Cognitive Behavioral Therapy

Discussion in 'Treatments' started by Sven, Jun 17, 2013.

    1. Stakovic

      Stakovic Member

      Tinnitus Since:
      1998
      Cause of Tinnitus:
      Unknown
      If I were Markku I'd delete TRT and CBT threads.
       
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    2. Cheza
      Wishful

      Cheza Member Benefactor

      Location:
      Oregon
      Tinnitus Since:
      04/2014
      Cause of Tinnitus:
      Barking dogs/stress
      Dr. Hubbard, thanks for posting this. I'll be adding it to the Videos section of my website.

      By the way, in case you didn't see it, I've got a freebie promotion going on my ebook, Living With Tinnitus. There's a chapter on CBT in the Treatments section. You're mentioned at the end of the chapter, with specific reference to "Dr. Hubbard's Tinnitus Story." ;)

      Freebie runs through January 15 and you can get the ebook on Amazon.com.

      Again, thanks for posting the video. I look forward to watching it this evening.
       
    3. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      Thank you for posting the link Dr Hubbard. I am a believer in CBT and TRT, having had the latter twice in twenty one years which helped. I'm sure the talk will be interesting.
      All the best
      Michael
       
    4. Aaron44126
      Balanced

      Aaron44126 Member Benefactor

      Tinnitus Since:
      July 2017
      Cause of Tinnitus:
      Eustachian tube dysfunction (from infection / labyrinthitis)
      Like any other treatment... If it doesn't work for you, that doesn't mean it doesn't work for anyone else. I've benefited tremendously from CBT.

      @Dr. Hubbard, thanks for posting the video, I will check it out for sure.
       
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    5. sanj100

      sanj100 Member

      Tinnitus Since:
      2 months
      Cause of Tinnitus:
      Unknown
      Why?
       
    6. Cheza
      Wishful

      Cheza Member Benefactor

      Location:
      Oregon
      Tinnitus Since:
      04/2014
      Cause of Tinnitus:
      Barking dogs/stress
      Everyone is wired differently in how we respond psychologically, emotionally, mentally, and physically to whatever disease, ailment, or affliction hits us. For example, @I who love music developed the Back to Silence method based on his personal experience of being able to silence his tinnitus using a very simple technique. Well, it's simple, but diabolically difficult to follow at first because it's so hard not to describe/compare/measure/monitor our tinnitus.

      Some treatments or methods are very helpful to one set of people and absolutely useless to others. They still have value. And sometimes it's a combination of therapies that does the trick.
       
    7. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      @sanj100

      Tinnitus comes in many forms and intensities and no two people experience it the same. If hyperacusis is also present it can make the condition more difficult to deal with. Whilst many people learn to habituate within the first 6 to eighteen months of onset, which may not always require treatment, this does not apply to everyone. A person's mental attitude can affect the habituation process profoundly. Some people will accept nothing less than a complete cure and unfortunately, with this type of mindset, it becomes very difficult for any tinnitus treatment to work.

      There are others that convince themselves without ever trying CBT or TRT, that they will be ineffective and fall into a similar dilemma as the people above. I believe one has to approach tinnitus treatments with an open mind and also be realistic. I read a newspaper article when I first got tinnitus twenty two years ago and it helped to change my attitude when I was going through a very difficult time with it as many people do. The article mentioned that 19 out of 20 medical conditions cannot be cured and it helped to change my way of thinking about tinnitus.

      I have had TRT twice. The first time I habituated in two years. This required wearing white noise generators for up to 10hrs a day and having regular counselling with a Hearing Therapist. My tinnitus reduced to a very low level and my hyperacusis was completely cured and has remained so till this day. In 2008 after a second noise trauma my tinnitus increased to very severe levels but experienced no hyperacusis. I started TRT for the second time. After two years of treatment I made improvement but it wasn't as successful as the first time. It took another two years to habituate 2012. My tinnitus fluctuates from: complete silence, mild, moderate and severe. It no longer reaches extreme severe levels that would last for many days. I am able to live quite comfortably and use clonazepam occasionally to help with this.

      I found Dr Hubbard's video very interesting and agree with everything that he has said about tinnitus and helping to treat it using CBT. I just wish some of the negative thinking people in this forum, listened to his Webinar with a open mind, as I think it would help change their outlook on life and to think more positively, because I believe this is the only way of habituating to tinnitus and moving forward.

      Michael
       
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    8. Staceysl3

      Staceysl3 Member

      Tinnitus Since:
      11/2017
      Cause of Tinnitus:
      unknown
      I was hoping there would be a thread on here re CBT. My doctor referred me for therapy back in early December when I was suffering badly from panic attacks and anxiety, its been a long road from there until now but the T has reduced and so have the panic attacks (I am on meds as well so they may have contributed).

      I had an over the phone assessment with MIND in mid December and then heard from them just after Christmas to say they felt CBT would benefit me and I am currently on the waiting list.

      I have no idea if this will help but I am more than happy to try, I have always had anxiety even before the tinnitus (although never had panic attacks), so I am hoping this will benefit me. Just have to wait for an appointment now!
       
    9. Chris Garfield

      Chris Garfield Member

      Location:
      Burton On Trent
      Tinnitus Since:
      mid 2017
      Cause of Tinnitus:
      Hearing loss from loud music levels over a long period of ti
      Hi everyone. Does anyone know where I can get CBT help for Tinnitus? I live in Burton On Trent so anywhere within reasonable distance would be appreciated.

      Thanks and love to you all.

      Chris G
       
    10. Jcb
      No Mood

      Jcb Member Benefactor Hall of Fame

      Location:
      UK
      Tinnitus Since:
      December 2017
      Cause of Tinnitus:
      possible TMJ, came on after severe cold and chest infection,
      If you speak to your GP they should be able to refer you to one I know the NHS has one called “let’s talk” I think you can chose to do it over the phone or face to face. How this helps Chris.
       
    11. SugarMagnolia
      Jaded

      SugarMagnolia Member Benefactor

      Location:
      USA
      Tinnitus Since:
      02/2016
      Cause of Tinnitus:
      Acoustic Trauma
      I'm curious how CBT would work for T. It seems to me it would be all C and no B. When I had CBT for my OCD, the cognitive philosophy was a big turn off to me, but the behavioral techniques worked wonders.

      @Chris Garfield ~ if it's cognitive therapy you want, you can learn some of it on your own by reading Aaron Beck's Cognitive Therapy and the Emotional Disorders. Of course, for behavioral therapy, you'll probably want a therapist. Also, it can help to have an understanding person to talk to.

      If you do have CBT, I'd be interested in learning what behavioral techniques are used for T. I'm guessing it would involve exposing yourself to frightening (but not dangerous) sounds without ear protection. But that's just my guess after having years of exposure and response prevention. I've been doing a little of this on my own by exposing myself to low volume high-pitched sounds
       
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    12. Jcb
      No Mood

      Jcb Member Benefactor Hall of Fame

      Location:
      UK
      Tinnitus Since:
      December 2017
      Cause of Tinnitus:
      possible TMJ, came on after severe cold and chest infection,
      That’s a good question, maybe some of the people who have had TRT and CRT could give you some good tips, or at least point you in the right direction. There seems to be a few who consider themselves “experts” on here so hopefully they will help.
       
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    13. SugarMagnolia
      Jaded

      SugarMagnolia Member Benefactor

      Location:
      USA
      Tinnitus Since:
      02/2016
      Cause of Tinnitus:
      Acoustic Trauma
      I'm a bit of an expert on CBT. I did it for seven years and I started again in the fall to treat my relapse. The cognitive part of it turned me off. I don't want to turn others off since it might work for them, but for me, I saw through it.

      The behavioral part was the useful part and that's what got me functioning again. But the behavioral part of CBT is exposure and response prevention. That's why I'm wondering how it could be applied to T. I think it could be applied to phonophobia, but I don't see how it could apply to the T itself.

      It will be interesting to hear other people's experiences. I do suspect it will be just cognitive therapy though, rather than cognitive-behavioral therapy.
       
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    14. dayma
      Frustrated

      dayma Member Benefactor

      Tinnitus Since:
      1/6/2018
      Cause of Tinnitus:
      UNKNOWN
      I went through IOP where we did CBT and DBT for 2 months 4 hours a day. From a therapy perspective the treatment is no different from a person dealing with drug abuse or cancer. The methodology is the same.

      It worked well for me but it does take practice and it’s not magic. It’s not going to make you forget about T. It’s going to help you radically accept the condition and incorporates multiple different strategies for dealing with anxiety, depression , panic, etc

      There is no doubt in my mind that if you go into therapy willing to accept the change it can make life a little easier to deal with.
       
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    15. Jcb
      No Mood

      Jcb Member Benefactor Hall of Fame

      Location:
      UK
      Tinnitus Since:
      December 2017
      Cause of Tinnitus:
      possible TMJ, came on after severe cold and chest infection,
      I’m a big believer in CBT for a number of issues, I’ve seen the good it can do. As far as T is concerned I can see it helping to a certain degree as far as “coping methods” are concerned but unfortunately it doesn’t work for everyone. Even with the an open mind it can fall flat. Let me know if you find anything that helps you, I’m genuinely interested.
       
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    16. SugarMagnolia
      Jaded

      SugarMagnolia Member Benefactor

      Location:
      USA
      Tinnitus Since:
      02/2016
      Cause of Tinnitus:
      Acoustic Trauma
      @Jcb ~ That's exactly my point. The coping methods are all cognitive, not behavioral.

      I've been doing my CBT on the phone this time around and I notice a big difference between this and the in-person sessions I used to have. The main thing I did in the in-person sessions is impossible to do on the phone, and I think that's the main reason I haven't made any progress in nine months. The phone is just talking. The in-person sessions were "doing" not just "talking."

      I suppose my point is partly semantic. I like things to be called what they are. Cognitive therapy is not the same as cognitive-behavioral therapy because without the behavioral in cognitive-behavioral, it's just cognitive.

      I recognize that some people could benefit from cognitive therapy alone, so I wouldn't make any blanket statements against it. But I have a temperament that needs to "do" rather than just "talk."
       
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    17. Jcb
      No Mood

      Jcb Member Benefactor Hall of Fame

      Location:
      UK
      Tinnitus Since:
      December 2017
      Cause of Tinnitus:
      possible TMJ, came on after severe cold and chest infection,
      I couldn’t agree more, any type of “therapy” should be done face to face, it’s helps form a bond of trust and empathy between the two which is needed to help the process go along so to speak (even though I know some people also benefit from doing it over the phone) I’m with you on the “do” part, some people are just programmed like that, myself included. I learn more that way. Could you maybe meet in person again and see if they could offer you anything to help you go forward.
       
    18. SugarMagnolia
      Jaded

      SugarMagnolia Member Benefactor

      Location:
      USA
      Tinnitus Since:
      02/2016
      Cause of Tinnitus:
      Acoustic Trauma
      They recently installed something on the door so that it emits a high-pitched tone whenever a person opens it. That's the very door that caused my TTTS and H. I'll never walk through it again. If I didn't like my therapist so much, I would have quit the place entirely. I have mixed feelings about giving them my money after they harmed me, but it's not my therapist's fault. I have built up a good relationship with him over the years. He saved my life. I definitely couldn't do a phone session with a stranger. But we already have a good relationship so I can talk easily on the phone. The main problem with phone sessions is not being able to do the behavioral therapy. To be fair, I could do the behavioral therapy from time to time in a home visit if I lived alone, but I don't live alone.
       
    19. Luman
      Artistic

      Luman Member Benefactor

      Location:
      Brooklyn
      Tinnitus Since:
      07/2017
      Cause of Tinnitus:
      Intermittent Tinnitus probably noise induced
      Some therapists now offer one on one live video sessions via SKYPE, or similar alternatives.
       
    20. Jcb
      No Mood

      Jcb Member Benefactor Hall of Fame

      Location:
      UK
      Tinnitus Since:
      December 2017
      Cause of Tinnitus:
      possible TMJ, came on after severe cold and chest infection,
      Yes, that’s not good. Could you go in to see him with some ear muffs on? Or maybe ask them if they could disable the beep if you are going to see him. Take this as your first step in doing some “behavioural therapy” it’s great you have a good rapport with your therapist. I understand your annoyance/anger with door, I’d be angry as well.
       
    21. Jcb
      No Mood

      Jcb Member Benefactor Hall of Fame

      Location:
      UK
      Tinnitus Since:
      December 2017
      Cause of Tinnitus:
      possible TMJ, came on after severe cold and chest infection,
      I was reading about this, I thinks it great as you can actually see the person and their eyes, reaction etc. I still think face to face is best but I know that’s not for everyone or convenient for some.
       
    22. Pero1234

      Pero1234 Member

      Tinnitus Since:
      02/2018
      Cause of Tinnitus:
      home theatre system + high pressure washer
      I’m starting a derivative form of CBT as well in a few weeks. I hope to apply it to more parts of my life than T.

      I’ll post how this works out for me.

      ACT (acceptance and commitment therapy): https://en.wikipedia.org/wiki/Acceptance_and_commitment_therapy?wprov=sfti1

      From Wikipedia:

      The approach was originally called comprehensive distancing.[3]Steven C. Hayes developed Acceptance and Commitment Therapy in 1982 in order to create a mixed approach which integrates both cognitive and behavioral therapy.[4]

      ACT differs from traditional cognitive behavioral therapy (CBT) in that rather than trying to teach people to better control their thoughts, feelings, sensations, memories and other private events, ACT teaches them to "just notice," accept, and embrace their private events, especially previously unwanted ones.
       
    23. SugarMagnolia
      Jaded

      SugarMagnolia Member Benefactor

      Location:
      USA
      Tinnitus Since:
      02/2016
      Cause of Tinnitus:
      Acoustic Trauma
      Sometimes I wonder what psychologists would be doing nowadays if they hadn't discovered Buddhism. Science maybe?
       
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    24. marc 1974 london

      marc 1974 london Member Benefactor

      Location:
      London
      Tinnitus Since:
      8
      Cause of Tinnitus:
      noise i think ? stress
      Morning all,

      Just like to say I went to my CBT counselor last couple of weeks & dealt with separating emotions, anxiety etc from tinnitus...

      My ears have gotten worse at times god knows how but yeah I’m having spikes on spikes, what’s weird is I’m letting it be, it’s worse today as I write this as I’ve had not more than 3 hours sleep due to work stress (work nights), but my emotions are calm...

      Just wanted to share that CBT, mindfulness & any body-based "be good to yourself" therapies can have huge pluses to our well-being.

      Next week hopefully starting TRT too.

      Adious
       
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    25. PDodge
      Cowboy

      PDodge Member Benefactor

      Location:
      Woods of Alberta
      Tinnitus Since:
      01/2017
      Cause of Tinnitus:
      Bear ate my Cochlea
      Glad to hear its helping you. I also work nights and have found it double edge sword. Please continue to update us as you progress!
       
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    26. Halsy

      Halsy Member

      Location:
      Toronto
      Tinnitus Since:
      Sept. 2017
      Cause of Tinnitus:
      Abscess tooth
      There are all kinds of therapies out there. It really depends on the type of person you are. I have a problem with CBT because of some aspects of it like "gratitude charts" and things of that nature that just come off as really flaky to me. Best to see a therapist and discuss different types of therapy.

      The guy I'm seeing right now has suggested something called "narrative therapy". He thinks it might work better for me. There was another interesting one, who's name I forget, it's a somatic based therapy based on the study of trauma in animals and how they resolve their issues. I'll find out the name of it and post it. It sounds like it would be a good fit for people who suffer from intrusive tinnitus/pulsatile tinnitus. I'm also seeing a proper psychiatrist - who deals with a lot of tinnitus patients - in a couple of months so I'll see what his thoughts are on the subject.

      Meanwhile check out the book "Mind Over Mood". It's considered the best one for CBT self help.
       
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    27. marc 1974 london

      marc 1974 london Member Benefactor

      Location:
      London
      Tinnitus Since:
      8
      Cause of Tinnitus:
      noise i think ? stress
      Mind Over Mood is good.

      I've never done one of those gratitude charts, and I've been going for CBT for a year?
       
    28. dayma
      Frustrated

      dayma Member Benefactor

      Tinnitus Since:
      1/6/2018
      Cause of Tinnitus:
      UNKNOWN
      Same here. We don't do these for DBT or CBT. We use "thought logs" to track emotions etc...
       
    29. marc 1974 london

      marc 1974 london Member Benefactor

      Location:
      London
      Tinnitus Since:
      8
      Cause of Tinnitus:
      noise i think ? stress
      Yeah thought logs for sure, excellent to do, seems strange at first but now it’s instant the moment I’m feeling stressed or anxious...

      Love CBT, they should teach it at schools & not so much having to get an A grade to be successful...
       
    30. dayma
      Frustrated

      dayma Member Benefactor

      Tinnitus Since:
      1/6/2018
      Cause of Tinnitus:
      UNKNOWN
      Yup, we do the same. Good to hear its working for you man!!!!
       

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