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19.05.2014

Tinnitus retraining therapy protocol, extreme fatigue severe headaches - For Begninners

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Tinnitus Retraining Therapy (TRT) is the most widely used form of habituation Sound Therapy around the world, and the most universally effective for most conditions and degrees of hearing loss. Approximately 80 percent of those who stick with TRT through the 14-24 month treatment period, following the correct protocol, successfully habituate to tinnitus to a significant degree.
Randall Bartlett, our Tinnitus Audiologist, has completed training and certification by Dr. The habituation approach of TRT intends to alter the perception of tinnitus by reprogramming the auditory system and the attention processes of the brain.
Through tinnitus counseling, patients are also taught how to refocus thinking and attention further and more frequently away from the tinnitus experience, which further accelerates the habituation process.
TRT retrains the brain to effectively recalibrate and redirect the auditory system, forming new therapeutically controlled, appropriate and acceptable neurological patterns and auditory memories of tinnitus upon which it can operate. Effectively managed TRT looks at and uses many avenues to positively influence and strengthen the process of habituation to the reaction to and awareness of tinnitus, including specialized Informational and Directive Tinnitus Counseling and sometimes interdisciplinary care by cognitive behavioral psychotherapists, sleep medicine specialists, and other interdisciplinary healthcare providers. TRT is performed at many leading tinnitus treatment centers, including the Veterans Administration medical system.
In most instances, there is no medical or surgical cure for tinnitus or decreased sound tolerance. We offer 7 forms of Sound Therapy for tinnitus and 5 Sound Therapies to treat decreased sound tolerance.
The methods we practice have been clinically tested and proven to manage and significantly reduce the sufferer's disturbance, distress and attention to tinnitus in over 80 percent of cases.
Approximately half of the tinnitus sufferers referred to us by physicians need nothing more than sufficient counseling to dispel their fears and concerns related to tinnitus. For those who require professionally managed treatment, we offer a combination of sound therapy options. Professional intervention in these areas can also further reduce the magnitude of problems, and can accelerate progress in Sound Therapy, if pursued. The process begins by conducting our Level-3 three-hour Tinnitus Rehabilitation Consultation to analyze thoroughly the patient's condition. The first phase of tinnitus counseling involves demystifying the inaccuracies of the patient's thoughts concerning tinnitus, which our Tinnitus Audiologist addresses and providing important information that needs to be known. Tinnitus (tin-i-tus) is the perception of a sound in your ear when there is no noise in the environment.
Our Tinnitus Treatment Center works to find custom solutions to each patient’s specific needs. Our center focuses on a program of habituation, or retraining of the brain to reduce the perception of your tinnitus. Although there is no cure for tinnitus, scientists and doctors have discovered several treatments that may give you some relief. If it is hard for you to hear over your tinnitus, ask your friends and family to face you when they talk so you can see their faces.


Hyperacusis occurs with tinnitus symptoms in nearly 50% of cases and up to 100% of cases caused by head trauma. Treatment for cochlear hyperacusis primarily uses a special variation of the Jastreboff Method Tinnitus Retraining Therapy protocols, called Hyperacusis Retraining Therapy. Hyperacusis can occur as a stand alone symptom and disorder, or simultaneously with tinnitus and hearing loss. Jastreboff in Tinnitus Retraining Therapy, and has been treating patients using the Jastreboff Method since 1992.
The first goal is to habituate to the reaction to tinnitus, return tinnitus to a level of less or no significance similar to in the past when the awareness of tinnitus was not perceived to be problematic. As the retraining process continues, with repeated therapeutic sound exposure and attention control, neurons repeatedly firing together begin wiring together into increasingly stronger and more stable neurological patterns, which then becomes the new normal neurological and perceptual track.
But therapies we employ, which are virtually identical to those offered by the 3 leading tinnitus treatment centers in America, provide significant relief in over 80 percent of cases. Common additional benefits include lessening of anxiety, reducing the need for medications to cope with tinnitus, improving patients' ability to relax at will and sleep, increasing the patient's locus of control over tinnitus, and enhancing concentration impaired by tinnitus intrusiveness.
This, combined with validated protocols, such as Tinnitus Retraining Therapy (TRT), Neuromonics, and Hyperacusis Retraining Therapy, reduce distress and awareness of tinnitus and sound sensitivity, as well as many of the physical and emotional discomforts you may be experiencing due to your condition.
We evaluate all aspects related to the symptoms and problems, including comorbid non-auditory conditions that may be aggravating tinnitus. Similar Sound Therapy devices, as in TRT for tinnitus, are often used, but applied in a different specific way. TRT is a special form of habituation desensitization Sound Therapy, not to be confused with Masking.
Tinnitus is then trained to reduce by habituation to more of a background sensation, rather than one of great significance in the foreground of perception and attention.
The auditory system reverts increasingly less to operating through the old neurological network patterns associated with tinnitus the way it used to be. The objective is for the Tinnitus Audiologist to select the best combination of treatments based on clinically-validated medical evidence, and the unique needs, capacity and preferences of each individual patient. However, most concerned tinnitus patients ask many questions and want detailed explanations. Additionally, we determine the severity and significance of the patient's tinnitus and decreased sound tolerance to ascertain whether to select a light or more rigorous treatment plan.
When appropriate, we use certain devices set in particular ways to mask or partially mask external sounds or the internal sounds of tinnitus. The most common medicines that cause tinnitus include aspirin, ibuprofen, naprosyn, among others. These medicines are generally given to reduce the anxiety or depression associated with tinnitus. If you are a construction worker, an airport worker, or a hunter, or if you are regularly exposed to loud noise at home or at work, wear ear plugs or special earmuffs to protect your hearing and keep your tinnitus from getting worse.


Sometimes Hyperacusis Retraining Therapy must be completed to allow effective treatment for tinnitus symptoms or hearing loss. As some form of decreased sound tolerance occurs in over 50% of tinnitus cases, it is helpful to see a clinician trained in the evaluation and treatment of all forms of decreased sound tolerance, in addition to tinnitus and hearing loss.
TRT treatment uses specific types of Sound Generators, set in particular ways and used for specific lengths of time in conjunction with Informational and Directive Tinnitus Counseling. The effect of altering the sound landscape of a sound environment with tinnitus progressively harder to find, is similar to reducing the appearance of a lighted candle in a dark room by turning up the room lights. Typically, relieving patients' significant concerns enough for them to regain their confidence and to begin to successfully cope with tinnitus requires 60 to 90 minutes of in-depth counseling.
In addition, we consider the relationships among hearing loss, tinnitus, sound sensitivity, disposition of the patient, motivation, and willingness and determination to comply with the requirements of care. The better you hear other people talking or the music you like, the less you notice your tinnitus. The result of hyperacusis can be intolerance to daily sounds, inability to tolerate the boost provided by hearing aids, or an inability to tolerate the sound therapy levels used in TRT for tinnitus.
Therefore, in clinical practice, where significant tinnitus, hyperacusis and hearing loss are all occurring, the correct procedure is to implement a step-by- step sequence of Sound Therapy treatment.
Finally, some forms of Sound Therapy devices for tinnitus have not been demonstrated in clinically validated studies or have not received FDA clearance to be of use for hyperacusis as a stand alone disorder or as part of a tinnitus problem. Counseling is necessary to explain how one can put an end to negative reaction to tinnitus, alter perception of tinnitus, and diminish and potentially end perception of significant tinnitus as problematic and unmanageable.
A team approach allows for multidisciplinary treatments and management strategies to optimize therapy for each patient. The most effective protocols, as demonstrated in clinical results, follow the Jastreboff Method.
Once completing this consultation, those who decide they need nothing more take comfort in knowing there are treatments available should they grow tired of their malady or their condition worsens, as well as whom to call for help.Other patients will pursue a first phase of recommendations before returning to pursue Sound Therapy treatment. We have found the key to success is to follow the correct protocols and use of sound therapy devices, and have them set properly for hyperacusis or tinnitus.
Jastreboff has identified 5 clinical syndrome patterns, and 2 sub-patterns, each of which uses different protocols for treatment, which he has described.
Often, devices appropriate for hearing are not suitable for tinnitus or hyperacusis management.



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