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Tinnitus Retraining Therapy

Tinnitus, a persistent ringing or buzzing in the ears, affects millions of individuals worldwide. Tinnitus Retraining Therapy (TRT) emerges as a promising solution, focusing not on silencing the noise but on reshaping your perception of it. 

Developed by audiologists Dr. Pawel Jastreboff and Dr. Jonathan Hazell, TRT combines counseling and sound therapy to help individuals manage and habituate tinnitus sounds.

Success Rates of Tinnitus Retraining Therapy

Tinnitus Retraining Therapy stands out as a highly effective and comprehensive approach to managing tinnitus. 

The combination of counseling and sound therapy, coupled with the commitment of the individual, contributes to its success in providing long-term relief and improving the quality of life for those living with tinnitus.

While success rates can vary depending on the severity of tinnitus, the commitment of the individual, and other factors, TRT has proven effective for a significant percentage of patients.

In totality, the success rates of Tinnitus Retraining Therapy (TRT) are encouraging, with studies consistently showing positive outcomes for many individuals suffering from tinnitus. 

How does tinnitus retraining therapy work?

TRT combines two key components: directive counseling and sound therapy

Here’s a detailed explanation of how each component works:

Directive Counseling:

a. Understanding Tinnitus Mechanisms:

TRT begins with an in-depth education about the mechanisms of tinnitus. Audiologists work with individuals to help them understand the physiological and neurological processes that contribute to the perception of tinnitus. This knowledge is crucial for changing the emotional response to the sound.

b. Changing Emotional Reactions:

The emotional and psychological impact of tinnitus is a significant aspect addressed in TRT. Directive counseling aims to alter negative emotional reactions associated with tinnitus, such as anxiety, frustration, or distress. By reframing the perception of tinnitus, individuals can develop a more neutral and less bothersome attitude towards the sound.

c. Habituation Process:

TRT recognizes that habituation, the process of becoming accustomed to a particular stimulus, is key to managing tinnitus. Through counseling, individuals learn strategies to facilitate habituation, allowing the brain to adapt to the presence of tinnitus without generating a strong emotional response.

Sound Therapy:

a. Neutral Sound Exposure:

Sound therapy in TRT involves the use of low-level, neutral sounds to provide a background that reduces the contrast between the perceived tinnitus and the ambient environment. This helps in making the tinnitus less noticeable and disruptive. Common devices used for sound therapy include white noise machines, hearing aids, or specialized noise generators.

b. Gradual Desensitization:

Over time, exposure to these neutral sounds helps desensitize the auditory system to the tinnitus signal. The brain gradually learns to categorize the tinnitus sound as unimportant, allowing individuals to focus on daily activities without being constantly aware of the tinnitus.

c. Individualized Sound Plans:

The choice of sound and its volume is customized based on the individual’s perception of tinnitus. It’s important to strike a balance where the sound is audible enough to provide relief but not overpowering. The audiologist works closely with the individual to create a personalized sound therapy plan.

Overall Process of Tinnitus Retraining Therapy:

  1. Assessment and Diagnosis:

The first step involves a thorough assessment by an audiologist to diagnose the type and severity of tinnitus.

  1. Counseling Sessions:

Individuals attend counseling sessions to gain knowledge about tinnitus mechanisms and strategies to change their emotional responses.

  1. Sound Therapy Implementation:

Based on the assessment, a personalized sound therapy plan is established, incorporating devices or techniques that provide consistent, low-level background sound.

  1. Regular Follow-Ups:

Regular check-ins with the audiologist ensure that the therapy plan is effective, making adjustments as needed to optimize the individual’s progress.

Oracle Hearing Center has audiologists providing tinnitus retraining therapy in Lawrenceville, NJ, and nearby locations.

Differences between tinnitus retraining therapy and other tinnitus treatments

Tinnitus Retraining Therapy (TRT) distinguishes itself from other treatments for tinnitus through its comprehensive approach that addresses both the physiological and emotional aspects of the condition. 

TRT stands out for its comprehensive and individualized approach, addressing not only the symptoms of tinnitus but also the emotional and psychological impact. While alternative treatments may provide relief for some individuals, TRT’s emphasis on habituation and understanding the mechanisms of tinnitus sets it apart as a holistic and effective long-term solution.

Below are key differences between TRT and some common alternative treatments:


  • TRT: Takes a holistic approach by combining counseling and sound therapy. It addresses the emotional reactions to tinnitus, helping individuals understand and habituate to the sound over time.
  • Alternative Treatments: Some alternative treatments may focus primarily on symptom management, such as using masking devices or medications, without addressing the emotional and psychological impact of tinnitus.

Counseling Component:

  • TRT: Includes directive counseling sessions that educate individuals about the mechanisms of tinnitus and help them change their emotional responses to the sound.
  • Alternative Treatments: May not incorporate a counseling component to the same extent, potentially overlooking the importance of addressing the emotional impact of tinnitus.

Customization of Sound Therapy:

  • TRT: Involves personalized sound therapy plans, carefully tailored to the individual’s perception of tinnitus. This customization helps optimize the habituation process.
  • Alternative Treatments: Generic sound therapies or masking devices may not be as specifically tailored to an individual’s unique experience of tinnitus.

Tinnitus Retraining Therapy FAQs

How long does tinnitus retraining therapy take?

The duration of Tinnitus Retraining Therapy (TRT) can vary significantly among individuals and depends on various factors, including the severity of tinnitus, the individual’s response to the therapy, and their commitment to the treatment plan. 

On average, individuals may undergo TRT for a period of 12 to 24 months, but it’s important to note that this is a general estimate, and the actual duration can be shorter or longer based on individual circumstances.

What are the side effects of Tinnitus Retraining Therapy?

Tinnitus Retraining Therapy (TRT) is generally considered a safe and non-invasive approach to managing tinnitus. However, as with any therapeutic intervention, some individuals may experience side effects, though they are typically mild and temporary. 

It’s important to note that side effects, if present, often occur during the initial stages of treatment as the brain begins to adapt to the new stimuli introduced by TRT. 

Below are some potential side effects:

  • Temporary worsening of tinnitus
  • Increased awareness of tinnitus
  • Physical discomfort
  • Heightened emotional response
  • Possible device dependency

How much does tinnitus retraining therapy cost?

The cost of Tinnitus Retraining Therapy (TRT) can vary widely based on factors such as geographic location, the expertise of the audiologist, and the duration of the therapy. 

Oracle Hearing Center offers tinnitus retraining therapy in Lawrenceville, NJ. Schedule a consultation with us to discuss your individual case. 

Tinnitus Retraining Therapy in Lawrenceville, NJ

Tinnitus Retraining Therapy offers hope and relief for those grappling with the persistent sounds of tinnitus. Through a holistic approach addressing both the physical and emotional aspects of the condition, TRT stands out as a comprehensive and effective solution, helping individuals regain control over their auditory experiences and rediscover the beauty of silence.

If you would like to learn more about TRT in Lawrenceville, NJ, or would like to start off with a tinnitus evaluation, please get in touch with Oracle Hearing Center.

We look forward to hearing from you!

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