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Cognitive Behavioral Therapy (CBT)

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No two tinnitus are alike. Therefore, a suitable therapy path must be found for each affected person. The aim of every treatment is to ensure that patients do not perceive annoying noises at all, or that they no longer perceive them so strongly and annoyingly. In this context, specialists speak of the “decoupling of unwanted signals”. In the chronic stage, however, this uncoupling cannot yet be brought about by pharmacological intervention. Rather, a holistic approach is required, which calls for a high level of therapeutic expertise on the part of those treating the patient. Recognized, psycho-physiological therapy methods for chronic tinnitus are used on an outpatient and inpatient basis. The prerequisite, however, is that the patients are open enough to engage with the model underlying these therapies and cooperate on an ongoing basis.

Stress, inner tension, hidden conflicts, partnership problems and depressive moods are often accompanying symptoms or sometimes even causal reasons for the “vicious circle of tinnitus”. The active psychological individual or group discussion makes it possible to uncover correlations, recognize stress-reinforcing habits, identify noise-related fears and develop personal coping strategies based on these.

Source:
Deutsche Gesellschaft f. Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V. (ed.), S 3-Leitlinie Chronischer Tinnitus, AWMF-Register-Nr. 017/064, Sept. 2021,, p. 26 ff.: https://register.awmf.org/de/leitlinien/detail/017-064