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.
Verdict
An effective, safe option for managing chronic tinnitus, not for healthspan.
HEALTHSPAN IMPACT
Negligible
RISK LEVEL
Very Low
EVIDENCE GRADE
A
MONTHLY COST
$3000 - $6000
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.
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.