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Tinnitus Management Clinic
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Tinnitus Management

Tinnitus Assessment

What to expect

The initial assessment is extensive and rarely takes less than 90 minutes

Subsequent appointments are each one hour, and there is work to undertake between appointments. Many patients complete in six appointment sessions; however, where cognitive therapy is required, the course is usually 12 sessions. Final measures are undertaken routinely at the final appointment

During Assessment

The point of the assessment is to find out from you how tinnitus is affecting you now. However, it is important to place this in the context of your experience of tinnitus from when it began

So I will want to hear your 'story' and we will discuss this in some detail

The second part of the assessment is to quantify distress as it is now. For this, we will use clinical 'measures' in the form of questionnaires. There are 2 tinnitus distress measures: the THI (Tinnitus Handicap Inventory) and the TFI (Tinnitus Functional Index)

The other measures used are a screen questionnaire that identifies whether there is any significant anxiety or low mood/depression; where these are identifiable, we use the Beck Inventories for Anxiety and Depression (BAI and BDI)

It does not necessarily follow that someone with significant tinnitus distress also scores highly in the BAI or BDI; however, it is essential that if there is significant anxiety and/or depression, that it is identified at assessment and is treated through appropriate therapy as part of the process of tinnitus management

Measures used at assessment

THI (Tinnitus Handicap Inventory)
TFI (Tinnitus Functional Index)
*BAI (Beck Anxiety Inventory)
*BDI (Beck Depression Inventory)
**HSQ (Khalfa Hearing Sensitivity Questionnaire)

*Used where significant anxiety or depression is indicated
** Used where hyperacusis (over-sensitivity to noise) is indicated

Contact details:

Debbie Featherstone

Telephone: 01200-538411 or Mobile: 07547-796213

Finalising the Assessment

At the end of the assessment, I am able to advise on approximately how many sessions will be needed

On average, most of my patients need 6 - 12 sessions. This is 6 - 12 hours of appointments, over a period of 8 - 16 weeks and includes 'homework' involving using regular relaxation exercises (these reduce sympathic activity in the autonomic nervous system) and CBT-related homework where we are using CBT

Patients with more complex needs are likely to need appointments over a period longer than the more usual 8-16 weeks. This is all discussed at the end of the assessment

Where a patient wishes to go ahead with the work, we will arrange for the first appointment of your agreed course of treatment before you leave

For privately paying patients only, the initial assessment fee is refunded in full when pre-paying for a course of 12 sessions. For full details of fees, please email

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