Tinnitus retraining therapy

From Otolaryngology Online

Tinnitus retraining therapy:

was first introduced by Jastreboff during 1980. This therapy has been found to be highly successful. This therapy is based on strong neurophysiologic evidence that any person can habituate to acoustic or acoustic like sensations in their environment. The major aim of this treatment protocol is to train the brain to treat tinnitus like any other routine environmental sound (like the hum of refrigerator in the kitchen which does not bother them).

Tinnitus retraining therapy has two key elements:

They are

1. Direct counseling

2. Sound therapy

Direct counselling:

The counselling session is very critical to the success of this programme. Some patients may actually achieve relief through counselling alone. The counseling process involves an in depth discussion with the patient regarding the physiology of hearing and tinnitus. The negative emotions associated with tinnitus could easily be removed by counseling.

Sound therapy:

These patients are fitted with white noise devises at the ear level. These devises look like small hearing aids and can be comfortably worn throughout the day. The sound is initially set at a very low level so as not to interfere with normal hearing. After several weeks of use most patients do not hear the sound unless they really try to hear it. These devises help the brain to ignore the random signals of tinnitus. This process is known as auditory habituation.

Within 6 - 24 months many patients are fully benefited.