Tinnitus

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Tinnitus is the perception of sound without an external source. It is commonly described as ringing, buzzing, humming, or hissing in the ears or head. The sound may vary in pitch and loudness, and can be constant or intermittent. 

Tinnitus is often associated with noise exposure or changes in hearing. In some cases, it may be linked to other ear or medical conditions, such as ear infections, balance disorders, or jaw tension. Certain medications may also trigger or worsen tinnitus as a side effect. 

People experience tinnitus differently. For some, it becomes less noticeable over time, while for others it can be distressing. 

Tinnitus Assessment 

As tinnitus is experienced differently by each individual, a comprehensive case history is essential to understand its onset, characteristics, and severity. We will discuss when the tinnitus started, how it presents (e.g. pitch, loudness, constant or intermittent), and how it impacts your daily life. This also includes a review of your medical and ENT history, noise exposure, medications, and any relevant health conditions. 

Questionnaires are used to assess the effect of tinnitus on areas such as sleep, concentration, emotional wellbeing, and overall quality of life. We also explore any associated concerns, including sound sensitivity and other ear-related symptoms. 

A diagnostic hearing assessment is included to evaluate your hearing status and identify any contributing factors. This includes tests of hearing sensitivity and middle ear function. Where there are concerns about reduced sound tolerance, we may also assess loudness discomfort levels (LDL). 

If tinnitus appears to be linked to an underlying medical condition, we may recommend further medical assessment through your GP, including referral to an Ear, Nose and Throat (ENT) specialist or other appropriate healthcare providers if needed. 

 Management Approach 

- Counselling

We provide counselling informed by established neurophysiological models of tinnitus. These models explain how the perception of tinnitus is influenced by the interaction between the auditory system, the limbic system (emotional centre), and the autonomic nervous system. 

Through counselling, we aim to:  

• Improve understanding how brain processes sound and tinnitus
•  Help you better understand your symptoms
•  Address common misconceptions about tinnitus
• Reduce distress and negative reactions 
• Support a more neutral and manageable perception of tinnitus

- Sound Enrichment 

Tinnitus is often more noticeable in quiet environments, particularly at night. By introducing gentle background sounds, the contrast between tinnitus and silence is reduced, which helps decrease its perception and the associated emotional and physical response. 

Sound enrichment can be achieved through soft environmental sounds, nature sounds, or, when appropriate, hearing aids or dedicated sound therapy devices. 

The choice and level of sound play an important role in supporting habituation. We provide guidance on selecting appropriate sound options and how to use them effectively as part of your tinnitus management plan.

- Individualised Care 

Management is tailored to your symptoms. We support you with counselling and practical strategies to help you manage tinnitus with greater confidence. The goal is to promote habituation, allowing tinnitus to become less noticeable and less bothersome over time.