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Tinnitus Retraining Therapy

TRT

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Meta Information

ID:tinnitus-retraining-therapy
Name:Tinnitus Retraining Therapy
Schema Version:1.5

Alternate Names

  • TRT

Active Compound

null

Intervention Type

protocol

Delivery

Route:
none
Scope:
  • systemic

Regulatory Status

  • us:medical_procedure

Indication

Focus:
symptom_management
Description:
Management of chronic, subjective tinnitus by retraining the brain to habituate to the tinnitus signal and reduce its associated distress.

Typical Protocol

  • Directive counseling sessions educate the patient on the neurophysiological model of tinnitus.
  • Low-level, broadband noise is delivered via wearable sound generators for several hours daily.
  • The full protocol typically lasts between 12 and 24 months with regular follow-up.

Expected Cost Mean

Low Cost:
3000
High Cost:
6000
Cost Type:
procedure
Description:
Full course of counseling and sound generator devices; often not covered by insurance.

Summary

Tinnitus Retraining Therapy is a structured protocol based on the neurophysiological model of tinnitus. It combines directive counseling with sound therapy to facilitate habituation of the tinnitus signal. The goal is not to eliminate the sound, but to retrain the brain's limbic and autonomic systems to no longer perceive it as a threat, thereby reducing the distress and awareness associated with it.

Purpose

Reduces the perception and distress of chronic tinnitus through habituation.

Card Summary

A structured therapy combining counseling and sound generators to help the brain ignore chronic tinnitus, improving quality of life.

Drug Class

null

Drugs In Class

Empty Array

Impact

Score:
1
Justification:
Improves quality of life for a specific condition, but has no direct healthspan impact.

Evidence

Grade:
A
Score:
8.5
Justification:
Multiple RCTs and systematic reviews support its efficacy for reducing tinnitus-related distress.

Safety

Score:
1
Justification:
Non-invasive counseling and low-level sound therapy with a very high safety profile.

Flags

  • Requires significant time commitment and patient adherence for success.
  • Efficacy varies between individuals; it is a management strategy, not a cure.
  • Cost can be substantial and is often not covered by health insurance.

Verdict

An effective, safe option for managing chronic tinnitus, not for healthspan.

Created

2026-05-03T05:28:00.585655Z

Ai Model

Gemini 2.5 Pro (High)