Tinnitus and Cognitive Behavioural Therapy (CBT) - Tinnitus Management

Tinnitus Management

Tinnitus Management

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Tinnitus Management

Tinnitus Management Process
How the process works
Undertaking tinnitus management is a process, and needs to be tailored to each individual's own needs.

The basic essentials of tinnitus treatment are:

  • Understand the mechanism of tinnitus More...

  • Effectively manage autonomic responses More...

  • Sound therapy (including hearing aid amplification) More....

Integrating Core Specialisms

I integrate TWO areas of knowledge and skills into Tinnitus Management, and bring with me many years of experience doing so

The two areas are those of Hearing Therapy - a specialist area of Audiological Rehabilitation; and Psychotherapy - in particular Cognitive Behavioural Therapy (CBT), Rational Emotive Behavioural Therapy (REBT) and Existential Psychotherapy. REBT in particular lends itself well to diffusing distress caused by tinnitus. It was the original "Cognitive Behavioural Therapy" upon which CBT was based. Learn more about CBT, REBT and Tinnitus

Through the integration of both sets of skills and experience, I am able to work very effectively with people who - in addition to distressing tinnitus - have anxiety, panic or depression, and very often all three plus tinnitus and hyperacusis (hearing hypersensitivity). Such debilitating symptoms require very careful management if a person is to return to anything resembling a "normal" life

Tinnitus - Anxiety - Panic - Depression - Tinnitus

No Tinnitus Management intervention will alleviate tinnitus distress while anxiety, panic or depression are left unaddressed.

By working with me, combining psychotherapeutic approaches most suited to the individual person I am working with, people achieve major changes that impact on their lives generally as well as on tinnitus distress - problems that previously seemed to be insurmountable

For a clinician, this is complex work but extremely rewarding for me - and for the patients I work with!

CBT-Based (Cognitive Behavioural Therapy) Online Tinnitus Management Intervention  

For people requiring a more basic course of tinnitus management - for example where a THI (Tinnitus Handicap Inventory) score indicates mild-moderate tinnitus distress - there is the semi self-managed but therapist-supported on-line CBT-based Tinnitus E-Programme, independently externally evaluated 2015-2017 by the NHS NIHR NHBRC (NHS National Institute of Health Research, Nottingham Hearing Biomedical Research Centre)

The majority of patients that I work with one to one, however, need more than the Tinnitus E-Programme can offer. They are the relatively small percentage of the "15% of the 1 in 10" that don't habituate naturally to tinnitus and they are extremely distressed by it, having THI scores in the severe THI categories 4 and 5. And even though these figures are relatively small in terms of population percentages, they equate to many hundreds of thousands of people

The Tinnitus Project

Tinnitus Management

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