Cognitive Behavioral Therapy

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

    1. 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.
       
    2. 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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    3. weab00
      Gloomy

      weab00 Member Benefactor

      Location:
      Joe Dart's basement
      Tinnitus Since:
      05/2019
      Cause of Tinnitus:
      some good mf music
      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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    4. 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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    5. bobvann
      Cheeky

      bobvann Member

      Location:
      Inside the vortex
      Tinnitus Since:
      April 2017
      Cause of Tinnitus:
      Loud shit
      I met with a Psychotherapist / Clinical Counselor yesterday to work in concert with my TRT Audiologist . When we 1st got in contact, I told him what I had done to date including CBT 2 years ago. He had replied that he was not really big on CBT, leaving it at that.

      In our meeting, I asked to elaborate further. He replied that it is easily pushed & sold as a blanket solution to many issues.

      It truly is... CBT... Oil...
       
    6. linearb
      Psychedelic

      linearb Member Benefactor Hall of Fame

      Location:
      beliefs are makyo and reality ignores them
      Tinnitus Since:
      1999
      Cause of Tinnitus:
      karma
      Like any kind of therapy, the practitioner and your relationship with them probably matters more than the specific approach used. There are plenty of bad therapists out there selling bad CBT, and also plenty of good therapists who use the same techniques and may not call it CBT. Additionally, the basic notion of what CBT is and how it works has changed pretty radically over the last 20 years.

      Long term meditation practice is basically CBT wrapped up in some kind of religious dogma, and various peoples have been using it as a very effective way to reduce suffering and lead a more aware, rich life for thousands of years. Of course, all of these techniques can be learned for free if you have the patience and focus, so all you're really getting from paying a therapist or a teacher is formal structure and subjective feedback on your behavior from someone who is not you. That can be super useful, it can also be a tremendous waste of money, depends entirely on the therapist/teacher.

      Before COVID-19, the mediation practice I was going to was "$5 is asked, donation basis, not required". Hardly much of a scam, it barely pays facility fees.

      I don't, personally, draw a line between mindfulness meditation and "CBT". They are the same thing. They are paying attention to the current moment and the ebb and flow of the mind, and learning to become more of a passive observer of our distress states than being an active participant in it.

      It's certainly true that meditation can take you a lot farther than that -- something like a Samadhi state will not happen from CBT practice -- but it also won't happen for like 99.99% of Westerners that pick up meditation, because building out the mental architecture to access those really profound states is fucking hard and takes years of dedication.
       
    7. Luman
      Spaced

      Luman Member Benefactor

      Location:
      Brooklyn
      Tinnitus Since:
      07/2017
      Cause of Tinnitus:
      Intermittent Tinnitus probably noise induced
      I am sorry that CBT did not help you. I used CBT to assist with tinnitus distress and it helped ease my transition to habituation, by equipping me with coping techniques. I am happy to say that it worked for me, and others as well. It does not work 100% of the time for everybody with tinnitus, but studies have shown that it helps the majority who try. Good luck with your new treatment option.
       
    8. GregCA
      Jaded

      GregCA Member Benefactor Hall of Fame

      Tinnitus Since:
      03/2016
      Cause of Tinnitus:
      Otosclerosis
      What do they have in common?
       
    9. linearb
      Psychedelic

      linearb Member Benefactor Hall of Fame

      Location:
      beliefs are makyo and reality ignores them
      Tinnitus Since:
      1999
      Cause of Tinnitus:
      karma
      Most of what I've seen offered as CBT is basically a distillation of Buddhist practices which removes all of the religious dogma and ceremonial aspects, and focuses solely on making a willful effort to be aware of each moment as it arises, without judgement.

      Full Catastrophe Living does a deeper dive on this, in terms of being a very practical self-help manual which is very explicitly describing CBT techniques which are directly lifted from various Buddhist practices. This paper explores the link between Buddhism and CBT, and this book is an absolutely stellar deep dive into what's known about the neurology of meditation as it relates to these practices, written from the perspective of an MD neurologist who has spent decades meditating.

      Not all CBT is mindfulness focused, and not all Buddhism has much to do with what we think of as "Buddhism" in the US -- because there are thousands of different CBT providers following hundreds of slightly different ideas, and Buddhism arose and evolved over an extremely long time period as a set of different schools with wildly different practices.

      So, I wasn't trying to make the case that "CBT is Buddhism"; CBT takes one specific set of practices focused on mindfulness, and then turns it into a therapeutic regimen with measurable outcomes and all the other bullshit that comes along with psychoanalytical work. Meditation at a core level doesn't exactly have a measurable outcome, but I know my life has benefitted a lot from it and I'm not sure I'd still be here if I hadn't turned on to that path hard right when I did, at the worst moments of my tinnitus suffering to date, back in ~2013 / 2014.
       
    10. bobvann
      Cheeky

      bobvann Member

      Location:
      Inside the vortex
      Tinnitus Since:
      April 2017
      Cause of Tinnitus:
      Loud shit
      I tried plenty. Kinda sounds like more subject blaming (no offense). In any case, good on you for habituating.

      I am curious to come at it from a psychological angle vs simply meditate & do yoga.

      Unlike the CBT oilist, this therapist states we can stop anytime if I don't find it productive and most is covered under my health plans so it's worth exploring.

      After 4 years I think I'm doomed. I know, I know, negative thinking blah blah blah...
       
    11. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      Cause of Tinnitus:
      Noise induced
      I am pleased CBT worked for you Luman. Some people don't realize the counselling cannot do all the work. It has to be reinforced with positive thinking and incorporating things you like to do in your life which takes time. The belief that one can read a book on CBT and counsel themselves, when distressed by tinnitus is wishful thinking, because it's near on impossible, if the condition is severe due to the way if affect their mental and emotional wellbeing. A therapist that dismisses CBT and TRT rubbish is a classic example of someone that knows nothing about tinnitus. If they claim to have the condition, it is probably very mild.

      Michael
       
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    12. GregCA
      Jaded

      GregCA Member Benefactor Hall of Fame

      Tinnitus Since:
      03/2016
      Cause of Tinnitus:
      Otosclerosis
      I don't really know where you look for CBT offers, but they seemed biased towards a type of CBT (specifically Mindfulness CBT, as described in here). I don't exactly know the prevalence of this type, but given the large repertoire available, I'm surprised you'd be mostly exposed to this type, unless you'd specifically look for it.
      OK. Perhaps this could use a bit of nuance then:
       
    13. linearb
      Psychedelic

      linearb Member Benefactor Hall of Fame

      Location:
      beliefs are makyo and reality ignores them
      Tinnitus Since:
      1999
      Cause of Tinnitus:
      karma
      Hyperbole is my friend and nuance is something I have to stagger towards ;)

      That said I've worked with, uh... 2 CBT providers in upstate NY, 3 in the greater DC area and one in Vermont over the last 20 years or so and all of them have been focused on mindfulness.

      It's probably fairly hard to get a really accurate picture of what the most common forms of "CBT" are; if you take the term literally it is "therapy designed to change behaviors by changing the thoughts under them" and that seems to describe most of what I'd call "therapy" period.
       
    14. bobvann
      Cheeky

      bobvann Member

      Location:
      Inside the vortex
      Tinnitus Since:
      April 2017
      Cause of Tinnitus:
      Loud shit
      Wow you managed to bash both my therapists! Best go and put your amp & PC tower in your neighbor's house!

      index.jpg
       
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