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The Heart of the Matter: What Does America Really Know about Coronary Artery Disease Treatments? A combination of counseling and sound therapy has proven effective for people with chronic tinnitus.
The patients’ reactions to their tinnitus are also measured with questionnaires, such as the Tinnitus Handicap Questionnaire, which is used worldwide, and the new Tinnitus Activity Limitations Questionnaire. Emotions: The patient is asked to describe fears and concerns about how tinnitus is affecting his or her life and health. Concentration: Patients are asked to identify situations when tinnitus interferes with concentration.
Most patients find the use of background sound very helpful in combination with counseling. For Tinnitus Activities Treatment, a low-level partial masking sound is recommended, during which the patient will perceive both the tinnitus and the background sound. Music: Studies have found music to be effective for encouraging relaxation and reducing anxiety. Modulated tones: In this newer type of sound therapy, amplitude and frequency can be varied, resulting in softly pulsing tones. Sound therapy has been shown to be more effective when combined with some form of counseling. Tinnitus Activities Treatment is one of several tinnitus treatments that combine counseling with sound therapy.
Cognitive behavioral therapy (CBT): This method of counseling has been used for depression, anxiety, post-traumatic stress disorder, and other conditions. Tinnitus Retraining Therapy (TRT): This therapy aims to achieve habituation to your tinnitus.

Here are some techniques that we use, called Tinnitus Activities Treatment, at the University of Iowa Tinnitus and Hyperacusis Clinic.
In the first session they receive an overview, through simple graphs and pictures, about causes, mechanisms, problems, and treatments.
Effective strategies to use before and during sleep are taught, and the use of background sounds and relaxation exercises is discussed.
The patient is taught strategies to improve hearing and communication and, when appropriate, the use of hearing aids is considered. Patients are taught that they can change their reactions to their tinnitus, and that we will help them. They practice doing activities that require different levels of attention and, in some situations, use background sounds to help.
Sound therapy, or acoustic therapy, works by making the perception of the tinnitus less noticeable in relation to background sound that is delivered through the sound therapy device.
The sound should be easy to ignore and not interfere with speech and everyday sound perception. Some approaches remove some frequencies from the frequency of the patient’s particular tinnitus pitch.
It focuses on restructuring the negative reactions toward and regaining control over the condition.
This means you are no longer aware of your tinnitus except when you focus on it, and even when you do notice the tinnitus, it does not bother you. Each patient has the opportunity to ask questions and receive explanations about his or her own history while also meeting other people who have similar problems. The sound can be used when sleeping, when focused concentration is required, during difficult times of the day, or all day.

Most clinicians use mild, moderate-tempo, instrumental music rather than fast-tempo music or music with vocalists, which can feel more stimulating than calming.
His scientific tinnitus work includes the quantification of tinnitus and the investigation of different treatments.
In addition to relaxation techniques, it teaches that while you can’t change the tinnitus, you can change your attitude toward it and in this way better manage it. Using a loudness balancing procedure, the patients are asked to adjust a 1,000 hertz tone until it is equally as loud as their tinnitus. The quality of the noise and its spectrum can be adjusted to maximize efficacy and comfort.
There are many music options designed for relaxing and also specifically for tinnitus relief. He sees tinnitus patients weekly at the Tinnitus and Hyperacusis Clinic and hosts an annual tinnitus treatment workshop at the University of Iowa.
A large, National Institutes of Health–funded TRT trial is currently under way with veterans as subjects. A 2010 Cochrane Review of six CBT studies found that while tinnitus did not lessen, depression abated and quality of life improved.

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18.07.2014 admin

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