What Exactly is Tinnitus Retraining Therapy (TRT) and What Types of People Can Benefit from It?

Tinnitus is sadly a common condition, affecting approximately 50 million Americans over 50. Those who suffer from tinnitus hear constant sounds that no one around them can hear. These sounds vary from high-pitched ringing sounds, buzzing or roaring, or rapid clicking sounds similar to crickets chirping. Many people “learn to live with” their tinnitus, considering it as an annoyance rather than a condition. However for other people, this constant ringing in the ears leads to additional symptoms of stress and distress, sleep disorders, fatigue, depression, and anxiety.

Some forms of tinnitus respond well to treatment with hearing aids which are programmed to filter and suppress the ringing or buzzing sounds. In this article, we want to introduce you to an alternative tinnitus treatment known as Tinnitus Retraining Therapy (TRT). Using a combination of mechanisms, TRT “retrains” tinnitus sufferers and gives them the ability to reduce their perceptions of the noises they hear, so they no longer react to the sounds negatively, and thus eventually cease being bothered by them.

Discovered in the 1980s by neuroscientist Pawel Jastreboff, TRT challenges the assumptions of many audiologists that tinnitus is a physical disorder due to ear damage that cannot be fixed. Jastreboff has proposed an alternate model for tinnitus based on his background in behavioral neuroscience. Thus freed from the temptation to regard the problem as something that cannot be fixed, he set about developing behavioral modification techniques that could fix it.

According to Jastreboff’s model, tinnitus is not a disease or condition in itself, but a function of hyperacusis – the ability of some people to become aware of normal sounds generated by the auditory system that most people filter out or are unaware of. Jastreboff reasons that the true problem for tinnitus sufferers is the over-reaction and hyper-sensitivity to the ringing or buzzing sounds, not the sounds themselves. Tinnitus Retraining Therapy is a form of individualized counseling perform by people with special training and qualifications. The sessions are very precise to each individual’s needs and aim to teach tinnitus sufferers to mentally curb their reactions to undesirable sounds by focusing on the desirable ones.

Counselors trained in TRT have had remarkable successes helping patient eliminate their negative reactions to the sounds they hear, thereby relieving distress.

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