Tinnitus Retraining Therapy

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

    1. Ctw
      Depressed

      Ctw Member

      Tinnitus Since:
      12/2015
      Cause of Tinnitus:
      Unknown
      Thank you Michael!
       
      • Like Like x 1
    2. Stocktrader86

      Stocktrader86 Member

      Tinnitus Since:
      06/2018
      Cause of Tinnitus:
      cold/flu
      What is the difference between using a "sound device" and using headphones from an iPhone, or noise cancelling headphones? Please advise...

      Also, does anyone have any experience with TRT?

      Finally, this may be a dumb question, but does anyone know if it makes a difference treating one or both of your ears with TRT? Please advise... for example, if you start listening to pink noise... can you do it ONLY in the affected ear? I haven't seen any articles addressing this.
       
    3. Michael Leigh

      Michael Leigh Member Benefactor Hall of Fame

      Location:
      Brighton, UK
      Tinnitus Since:
      April /1996
      @Stocktrader86

      I have had TRT twice with good results. It is a specialist treatment which has to be done with a Hearing Therapist or Audiologist. It involves wearing two white noise generators and having regular counselling. The treatment can take up to two years to complete. It is not a treatment you can do yourself or use an iPhone or any type of headphones.

      Click on the links below and read my articles on tinnitus.

      Michael

      https://www.tinnitustalk.com/threads/what-is-trt-and-when-should-it-be-started.19024/

      https://www.tinnitustalk.com/threads/trt-as-i-see-it.19555/
       
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    4. Stocktrader86

      Stocktrader86 Member

      Tinnitus Since:
      06/2018
      Cause of Tinnitus:
      cold/flu
      @Michael Leigh how do you find an audiologist to do it? And does it have to be Neuromonics?
       
    5. slc

      slc Member

      Tinnitus Since:
      04/2011
      Hi there, I have gone through TRT twice. The devices are absurdly expensive. The counselling portion is worth it if your anxiety is sky high and you really need the support. Otherwise reading Jastreboff or even searching TRT online might be sufficient.

      As someone pointed out above the generators provide sound enrichment, the counselling provides insight.

      In my view it was impossible to habituate to the catastrophic sound I was hearing but over the last seven years it has come down to a kind of general hissing on many days.

      In terms of sleeping, I am able to wear the sound generators, which I do on bad nights. I also created a playlist of music that lasts for about an hour. It’s generally made up of soothing mellow folk music. At one point I was also using hypnosis tapes as part of the playlist but no longer.

      And I did find one trick. If I wake up in the morning and the tinnitus is bad, if I play music through earbuds and fall back asleep, about 50% of the time my tinnitus improves a great deal.

      My entire regimen is much longer. It includes Ayurvedic formula made up of a bunch of herbs prescribed by an Ayurvedic practitioner, Acupuncture, Craniosacral therapy, hypnosis that I did for about two years, before bed 10 mg of melatonin, one and a half milligrams of Klonopin, 30 mg of Celexa, 300 mg of gabapentin, Valerian or good night sleep tea that contains Valerian.

      At the beginning the tinnitus was at the level of a police whistle blowing directly in my ear and I thought it was more than I could endure. I lost 30 pounds and was not able to sleep more than an hour or two for months.

      Somehow I made it through, and things are way way better although still challenging on certain days.

      You spoke of the sound changing and that might be due to the sound generators but it might’ve happened on its own. During my first six months the sound changed quite a bit. I had the trifecta which was three sounds at once: A high-pitched whistle combined with a tonal sound combined with something like crickets.

      Check to see if you have hyperacusis or hypersensitivity to sound as this can also be a big problem.

      Good luck
      Stephan
       
    6. slc

      slc Member

      Tinnitus Since:
      04/2011
      @Stocktrader86 in terms of TRT the sound devices are supposed to be in both ears and at a pretty equal setting. I was counselled against using it in one ear. Also the setting is supposed to be below the level of the tinnitus so you can habituate. Good luck with whatever you choose.
       
    7. dh42

      dh42 Member

      Tinnitus Since:
      11/2014
      I've been doing TRT since March 2017 (met with Dr. J).

      I feel it has only increased my habituation very slightly. My entire problem is on "loud days" which are 4 week on average although it can vary. Quiet days are so low that it never bothered me. But on loud days, I can easily hear it in the shower as it's such an abrasive buzzing noise (like an insect). the quiet days it's a low ring. I also get other sounds that are subtle... sometimes like a low vacuum in the background, or an accordion playing... or electronic beeps. But these "secondary" sounds are not bad. It's that loud buzzing that is bothersome.

      I do like wearing the ear mask/noise generators as they do a very good job of getting my mind off the tinnitus. I largely forget about it when wearing them. This is the closest thing to a medication for tinnitus in my opinion. However, when I take them off it hits me. I was hoping my brain would have habituation more by this point in time. With that said, my loud days do not interfere with me doing anything like concentration, sleep, etc. But my quiet days are extremely pleasant as a relief. If I lost my quiet days, I fear it would be very difficult.

      I was told I would possibly benefit with a hearing aid as I have high frequency hearing loss, but I don't think I need one (neither does my girlfriend). I'm fine with normal hearing, conversations, etc.

      I do take a low dose Valium at night (about 2.5 mg daily) and perhaps that is not good for habituation, but it's not a lot either.

      On any rate, I will continue.
       
    8. Piney

      Piney Member

      Tinnitus Since:
      March 2018
      Cause of Tinnitus:
      Shingles virus
      Couple of questions - If your hearing is bad in one ear with tinnitus, can you use a hearing aid with masker in one ear? What’s the timeframe to wearing the masker with TRT forever?

      I bought the TRT book but it hasn't arrived. I understand the concept of it all and it can take up to 2 years but what are some base methods. I imagine besides not seeing tinnitus as a threat, to possibly drop your thought of it once it enters your conscious?

      I know that's part of other methods as well. Sounds simple but we all know how that is.
       
    9. dh42

      dh42 Member

      Tinnitus Since:
      11/2014
      I'm not sure if you would only want to use the masker in one ear or not - I would think both ears still as you're attempting introduce a new sound to the brain so that it's focus is turned away from the ringing if you will. For a hearing aid, maybe one ear is fine... but I'm not sure.

      Most people have success with TRT within 6-9 months, but there are outliers. You can wear the ear maskers for as long as you want. I rarely wear them on my quiet days any longer - really just louder days. Dr. Hubbard (specializes in CBT for tinnitus) has recommended for users to eventually wean off them. At some point I will probably attempt this.
       
    10. Ken219
      Frustrated

      Ken219 Member

      Location:
      New York Area
      Tinnitus Since:
      Summer of 1990
      Cause of Tinnitus:
      Noise exposure?
      I haven't tried TRT but I've done some CBT. I find as of now when I have relapses I take meds. I usually habituate in 12-18 months.

      I was doing some research and ran across this:

      'ATA is one of the only organizations worldwide funding tinnitus research. Learn about ATA's innovative Roadmap to a Cure, and recently-funded studies.'

      Is it true?
      G-D bless!
       
    11. David Dorci

      David Dorci Member

      Tinnitus Since:
      02/09/19
      Cause of Tinnitus:
      Medication, Depression
      Has anyone had success with TRT? What is the process? Thanks.
       
    12. Contrast
      No Mood

      Contrast Member Benefactor Hall of Fame

      Location:
      Clown World
      Tinnitus Since:
      late 2017
      Cause of Tinnitus:
      noise injury
      A forced therapy the community is forced to deal with made by a guy who cannot tell the difference between noises sounding too loud and noises sounding painful. Also audiologists love TRT because it comes bundled with hearing aids and that's how they profit.

      TRT may help some people with tinnitus and "loudness hyperacusis" but I don't believe it does jackshit for noise induced pain.
       
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    13. Manny
      Dead

      Manny Member Benefactor Hall of Fame

      Location:
      United States
      Tinnitus Since:
      1/2018
      Cause of Tinnitus:
      central gain << NIHL
      Nor, importantly for many, many people with severe tinnitus (such as myself). As evinced by experiences shared on this board.
      Not to mention common sense, when the actual content of the "therapy" is examined.
       
      • Agree Agree x 4
    14. ChrisBoyMonkey

      ChrisBoyMonkey Member Podcast Patron

      Location:
      CA
      Tinnitus Since:
      04/2019
      Cause of Tinnitus:
      U.S. Army/Field Artillery Veteran
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    15. Luman
      Spaced

      Luman Member Benefactor

      Location:
      Brooklyn
      Tinnitus Since:
      07/2017
      Cause of Tinnitus:
      Intermittent Tinnitus probably noise induced
      I have not tried TRT, so I can't comment on it. I did, however, try CBT, specifically tailored for Tinnitus Distress, short term, and it worked out very well. If you're experiencing various problems due to tinnitus, need to get back on your feet again and face the world with a new perspective, acquire the tools can help you cope, and speed up the habituation process, then there is a very good chance that CBT will work for you. Good luck.
       
      Last edited: Jun 26, 2019
      • Like Like x 1
    16. Lilah
      Bashful

      Lilah Member Benefactor

      Location:
      USA
      Tinnitus Since:
      12/2018
      Cause of Tinnitus:
      Unknown, Lupus
      If you are in a country where TRT is free, go for it.
       
    17. Jazzer

      Jazzer Member Benefactor Hall of Fame

      Location:
      UK
      Tinnitus Since:
      1/1995
      Cause of Tinnitus:
      Noise
      Quite agree with you Mannie.
      When the hospital assessed me for CBT or TRT they said that my knowledge and understanding of Tinnitus was pretty complete and they could not see what further benefit I would acquire.
      In fact, of course, I knew that already.

      The only answer I am interested in is a treatment to reduce the volume and intensity.
      No more ‘airy-fairy’ psychobabble posing as therapy, which simply adds up to more ‘bullshit.’

      When the industry knows it has NO answers they should come out and say so, but that would not generate profit would it, and would put a lot of clinicians out of work.

      I am reminded of that famous quote
      by Gertrude Stein regarding
      ‘The Meaning Of Life.”

      There ain't no answer.
      There ain't gonna be any answer.
      There never has been an answer.
      That's the answer.”

      Gertrude Stein

      This may not be the case with Tinnitus Mannie, but at the moment I reckon that’s the state of play.

      Best wishes buddy
      Dave x
      Jazzer
       
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    18. Frédéric

      Frédéric Member Benefactor

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      Changes in the resting-state cortical oscillatory activity 6 months after modified tinnitus retraining therapy

      Although tinnitus retraining therapy (TRT) based on Jastreboff’s classical neurophysiological model is efficacious in most patients, its effects on the cortical activity changes responsible for the improvement of tinnitus are still unclear. In this study, we compared pre- and post-TRT resting-state quantitative electroencephalography (rs-qEEG) findings to identify power changes that could explain TRT-induced improvements. Thirty-seven patients with severe tinnitus were enrolled in the study, and rs-qEEG data recorded before the initial TRT sessions and 6 months after TRT were compared. In addition, associations between the changes in qEEG and percentage improvements in Tinnitus Handicap Inventory (THI) scores and numeric rating scale (NRS) scores of tinnitus loudness and tinnitus perception were examined. The mean THI score decreased significantly 6 months after the initial TRT session. Also, significant improvements were observed 6 months after the initial TRT session compared with the pre-treatment scores in NRS loudness, distress, and perception. As compared with the pre-TRT status, post-TRT 6 months status showed significantly decreased powers in the left primary and secondary auditory cortices for the gamma frequency band. Changes in the alpha 1 frequency band power in the right insula and orbitofrontal cortex (OFC) appeared to be positively correlated with the percentage changes in NRS distress. These results suggested that TRT improved tinnitus-related distress by reducing the power of the top-down autonomic response modulator or peripheral physiological responses to emotional experiences. That is, TRT induced habituation via modulation of functional connections between the auditory system and the limbic and autonomic nervous systems. Our results confer additional basis for understanding the neurophysiological model and the newly suggested integrative model of tinnitus by De Ridder et al in the context of the long-term efficacy of TRT.

      Source: https://www.frontiersin.org/articles/10.3389/fnins.2019.01123/abstract
       
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    19. DaveFromChicago

      DaveFromChicago Member

      Tinnitus Since:
      01/2014
      Cause of Tinnitus:
      Headcold/Flu
      I just watched that video interview with Dr. Shore.
      Compare her level of scientific terminology, knowledge and expertise to that of all of the too-numerous-to-mention
      quacks out there on the Internet (especially Julian Cowan Hill).
      I was extremely grateful that scientists at her level are determinedly researching this.
       
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    20. alex1975

      alex1975 Member

      Location:
      Las Vegas
      Tinnitus Since:
      January 2019
      Cause of Tinnitus:
      Probably sound induced
      Also look into Levo, it’s expensive, I was quoted $6000 from my audiologist, but it is a much shorter treatment (3 months), with results within the first month of using it. Also there is the Neuromod Lenire device, which uses sound and neurostimulation. The Neuromod one is only available in Ireland as we speak and is half the cost of the Levo, although you need to consider flights, hotels and such...
       
    21. direct

      direct Member

      Location:
      London, UK
      Tinnitus Since:
      July 2014
      Cause of Tinnitus:
      Loud noise at workplace in many years and the employer's negligence
      UK TRT course graduates by country Updated 15th Sept 2011. Please notify changes
      Please note that the following have attended a full TRT course in London or Finland.
      This does not mean that they are currently practicing TRT, and some may
      have moved on without letting us know! (contact us)




      AUSTRALIA

      Ms Fiona Sutherland
      Adult Specialist, Audiologist
      Australian Hearing
      62 Queen Street
      Bendigo, Victoria
      Australia 3550
      fiona.sutherland@hearing.com.au

      Candice Payne

      Rehabilitation and Information - Vicdeaf

      17 Market Street

      Suite 15, Level 2, (Centro Whitehorse)

      Box Hill,

      VIC, 3128

      Australia
      cpayne@vicdeaf.com.au

      Jill Kato
      Clinical Advisor
      Australian Hearing
      Brisbane
      Australia
      jill.kato@hearing.com.au

      Mrs Genevieve Lusher
      Bell Hearing
      Suite 5c, 5th Floor
      33 Elkhorn Ave.
      Surfers Paradise
      Australia Qld 4217
      gen@bellhearing.com

      Mr Gavin Robertson
      2/172 Wilson Street
      Burnie
      Tasmania
      Australia 7320
      gavinneilrobertson@hotmail.com

      AUSTRIA

      Dr Christine Ilg
      General Practitioner
      Wolf-Huberstr.37
      Feldkirch
      Austria A-6800
      ilg.rieger@vol.



      BELGIUM

      Richnel Martis
      Menensesteenweg 138
      8940 Wervik
      Belgium 8940
      richnel.martis@ping.be

      Gaston W Madeira
      C/O Veranneman
      Galerie Ravenstein. 37
      B - 1000 Brussels
      Belgium
      veranneman@village.uunet.be

      Nathalie Dedeckel
      Audiologist & Speech Pathologist
      Koningennelaan 55
      Oostende
      Belgium 8400
      reva.oostende@online.be

      Katleen de Waele
      Audiologist & Speech Pathologist
      Meigemstraat 28 Nevele
      Belgium 9850
      katleen.dewaele@reva-sintlievenspoort.zvl.org

      Dr. Carine Massart
      Avenue des Tritons 9
      Brussels
      1410 Waterloo
      Belgium
      Carine Massart <Joelle.Puissant@smd.be>
      Mrs. Veronique Stuyaert
      Military Hospital,
      Pollorevela 35
      1861 Wolvertem
      Belgium
      veranneman@village.uunet.be

      Mr Philippe Lurquin
      Lapperre Belgian Hearing
      22 Rue De La Station
      1702 Grand Bigard
      Belgium
      Tel: 02 466 9100
      p.lurquin@lapperre.be

      Mrs Christine Montmirail
      Cliniques Universitaries Saint-Luc
      ENT Department
      Avenue Hippocrate 10
      B-1200 Bruxelles
      Belgium
      denuit@orlo.ucl.ac.be

      Dr Marie Paule Thill
      129,bld de Waterloo
      1000 Brussels
      Belgium
      thillmp@hotmail.com

      Miss Aurelie Dewael
      Revalidatie Sintlievenspoort
      Sintlievenspoortstraat 129
      9000 Gent
      Belgium
      Aurelie.dewael@reva-sintlievenspoort.zvl.org aurelie.dewael@pandora.be

      Mr Christophe Gurné
      Boulevard de la Sauveniere 83
      4000 Liege
      Belgium

      Dr Alexandra Urth
      Rue de Campine, 419
      4000 Liege
      Belgique
      a.urth@infonie.be

      BRASIL

      Miss Lisiane Holdefer
      Rua Flores da Cunha 457/302
      Sao Leopolda/RS
      Brasil 93010-160
      lisianeh@sl.conex.net

      Desiree Lamb
      Rua Eudoro Berlink 987
      Porto Alegre
      RS-90450-030-
      Brazil
      d.lamb@terra.com.br

      BRUNEI

      Mr Cheng Seng Tan
      Otorhinolaryngology Clinic
      Ripas Hospital
      Bandar Seri Begawan
      Brunei BA 1710
      Brunei
      Audiologist
      chrme2@brunet.bn
      cstan20@tm.net.my

      CANADA

      Glynnis Tidball, M.Sc., AUD-C
      St. Paul's Hospital Tinnitus Clinic
      Department of Audiology
      Rm 2600 - 1081 Burrard Street
      Vancouver, BC V6Z 1Y6
      CANADA
      Email: gtidball@providencehealth.bc.ca




      CHANNEL ISLANDS

      Ms Lynda Pritchard
      Audiology Medical Speciality Group
      PO BOX 113
      Alexandra House
      Les Frieteaux
      St Martin's
      Guernsey
      Channel Islands
      Lyndap@msg.gg

      DENMARK

      Randi Wetke
      Audiology Department
      Aarhus Universitetshospital
      Norrebrogade 44,
      DK 8000 Aarhus
      Denmark

      Lene Fenger
      Svanevaenget 34
      DK 2100 Copenhagen
      Denmark

      Helle Jorgensen
      Kommunikationscentret
      Skansevej 2D
      Denmark 3400
      Hillerod
      hsj@fa.dk




      Dr. Peter Paaske
      Byloekken 35
      8240 Risskov
      Denmark
      8240
      ppaaske@jubilmail.dk

      Lene Seiden
      Kommunikationscentret
      Skansevej 2D
      DK-3400
      Hillerod
      Denmark 3400
      lese@fa.dk


      EGYPT

      Dr. Abeir Osman Dabbous
      Assistant Lecturer of Audiological Medicine
      5, Cairo University Street
      Flat 21, 6th Floor
      Giza Square,
      Giza 12211
      Cairo
      Egypt
      AbeirDabbousabeird@hotmail.com


      FINLAND

      Elina Rytsölä
      Metsätie 3B 02300 Espooo, Finland
      elina.rytsola@kuulonhuoltoliitto.fi

      Pirkko Vanha-Similä
      Ahjokuja 1B15 00320 Helsinki, Finland
      pirkko.vanha-simila@kuulonhuoltoliitto.fi

      Erkka Öörni
      Heinäpolku 4, 04400 Järvenpää, Finland
      erkka.oorni@kuulonhuoltoliitto.fi
      +358-50-5547584

      Riikka Huotari
      Nuolihaukantie 8A 02620 Espoo, Finland
      riikka.huotari@kuulonhuoltoliitto.fi

      Ritva Keränen Rantatie
      39, 91500 Muhos, Finland
      ritva.keranen@kuulonhuoltoliitto.fi

      Päivi Sammallahti-Laakkonen
      Sahatie 6B 00760 Helsinki, Finland
      paivi.sammallahti-laakkonen@kuulonhuoltoliitto.fi

      Kyösti Laitakari
      Imarretie 7, 90580 Oulu, Finland
      kyosti.laitakari@oulu.fi




      Hannu Valtonen Savonkatu
      25A15, 70110 Kuopio, Finland
      hannu.valtonen@kys.fi

      Timo Laine Lielahdentie
      14B23, 00200 Helsinki Finland
      timo.laine@hus.fi

      Roderik Mrena
      Korvaklinikka
      Haartmaninkatu 4 E
      00029 HUS
      Helsinki, Finland
      roderik.mrena@hus.fi

      Matti Ylikoski
      Katajalaaksonkuja 2, FIN-02330 Espoo,
      Finland
      matti.ylikoski@ttl.fi

      Jukka Kokkonen
      Mulonniementie 182, 80330 Reijola
      Finland
      jukka.kokkonen@pkshp.fi

      Lauri Viitanen
      Tallitie 14, 13500 Hämeenlinna,
      Finland
      lauri.viitanen@khshp.fi


      Annukkan Yli-Tuina
      Muuttolantie 26, 41340 Laukaa,
      Finland
      annukka.yli-tuina@jkl.fi

      Annika Loimula-Kontkanen
      Kukkomäenkatu 14, 50100 Mikkeli
      Finland
      annika.loimula-kontkanen@esshp.fi

      Marja Estola-Partanen
      Untonkuja 15, 55100 Imatra,
      Finland
      marja.estola-partanen@imatra.fi

      Jouko Kotimäki
      Naavatie 5, 87500 Kajaani
      Finland
      jouko.kotimaki@kass.fi




      Mari-Liisa Tukia
      Sukulaistentie 9, 15800 Lahti,
      Finland
      mari-liisa.tukia@phks

      MattiRaivio Lövdalintie
      188, 10440 Bollsta,
      Finland
      matti.raivio@fimnet.fi

      Jukka Ylikoski
      Asematie 27B, FIN-02700 Kauniainen,
      Finland
      jukka.ylikoski@fimnet.fi

      Mirja Haapanen Kivikuja
      4A, 02760 Espoo,
      Finland
      mirja.haapanen@hus.fi

      FRANCE

      Dominique Vouge, MD
      29 rue Joseph Guerber
      F 67100 Strasbourg
      tél (33)388 44 20 12
      dominiquevouge@hotmail.com


      GERMANY

      Mrs Gaby Lux
      Feldbergstr.33
      Frankfurt
      Germany
      hoergeaete-lux@t-online.de
      www.ohrensausen.de.

      Allan Harthern
      BFPO Germany Heath Services
      Clinical Measurement Dept
      Harewood Barracks
      BFPO 15
      Germany
      allanharthern@hotmail.com

      HONG KONG

      Joyce Au

      Hearing Tune Professional Services Limited

      Room 1105, Leighton Centre

      77 Leighton Road

      Causeway Bay

      Hong Kong

      email: joyce.au@hearingtune.com



      Kenneth Kam Po Leung
      Room 703, Austin Tower,
      22-26 Austin Avenue, TST,
      Kowloon, Hong Kong
      kenneth.leung@medel.com



      Ellen Tam

      Hong Kong Pacific Hearing Centre Ltd.

      Room 1204, 12/F , Hong Kong Pacific Centre

      28 Han Kow Road, Tsim Sha Tsui, Kowloon

      Hong Kong

      "Ellen Tam" <ellen@hkpacific-hearing.com.hk>

      INDIA

      Prof. Neeraj Narayan Mathur
      Dept of ENT
      Lady Hardinge Medical College
      New Delhi
      India
      0 11 2208498
      anjalima@hotmail.com

      IRELAND

      Geraldine Colleran
      National Association for Deaf People
      4 Henry Street
      Limerick
      Ireland
      geraldine.colleran@nadp.ie






      Richard Frank
      National Association for Deaf People
      Lochrinn House
      Cinema Lane
      Wexford Co.
      Wexford
      Ireland
      frankrichardspencer@hotmail.com

      Kay Walsh
      Beaumont Hospital
      P.O. Box 1297
      Beaumont Road, Dublin 9
      Ireland
      cochlear@indigo.ie

      Mrs Siobhan O'Neill
      Current address requested

      Mrs. Elizabeth Ward
      6 Glenaden Hill
      Altnagelvin
      Londonderry
      N Ireland
      BT4 72LJ
      sensupport@foylehq.n-i.nhs.uk


      ISRAEL

      Dr Talia Mark ,
      Ofekim Hearing Quality,
      Tel Aviv,
      Nethania & Hadera,
      Israel,
      info@ofekim.co.il

      Dvora Gordon
      Clinical Audiologist
      Director League for the Hard of Hearing
      Moshav Beit Meir 24
      D.N. Harei Yehuda
      Israel
      mdgordon@bezeqint.net

      ITALY

      Dr Romeo Budrovich
      ENT Consultant
      ENT ULSS No. 1
      Via Caffi 130
      32100 Belluno
      Italy
      ansemini@tin.it


      Prof Enrico Fagnani
      Associazione Ascolta E Vivi Onlus
      Via Bandello 2
      20123 Milano
      Italy
      enriradio@planet.it
      delbo@sordita.com

      Dr Emanuele Gobbi
      Via Casal Bianco 190
      Rome
      Italy
      emanuelegobbi@katamail.com



      Mrs Stefania Passi
      Airs - Onlus
      Viale Cesare Pavese 304
      00144 Roma
      Italy
      airs@mclink.it

      Dr Tommaso Indelicato
      Via G.G. Belli 6
      37124 Verona
      Italy
      toindel@tin.it



      JAPAN

      Dr Hiroshi Watanabe
      ENT Dept
      Hiroshima City Asa citizens Hospital
      2-1-1 Kabeminami Asakita-ku
      Hiroshima 731-0223
      Japan
      hirowatanabe-alg@umin.ac.jp

      KOREA

      Dr Shi-Nae Park
      Instructor
      Dept. Otolaryngol-Hns
      The Catholic University Of Korea
      Kangnam St .
      Mary’s Hospital
      505 Banpo-Dong
      Seocho-Gu
      Seoul
      137-040
      Korea
      snparkmd@catholic.ac.kr

      MALAYSIA

      Dr Chin Wan Long
      1A - 4 - 5 Sri Kasturina
      Jalan Medang Serai
      Off Jalan Medang Kapas
      Bukit Bandaraya
      59100 Kuala Lumpur
      Malaysia
      long@mail.hukm.ukm.my



      MEXICO

      Fermin Ruiz
      Association Mexicana Del Tinnitus
      Porfirio Diaz No 42
      Tultitlan, Edo. De Mex. Mexico 54900
      imb@spin.com.mx

      NETHERLANDS

      Dyon Scheijen.
      Adelante
      Audiologie & Communicatie
      Ir. D.J.W.M. Scheijen
      klinisch fysicus audioloog
      Maandag t/m/ donderdag
      Zandbergsweg 111
      6432 CC Hoensbroek
      T 045-528 2900
      D.Scheyen@adelante-zorggroep.nl




      NEW ZEALAND

      Mrs Gail Loughrey
      719 Portobello Road
      Broad Bay
      Dunedin
      New Zealand
      gail@healthotago.co.nz
      Mw.richards@virgin.net

      Jeanine Doherty
      Doctor of Audiology
      Hearing Aid and Audiology Clinic
      235 Bealey Ave
      St Albans
      Christchurch
      New Zealand
      8001



      Jeanine.Doherty@xtra.co.nz
      Mr Brian Conaghan
      218 Rutland Street
      Christchurch
      New Zealand
      conaghan@xtra.co.nz

      NORWAY

      Dr Oddbjoern Fjermedal
      ENT Department
      Aust-Agder County Hospital
      N-4800 Arendal
      Norway
      anh@aassh.no

      Grete Skretteberg
      Audiological Department
      Aust Agder County Hospital
      Serviceboks 605
      N4809 Arendal
      Norway
      Hearing Therapist
      georg.traeland@aassh.no

      Mr Georg Traeland
      Audiological Department
      Aust Agder County Hospital
      Serviceboks 605
      N4809 Arendal
      Norway
      Audio Engineer
      georg.traeland@aassh.no


      PORTUGAL

      Eurico Almeida MD
      117 Av Boavista
      4050 - Porto
      Portugal
      clinicaorlea@telepac.pt




      SOUTH AFRICA

      Barbara Heinze
      Po Box 15221
      Lyttelton
      South Africa 0140
      goodears@iafrica.com

      SWEDEN

      Kajsa-Mia Holgers
      Dept. of Audiology
      Sahlgens University Hospital
      Goteborg, Sweden
      Kajsa-Mia.Olsson-Holgers@orlss.gu.se

      Berith Josefsson
      Pedagogiska Horselvarden
      Box 638 HUS 3, Lund
      Sweden S22009
      berith.e.josefsson@skane.se

      Peter Christensson
      Tinnitusmottagningen i Lund
      c/o Bredgatans LäkargruppBredgatan 10
      S-22221 Lund
      Sweden
      peter@tinnitus.se




      TAIWAN

      Dr Che-Ming Wu
      Chief of Otology
      Chang-Gung Memorial Hospital
      3rd Floor
      No 8-2 Chung Shan Road
      Lu Chu Hsiang
      Taoyuan Hsien
      Taiwan 338
      f1037267@tpts4.seed.net.tw

      Szu-Po Wang
      590 Chung Sun Road
      Feng-Yung
      Taiwan 420
      Taiwan
      Visiting Staff
      wangsp@mst.tw

      TURKEY
      Ayse Aysen Erdil
      MSc Audiology
      Sonamed Salik Hizm A.S
      Valikonagi Cd. Akkavak Sk
      6/3 Nisantasi
      Istanbul 80200
      Turkey
      Tel: +90 212 248 2618
      +90 212 252 2441 (H)
      Fax: +90 212 240 4497
      selays@ibm.net

      UK (ENGLAND)

      Jacqui Sheldrake
      Chief Audiologist
      Tinnitus and Hyperacusis Centre
      32 Devonshire Place
      London W1G 6JL UK
      j.sheldrake@ucl.ac.uk


      Nicholas Lee (Jastreboff TRT course, Baltimore USA)
      Tinnitus and Hyperacusis Centre
      32 Devonshire Place
      London W1G 6JL UK


      Wanda Aleksy
      Hearing Therapist
      Cochlear Implant Coordinator
      RNTNE Hospital
      330-332 Grays Inn Road
      London WCIX 8DA UK
      Wanda.aleksy@royalfree.nhs.uk or Wanda.Aleksy@rfh.nthames.nhs.uk

      Hashir Aazh
      Audiology Department
      Ealing Hospital
      Uxbridge Road
      Southall
      Middlesex
      UK UB1 3EU
      hashir.aazh@nhs.net


      Catherene Kelleher
      Senior Audiologist
      Guy’s and St Thomas ’ Hospital Trust
      Audiology Dept
      St Thomas ’ Hospital
      Lambeth Wing 2nd Floor
      Lambath Palace Road
      London
      SE1 7EH UK
      Catherine.Kelleher@gstt.sthames.nhs.uk

      Clare Lazenbury
      Audiologist
      Hearing Aid Centre
      RNTNE Hospital
      330-332 Grays Inn Road
      London WCIX 8DA UK
      ahoyhoyclare@hotmail.com

      Don McFerran FRCS
      Consultant Otologist
      3 Reynards Copse
      Colchester
      CO4 9UR UK
      DonMcFerran@aol.com


      Beth-Anne Mancktelow
      Audiology Dept

      Ground Floor

      Lanesborough Wing

      St George's Hospital

      Blackshaw Road

      Tooting

      SW17 0QT
      mancktelow@yahoo.com

      Elisabeth Moulding
      Audiological Scientist
      46 Fentiman Road
      Oval
      London
      SW8 1LF UK
      “Elisabeth Moulding” <chrisjbartlett@hotmail.com>

      Miss Susan Chalstrey
      Summer's Lease
      Watery Lane
      Sparsholt
      Oxon
      OX12 9PP UK

      Miss Jennifer Gilham
      Audiology Dept
      Royal Liverpool University Hospital
      Prescot St
      Liverpool
      L7 8XP UK
      Jenny.Gilham@rlbuh-tr.nwest.nhs.uk

      Bridgitte Harley
      The Hertfordshire Clinic
      Art School Yard
      St Albans
      AL1 3YS
      Tel: 01727 – 898162
      bh@oticon.co.uk

      Mr John Manley
      Audiology Dept
      Royal Liverpool University Hospital
      Prescot St
      Liverpool
      L7 8XP UK
      John.Manley@rlbuh-tr.nwest.nhs.uk

      Pamela Murray
      1st Floor,
      Adult Audiology RNTNE
      HospitalGray's Inn Road
      London UK
      WC1X 8DA

      Pamela.Murray@royalfree.nhs.uk
      Mr. Colin Pickering
      18 Southgate Close
      West Derby
      Liverpool
      L12 0JN UK
      kermit@colsa74.fsnet.co.uk

      Shellie Roberts
      Senior Audiologist and Newborn Hearing Screening Co-ordinator
      South Warwickshire General Hospitals NHS Trust
      Warwick Hospital
      Lakin Road
      Warwick
      Warwickshire
      CV34 5BW
      Shellie.Roberts@swh.nhs.uk

      Chiara Regan
      Chief Audiologist
      Hereford Hospital NHS Trust
      The County Hospital Union Walk
      Hereford
      UK
      HR1 2ER
      chiara.regan@hhtr.nhs.uk

      Mr. Paul Tapley
      71 Duke Street
      London
      W1K 5NY UK
      paultapley@btopenworld.com

      Mrs Emma Williams
      Audiology Department
      Cheltenham General Hospital
      Sandford Road
      Cheltenham
      Glos
      GL53 5AN UK
      "Williams, Emma; Senior Audiologist" <Emma.Williams@gloucr-tr.swest.nhs.uk>

      Jane Grant
      Audiology Department
      Milton Keynes General Hospital
      Standing Way,
      Eaglestone,
      Milton Keynes MK6 5LD UK

      Mary Thomas
      Hearing Therapist
      Kent & Sussex Hospital
      Mount Ephraim,
      Tunbridge Wells, Kent
      UK
      Email mary-thomas@hearing-therapy.freeserve.co.uk




      Jo Hazelby
      2 Viscount Road
      Stanwell Staines
      Middlesex TW19 7RD UK
      01784 255485 (phone & fax)
      JoHazelby@aol.com

      Mr Vivek Joshi
      73 Baron Court
      Stevenage
      Herts
      UK
      joshivivek_99@yahoo.com

      Jane Lloyd
      Hearing Aid & Audiology Services Ltd
      10 Castle Road
      Scarborough
      YO11 1XA
      JaneLloyd04@aol.com

      Ms MaryJane Hale
      Audiology Manager
      Audiology Department
      Medical Centre, Orion Block
      HMS Nelson Portsmouth
      Hants PO1 3HH UK

      Mr David Charles Jacklin
      Clinical Measurements Department,
      Harewood Barracks
      Herford BFP0 15 UK
      DCJ@osterwind.de

      Mr Andrew Robert McRae
      Consultant ENT
      County Hospital, Lincoln
      UK
      a.mcrae@talk21.com

      Miss Alexandra Willoughby
      Senior Hearing Therapist (MTO3)
      Audiology Department
      Medway Maritime Hospital
      Windmill Road
      Gillingham
      Kent ME7 5NY UK

      Mr Robert Harrowven
      Audiology Department
      University Hospital Lewisham
      Lewisham High Street
      London SE13 6LH UK










      Mrs Felicity Kumm
      Audiology Department
      North Hants Hospital
      Aldermaston Road
      Basingstoke
      Hants RG24 9NA UK
      flip@kumm.demon.co.uk

      Mr Rajamanickam Richard
      Department of Audiology
      Lister Hospital
      Coreys Mill Lane
      Stevenage
      Herts. SG1 4AB UK

      Mr. Art .A. P. Connolly
      Consultant ENT Surgeon
      Lincoln County Hospital
      Greetwell Road
      Lincoln, LN2 5QY UK
      artlisa@ntlworld.com

      Mr. Nathan Gluck
      Lotus Hearing Centre
      20 Wentworth Rd,
      Golders Green
      London, NW11 0RP UK
      Lotus Hearing Centre <info@hearinghelp.co.uk>

      Mr. Gary Mepham
      Audiology Dept., Suite 4,
      Lewisham Hospital
      Lewisham, SE13 6LH UK
      Gary Mephammephamfamily1@cwctv.net

      Mr. Esmaeal Nouri
      ENT Surgeon
      16 Geralds Close
      Lincoln, LN2 4AL UK
      Esmaeal NouriEN@tinyworld.co.uk

      Mrs Claire L. Armitage
      Audiologist MTO 3
      Hearing Aid Department
      Clinic 6
      United Lincolnshire Hospital NHS Trust
      Lincoln County Hospital
      Greetwell Road
      Lincoln LN2 5QY UK
      claire.armitage@nationwideisp.net









      Mr Albert Coelho
      Senior Clinical Scientist
      Department of Neuro-Otology
      The National Hospital for Neurology & Neurosurgery
      Queen Square
      London WC1N 3BG UK

      Mrs Sue Cowell
      Senior Audiologist
      Royal Free Hospital
      Audiology Department
      C\o Flat 2
      172 Ewell Road
      Surbiton KT6 6HG UK
      brendon@u.genie.co.uk



      Miss Sara Gibson
      Audiologist MTO 3
      Hearing Aid Department
      Clinic 6
      United Lincolnshire Hosp. NHS Trust
      Lincoln County Hospital
      Greetwell Road
      Lincoln LN2 5QY UK
      saragibson11@hotmail.com

      Mr Phil Stoney
      Furness General Hospital
      Dalton Lane
      Barrow in Furness
      Cumbria
      UK
      Phil.Stoney@fgh.mbht.nhs.uk

      Mr Jon Tandy
      34 New Street
      Golcar
      Huddersfield
      W Yorks
      UK
      John.Tandy@Bradfieldhospitals.nhs.uk

      Fiona Bateson
      Chief Audiologist,

      Lister Hospital,

      Stevenage,Herts.

      SG1 4AB UK



      Fiona Bateson

      privately at:

      Hertfordshire Hearing Practice

      Rivers Hospital

      Sawbridgeworth

      Herts
      and
      Pinehill Hospital
      Benslow Lane
      Hitchin
      Herts
      "Fiona Bateson"<mfandco@btinternet.com>

      Jo Blaquiere
      Hearing Aid Centre
      RNTNE Hospital
      330-332 Grays Inn Road
      London WCIX 8DA UK
      Joanna.Blaquiere@royalfree.nhs.uk



      Dee Davies
      Audiology Dept
      Bradford Royal Infirmary
      Duckworth Lane
      Bradford
      West Yorkshire
      BD9 6RJ UK
      Dee.Davies@bradfordhospitals.nhs.uk

      Mrs Lisa Waite
      Hearing Therapy Dept., Audiology
      Royal Berkshire Hospital
      London Road
      Reading
      Berkshire
      UK
      lisa.waite@rbbh-tr.nhs.uk

      Mr Andy Philips
      Audiology
      Royal Berkshire Hospital
      London Road
      Reading
      Berkshire
      UK
      andrew.phillips@rbbh-tr.nhs.uk

      UK (WALES)

      Glesni Jones
      Audiology Department
      East Glamorgan NHS Trust
      Church Village, Pontypridd
      Wales
      CF38 1AB UK
      laurence.brelin@lineone.net

      Mai Chou-Yin
      Audiology Department
      Royal Glamorgan Hospital
      Ynysmaerdy
      Pontyclun
      Wales CF72 8XR
      mailing@mchooyinwanadoo.co.uk

      Mrs Merrell Cook
      MTO 3 Senior Audiologist
      Audiology Department
      PontyPriddd + Rhondda NHS Trust
      34 Ty-Mawr Park Hopkinstown
      PontyPridd
      Mid Glamorgan
      Wales CF37 2SH UK
      kelvin.john@ae.ge.com

      Mrs Sian John
      Royal Glamorgan Hospital
      Pontypridd + Rhondda NHS Trust
      Wales UK
      kelvin.john.ac.ge.com

      Michael Jones
      Longfield Consulting Rooms
      196 Stow Hill
      Newport
      UK NP20 4UB
      mailto:mikejonesias@hotmail.com


      Rachel Matthew
      164 Pontygwindy Road
      Caerphilly
      Mid Glamorgan
      South Wales
      CF83 3HR
      rachel@raymat.go-plus.net

      Mrs Rama Patel
      North Glamorgan Trust
      Prince Charles Hospital
      Merthyr Tydfil
      South Wales CF47 9DT UK
      matip@epulse.net - error in delivery.

      Angela Smith
      Audiologist
      34 Brecon Rise
      Pant
      Merthyr Tydfil
      S Wales
      CF48 2BW UK
      angelapsmith@yahoo.co.uk

      Alison Thomas
      Audiology Department
      Royal Glamorgan Hospital
      Ynysmaerdy
      Llantrisant
      Wales CF72 8XR
      Glesni.Jones@Pr-Tr.Wales.NHS.uk

      Wendy Trump
      Audiologist
      Hearing and Balance Unit
      Royal Gwent Hospital
      Cardiff Road
      Newport
      S.Wales
      NP44 6HG UK
      Wendy.trump@btopenworld.com



      UK (SCOTLAND)

      Mr. Mark Mitchell
      228 Newburgh Circle
      Bridge of Don
      Aberdeen
      Scotland
      AB22 8XB UK
      mcmitchell44@hotmail.com

      Anna Blair
      Head of Audiology Services
      Audiology Unit
      4B Auchingramont Rd
      Hamilton
      Scotland
      ML3 6JT UK
      Anna.Blair@lanpct.scot.nhs.uk
       
    22. Daniel Lion
      Ape-like

      Daniel Lion Member Podcast Patron Benefactor Hall of Fame

      Location:
      SE Asia
      Tinnitus Since:
      2017
      Cause of Tinnitus:
      Noise trauma, hearing loss
      Hey, where’s Laos... that’s where I live.

      Guess it’s back to the local Shaman for me... such is life.
       
      • Hug Hug x 2
    23. Harley

      Harley Member

      Tinnitus Since:
      2017
      Cause of Tinnitus:
      unknown
      Myth propagating, habituation clowns such as Julian Cowan Hill are a liability.
      It is partly because of those people, that most of the medical community isn't taking the need for a real Tinnitus treatmemt seriously.

      As long as these quacks are preaching that everyone can habituate to Tinnitus (no matter how intrusive), those who have the means to look for actual solutions will remain confused at best and most likely use their talents elsewhere.
       
      • Agree Agree x 7
      • Winner Winner x 1
    24. Helheim
      Stressed

      Helheim Member Podcast Patron

      Tinnitus Since:
      01/2017
      Cause of Tinnitus:
      Infection
      Seriously. Julian Cowan Hill need to go the hell away with his habituation bullshit.
       
      • Agree Agree x 3
      • Winner Winner x 1
    25. Kai Love
      Surrender

      Kai Love Member

      Location:
      Minneapolis, MN
      Tinnitus Since:
      09/19
      Cause of Tinnitus:
      Neck injury (car accident), subsequent TMJ, Ear Wax
      Hi @JohnAdams ,

      Did you ever try TRT? If so, did it help you manage your tinnitus to any degree?

      I agree it is way expensive for something that is not a cure. I was quoted $4500 for the program. I am just not sure what else to do in the meantime.
       
    26. JohnAdams
      Festive

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Vatican
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      Heck no. I, like many, realized early on that this condition is a physical condition, not psychological. As of today, I feel like I am on the path to total healing by trying several strategies. None of the said strategies involves sound therapy, or psychology. Actually, regarding sound therapy, I wake up around 6:30 AM and sit on the potty for about 30 minutes every morning with the shower on cold as a form of sound therapy and I wonder if that is also part of my improvements. I attribute the bulk of my recent improvement on my use of curcumin and turmeric. It's a long story.
       
      • Like Like x 2
      • Helpful Helpful x 1
    27. Kai Love
      Surrender

      Kai Love Member

      Location:
      Minneapolis, MN
      Tinnitus Since:
      09/19
      Cause of Tinnitus:
      Neck injury (car accident), subsequent TMJ, Ear Wax
      Thank you for the response, and I follow many of your posts. I have been consuming lots of turmeric (and eat black pepper for increased bioavailability) and I take the Nordic Naturals Omega Curcumin (which is supposed increase bioavailability over many hours based on some UCLA study -- hey, the research marketing got me, but hope it helps).

      Your major improvement was from Dr. Minbo Shim's procedure, correct?

      I am currently doing a demo of a TRT system, and it has helped me be less anxious to this 16,000 Hz tinnitus sound. Still trying to figure out if I should use/spend money on this modality in the meantime. Anyway, thanks again JohnAdams.
       
      • Good Question Good Question x 1
    28. JohnAdams
      Festive

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Vatican
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      I really have no idea. I think so. My advice is to start with curcumin.

      How has your experience with it been?
       
      • Like Like x 1
      • Good Question Good Question x 1
    29. JohnAdams
      Festive

      JohnAdams Member Benefactor Hall of Fame

      Location:
      Vatican
      Tinnitus Since:
      May 1st 2018
      Cause of Tinnitus:
      Aspirin Toxicity/Possibly Noise
      is it affecting you tinnitus intensity?
       
      • Like Like x 1
    30. Kai Love
      Surrender

      Kai Love Member

      Location:
      Minneapolis, MN
      Tinnitus Since:
      09/19
      Cause of Tinnitus:
      Neck injury (car accident), subsequent TMJ, Ear Wax
      I think NN's Omega Curcumin supplement has helped a bit with inflammation (from TMD and neck pain), along with eating and making teas/smoothies from turmeric and ginger. I have only been taking 2 pills a day for the past 2 weeks and might increase the to 3-4 pills/"2 servings" (2 pills in morning and 2 in the evening). Hard to say for sure at this point how much it is helping, and I will continue to monitor and report back. I think it might have made it more fluctuating (like cymbals sound, but at 16 kHz frequency) to some degree. Probably about the same intensity, but maybe a little less. At night, it has seemed less intense the past two days. I know that is not a good answer. It is just hard to say, because the T is still so draining, and at such a high frequency.

      Fingers crossed for a definite and marked improvement in the near future from the Omega Curcumin supplement. I will report back after more time has elapsed.
       
      • Informative Informative x 2

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