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Clients have often reported being told that there is nothing that can be done for tinnitus. They are told they should learn to live with it. This is not always the case. While there isn't one absolute cure for tinnitus, there are many methods of relieving the presentation of tinnitus. It can be overwhelming whilst researching online for a method of managing tinnitus. This is why professional help is often recommended.
Seeing a tinnitus specialist i.e. one who is often also an audiologist can be a first reliable step towards of managing your tinnitus. The audiologist if trained in tinnitus treatment or management can help you find a method of relieving the burden of the tinnitus.
Duration: 120mins
Step 1
We may send you some questionnaires to complete in advance of your appointment. If they are not completed in advance of the appointment, then your appointment time may be extended as we complete this in the clinic. We would take this time to learn more about you, your medical history, what your perception of tinnitus is and its impact on your lifestyle. You typically have free rein at this time to free your mind of all the thoughts concerning you about your tinnitus up to this point. Some patients find the off-loading almost cathartic. Usually, because they have never felt truly heard in relation to their tinnitus. We also use this time to understand your expectations and set realistic, achievable goals. What interventions have you tried? What has worked, what hasn't worked.
Step 2
Following on from your history and shared information. We examine your ears. Then perform comprehensive hearing tests involving the entire ear, the middle ear and the inner ear. Research indicates that a large group of people with tinnitus also have hypersensitivity to noise. Next, we may check the levels of sound you consider too loud or uncomfortable to see if you are very sensitive to loud sounds when compared to others.
Next we shall assess to obtain a representation of your tinnitus. This would be by presenting sounds to you and asking you to guide us to the sound level and pitch most similar to your tinnitus. (Don't worry if it's tricky, some people present with multiple presentations of tinnitus so we know that some people may struggle with this one.) We may present various sounds at differing pitches and levels to help you identify the best type to help with your tinnitus (if applicable).
Step 3
We shall explain the results of the audiology tests we have done on the day. If there is an outcome that indicates urgent medical referral, we shall be advising you of this by the end of the appointment. Completed questionnaires may need some further analysis, so results for this will be explained as basis for your therapy plan at the next appointment. We will also lay out the plan for the next therapy appointment, so you will know what to expect. Results and reports will all be sent to your GP, yourself or referring health professional with your consent.
It is important that you see an audiologist and GP ASAP if you find that your tinnitus is one-sided, pulsatile, getting louder/worse, with different presentations of sounds and intrusive (i.e. affecting sleep, concentration, reading, lifestyle, etc). P
Please do not believe the misconception that "There is nothing that can be done for tinnitus" - This is often not true.
So you have had your tinnitus assessment. You are now wondering what is going to happen at your next tinnitus therapy appointment! Our approach to tinnitus therapy is to gradually retrain the brain's automatic response to tinnitus. Eventually encouraging habituation and reducing the perception and emotional reaction to tinnitus.
Duration: 60mins
Step 1
We have taken time to analyse everything you have shared with us. With this information we are going to craft a series of steps to help us meet your goal - This is your Individual Care Plan. We will lay out the recommended course of action with your input, keeping you part of the process all the way.
Step 2
Here we set out to de-mystify the mechanisms behind your tinnitus and the auditory system. We explain the processes behind tinnitus generation and how the brain processes tinnitus signals as clearly as possible in a relatable way.
Step 3
Next we start one of the courses of action for treating or managing your tinnitus. It could be setting up your sound generator, programming up your hearing aids (if indicated), looking specifically into relaxation techniques that resonate with you or examining your sleep habits in more detail. We shall go on to implement action steps as laid out by our agreed plan. We shall arrange for the next session. If a strong CBT focused therapy is indicated, we could commence this as well as link you up with a registered Psychologist. We may also recommend a referral to other related health professionals (e.g. dentist, physiotherapist, ENT Doctor, GP) if results indicate.
Follow-up Appointments will be arranged to monitor your progress and make any device adjustments (as necessary). This can be ongoing for 12-24 months, with ongoing counselling support provided as needed.
Is there a cure for tinnitus ?
There isn't a cure but there are many ways to relieve and help reduce the symptoms of tinnitus.
Is tinnitus only a ringing sound in the ears ?
Tinnitus can be presented as different kinds of sounds, from classic ringing, to buzzing, chirping, hissing, droning and even music.
Some people can have more than one type of presentation. This can vary over different times and/or between ears.
Can tinnitus come and go ?
Yes tinnitus can come and go, some people experience tinnitus sometimes and some people experience tinnitus all the time. Spontaneous tinnitus is the transient type experienced by most people. This type is followed by a temporary fulness of the ear and dull hearing. It happens within a minute and is thought to be a natural phenomenon for most people.
Will my tinnitus ever get better?
Yes, we even have a term for it - habituation. Over time one can learn to adapt to their tinnitus and as a result tinnitus may no longer seem as prevalent. A tinnitus specialist who has performed a tinnitus assessment can create a tinnitus management plan with solutions to help you achieve habituation. Contact us to book in with our tinnitus specialist today.
Will hearing aids make my tinnitus worse
Over 80% of people with hearing losses have tinnitus. Out of this 80% Over 65% of hearing aid users report that their hearing aids make their tinnitus better.Hearing aids and tinnitus
Can stress make tinnitus worse?
Stress does not directly make tinnitus worse but stress with it's related emotions can heighten the perception of tinnitus.
Blog Post: We Are A Listed Tinnitus Centre
Blog Post : Hearing aids and tinnitus
References
Jastreboff PJ, Hazell JWP. In: Tinnitus Retraining Therapy: Implementing the Neurophysiological Model. Cambridge University Press; 2004:i-ii.
Nice Guidelines on Tinnitus Management - https://www.nice.org.uk/guidance/NG155 (Accessed October 2024)
The Hearing Review - https://hearingreview.com/hearing-loss/tinnitus/tinnitus-management-there-are-options? (accessed December 2024)
Tinnitus: A Multidisciplinary Approach David Baguley PhD MBA,, Gerhard Andersson BSc MSc PhD, Don McFerran MA FRCS, Laurence McKenna M.Clin Psychol PhD,T he Jastreboff Neurophysiological model - Tinnitus: A Multidisciplinary Approach, Second Edition - https://doi.org/10.1002/9781118783009.ch9. Feb 22, 2013