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23.03.2014

Treatment for tinnitus anxiety, what is tinnitus dx - PDF Review

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The Project envisages the development of a common methodology for the preparation, storage, dissemination and evaluation of scientific literature in electronic format. The interface also provides access to the full text of articles via author index or subject index, or by a search form on article elements such as author names, words from title, subject, words from the full text and publication year. This course will give participants a solid foundation as to the neurophysiological model of tinnitus in a practical format, allowing them to better relay this information to their own patients. During this course, clinicians will learn advanced Neuromonics Tinnitus Treatment concepts relating to recognizing patient candidacy attributes that require modifications to the standard treatment approach as well as customizing Neuromonics tinnitus treatment for each patient’s unique needs as they progress through treatment.
This course will take the mystery out of treating tinnitus patients, with a focus on how Neuromonics can not only be an effective form of sound therapy, but one that can be a practical solution appropriate for any clinical setting. The term tinnitus does not refer to a single disorder, but rather describes a collection of symptoms that may have a number of different causes.
Over 50 million Americans experience tinnitus to some degree, and approximately 10 to 15 percent of adults have prolonged tinnitus requiring medical attention. Because tinnitus can be a symptom of a more serious condition, any prolonged experience of tinnitus should be evaluated by a medical doctor. In a small proportion of cases, tinnitus arises from a condition that requires medical or surgical intervention. Once the tinnitus signal is generated in the auditory system, another part of the brain (the limbic system) attaches an emotional response to it. Over the last decade or so, understanding of the various causes and factors that contribute to tinnitus perception and disturbance has improved tremendously.
It can be frustrating to invest your time and money in a treatment that hasn't worked for you.
Neuromonics Tinnitus Treatment is an acoustic-based treatment complemented by assessment, monitoring, support and education from a clinician over a six-month period. Since the Neuromonics device is lightweight and compact and can be used while conducting most other activities, it is easy to complete treatment requirements without disruption to daily life. The results from your assessment visit will allow us to determine if you are a suitable candidate for the Neuromonics Tinnitus Treatment.
Cognitive behavioral interventions are the most widely used psychological strategies for coping with tinnitus.
The goal of the therapy is to alter maladaptive cognitive, emotional, and behavioral responses to tinnitus and not to abolish the sound itself. Treatment programs comprise of techniques like relaxation training, cognitive restructuring, attention control techniques, imagery training, and exposure to difficult situations.
The combined approach assists patients in identifying and modifying maladaptive behavior and promotes habituation to tinnitus. The collaboration of patient and therapist is a prerequisite for a positive outcome of therapy. In the history of tinnitus research and treatment, many attempts have been directed toward abolishing or minimizing tinnitus. Most interventions in reducing tinnitus-related distress are predicated on cognitive theories of behavior regulation.
A comprehensive model for the chronification of tinnitus, including various dysfunctional cognition and behavior, is described by Kroener-Herwig [4] based on the assumptions regarding tinnitus tolerance made by Hallam and Jakes [5].
This model describes the vicious cycle of tinnitus distress and demonstrates how different cognitive, emotional, and behavioral factors interact and create positive feedback loops generating and maintaining tinnitus-related annoyance and discomfort.
The origin of cognitive behavioral therapy goes back to the 1950s and 1960s when Wolpe and Lazarus [6] developed new techniques for changing behavior – in particular in patients with anxiety disorders – based on experimental psychology. Cognitive behavioral therapy was developed mainly as a treatment for affective disorders such as depression and anxiety. Treatment programs comprise of techniques like relaxation training, cognitive restructuring, attention control, imagery training, and exposure to difficult situations.
Relaxation methods were one of the earliest psychological treatments applied to patients with tinnitus [20].
Despite the popularity of relaxation training in clinical practice, research shows that relaxation seems to be of limited value for most tinnitus patients when used as the sole treatment [21]. Imagery techniques are used to change the negative associations related to tinnitus either by “masking” the noises or by integrating them into positive scenes. Specific elements involved in the cycle of disturbing tinnitus will be reviewed and how they relate to a patients quality of life impact.
In addition, issues that can possibly impede progress with treatment will be discussed along with the suggested tools, strategies, and tactics available to clinicians to facilitate successful treatment outcomes.
Tinnitus assessment tools will be described, as well as how to implement Neuromonics products for a wide range of patients.


Our primary responsibility is to educate our patients about potential treatment for hearing loss or tinnitus (ringing ear). However, more than 2 million American adults (1 to 2 percent of the population), experience severe, chronic tinnitus.
It can interfere with sleep, make it difficult to concentrate or to relax, increase sensitivity to loud sounds and can lead to anxiety and depression.
Similar to the "feeling" you get when you scratch your fingernails down a blackboard, tinnitus is more than just a perceived sound.
Until recently, the only available options were treatments that addressed the symptoms (such as anxiety) and not the root causes of tinnitus.
Also, being 19 years old at the time when it first started, I really became stressed about how tinnitus was going to effect college, my job, athletics and other fun things I had planned to do in life. Neuromonics users report over a 80% success rate in reduction of tinnitus due to its ability to take away the relationship the brain makes with the tinnitus and its emotional centers (the Limbic System and Autonomic Nervous System).
It is now understood that tinnitus is not a hearing problem, but it is a neurologically-based condition. Clinicians are trained to offer the Neuromonics Tinnitus Treatment, with the only medical device with FDA clearance to be commercially distributed. The Neuromonics Tinnitus Treatment is comprehensive, non-invasive and effective - offering proven and significant long-term reduction of tinnitus disturbance.
It is possible to use the Neuromonics device independently of your hearing aid during quiet times, for example, when you are reading or trying to sleep. A sense of relief while using the treatment may be achieved within 1-30 days of your fitting appointment.
Despite all these efforts, until now no treatment has been found to successfully eliminate tinnitus permanently.
It is made clear that mainly the thoughts, beliefs, and expectations about tinnitus are creating the problem.
They are convinced that the tinnitus is “making” them depressed, anxious, and worried and that their ways of dealing with tinnitus are of no account. Regardless of the cause of tinnitus, “suffering” is a function of how the patient reacts to tinnitus – how he or she copes with it.
In imagery exercises, a patient may be asked to imagine that the tinnitus is masked by the sound of a waterfall or the waves of the sea.
Tinnitus for them is an acceptable solution or “a legitimate excuse” for avoiding these situations. The meta-analysis of Anderson and Lytthens [21] showed that psychological treatments are very effective regarding the reduction of tinnitus-related distress. Kroener-Herwig, B, Biesinger, E, Gerhards, F, Goebel, G, Greimel, KV and Hiller, W (2000) Retraining therapy for chronic tinnitus A critical analysis of its status.
Hallam, RS and Jakes SC (1987) An evaluation of relaxation training in chronic tinnitus sufferers In: Proceedings of the Third International Tinnitus Seminar. Wolpe, J and Lazarus, AA (1966) Behavior therapy techniques: a guide to the treatment of neuroses. Hallam, RS (1984) Psychological aspects of tinnitus In: Contributions to medical psychology pp.
Andersson, G, and Lyttkens, L (1999) A meta-analytic review of psychological treatments for tinnitus. Jastreboff, PJ and Hazell J (1993) A neurophysiological approach tinnitus: clinical implication. Wilson, PH, Henry, JL, Anderson, G, Lindberg, P and Hallam RS (1998) A critical analysis of directive counselling as a component of tinnitus retraining therapy. Martinez Devesa, P, Waddell, A, Perera, R and Theodoulou M (2009) Cognitive behavioral therapy for tinnitus.
Recent research topics will also be discussed to support current recommendations for treatment. Reimbursement for tinnitus services will also be discussed, making tinnitus treatment a practical reality for most clinicians. Tinnitus can trigger anxiety and stress responses in the body which, in addition to the limbic system, also involves the autonomic nervous system. But the Neuromonics Tinnitus Treatment addresses the underlying neurological basis of tinnitus.
Utilizing neuroplasticity, the Neuromonics Tinnitus Treatment stimulates the auditory pathway to enable new neural connections that allow the brain to help filter out the tinnitus sound, thus reducing the disturbance and impact of tinnitus. The Neuromonics device is patented, customized and clinically proven for long-term significant relief of tinnitus.


In addition, through research and clinical trials, it has been shown that in order to get the full benefits of the Neuromonics Tinnitus Treatment, a program of support, monitoring, and education is required. If the Treatment does not meet your expectations, your clinician will take a multi-stepped approach to troubleshoot your situation and try to adjust. As a consequence, increasing efforts have been undertaken by behavioral scientists and psychologists to eliminate or at least ameliorate psychological symptoms associated with tinnitus. Focusing attention on tinnitus, accompanied by specific dysfunctional cognitive processes of appraisal like catastrophic thoughts and rumination, leads to negative emotional consequences. A cognitive behavioral approach was first applied in the treatment of patients with tinnitus in the 1980s [13–16].
So googled tinnitus treatment and found Hoglund Family Hearing Center and their Neuromonics treatment. With more than fifteen years of research and development, the Neuromonics Tinnitus Treatment has treated thousands of tinnitus sufferers worldwide. You may have an improved ability to use your hearing aid after completing the Neuromonics Tinnitus Treatment, as your loudness sensitivity is likely to improve.
The Neuromonics Tinnitus Treatment is designed specifically to target the neurological, audiological, and psychological basis of tinnitus.
The aim of psychological interventions is not to “cure” or to eliminate the inner noise but to reduce tinnitus-related distress and increase quality of life. This assumption can be illustrated by the fact that the majority of individuals permanently afflicted by tinnitus – even if they describe it as loud – do not feel distressed by it. Blaming a situation or person for the onset of tinnitus will create anger and hostility (see Picture 2). The goal of the therapy is to alter maladaptive cognitive, emotional, and behavioral responses to tinnitus and not the sound itself.
Nowadays, it is one of the most widely used and accepted psychological strategies for coping with intractable disorders [17–19]. From the beginning of this treatment to the end, there has been so much improvement in decreasing the noise, which I can barley hear now, and also in my mood towards tinnitus.
90% of people involved in the most recent clinical trial for Neuromonics achieved a significant reduction in their disturbance from their tinnitus. The Neuromonics Treatment regimen is customized to each patient's unique hearing and tinnitus profile and scheduled appointments are required to complete the treatment. If it is determined that this is not the best treatment for you, Neuromonics does offer a return option. If patients are no longer bothered by their inner noises and the question of how tinnitus can be removed, they might become secondary. Nevertheless, the therapist should make it explicitly clear that he or she knows that the tinnitus is real, not imagined, and that the patient’s response to the abnormal tinnitus perception can be well understood.
This is different from simple “positive thinking” or from “directive counseling,” a treatment component of tinnitus retraining therapy [22], because in cognitive restructuring the therapist and patient collaborate in identifying, testing, and challenging dysfunctional thoughts, beliefs, attitudes, or attributions [4, 23].
Because hearing aids amplify sound, the amplification may mask tinnitus; however, the masking is not a long-term improvement for tinnitus disturbance. As long as tinnitus itself cannot be eliminated, the main intention of all therapeutic interventions is to alleviate suffering from tinnitus. Meichenbaum [11] introduced the notion of the specific importance of self-talk and self-instructions for behavior regulation. Relaxation techniques may be helpful in assisting people in learning a way of coping with tension and anxiety related to tinnitus.
It is theorized that for patients with tinnitus, the source of distress is not the sound itself, but the way in which the person evaluates and interprets the sound. I’m very grateful for the neuromonics device and treatment and the people at Hoglund Family Hearing.
If the tinnitus can be addressed and improved, a new hearing evaluation is recommended to understand if there is a hearing loss that should be treated with hearing aids. Furthermore, it is commonly reported by patients that stress exacerbates tinnitus or causes a person to experience the tinnitus more intensely, and that a reduction in stress levels may reduce loudness and annoyance.
Alternatively, a patient may imagine a cold and snowy winter day, sitting comfortably in front of the fire place, hearing the sizzling of a teakettle, and looking forward to enjoying a cup of hot tea. Also, listening to one’s tinnitus in a relaxed state can foster habituation and retain serenity in the presence of tinnitus.




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