Tinnitus can be frustrating for a number of reasons. First, it’s entirely subjective, so you can’t show anyone what the ringing sounds like, how loud it is, or how bothersome it is.

Second, there’s no objective way to measure tinnitus, so you can’t, for example, go into the doctor’s office, get some blood drawn, and get diagnosed.

And third, we still don’t understand exactly how tinnitus works, so our understanding of the causes and treatment options remain less than perfect.

This is all frustrating, of course, but not hopeless. In fact, despite the frustrations, many people do show significant improvements in their symptoms with the right treatment plan.

In this article, we’ll be discussing one treatment option in particular, known as Tinnitus Retraining Therapy (TRT), that has proven to be particularly effective. To understand how it works, you first have to understand the two parts of tinnitus.

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:

1. The actual sound – usually perceived as a ringing sound, but can also be perceived as a buzzing, hissing, whistling, swooshing, or clicking sound.

2. 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.

Tinnitus Retraining Therapy

Let’s break TRT down into two parts, the first part addressing the actual sound tinnitus produces and the other part dealing with the emotional and behavioral repercussions.

Sound Therapy

Sound therapy makes use of an external sound to “cover up” the lurking, internal sound of tinnitus. Sound therapy can help to ease the symptoms of tinnitus across a number of levels.

First, sound therapy works because the recently introduced external sound can either partially or completely cover up the underlying sounds of tinnitus. The external noise of sound therapy can divert the patient’s attention away from the sounds of tinnitus while the noise is being played. This can provide a nearly instantaneous and immediate sense of relief for those affected with tinnitus.

Second, sound therapy can result in what is called “habituation.” Habituation occurs when the human brain is trained over a period of time to categorize the sounds of tinnitus as an unimportant noise that should be ignored. Eventually, habituation is the desired end goal of any tinnitus treatment option.

Third, the use of specialized sound minimizes the hyperactivity in the brain thought to be the underlying mechanism of tinnitus. This is called “neuromodulation.”

It can be decided, therefore, that sound therapy has both short-term and long-term benefits, and can help to work across multiple levels in order to lessen the intensity of your tinnitus symptoms. Sound therapy can be delivered through special sound masking devices, headphones, and even hearing aids.

While it is true that in theory any sound can provide a masking effect, specialized devices can deliver customized sounds programmed to match the characteristics of the individual 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.

Research in this area has led to some surprising conclusions. For example, studies have found no correlation between the loudness/pitch of tinnitus and patient-reported distress. Whether or not tinnitus is viewed as no-big-deal, slightly bothersome, or devastating is largely dependent on the cognitive/behavioral response of the patient.

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.