There is no substitute for peace and quiet and silence. Think of what a piece of music would be without those silent pauses. Without silence your mind and brain is constantly being kept alert. The brain can never relax so you feel tired and agitated. TRT doesnt change your tinnitus it just forces you to accept that nothing can be done and to live with it. The treatment is a success once you reach that stage. You still hear the relentless ringing noise at night and throughout the day. You still cant escape it. TRT just trains you to deny that you are suffering even though you are.