Best Practice CBT for Tinnitus Distress | Mental Health Webinar
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- Опубліковано 21 вер 2024
- If you experience tinnitus Cognitive Behavior Therapy (CBT) can help. Learn more about best practices for CBT treatment for Tinnitus Distress and the strategies you can use to alleviate symptoms.
If you or a loved one is seeking more information on treatment:
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- The Anxiety and Depression Association of America (ADAA), a non-profit organization, leads in education, training, and research for anxiety disorders, depression, PTSD, OCD, and co-occurring disorders. ADAA also provides free evidence-based mental health information and resources to the public.
You have to lean into the sound rather than fight it. That's what I learned. I woke up with tinnitus 13 years ago at the age of 50. The first three years was horrible. I got really depressed about it, but now it's backgrounded, and I habituated. My tinnitus gets worse when I drink a lot of coffee, with very dry weather, with sinus infections and allergies, and with lack of sleep. It gets better in humid climates, and when I am relaxed and had enough sleep. My tinnitus is like the sound of static of the old TVs. A very high pitch. I also have bad eye floaters, and find this way worse than my tinnitus. The sound of water is my favorite masking sound. I love taking a shower, as my tinnitus is often the lowest then. Habituation makes you hesitant to watch videos like this, because now I am paying attention to my tinnitus, which I do not want! :) This is a good video, and believe me, I have seen many, and even been foolish enough to buy supplements and being a willing victim of all other snake oil sales that prey on people with this condition. Habituation is the key. It's not what we want to hear, but it's true.
I've had tinnitus for about 2 years, it started in my early 70's. I have tried the Lenire treatment and it seemed to help but my tinnitus persists. I discovered Dr Hubbard thru the American Tinnitus Association. I recently listened to one of his webinars coupled by the ADAA. I felt better about my condition almost immediately because I identified with what he was saying and it gave me hope after being told there is no cure. Thank you Dr Hubbard.
Thank you to Dr. Hubbard for the excellent presentation! It turns out that there is ACTUALLY something that can be done for tinnitus. I wanted to add something that wasn't discussed in detail...remember to use *sound therapy* during the day as well, as some find it's the most helpful tool to promote habituation. You can do this! Hang in there, friends.
Sound therapy is very helpful, i'm starting to use them to improve concentration on my work (nature sounds, waves, crickets, pink noise for TreebleHealth), and to help me fall asleep.
I always tune the sound therapy sounds slightly under the volume of my tinnitus, so i can still hear it, and still habituate.
I have bothersome tinnitus for just 3 months, but i'm already feeling my distress levels are lowering a bit (my distress levels 3 months ago at the time of the event were like a 9 out of 10).
Dr. Ben's vids are also very helpful, TY and TC
po o0
@@Rick_7023 I love Dr Ben’s videos
Keep in mind that Bruce says at some point, using sound therapy can actually inhibit your habituation. But he does recommend it as part of the habituation process to a certain point.
I tried to use sound therapy and my tinnitus got worse... any idea why and what can i do instead?
Bruce Hubbard, in my opinion is the best expert on tinnitus on UA-cam hands down. I habituated just like Dr. Bruce Hubbard said ... I thought it was impossible, but I did habituate!... took 15 months but got even better over time). I never spent a penny... habituation just happened naturally. Use THE obvious sounds, fans, ac, music, sound effects , podcasts, movies ... don't stop doing what you enjoy and YOU ALSO WILL HABITUATE!
But how much hearing loss do u have yes it does matter my enr fr told me cbt would not help me
Fuck your ent.bruce Hubbard has severe tinnitus with moderate hearing loss and yet he habituated beautifully. @@lucydenbowski3023
@@lucydenbowski3023 Do you have reactive tinnitus?
Can't tell you what a paradigm shift Bruce's work has been for me. Just the basic idea of acceptance - you cannot control your tinnitus and being louder/ quieter/ adding/ changing tones is just what it does - has made me feel ok about it in a way that nothing else did over nearly a year of my current struggle (I was fully, and I mean FULLY habituate for 12 years). He said something like 'it's already here, so you might a well let it exist...' and that's it in a nutshell. You can't force acceptance but you can try a little every day and eventually it doesn't seem like such an improbable thing.
Do you have reactive tinnitus?
@@namefamily1462I’m pretty skeptical that the tinnitus itself can be ‘reactive’. IMHO it’s we that are reactive when we are in a heightened state of vigilance - of course we will perceive our tinnitus as louder every time we hear an offending sound. When you stop constantly monitoring your T it will stop being reactive.
I managed to habituate tinnitus in about 12 months. I literally could not sleep, full of anxiety etc. it took me doing some CBT to habituate. I have had it 12 years now. I noticed late last year more spikes and hearing loss then right before Xmas woke up with a new sound in my ear. It is a grinding pulsing sound. My brain immediately picked up on this and now it is a constant sound. This time around I know what to do and I am managing it with relaxation and sound therapy. Not easy as have had a few days of anxiety but nowhere near where I was 12 years ago. I know this will probably take months to habituate but I know it is possible now. This is the hard bit but I know it will get better.
This is so depressing. Two years nearly for me and the thought of it getting worse causes me intense fear and anxiety.
U just trained yourself to stay calm that it may not be fatal etc you got used to the sounds that's all
@@lucydenbowski3023 Do you have reactive tinnitus?
Why ask for Reactive?Mine is Reactive and its ok an gettin better with Time ....Im 3Months in and from the Start it was Reactive .....first i was Depressed but slowly i can Manage it.....iam sure as soon as iam completely calm and my nervous system calmed complete the reactivity goes.....its not the condition i ask or wish for but i think its all about your mindset @@namefamily1462
People are unaware that they are causing their own suffering over tinnitus. I am an audiologist with persistent tinnitus that i hear much of yhe day, and it has never bothered me. Trying to avoid your tinnitus is what is causing your distress, and catastrophic thinking.
This is true but do you have hearing loss or wear hearing aids. Is your tinnitus severe chronic etc.
But I's your hearing loss mild to moderate or worse that makes it much harder to handle
True
@@lucydenbowski3023nie zawsze tak jest 😉
Do you have reactive tinnitus?
i’ve been suffering for about a year and a half… thanks to videos like these i’ve been able to reduce my distress but (i have a diagnosed anxiety disorder), then i have weeks sometimes more where i become distressed again - lose my appetite, obsessive thoughts about it, lack of sleep… And then other months i’m enjoying life not bothered at all by it… Is there anyone else like me ? Sometimes I feel hopeless
The best thing Bruce taught me is “tinnitus will do what tinnitus will do”! He taught me to accept it. I never thought I could habituate. I was wrong! My tinnitus is no longer a issue in my life. No more going to cemeteries and breaking out in tears because I was jealous of the inhabitants. They had quiet, I did not.
I have problems with anxiety as well. As soon as I go to my doctor and talk to her about it, I feel a little better. Sometimes, however, it gets hold of me and I have to get on top of it again. I just always have hope that it’s just for a little while, and everything will be OK again.
Yep. That's me exactly.
Check for Lyme disease just sent n case
@@shelkatz Do you have reactive tinnitus?
Habituation works. It worked for me. It takes time but it will work. Hang in there. The ringing never went away for me and I have different pitches of sounds, but I did habituate to all the different sounds. It really is a deeper level of distress going on other than the sound.
How can we fix this distress?
Joel how long did it take for you to habituate and did you use sound therapy?
@@cathy9814 I would say I started to feel better after a year, then another 4 months the sounds had no meaning to me anymore. so 12-16 months --Don't put a time limit on it. I still hear them, time to time, but they don't bother me at all. It truly takes time for your brain to habituate to the sound, but I can bet it all relates to mental distress in your life. I look back on the times in my life tinnitus has flared-up, and it all involved emotional distress as the underlying cause. Sound therapy did help me in the beginning, but you have to be careful, but this is a form of tinnitus resistance, so you need to have your brain hear the sounds and not have the brain pick-up the sounds as a threat. I know it is very difficult, but you will get there.
@@KentuckyMortgageExpert yes I absolutely will thank u so much
Do you have facial tingling n facial pain with tinnitus
Tinnitus is a mind-body condition. Set off by "nerve damage" or whatever else, but the damage is repaired and yet the over-sensitized mind continues the symptoms. The quicker one accepts that you are not "ill", and you can benefit as he says from getting over the emotional aspects. In fact, releasing emotions not just over the tinnitus but whatever else is putting you in nervous system hyper mode. Having said that, white noise and the like can be very helpful IMO but we also need to desensitize and not avoid.
The damage isn't repaired. That's why tinnitus continues. The emotional symptoms that come from having tinnitus is NOT tinnitus and indeed not an illness. It's a natural response to the sound. These we can work with, and so we have CBT.
Thank you Dr. Hubbard. Your mastery in the topic of tinnitus is evident.
Excelent video, TY for sharing.
Your videos are helping me so much starting to deal with my recent tinnitus (started 3 months ago)
TY and TC
any suggestions to share
Best video. I’m in the tinnitus trap right now!
This is everything I needed thank you
"Tinnitus volume, pattern, pitch and type of sound are unrelated to tinnitus distress" - This is the part that I don't agree with. I think clearly someone with a higher volume and pitched tinnitus would experience more distress than someone with a lower one...
Yes and no. Habituation success has two components…tinnitus severity as you mention…and the makeup of the individual is the other. Some individuals do respond to more intense levels of tinnitus more successfully than some individuals to lower levels of tinnitus is what the data shows…so why the no part….however all things being equal on the individual side (we only experience are individual makeup) then yes some levels of tinnitus are certainly more distressful and difficult to navigate.
@@Andrew-pp2ql I agree. I'm a bit of a pessimist even though I try to stay a realist, neither an optimist nor a pessimist... being a realist is hard. Because when reality hits you... DAMN nature , U scary ☹️
@@ivanberdichevsky5679 I understand and once felt the same. Obviously, the louder tinnitus Is or a more uncomfortable pitch that person has then higher distress should follow as anyone who has had a tinnitus spike would quickly deduct from experience. But like no two people have the same threshold for pain tolerance or no two respond the same to an emotionally devastating event the same must apply to tinnitus.
@@Andrew-pp2ql Indeed.
So can anyone habituate even if they have loud tinnitus
Great video very informative 👍🏻
So basically this was a 48-minute commercial to buy your course? Unfortunately, I found zero actionable, helpful information in this entire video.
Ok than go sit n cry and keep being negative and youll never see an improvement . Go pout .
the recent bimodal stimulation trials for the Susan Shore device showed an average of 50% decrease in tinnitus volume . so hopefully the old days of learn to live with it will become a thing of the past
Yes, hopefully it heals every T with various u derlying condition
@@juniorjunior4087would it hyperacusis and what is this susan shore device
Is this regarding. How much hearing loss u have ??
I got tinnitus within about 6 hours of the first Moderna vaccine. I know I am not alone in this rare reaction to the vaccine. It took me four months to get up the nerve to get the second vaccine, and several weeks after that shot, my ears felt strange, and I was tested and found to have hearing loss in one ear. Needless to say, I am afraid to get boosters, and I wish I could have some guidance on that. But no one seems to know anything.
Same here. After I received the Covid shot I experienced ringing in the ear. Grant it, the risk outweigh what could have happened had a contracted Covid.
Some individuals in the medical community continuously refute that sack, my Audiologist / ENT To start with…
I started listening to crickets which did offer me some relief/improvement.
So not have anymore Shots , they are not needed .
Why the hell would you get the second vaccine after that? Not to mention it's not even a real vaccine ..sheesh
I’ve read the shot dries out the mitochondria which fires up the neural system. There is info online if you look.
Im 40 and have an acoustic neoroma with chronic tinntitus 24 /7/ 365. Its loud and disturbing and its getting worse. Suicidal at first but ive come around to coping with it. Life is a challenge. Chronic pain would be worse. Hang in there folks. My advice is to stay active and avoid alcohol. I use cannabis which helps alot
But how successful are your results Dr Hubbard with people who suffer with reactive tinnitus? Many professionals admit people in that category are the most difficult to treat successfully.
Whether or not it's reactive has no bearing on habituation. If the sound doesn't mean anything to you, regardless of how loud it is, or the pitch, then you're not bothered by it. It doesn't matter if it reacts or not. It's the meaning of the sound to you. That has been proven over and over. How do I know this? Because I habituated to tinnitus just like this.
@@cityraintunes If you understood or had reactive tinnitus you wouldn't be saying reactive tinnitus doesn't matter or affect habituation. Studies i've seen have shown that people with reactive tinnitus or hyperacusis are the most difficult category to treat & to have success with. When external sounds spike or create or amplify one's tinnitus to a much more extreme & alarming level which one isn't accustomed or familiar with it makes no difference if you've "habituated" or not to your normally perceived tinnitus sounds, those external stimuli will still have same or similar impact on one's life. It's difficult to react differently to a group of external stimuli which is causing great distress. If it's a sound that one is dealing with daily for example in their homes then maybe over time one can learn to adapt or learn to 'live' with it. However if it's an external stimuli from outside home for example grocery store then that makes things very challenging & avoidance is usually the only remedy. Having hyperacusis &/or reactive tinnitus in combination makes "habituation" much more challenging & prolonged. It's entirely another beast in combination with tinnitus which is a beast on it's own.
@@cityraintunes how long did it take for u to habituate?
@@cathy9814 2 years
@@cityraintunes yes but I got serious about it November 2021 because I had so many long Covid or long haulers symptoms from having covid. I’ve had a fit
Good talk on tinnitus
Need more information on sound therapy
Great Video! A AuD in Vienna said to me, that the average tinnitus is about 22dbA. Not really loud :-)
Your audiologist was incorrect. The average tinnitus is about four decibels above hearing threshold.
Thank you! I have hope!
ive had tinitus for practically 75% of my life i am 20 rn. it wasnt bad when i was young but i knew i had it, as i grew old it fluctuated from loud to really low. RN its really at its worst, idk why i havent listened to anything loud in a long time. it doesnt really bother me but it is loud this time.
Look up New German Medicine.
Bro ur exactly like me
Please answer my question doctor or anyone experience tinnitus. Mine is on the left ear and it sounds like someone blowing in a very narrow pipe (not whistling) volume is quieter in the morning and it picks up as the day goes by. It’s on and off so I could have it one day, sometimes several days ( not more than 3) then I get a day of break where I don’t hear anything. It’s on my left ear and it gets louder when I turn my head left and if i press against my left upper jaw ( just under my left ear on the jaw bone) is this tinnitus? Is my case treatable? Male 51, please help 😢
How about people with profound high frequency hearing loss in one ear and mild in left ear, they found this out when I had a high frequency hearing loss. My regular frequency hearing test was good-speech. My buzzing-static is in my head 24/7.
A lot of adds. Seems like taking advantage of someone’s desperation. It is impossible to ignore
This was posted by the Anxiety and Depression Association. I'm sure they can use a few bucks to help people.
Thank You
CBT is 50 years old. It is NOT a treatment for tinnitus.
Do you have facial tingling n facial pain with tinnitus
CBT is a method to help you cope with mental anxiety. So if you’re having anxiety about your tinnitus then CBT can most definitely help.
I have pain too in ears even if I want to ignore I cant .
When is your next class?
Regarding dB levels, I have a question:
• I have done a Tinnitus Loudness Match at home to find out how high exactly all my many Tinnitus are. Carefully I raised the volume of my Home-Stereo from 0 to max 100, and could hear that 3 maybe 4 of my 8 Tinitus(es) were still waaay above max volume. I chose to put on my CD-player only heavy thick sound walls by NIN, Metallica and Rammstein to measure. Never repeated such a dangerous experiment since.
When I’m on the street, my many Tinnitus(es) are still waaay louder than city-traffic at rush hour (I live in Copenhagen, Denmark).
· Where do I fit on the decibel chart, you think…?
And what do you recommend I should do - since no one seems to be able to help and I seem to have runned out of options…
I also have Hyperacusis, which worsens my situation considerably, since I find it hard & painful to adjust to sound-therapy devices (that run on squeaky high-frequencies).
Thank you.
/ jL
How r u now? I hve T and H as well since last year. Wait for susan shores device to come out
I find that very hard to believe you turned your stereo up full blast and it didn't mask the Tinnitus a full blast stereo is well over 100 db and nobody has Tinnitus that loud .
@@seanburdelik5216 thanks for your expertise... 😓
@@juniorjunior4087 hey... thanks for your message - just saw it now... What's Susan Shores device...?
I wonder if you can do CBT and BiModal Stimulation concurrently ?
I like dr Hubbard but i disagree whit noise off tinnitus. When you have tinnitus noise 1 db sl to 7 db sl it’s drop in ocean you can habituate easily 6 months top , but when you are from 7db sl to 14 db sl it’s loud to habituate. I have 13 db sl loud tinnitus static hissing sound from head no destress no phonopobia , no depression, no panic anymore. Am not talking any medication except magnesium and melatonin sometimes, I expected tinnitus but it bathers me non stop 24/7 hissing, I did had CBT whit university professor who was telling me to change negative to positive thinking all the time , I don’t have negative thinking am happy sometimes but noise is killing me , I do go to work I drive taxi cab to destruct my self . Anyways 14db sl and up to 19 db sl it’s impossible to habituate. Maybe am wrong but pls is anyone from 17db sl habituated tinnitus?
What would u do 🧐 fbu had 50 db hearing loss bilateral.(!!
What is "db sl" and how can I measure my T?
Saying the sounds are typically present for life in the first 3 minutes is such a terrible approach. Not only an exaggeration, but a huge trigger for anyone in a tinnitus spiral
Many many times it is permanent esp if u have more than mild hearing loss anxiety does make it worse but it is not the cause of chronic timnitus!!!
Do you have facial tingling n facial pain with tinnitus
Check for nerve damage maybe Lyme disease or autoimmune disease
Mine sounds like in the deep forest with the crickets...
Why are you medical "professionals" so adamant about ALWAYS reminding the public that there's no cure? It's almost like you're making a special effort to take away what little hope us sufferers have left. Evil evil industry. I don't trust any of you.
They don't even bother looking for cures...they can't make off you then
Its not really evil in most cases if u have mild to even severely moderate hearing loss damage i was told years ago this even cbt would not work for me etc another said even hearing aids for my really help the tinnitus yes the hearing but not the tinnitus in most cases sometimes it even agitates it sometimes. They don't want to give false hope the real evil is the ones that waste your money etc and don't really help u. So beware 😊
Vogliamo un farmaco
He charges 1000.00 for doing what insurance should be paying him to do.
A $1000 is drop in the bucket when it comes to helping you n preparing you to stop feeling negative about the sound and helping you live a normal life .
And nothing is for free you are here selling
My worries are now less. I will start ignoring my tinnitus from now on. All along I thought tinnitus is life threatening. Thanks so much dr.i had thought there is definitely a treatment for tinnitus but you proven all the medical practitioners for tinnitus wrong.
YOU ARE WRONG!
Thank you