Tinnitus can be an unbelievably frustrating condition to deal with for a wide variety of reasons. First and foremost, it’s extremely subjective experience. What we mean by that, is you can’t really show anybody what the unending ringing of tinnitus sounds like, how loud the constant barrage of noise is, or how much of a bother tinnitus can be.
Second, there still isn’t an objective way to measure the intensity of one’s tinnitus. You can’t, for example, drive to your doctor’s office, have tests ran, get some blood drawn, and get diagnosed with the condition.
Lastly, and most frustratingly, the medical community still doesn’t have an exact understanding of how tinnitus works. As a direct result, our understanding of the potential causes and possible array of treatment options remains at a less than ideal level.
This can all amount to an extremely frustrating situation, of course, but those affected should not feel hopeless. As an encouraging matter of fact, despite the many reasons for frustration, many people go on to show significant improvements in their tinnitus symptoms when paired with the right treatment plan.
Throughout this article, we will be discussing one tinnitus treatment option in particular, known as Tinnitus Retraining Therapy (TRT). TRT has proven to be particularly effective and is quickly becoming one of the most trusted and reliable tinnitus treatment options available today. However, to truly understand how Tinnitus Retraining Therapy works, we will first have to go over the two parts of tinnitus. Read more about it below.
The Two Parts of Tinnitus
Tinnitus is the perception of sound when no external sound source is present. We can break tinnitus down into two parts:
- The actual sound – usually perceived as a ringing sound, but can also be perceived as a buzzing, hissing, whistling, swooshing, or clicking sound.
- The emotional reaction – the perception of the loudness and character of the sound and its disruption to everyday life.
The effective treatment of tinnitus therefore requires addressing both parts, which is the underlying rationale of Tinnitus Retraining Therapy.
Sound therapy is the use of external sound to “mask” the internal sound of tinnitus. This mitigates tinnitus on a number of levels.
First, the external sound can partially or completely cover the tinnitus sounds, and can also divert the patient’s attention, while the sound is being played. This can provide immediate relief.
Second, sound therapy can result in what is called “habituation,” where the brain is trained over time to reclassify the tinnitus as an unimportant sound that should be ignored.
Third, the use of specialized sound minimizes the hyperactivity in the brain thought to be the underlying mechanism of tinnitus. This is called “neuromodulation.”
Sound therapy therefore has both short-term and long-term benefits, and works on multiple levels to mitigate the severity of symptoms. Sound therapy can be delivered through special sound masking devices, headphones, and even hearing aids.
While any sound can theoretically provide the masking effect, specialized medical-grade devices deliver customized sounds or music programmed to match the characteristics of the patient’s tinnitus. Your hearing care professional can help you select the right device and sound.
Cognitive Behavioral Therapy
In addition to sound therapy, TRT also employs behavioral therapies that address the second, emotional component of tinnitus. In ways, this is the more critical component, as tinnitus can trigger strong emotional reactions like anxiety, depression, and anger.
That’s good news because it means that you can learn various techniques to reduce the anxiety caused by tinnitus (which itself can make the tinnitus worse). And that’s why behavioral therapy has been so effective—in fact, a 2010 meta-analysis of eight research studies showed significant improvement in depression and quality of life for patients that participated in the programs.
Behavioral therapy can be delivered one-on-one or in groups, from a clinic or over the phone or internet from the patient’s home. Therapy includes education, identifying tinnitus triggers, instituting healthy lifestyle choices to mitigate symptoms, and mindfulness-based stress reduction.
Take Action and Silence Your Tinnitus
Tinnitus Retraining Therapy is effective because it leads to habituation on both fronts, both in terms of the actual sound and in terms of the emotional and behavioral responses.
While there is no known cure for tinnitus, you can mitigate the symptoms with the right plan and some perseverance. As your tinnitus is masked and the brain is trained to ignore it, you’ll be able to better cope with the sounds and improve your quality of life.