeching manner.1