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31.07.2014

Tinnitus retraining therapy glasgow, mixed anxiety depressive disorder prognosis - How to DIY

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In the last issue of our newsletter, we discussed the history and recent advances in Tinnitus Masking. The expectation was that by describing the tinnitus exactly in terms of pitch and loudness, different categories would be established and specific treatments could be applied to each category with predictable outcomes. Approximately 75% of all the people who experience tinnitus are not affected by it and they treat tinnitus like any other sound to which they can easily habituate. The researchers found there is no difference in the acoustical characteristics of tinnitus between those who are not bothered by it and those who suffer from it! To understand how tinnitus develops, it’s helpful to understand how sound is processed in the auditory pathways.


This is the basis of TRT, training the brain to habituate tinnitus sounds and classifying them to represent a neutral, insignificant signal. This issue will delve into a neurophysiological approach to reducing tinnitus symptoms called Tinnitus Retraining Therapy (TRT). Silence actually enhances tinnitus and patients undergoing TRT are advised to avoid silence. Jastreboff developed his model of tinnitus which postulates the involvement of the limbic (emotional) and autonomic nervous systems in the perception of tinnitus. His research began with the ongoing effort at that time to describe the acoustics of tinnitus.


The patient is taught the basic function of the auditory system and the brain relative to tinnitus. The sound generators are operated at a low enough level that the tinnitus can still be detected. Broad band sound contains all frequencies which gently stimulate the nerve cells in the subconscious networks allowing them to be more easily reprogrammed, or habituated, to no longer notice the tinnitus.



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