Tinnitus Retraining Therapy

Discussion in 'Treatments' started by Jim, Mar 11, 2011.

    1. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      HI @Quiet please

      I have had TRT twice and the full treatment. I have written a number of posts and articles on the treatment that are available on my started threads. Please read the post below and click on the link.

      Michael

      TRT, As I See It.

      I think some people misunderstand TRT and the way it can help tinnitus. Whilst a person is entitled to an opinion, if they haven’t been on the programme and only read reports on it, I don’t believe they are getting the full picture. A number of people have asked me about its effectiveness and when should it be administered. I covered this in my post: What is TRT and when should it be started: https://www.tinnitustalk.com/threads/what-is-trt-and-when-should-it-be-started.19024/

      TRT has quite a following and has caused much debate in this forum and elsewhere on the Internet. Unfortunately, a lot of these comments haven’t been favourable, although those that have had the treatment or elements of it have said they found it helpful. This treatment is expensive and I will be candid and say, only those that can afford it are able to try it.

      Where I live the treatment is free but it is only available at selected hospitals. Even then, some don’t follow the TRT protocol and adapt the treatment to their requirements but good results have still been possible. In some parts of the UK it’s just not available nor is CBT. Therefore, anyone wanting TRT will have to pay privately at clinic. Other forum members have told me the treatment is free in their country and like the UK, it has been adapted to include some elements of the therapy. This may be wearing one or two white noise generators and not always having tinnitus counselling with a Hearing Therapist, so a person may be left to just get along with it.

      I have learned in some countries medical insurance won’t touch TRT, so a person will have to pay for it out of their own pocket, which I think this is unfortunate.

      So what is TRT and if one is able to pay for it should they, taking into account some of the negative comments that it has received? Having had TRT twice over 20 years following the TRT protocol, I will try to shed some more light on this treatment and hopefully give the individual a little more clarity to make up their own mind on whether the financial outlay is worth it, but more importantly; is it effective as a treatment for someone that has tinnitus and hyperacusis and enable them to have a better quality of life?

      I first want to say the following is based on my own opinion and therefore is not professional medical advice. The onset of tinnitus can be quite an emotional roller coaster for a lot of people, and I believe a person needs time for this to settle. Many people habituate within the first six months to one year of the onset of tinnitus without any treatment. If a person just has tinnitus without any additional symptoms, such as dizziness, deafness or balance problems. I think a period of at least six months should elapse before starting a long-term treatment such as TRT. Anyone paying privately needs to know they are getting the proper treatment. Any clinic not giving you this service then I advise you to go elsewhere because it is not TRT. You should be given two white noise generators to wear and also having regular counselling sessions with a Hearing Therapist or Audiologist. More is explained in the above link.

      TRT is not a complete cure so anyone seeking this might be disappointed. However, the sound therapy, which involves wearing white noise generators, I believe can cure hyperacusis as in my case. It should be noted, whilst this treatment may not cure tinnitus, many people find its perception reduces to such a low level they can comfortably live with it. Habituate. In some instances a person might be unaware of their tinnitus for long periods. Each person will respond to it differently.

      If you have ever lost someone that is close to you, such as a parent, partner or even a pet then you will know what it is to grieve. Most people will go through this process at some point in their life. It is not often talked about but we all know it’s something that’s inevitable and will come to us sooner or later perhaps even more than once in our lifetime. It requires a period of time for a person to accept that their life has changed, and time is needed to adjust so they will eventually be able to move on.

      Why am I saying this some of you might be wondering? A forum member recently asked what does TRT involve? I was explaining to him, the counselling part of the therapy and the relationship between patient and Hearing Therapist. At first the therapist discusses with the patient how the tinnitus makes them feel and how it has impacted on their life. Often people say they have lost interest in the things they once liked doing, which is perfectly understandable. The main goal is to gradually help them to look at life differently and with a more positive outlook. Over time the negative thinking that is often associated with tinnitus and hyperacusis is gradually dispelled and demystified. The Hearing Therapist does this in a controlled and precise manner so that the patient feels relaxed and not pressured.

      The forum member then said it sounds like a form of grief counselling. After we had spoken I thought about it and have to say I believe it to be a good description, because that’s what the therapy part of TRT is akin to. Thanks Paul @PaulBe. The amount of times people have told me over the phone or read posts in this forum: “If I could only get my life back”. “My life used to be perfect”. “I keep looking at peoples ears and wondering what my life used to be like”. “If I could only hear silence again”. And so on.

      When someone gets loud intrusive tinnitus with or without hyperacusis, in an instant their world has been turned upside down. Some go through periods of stress, anxiety even depression and yearn for the way life was before the onset. They need time to adjust and to accept this new anomaly in their life. Some have an easier time than others at habituating, so may not need the help of a tinnitus counselling. For some that find the tinnitus and hyperacusis severely intrusive TRT and CBT can prove to be helpful. It all depends on the individual, their emotional makeup and the severity of the condition because we are all different. It is for this reason; the treatment can take up to 2 years for a person to adjust to a different way of life and often with a positive outcome.

      I was fortunate to have TRT twice and found it to be helpful on both occasions. I only wish that it were more readily available to others.

      Michael
       
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    2. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      Over time the brain habituates to the white noise generators and slowly pushes the tinnitus into the background so it becomes less noticeable. The white noise generators will also treat hyperacusis (sensitivity to sound) if it is present. You do not have to use the white noise generators forever. However, I do use them regularly sometimes just because I want to other times because it's necessary, as my tinnitus is now variable. From: complete silence, mild, moderate, severe and very severe.

      You might find the post below helpful.

      The habituation process.

      Habituation is frequently talked about in tinnitus forums and probably comes in at second place to the popular question: when will a cure be found? It seems some people have become quite taken with this word and believe it is the most important thing to strive for when dealing with this condition. Everyone wants to habituate as soon as possible and carry on living their life doing everything that they want to and putting tinnitus firmly behind them.

      I can honestly say that I see nothing wrong with that, but wanting something in the speed that we would like it isn’t always achievable, especially with something like tinnitus. A few people that have had tinnitus for a while, have contacted me to discuss just that. They have concerns about the length of time it’s taking to habituate. Similarly, I have heard from those new to this condition that want the habitation process to start as quickly as possible. Both groups tell me they are doing all the right things but it seems patience is giving way to despondency and despair and some are starting to believe habituation might never happen for them.

      It is of little comfort to these people when they hear family and friends say, tinnitus is just a minor irritant and something that can easily be ignored. Occasionally, it might be intrusive but this is never more than temporary and they are still able to carry on with their life unperturbed. I often sense the frustration a person is under when they are relaying this to me. Whether I’m talking to them on the telephone, private messenger or answering an email. It is then that I’m often asked: why is it that the habituation process doesn’t seem to be happening for them?

      Answering such a question isn’t easy because there is no single answer that I can provide but I will say this. Tinnitus is a common condition that comes in many forms and intensities and no two people experience it the same. It can be very troublesome especially in the early stages of onset, but gradually this gives way and the condition settles down and in time many manage to cope with it when it’s mild or moderate. Sometimes this may involve treatment via a hearing therapist or a person achieves this naturally without being referred to a clinic.

      It should be noted that tinnitus can be a complex condition, depending on how loud and intrusive it is for the individual? So what I’ve just outlined won’t apply to everyone. There are other factors that also come into play. A person’s make-up or rather their outlook on life. Whether they are positive or negative thinking can help or delay the habitation process. In addition to this, stress and anxiety are often associated with tinnitus and a person might be taking medication such as an antidepressant to help cope with it. There are a myriad of scenarios that I could relay to you on how tinnitus can affect someone’s quality of life, their well-being and the habituation process. For now I will say this:

      When a person habituates to tinnitus it means they are able cope with it but this doesn’t mean they will never hear it. Although some people habituate to a level where the tinnitus is rarely heard or stays at a very low level. Whether the tinnitus is silent for periods of time or remains low, mild, moderate or is occasionally intrusive, it doesn’t really matter, because it all means the same thing. When habituation is reached a person will know, because whatever the level it will not bother you. However, like everything there are exceptions and tinnitus is no different. I believe there are some limitations to habituation. As I have previously said the condition comes in many forms and intensities. Some people have variable tinnitus that can fluctuate from silent, mild, moderate and severe. When it is loud and intrusive (severe) and this level is sustained for long periods it can become very debilitating and a person might have to take medication to cope with it, which is usually supplied by their doctor. This level of sustained intrusiveness shouldn’t be confused with a tinnitus spike, which usually returns to baseline within a short period of time.

      I want to say that I believe habituation is achievable for most people with time. In some instances a person might need the professional help of a Hearing Therapist or Audiologist, as there are a variety of treatment options available to help one in the habituation process. One should also try to be realistic. There are some people that will accept nothing less than a complete cure from their tinnitus and this is unfortunate, because they could waste a lot of time being miserable.

      I have corresponded with people that have said, their tinnitus is very low and is only heard occasionally or in a quiet room, at night for instance. Yet these people are not satisfied because they want a complete cure and will deliberately seek out quiet surroundings to monitor their tinnitus, checking to see if it has increased or not. It’s as if they have become obsessed with this condition and to the point where is starts to affect their relationship with those that are close to them, and I don’t think this is healthy.

      In summing up I want to say one last thing. Those that are having treatment with a Hearing Therapist, Audiologist, or finding that their tinnitus is becoming less intrusive and they are in the habituation process. Try not to read negative posts or associate with negative thinking people who are not in the same place that you are, as their beliefs can prevent your advancement, if you are not careful.

      I wish you well
      Michael

      PS: further reading on habituation:
      https://www.tinnitustalk.com/threads/tinnitus-a-personal-view.18668/
      https://www.tinnitustalk.com/threads/hyperacusis-as-i-see-it.19174/
      https://www.tinnitustalk.com/threads/answers-to-hyperacusis-and-habituation.12058/
       
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    3. Quiet please
      Balanced

      Quiet please Member

      Location:
      Westchester County, NY
      Tinnitus Since:
      May 2008
      Cause of Tinnitus:
      I can only guess
      Hello @glynis & @Michael Leigh.
      Thank you both very much for your answers & good information. In the US, this treatment is not generally covered by insurance & IS quite expensive. I’ve had T for 10 years & was doing ok with the T being mild to moderate. But last year I was rear-ended in a motor vehicle accident & it’s been severe. My neurologist said to give it a year to heal from the concussion and whiplash, but it’s now 1 year & 5 months & im not doing well. I’m going to read Michaels links and make a decision soon. Thank you again.
       
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    4. Contrast

      Contrast Member Benefactor Hall of Fame

      Location:
      Retrovile
      Tinnitus Since:
      late 2017
      Cause of Tinnitus:
      injury from noxious noise
      it's 100% habituation based it does not change the physical volume of tinnitus just desensitizing the emotion brain.

      it's founder was known to openly discourage the idea of a treatment for tinnitus as if it is impossible.
       
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    5. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      I have had TRT @Contrast and you have not. Each person will respond to TRT, CBT and other forms of tinnitus treatment differently. TRT is known to help the majority of people that have it or elements of it. However, if a person goes into this treatment or any other with a negative mindset, or looking to be completely cured, as you and others do it will not help at all.

      Michael

      PS: by the way, in many cases TRT does lower the intensity of the tinnitus or at least the perception of it and enable a person to have a better quality of life. This has to be a good and postive thing. It is negative thinking and the belief that no treatment will work that is one of the main reasons, some people are unable to habituate to this condition.
       
      Last edited: Sep 1, 2018
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    6. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      @Michael Leigh you had mentioned that the treatment could cost up to $5,000, that's like for a year? Including the device they will sell?
       
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    7. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      HI @1000

      I live in the UK. When I had TRT under my health system which is the NHS it was free. I know this treatment is expensive and probably would have had difficulty paying for it privately at the time. The purpose of my posts to to convey to people the benefits of TRT when it is administered properly as in my case. I had regular counselling with my Hearing Therapist and wore white noise generators daily and used a sound machine at night.

      TRT is not enough on it's own. A person has to adopt a positive outlook to life, by reinforcing positive thinking and doing everthing possible to get their life back on track. It takes time and effort. Some people want to habituate to tinnitus without doing anything at all. Therefore, they will see no progress.

      All the best
      Michael
       
      Last edited: Sep 1, 2018
    8. lymebite
      Vegged out

      lymebite Member Benefactor

      Location:
      United States
      Tinnitus Since:
      2013
      Cause of Tinnitus:
      Unknown
      Interesting new article that seems to say TRT should be avoided.

      Unintended Consequences of White Noise Therapy for Tinnitus—Otolaryngology's Cobra Effect

      JAMA Otolaryngology Head Neck Surgery

      August 30, 2018

      Abstract

      Importance - Critical to the success of many medical therapeutics is a consideration of the brain’s miraculous ability to dynamically rewire itself anatomically and neurochemically on the basis of incoming information. We argue that white noise exposure, a commonly recommended therapy for patients with tinnitus, engages these plastic processes in a way that induces maladaptive changes in the brain that degrade neurological health and compromise cognition.


      Observations - The pathophysiologic mechanisms commonly associated with hearing loss and tinnitus reflect cortical dedifferentiation and widespread loss of inhibitory tone throughout the central auditory pathway. Importantly, these same changes are also induced by exposure to unstructured noise, even at nontraumatic levels in the adult nervous system. Not by coincidence, the same changes appear in age-related decline of central auditory function, suggesting that both tinnitus and white noise accelerate the aging of the brain.

      Conclusions and Relevance - Noise exposure therapies offer a seductive short-term solution for relief but, in the long term, undermine the functional and structural integrity of the central auditory system and the brain more generally. Sound therapies using unstructured, random (“white”) noise should be avoided as a treatment for tinnitus. Alternative therapeutics that drive positive, adaptive plastic changes are discussed.

      https://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2697852
       
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    9. TuxedoCat
      No Mood

      TuxedoCat Member Benefactor Ambassador

      Location:
      US
      Tinnitus Since:
      April 2017
      Cause of Tinnitus:
      high frequency hearing loss
      Hello @Michael Leigh

      I was wondering if you think the cost effectiveness of TRT could be improved by group therapy rather than one to one with a hearing therapist.

      Many thanks,
      TC
       
    10. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

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

      I believe group therapy can help some people to cope better and eventually habituate to tinnitus. However, I don't think this type of therapy can match one to one counselling with a Tinnitus Therapist. I use the term Tinnitus Therapist for a specific reason. I believe a person practicing TRT with a patient has to have tinnitus themselves in order to give high quality counselling. Unless a person has tinnitus, they cannot understand it or have any idea of the emotional impact that it can have on a person. Many Hearing Therapists and Audiologists that work with Tinnitus patients also have the condition.

      In reference to the post above by @lymebite the people that have written this report have no idea about TRT or tinnitus and the emotional impact that it can have on a person. When a person uses white noise generators correctly, they provide a therapeutic sound to the auditory system and brain not a "noise" as such. The level of the white noise is set below the tinnitus and therefore will not cause irritation to the user. In the case of hyperacusis which often accompanies "noise trauma". At first some people do find the white noise generators irritating and uncomfortable and they may notice a spike in the tinnitus. This is a result of the auditory system being hypersensitive due to the noise trauma. Under these circumstances, it is advisable for a person to introduce the WNGs slowly. At first wear them for just 1 or 2hrs. Then take them off for the same duration. Over a few weeks gradually build up the wearing time to 8 or 10hrs. White noise generators used correctly will help to treat hyperacusis by desensitising the auditory system.

      An important part of TRT is the counselling which has nothing to do with using sound enrichment/white noise generators that I have mentioned above and will paste below.

      The therapist discusses with the patient how the tinnitus makes them feel and how it has impacted on their life. Often people say they have lost interest in the things they once liked doing, which is perfectly understandable. The main goal is to gradually help them to look at life differently and with a more positive outlook. Over time the negative thinking that is often associated with tinnitus and hyperacusis is gradually dispelled and demystified. The Hearing Therapist does this in a controlled and precise manner so that the patient feels relaxed and not pressured.

      When people have spoken to me over the telephone or corresponded with them by email I am told: “If I could only get my life back”. “My life used to be perfect”. “I keep looking at peoples ears and wondering what my life used to be like”. “If I could only hear silence again”.

      It is for this reason I don't believe group therapy sessions can match one-to-one counselling with a Tinnitus Therapist/Hearing Therapist.

      Michael
       
      Last edited: Sep 1, 2018
    11. JohnAdams
      Starving

      JohnAdams Member Benefactor Hall of Fame

      Location:
      here
      Tinnitus Since:
      it started.
      Cause of Tinnitus:
      hearing loss
      My absolute faith in our Lord Jesus Christ gives me strength to continue to work and be a good family man and enjoy my life when I can.

      TRT has absolutely nothing on that. Plus, it costs zero dollars.
       
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    12. threefirefour
      Rebellious

      threefirefour Member Benefactor Hall of Fame

      Location:
      California
      Tinnitus Since:
      5/15/16
      Cause of Tinnitus:
      140dB B R U H moment
      TRT does jack for tinnitus, but from what I see, your main problem is burning ears. If you get in ear white noise generators and wear them for a few weeks, the problem should get better.

      This is what TRT basically does for hyperacusis, but these are much much cheaper.
       
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    13. Tinniger

      Tinniger Member Benefactor

      Location:
      Germany
      Tinnitus Since:
      06/2017
      Cause of Tinnitus:
      increasingly uncertain, maybe noise, maybe somatic ?
      The wikipedia entry isn't so bad:
      https://en.wikipedia.org/wiki/Tinnitus_retraining_therapy

      White noise of my hearing aids seem to make my tinnitus worse/louder, - my tinnitus is very similar to white noise.
      Maybe one goal of TRT is to counter tinnitus with more emotional calmness.
      It's just a sound, it's just a sound, it's just a sound ... (my mantra)
       
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    14. japongus

      japongus Member

      Tinnitus Since:
      1998

      Spending 30 dollars to read the article to deliver another no true TRT specialist trademarked sermon with all the mental gymnastics they teach each other, priceless mate. Or maybe you didn't spend 30 bucks and you didn't read it? I know a number of H cases where 30 bucks would feed them for a week.

      And the counselling part is where the ''TRT specialist'' gaslight their failures. TRT is so obviously the reason why today we have research papers that are rubbish as they're based on the systematic inability of TRT slouches at collecting data, best exemplified by how their hyperacusis questionnaire is bland rubbish that doesn't seek to differentiate types of hyperacusis, but exemplified in many other subtle ways too.

      I'll just keep sitting here laughing at all the TRT gaslighting BS vendor gang backtracking to ''TRT doesn't reduce tinnitus'' when clearly my H is a direct result of having the T, as my H consists of exactly by T resonating with external sound, accompanying external sound with a vibration and a pitch of the same frequencies as my tinnitus, when for billions of years of evolution, the ear has met external sound with silence and hence weightlessness as it should do. Read those words carefully, and you'll realize how damaging the blank slate TRT community is to T, and especially to H. How obvious it is that TRT gangs feed off mild cases that haven't had further acoustic shocks yet, to deliver sermons to the crowd, which mostly consists of healthy people looking to claim that there is nothing wrong.
       
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    15. TuxedoCat
      No Mood

      TuxedoCat Member Benefactor Ambassador

      Location:
      US
      Tinnitus Since:
      April 2017
      Cause of Tinnitus:
      high frequency hearing loss
      Thank you @Michael Leigh. I appreciate the time you take to share your insights based on experience with tinnitus and helping others.
       
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    16. japongus

      japongus Member

      Tinnitus Since:
      1998
      Nothing funny about my response to you @Michael Leigh, no need for a smarmy ''Funny'' response.

      1. TRT have literally backtracked to ''we just help you adapt, we don't decrease your tinnitus'', as shown in this thread. That is, when heaps of evidence were thrown at them that something measurable, tinnitus loudness, wasn't being improved, they retreated to something harder to measure, ''discomfort'', which TRT can more easily falsify by coaching their patients to tick better boxes post counselling session.

      2. Some of us have differentiated types of T and types of H. Sudden vibratory H that resonates to the precise tone of the underlying T is one of these types, and its mere description is total anathema to TRT therapeutic nihilists. It's a type of H/T that has appeared a few times on the forums, with most of the members sharing the same type of H with the same type of vibratory low frequency underlying T. It's a taboo for you TRT folk to comprehened the existence of this process as it breaks your claim that you help T and H without having to decrease the T. It's easy to understand why the research is so terrible in T and H, it's because TRT therapists mess up the huge sets of data only they have access to, because they're ingrained TRT therapeutic nihilism into every step of their ''treatment''.
       
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    17. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      You are most welcome @TuxedoCat Thank you for your kind comments.
      All the best
      Michael
       
    18. JohnAdams
      Starving

      JohnAdams Member Benefactor Hall of Fame

      Location:
      here
      Tinnitus Since:
      it started.
      Cause of Tinnitus:
      hearing loss
      Imagine if we went to paralyzed people and told them we could help their paralysis and we just wiggled their feet around and told them to get over it. Then gave them a bill for $5000. That's my view of TRT.
       
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    19. Johan_L

      Johan_L Member

      Location:
      Sweden
      Tinnitus Since:
      05/2015
      Cause of Tinnitus:
      Noise induced
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    20. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      I don't believe in counseling....but TRT practitioners are the expert on desensitized the ear with sound therapy?
       
    21. JohnAdams
      Starving

      JohnAdams Member Benefactor Hall of Fame

      Location:
      here
      Tinnitus Since:
      it started.
      Cause of Tinnitus:
      hearing loss
      I dont think so. I dont think they have a clue and need to step out of the way. They have nothing new to add to the community. Sounds may retrain the brain. There are already free TRT sounds all over YouTube, for free. There should be zero dollars going into this field of science. It is stuck in the dark ages.

      What I want to see is an initiative to comprehensively comb nature for substances that can replicate the effects of progenitor cell activators that are being investigated pharmaceutical corporations right now.

      @Contrast has provided ample evidence that tinnitus doesnt happen from bent cochlear cilia and that it is from the brain/auditory system/dorsal cochlear nucleus, that is missing input. For those that understand microcontroller programming I'm saying that it is the difference between getting input from polling and interrupts, that hearing isnt like interrupts, it is like polling. At least maybe some forms of tinnitus, like mine.
       
    22. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      I know if the only issue is tinnitus.

      I see but if there's a grade of hyperacusis maybe an extra help of someone who can guide you step by step? How about if there's hearing loss?

      Habituation to tinnitus can only be the time but as more intrusive it is habituation won't be a reality just surviving suffering.

      Anyone here from the US that is doing TRT now?
       
    23. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      You are entitled to your opinion on counselling and so is @JohnAdams on TRT . I find it strange that the two of you are so quick to dismiss treatments that do help a lot of people with tinnitus that you both know nothing about. When this condition is severe it can be very debilitating and affect a person's mental well being profoundly and to the point where they might want to end their life because of the misery that they are in. Counselling with someone that understands this condition can go a long way in helping a person afflicted with it, look at their life differently and in time more positively.
       
    24. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      @Michael Leigh I'm saying I have never believed in counseling not against TRT. I'm even searching for a specialist that can help me with sound therapy. Either that or a bullet.
       
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    25. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      I know what you said and when I replied to your quote that is what I was addressing. I assure you that you are wrong about counselling, although you are entitled to your opinion. Choose your words carefully because they may come back to bite you in later life. Counselling can be very helpful. I have counselled quite a few people with tinnitus and continue to do so.

      Michael
       
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    26. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      @Michael Leigh understand what you've said. Like I said I have more issues than a high pitch sound tormenting on every side of the head.
       
    27. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      It is probably a good idea to talk to your doctor and if antidepressant is suggested I think you take it to help with any anxiety that you have. Tinnitus and hyperacusis can wear a person down considerably when they are severe, no matter how positive and upbeat a person tries to be. We all have our limitations to how much we can handle.

      Talk to someone and get some help.
      Michael
       
    28. 1000

      1000 Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Trauma
      I'm on amitriptyline....but still I barely sleep. The trauma caused me TMJD.
       
    29. JohnAdams
      Starving

      JohnAdams Member Benefactor Hall of Fame

      Location:
      here
      Tinnitus Since:
      it started.
      Cause of Tinnitus:
      hearing loss
      but you're acting as if there is no possibility that TRT is just like the other pseudo-scientific tinnitus treatments out there, that people claim has helped them significantly. you may point to the research that is available regarding its efficacy, but there are people on this site that have posted evidence from other lines of research that would lead to a conclusion that TRT is counterproductive, maybe even harmful. and there is evidence to suggest that there are conflicts of interest between the organizations that conduct TRT research and the individuals that make a living off of it. what say you that?
       
      • Winner Winner x 1
    30. JohnAdams
      Starving

      JohnAdams Member Benefactor Hall of Fame

      Location:
      here
      Tinnitus Since:
      it started.
      Cause of Tinnitus:
      hearing loss
      Which words? Explain what you mean by that.
       
      • Good Question Good Question x 1

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