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Sound Therapy International - Tinnitus treatment, relieve stress and get emotional relief. Sound Therapy International – Tinnitus treatment, relieve stress and get emotional relief.
Anxiety is feeling fearful, tense and worried when there is no specific reason to be fearful at that time. When you hear the sound in your ears your stress response can be triggered which causes stress primarily and anxiety as a secondary response. Getting a good night’s sleep is one of the most important functions for maintaining a healthy body and a healthy mind.
Meditation helps to reduce anxiety because it enable us to observe our thoughts and experiences rather than be fully wrapped up in them.
Having a massage regularly slows the release of the stress hormone cortisol and induces a relaxation response.
Cognitive behavioural therapy (CBT) helps to evaluate your thinking in relation to anxiety and tinnitus.
Medication will usually only be prescribed after psychological avenues have been tried and any other problems in relation to addiction or depression issues resolved.
Most people suffering from anxiety are offered antidepressants called selective serotonin reuptake inhibitors (SSRI). If the SSRIs are not working for you there are alternative antidepressants called serotonin and noradrenaline reuptake inhibitors SNRIs. Other alternatives for the treatment of anxiety include an anticonvulsant called pregabalin and sedatives called benzodiazepines.
All medication for anxiety disorders has side effects meaning regular consultation with your doctor is necessary throughout the course of treatment. My recent post entitled How to Habituate to Tinnitus looked at Tinnitus Habituation from a mainstream perspective to make sure that you have covered all of your bases with regard to tinnitus treatments. Every journey begins with the first step however preparing the ground before making the first step can be crucial to maintaining longevity for making changes in our lives. This post will explain the mainstream steps of treatment you might experience in your quest to find a tinnitus solution. In the world of metaphysics I have read clients who believe the noises associated with tinnitus are not a physical symptom of a medical condition but something linked to the paranormal. Tinnitus is the perception of sound within the human ear ("ringing of the ears") when no external sound is present. Tinnitus is not a disease, but a condition that can result from a wide range of underlying causes.
For the first time, signals relating to the constant ringing noise of tinnitus have been mapped across the brain of a patient undergoing surgery. The aim of our study was to describe a therapeutic proposal based on a stress-reaction tinnitus model (SRTM) by taking an educational approach to management of patients suffering with chronic tinnitus.
In a model based on reactions induced by exposure to stress factors-the SRTM-tinnitus is an alarm signal, just like an alarm bell, at least at its onset [4]. According to the SRTM model, stress signals of a specific patient have to be identified during the alarm phase to prevent an evolution toward a resistance phase and, especially, an exhaustion phase. In chronic tinnitus, attention must be paid to behavioral and emotional reaction strategies of affected patients rather than to identifying the audiological documentation and stressors.
In the resistance phase, accurate evaluation of auditory function is useful but not primarily necessary because treatment of hearing disorders rarely produces, per se, tinnitus relief; furthermore, in the resistance phase, auditory stimulation is usually more difficult and less effective. In the exhaustion phase, identifying both audiological and stress factors is useful but not necessary. Chronic disabling tinnitus is correlated to the combination of two main phenomena: paradoxical auditory memory in common final pathway structures [2] and pathological attention to tinnitus [6]. Tinnitus school is aimed at promoting behavioral reorganization, helping affected patients to cope with tinnitus, decreasing paradoxical memory, and improving diversion and distraction of auditory attention. Counseling is carried out by the physician who visited with an affected patient and prepared treatment planning.
Particular attention should be paid to diseases, disorders, or activities likely to stress an affected patient.
The CAPPE questionnaire is useful to identify "objective" stress factors, but it is not sufficient to clarify patient's perceptions of their personal "value" of stressors. Training is performed by a physiotherapist with a small class of patients (three subjects) in a gymnasium.
The first step is to prepare patients to cooperate in a complex program involving movement, thinking, and learning. After a complete audiological and stress balance test, when the 20-PSQ score totaled more then 15 despite the subscale score, tinnitus school was proposed to patients suffering from chronic disabling tinnitus. The TRQ is a self-reported scale designed to assess perceived distress associated with tinnitus.
The TCQ investigates patients' approach to tinnitus, with 13 negative-thinking items (1-13) and 13 positivethinking items (14-26), rated on a 0 to 4 scale. Tinnitus school is an educational approach aimed at helping affected patients to manage their symptom and thereby to restore a normal quality of life. Decreasing TCQ, TRQ, and 20-PSQ scores represented significant improvement in the quality of life of the participants, thus suggesting that an educational approach could have an effect on the qualitative aspects of tinnitus and can contribute positively to the management of tinnitus. This study was presented at the Thirty-Third Neurootological and Equilibriometric Society Meeting, Bad Kissingen, Germany, March 23-26, 2006. This means that we are able to practice the art of detachment enabling us to separate from unhelpful thinking and many of the unhelpful emotions surrounding problematic tinnitus.
Stress hormones are the reason you feel on edge and anxious and are unhelpful to the habituation process. Medication for General Anxiety Disorder can help to treat psychological as well as physical symptoms. In most cases finding your tinnitus solution is a long term strategy so preparing for long term changes is more than just taking the first step. Before posting on more specialised treatments i think it is important to acknowledging the mainstream types of tinnitus habituation treatment available.
The accident resulted in one of our founding members suffering head injuries and hearing damage which caused persistent tinnitus. Despite the origin of the name, "ringing" is only one of many sounds the person may perceive.


In this rare case, a man with tinnitus was being monitored to trace his epileptic seizures, with 164 electrodes placed directly onto his brain. Tinnitus School: An Educational Approach to Tinnitus Management Based on a Stress-Reaction Tinnitus Model. The auditory system is particularly sensitive to the effects of various stress factors (chemical, oxidative, emotional, etc.). The auditory system is, in fact, particularly sensitive to the effects of various stress factors (chemical, oxidative, emotional, etc.). It informs an affected patient (and consequently, the physician) that something potentially dangerous for the subject's homeostasis is happening.
These phases lead to chronic disabling tinnitus in which emotional-affective activation is dominant. In the acute phase, an accurate audiological evaluation is important because treatment or auditory stimulation of hearing disorders (or both) can potentially interfere directly with eventual auditory tinnitus generators; furthermore, in the acute phase, early identification (where "early" does not attain to a predetermined period) of stress factors is important, too, to allow treatment of auditory or systemic disorders as soon as possible. Stressor identification is necessary, as in the acute phase, because stressor removal may still interrupt prolonged stress reaction and avoid exhaustion. The final common pathway is activated, a paradoxical auditory memory is maintained, attention is pathologically shifted toward tinnitus, behavioral modifications are evident, and emotional-affective aspects are predominant. The combination of both phenomena, and mainly the second [7], leads to significant everyday cognitive failures. Tinnitus school is particularly directed at physical exercises to lead to a consciousness of one's own body, respiration control, and neck tension control and, in this way, to the shifting of a patient's attention away from tinnitus.
The physician explains the main aspects of the auditory system, stressing the patient's attention to the phenomena involved in chronic tinnitus (paradoxical auditory memory and pathological attention to tinnitus). In our experience, a CAPPE questionnaire [11] and an accurate evaluation of the patient's general medical documentation form a useful guide.
Thus, we adopted the perceived stress questionnaire (PSQ), which is based on the perceived stress and is already used in stress evaluation in tinnitus sufferers [12].
The joy scale is scored as 1 for each negative (no) answer because all items of this scale are positively worded. Class treatment provides comparison and cooperation between patients and improves positive enforcement. In fact, in patients suffering from chronic tinnitus, the usual procedure is to observe musculoskeletal impairments that result from increased muscle tension, fatigue, and pain in the cervical and (sometimes) the thoracolumbar region. A part of the gymnasium session is dedicated to instructing patients in how to perform home exercises correctly. To determine individual-specific tinnitus reactions, we adopted two psychometric questionnaires: the tinnitus reaction questionnaire (TRQ) [13] and the tinnitus cognitive questionnaire (TCQ) [14].
It consists of 26 items describing some of the potential effects of tinnitus on lifestyle, general well-being, and emotional state. For each item, respondents are asked to "indicate how often they have been aware of thinking a particular thought on occasions when they have noticed the tinnitus." The negative items are scored from 0 to 4, whereas the positive items are scored from 4 to 0. Tinnitus reaction questionnaire (TRQ, signified by 1) and tinnitus cognitive questionnaire (TCQ, signified by 2) modification after 3 months' follow-up, showing modification of mean values of a psychometric questionnaire 3 months after a tinnitus school session. Even if amelioration regarding tension decreased (fewer positive answers) and joy increased (fewer negative answers), worries and demands remained unchanged (Fig. Chronic disabling tinnitus is due to emotional-affective involvement induced by a pathological shift of affected patients' attention to their tinnitus.
Generally, in evaluating the adopted psychometrics questionnaires, the tinnitus school program resulted in a significant decrease of tinnitus disturbance (TRQ and TCQ) through a decreased perception of stress (20-PSQ).
In tinnitus sufferers this is rooted in the fear and stress of living with tinnitus or hearing the tinnitus sound itself. With stress there is a specific threat and with anxiety there is an underlying feeling of dread that cannot be attributed to a specific clear and present danger. Night time and sleeping can be a difficult period for someone suffering from problematic tinnitus.
Massage is very different from some of the other ways to relax because you are engaging with another person in the form of touch. CBT can help with un-constructive thought patterns and behaviour enabling you to continue to do the things you love and habituate to your tinnitus. Other causes include neurological damage (multiple sclerosis), ear infections, oxidative stress, emotional stress, foreign objects in the ear, nasal allergies that prevent (or induce) fluid drain, earwax build-up, and exposure to loud sounds. The condition is often rated clinically on a simple scale from "slight" to "catastrophic" according to the difficulties it imposes, such as interference with sleep, quiet activities, and normal daily activities. Tinnitus, the constant presence of phantom sounds, affects around 10% of adults in the UK; for 1% it is severe enough to affect their quality of life. Different stages of reaction (alarm, resistance, exhaustion) lead to different characteristics of tinnitus and to different therapeutic approaches. Horner [1] described different stages of auditory pathway reaction to stress: alarm, resistance, and exhaustion.
In the SRTM model, aspects concerning the danger alarm (biochemical, sensory, motor, or affective) also explain epidemiological differences between the incidence of referred tinnitus (10-15%) and that of disabling tinnitus (2%).
In the resistance and exhaustion phases, identification of primary stressors is still necessary but insufficient owing to the organization of a paradoxical auditory memory and a pathologically shifted attention to tinnitus. Attention has to be paid to eventual modification of behavior as secondary adaptation to the alarm signal.
In these cases, removal of stress factors is necessary for the general health condition but useless for the course of the tinnitus, the so-called severe, disabling-type tinnitus. These are the same principles as in kinesthetic competitive treatment as proposed by Dehler et al.
Lifestyle and drug use are investigated to identify specific stressor factors, and the possibilities of change are discussed with the patient.
It is designed to represent the subjective perspective of an affected individual ("You feel . Changes in patients' internal perception of their own sensations (pathological attention to tinnitus) can also lead to abnormal alignment of body parts with respect to one another and to the base of support.
Respondents are asked to rate, on a five-point scale (0 = not at all, 4 = almost all the time), the extent to which each of the potential effects have applied to them over the last week.
Follow-up was conducted each month for 3 months to modify home-training exercise planning and to re-motivate the patients to therapy.After 6 months, we reevaluated nine patients (three had dropped out).
Coping with tinnitus thus requires a modification of such patients' approach to their perception of tinnitus through modification of lifestyle, stressor removal, and diversion of that pathological attention.


Cognitive tinnitus sensitization: Behavioral and neurophysiological aspects of tinnitus centralization. Concepts leading to the definition of the term cervicogenic headache: A historical overview. The Perceived Stress Questionnaire (PSQ) reconsidered: Validation and reference values from different clinical and healthy adult samples. Tinnitus reaction questionnaire: Psychometric properties of a measure of distress associated with tinnitus. Tinnitus cognitions questionnaire: Development and psychometric properties of a measure of dysfunctional cognitions associated with tinnitus.
Impact of a relaxation training on psychometric and immunologic parameters in tinnitus sufferers. GABAA-benzodiazepine-chloride receptor-targeted therapy for tinnitus control: Preliminary report.
A modified version of tinnitus retraining therapy: Observing long-term outcome and predictors. If you are experiencing anxiety because of tinnitus you might be fearful of it, which causes you stress and anxiety.
Carrying out some relaxation exercises such as abdominal breathing can assist with getting a good night’s sleep. The healing power of touch and using another person’s energy is very powerful in relieving stress and anxiety. Subjective tinnitus has been also called "tinnitus aurium" "nonauditory" and "nonvibratory" tinnitus, objective tinnitus "pseudo-tinnitus" or "vibratory" tinnitus. Individual characteristics of stress reaction may explain different aspects of tinnitus in various patients with different responses to treatment, despite similar audiological and etiological factors. For severe, disabling chronic tinnitus, Shul-man [2] demonstrated that a final common pathway exists in the medial temporal lobe system, the basic process of which is the establishment of a "paradoxical auditory memory." He proposed for tinnitus a stress model in which the final common pathway involves the hippocampus and the cerebellum, providing the neurochemical basis (hippocampus) and the cognitive and motor basis (cerebellum) of abnormal behavioral aspects observed in tinnitus patients. In other words, tinnitus could become a disabling symptom only in subjects chronically exposed to stress factors, when unable to switch off the alarm signal and to counteract the effect of the stressors. Such adaptation frequently evolves as a secondorder stress factor per se, with a potential risk of developing a chronic disorder. Simple exercises have to be planned, and they are generally aimed at mobilizing the pelvis, the cervical rachis, and the thoracolumbar spine. Respondents are also asked to indicate (from not at all to always) how frequently tinnitus induces certain reactions, such as depression, anger, confusion. A high score represents a greater tendency to engage in negative cognitions in response to tinnitus and low engagement in positive cognitions. All patients reported that their tinnitus coping was good and that lifestyle modifications (sleep and diet regulation, regular physical exercise) induced a positive increase in quality of life as documented by a lowering of TRQ and TCQ scores to 41 ± 9 and 44 ± 4, respectively (Fig.
Worries and demands subscales were not modified, but tension and joy subscales were ameliorated. The aim of a tinnitus cure, generally speaking, is to reach a golden point at which a patient is able to hear tinnitus but tinnitus does not disable the patient. The relaxation response is the opposite of the stress response helping to stop us feeling the negative effects of stress. Using a sound and light machine can also help you to relax in the evening in preparation for a good night’s sleep. Tinnitus may be an accompaniment of sensorineural hearing loss or congenital hearing loss, or it may be observed as a side effect of certain medications (ototoxic tinnitus).
A model based on individual reactions to stress factors (stress-reaction tinnitus model, or SRTM) could explain tinnitus as an alarm signal. Furthermore, Zenner and Zalaman [3] showed that in patients with chronic tinnitus, attention is pathologically shifted toward tinnitus and, in this way, cognitive functions are disturbed.
In other individuals, the same factors or diseases could provoke tinnitus without inducing disability because these subjects are skilled to cope with tinnitus and have a real capacity to restore homeostasis. In tinnitus school, physical exercises are integrated in an educational program, as in back school [9] and neck school [10].
In some cases, massages can be useful either to relax an affected patient or to mobilize joints.
In each patient, stressors have to be identified during the alarm phase to prevent an evolution toward the resistance and exhaustion phases. Individual capacity to counteract stress factors is, in fact, strictly specific for each subject: This means that the evolution from alarm to exhaustion is specific for each patient [5].
Stress is a result of a patient's experience of overload, with further emphasis on the experience of unpredictability and uncontrollability of events. Tinnitus school consists of three sessions per week for 2 weeks followed by two sessions per week for another 2 weeks (total, 10 sessions). A lower score represents a slight reaction to tinnitus (alarm), whereas higher scores indicate deeply negative reactions (exhaustion). In the exhaustion phase, chronic tinnitus is due to the organization of a paradoxical auditory memory and a pathologically shifted attention to tinnitus. Therefore, the definition of tinnitus as acute or chronic cannot refer merely to a standardized period but must be fitted to each subject. This implies that the existence of stress in a subject is partly inferred from information about the person's experience of lack of control. The aim of our study is to describe a therapeutic proposal based on the SRTM by taking an educational approach to management of chronic tinnitus. The stress experiences presented in the PSQ were intended to be abstract enough to be applicable to adults of any age, stage of life, gender, or occupation, but at the same time interpretable as specific to a variety of real-life situations. For example, "You feel under pressure from deadlines" could refer to anything from a bill due, to an oncoming birthday party, to a grant proposal. Selection of appropriate patients and follow-up is based on psychometrics of tinnitus and stress questionnaires, including a tinnitus reaction questionnaire, a tinnitus cognitive questionnaire, and a 20-item perceived stress questionnaire.
This questionnaire asks the respondent how often certain experiences of stress occurred in the last month. The content of the items does not refer to tinnitus but focuses on a more cognitive appraisal of stress.




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