Cognitive Behavioral Therapy

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

    1. LongWait

      LongWait Member

      Tinnitus Since:
      11/2017
      Cause of Tinnitus:
      Loud Concert
      CBT is performed naturally,in the mind,from altering and accepting u may have to live a difficult life.How many people who give these courses have got tinnitus,that says enough to me,it took me a long time to wake up, thinking I'm not going to end it after 2 years of this,because it's unrealistic,but this condition takes me to a dark place very often still,CBT is merely an acceptance technique,that u can live in hope.
       
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    2. Halsy

      Halsy Member

      Location:
      Toronto
      Tinnitus Since:
      Sept. 2017
      Cause of Tinnitus:
      Abscess tooth
      It's like everything else in this world, if you don't think it will help than it won't. You won't take it seriously, you won't make the required effort, so there won't be any benefit, or point in doing it for that matter.

      Fact is, however, it works.

      You don't get to be an athlete without committing to good diet and constant exercise. Like everything worth doing in this world it takes effort. At the end of the day tinnitus is a neurological condition - doesn't matter how it started. And that's where the resolution is, in your mind. That's why so many people's tinnitus ends up resolving entirely or to much better levels after committing to CBT. And beyond tinnitus it has many other benefits to all aspects of your life. All those people you read about and see on TV that succeed in life aren't lucky. They're committed.
       
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    3. Artazanasss
      Caffeine

      Artazanasss Member

      Location:
      Lithuania
      Tinnitus Since:
      2016/09
      Cause of Tinnitus:
      Noise induced hidden hearing loss and acoustic trauma
      Tinnitus is caused by damage to cochlear synapses, inner ear hair cells or auditory neurons and nerve fibers. You can't fix it simply by thinking positively. That is complete and utter bullshit, sorry for the terminology, but it's true, you can't fix the damaged auditory system by changing your outlook on life.

      Tinnitus is also caused by auditory brain center trying to compensate for lost nerve fiber input and amplifying the noise:

      https://medicalxpress.com/news/2016-01-brain-amplifier-compensates-lost-ear.html

      And I don't even hate CBT in all contexts. It has its use, when it comes to psychology, it's a better alternative to dangerous antidepressants and antipsychotics that cause a lot of side effects and health problems. But when it comes to tinnitus, CBT is a complete and utter scam. Tinnitus isn't psychological. It's a physical issue, a neurological one, that has no cure or effective treatment and it should be considered as such. If there is no treatment doctors should just admit that fact instead of prescribing useless palliative therapies to patients that are ineffective.

      CBT also gets a lot of funding that could have gone and benefited actual research like inner ear hair cell regeneration and synapse restoration of the research that could actually improve or cure tinnitus. That is disgusting.
       
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    4. Bartoli

      Bartoli Member

      Tinnitus Since:
      2009,worsened 2019
      Cause of Tinnitus:
      Noise
      I can follow the part about commitment, and trying to be as positive as we can about this ailment, with or without psychological help. But what I quoted above doesn't go well with me. All too often so called CBT professionals make invalid statements about what we can expect. And in my experience that's not a reduction.

      Mind you, this is the fault of some professionals, not the concept of CBT per se.
       
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    5. bobvann
      Cheeky

      bobvann Member

      Location:
      Inside the vortex
      Tinnitus Since:
      April 2017
      Cause of Tinnitus:
      Loud shit
      Same for TRT. It all depends on who you get. I am getting fitted for some WNGs on Tuesday. Reason is I have been to the clinic a few times and I trust them more. I will get an honest 90 day trial which is pretty well until May. I don't expect to be cured but if it can at least provide relief it would be something. It will be my 3rd attempt to be fitted. Quiet Please has sated that she tried several "professionals" until finding some success.

      As for CBT I think the therapist had no idea how to deal with tinnitus. I was the only one who had it in 2 groups.

      But hey! Some folks apparently habituated by simply challenging the "distorted thinking" so what do I know..
       
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    6. Rod McDonald

      Rod McDonald Member

      Tinnitus Since:
      2/6/2012
      3 Instantly Calming CBT Techniques For Anxiety


      I found this video very useful.
      He doesn't sell CBT as a catch-all.
      But gives some useful advice.
       
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    7. Rod McDonald

      Rod McDonald Member

      Tinnitus Since:
      2/6/2012
      Anyone familiar with a website where I can get in touch with online counsellors who use CBT?
       
    8. savister

      savister Member

      Tinnitus Since:
      2020
      Cause of Tinnitus:
      Unknown
      I'm looking for a CBT therapist in the Fox Valley / Milwaukee/ Madison area. Willing to travel. If not local to this area, any other CBT therapist recommendations? Thanks.
       
    9. Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      Internet-based Cognitive Behavioral Therapy (ICBT) for Tinnitus in the U.S

      Objectives: Although tinnitus is one of the most commonly-reported symptoms in the general population, patients with bothersome tinnitus are challenged by issues related accessibility of care, and intervention options that lack strong evidence to support their use. Therefore, creative ways of delivering evidence- based interventions are necessary. This presentation focuses on the adaptation of an Internet-based Cognitive Behavioral Therapy (ICBT) intervention, originally used in Sweden and in the UK, for individuals with tinnitus in the United States. Elements of the ICBT program requiring consideration included (a) adaptations to the platform’s features and functionalities, (b) translation into Spanish to extend the reach of the program (c) user acceptability and satisfaction of the program, (d) outcomes from a pilot trial from which it was hypothesized that patients would demonstrate a reduction in tinnitus distress and associated difficulties as measures using standardized self-reported outcome measures, and (e) discussion of the relative merits and appropriateness of the intervention.

      Design: The iTerapi platform developed in Sweden was adopted for use in the US. The platform required functional and security features modifications to confirm its compliance with both institutional and governmental regulations, and to ensure it was suitable for the US population. Acceptability and suitability of the materials were evaluated by both hearing healthcare professionals (n=11) and individuals with tinnitus (n=8). A pilot study followed as adults with bothersome tinnitus completed the 8-week program (n=30).

      Results: Cultural adaptations included word substitutions, adapting counseling examples for a US population, and modifying the spelling of certain words. The materials were then translated into Spanish and cross-checked. Professional review ensured the suitability of the chapters. Literacy level analysis confirmed all chapters were within the guidelines to be below the 6th grade level for readability. Healthcare professionals and individuals with tinnitus reported favorable acceptance and satisfaction ratings regarding the content, suitability, presentation, usability and exercises provided in the ICBT platform. Preliminary analyses of pilot data indicated a reduction in tinnitus distress and associated difficulties (i.e., anxiety, depression, insomnia) and an improvement in quality of life.

      Conclusions: Ensuring that the ePlatform offers the appropriate features and functionalities for the intended population is an essential part of developing Internet-based intervention. The user evaluations and pilot trial outcomes indicated that clinical trials can be performed to assess the effectiveness of ICBT for tinnitus in the US.

      Source: https://dc.etsu.edu/etsu-works/7814/
       
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    10. weab00
      Alone

      weab00 Member Benefactor

      Location:
      depression-ville
      Tinnitus Since:
      04/2019
      Cause of Tinnitus:
      noise, whiplash; 08/20 H
      CBT is good for coping with the emotional burden of tinnitus, but don't expect it to have any effect on the volume itself. That's the big problem with the push for CBT oriented treatments, doctors think it's a mental condition that can be treated through therapy. You can get there if you're mild or moderate, but severe tinnitus sufferers' only relief will be in the form of medicine.
       
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    11. T Toledo OH

      T Toledo OH Member

      Tinnitus Since:
      2/26/20
      Cause of Tinnitus:
      Likely loud noise and earbuds
      Well if you gave up and are going to sit around waiting for a cure that is great, but for those that want to make their lives better who have a family depending on them then why the hell should you have an opinion on something that might help someone else?
       
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