Tinnitus, Hyperacusis, and Misophonia Toolbox

Abstract

The management of tinnitus, hyperacusis, and misophonia can be a challenge to the audiologist, physician, and psychologist, as well as the patient and their family. Assisting the patient in identifying cognitive distortions or misperceptions can aid in the transition from one who suffers from these conditions to one who is able to manage them. Although there is no cure, it is inappropriate to tell patients that nothing can be done. The audiologist can help the patient learn techniques to lower the emotional impact of tinnitus. For those with an interest in tinnitus and sound sensitivity management, many tools are available. Most importantly, knowing when to refer is paramount. Compiling a referral list of medical and allied health providers, as well as audiologists who specialize in tinnitus, hyperacusis, and misophonia management, is in the best interest of the patient. Being familiar with the ever increasing list of available products and devices is necessary to build the tinnitus toolbox. This article will review current treatments, trends, and tools that may assist in patient education and tinnitus habituation. Some attention also will be paid to other sound sensitivities such as hyperacusis and misophonia.

Keywords

Tinnitus - hyperacusis - misophonia

• References

• 1 Heller MF, Bergman M. Tinnitus aurium in normally hearing persons. Ann Otol Rhinol Laryngol 1953; 62 (1) 73-83
• 2 Henry J. Audiologic assessment. In: Snow J, , ed. Tinnitus Theory and Management. Hamilton, Ontario: BC Decker Inc.; 2004. 220.
• 3 Sheldrake J, Jastreboff M. Role of hearing aids in management of tinnitus. In: Snow J, , ed. Tinnitus Theory and Management. Hamilton, Ontario: BC Decker Inc.; 2004: 310-313
• 4 Tyler R, Noble W, Preece J, Dunn C, Witt S. Psychological treatments for tinnitus. In: Snow J, , ed. Tinnitus Theory and Management. Hamilton, Ontario: BC Decker Inc.; 2004: 314-323
• 5 Henry J, Wilson P. Cognitive behavioral therapy for tinnitus. In: The Psychological Management of Chronic Tinnitus: A Cognitive Behavioral Approach. Needham Heights, MA: Allyn & Bacon; 2001: 63-94
• 6 Henry J, Zaugg T, Myers P , et al. Progressive Tinnitus Management. San Diego, CA: Plural Publishing; 2010: 8-11
• 7 Herzfeld M, Kuk F. Clinician's experience with using fractal music for tinnitus management. Hear Rev 2011; 18 (11) 50-55
• 8 Davis PB, Wilde RA, Steed LG, Hanley PJ. Treatment of tinnitus with a customized acoustic neural stimulus: a controlled clinical study. Ear Nose Throat J 2008; 87 (6) 330-339
• 9 Johnson R. The masking of tinnitus. In: Vernon J, , ed. Tinnitus Treatment and Relief. Boston, MA: Allyn & Bacon; 1998: 164-165
• 10 Jastreboff P, Hazell J. Tinnitus Retraining Therapy; Implementing the Neurophysiological Model. New York, NY: Cambridge Press; 2004. . Ch.3. p. 17
• 11 Tyler RS, Noble W, Coelho CB, Ji H. Tinnitus retraining therapy: mixing point and total masking are equally effective. Ear Hear 2012; 33 (5) 588-594
• 12 Goodey R. Introduction to management of tinnitus. In: Moller A, Langguth B, DeRidder D, Kleinjung T, , eds. Textbook of Tinnitus. New York, NY: Springer; 2011. . Ch.68. p. 524
• 13 Rauschecker JP, Leaver AM, Mühlau M. Tuning out the noise: limbic-auditory interactions in tinnitus. Neuron 2010; 66 (6) 819-826
• 14 Henry J, Wilson P. Psychological treatments for tinnitus. In: Vernon J, , ed. Tinnitus Treatment and Relief. Boston, MA: Allyn & Bacon; 1998: 99-102
• 15 Beck J. Cognitive Behavior Therapy: Basics and Beyond. New York, NY: Guilford Press; 2011: 1-17
• 16 Sweetow R. Widex A/S. Widex Zen Therapy: Managing the Effects of Tinnitus. Copenhagen, Denmark, 2012
• 17 Searchfield G, Magnusson J, Shakes G, Biesinger E, Kong O. Counseling and psycho-education for tinnitus management. In: Moller A, Langguth B, DeRidder D, Kleinjung T, , eds. Textbook of Tinnitus. New York, NY: Springer; 2011: 535-555
• 18 Nagler S. Patient perspective. 2003 . Available at: www.tinn.com . Accessed December 4, 2013
• 19 Nagler S. Letter to a tinnitus sufferer. 2013 . Available at: http://www.ata.org/nagler-letter-to-tinnitus-sufferer . ATA 3:1. Accessed January 8, 2014
• 20 Henry J, Wilson P. Tinnitus: A Self-Management Guide for the Ringing in Your Ears. Boston, MA: Allyn & Bacon; 2002. . Ch.4. 41–58
• 21 Tyler R. Tinnitus Treatment: Clinical Protocols. New York, NY: Thieme; 2006. 181.
• 22 Gans J. Mindfulness based tinnitus therapy is an approach with ancient roots. Hear J 2010; 63: 52-56
• 23 Tyler R and The University of Iowa. Otolaryngology—Head and Neck Surgery: Tinnitus and Hyperacusis. 2006 . Available at: http://www.medicine.uiowa.edu/oto/research/tinnitus/ . Accessed December 4, 2013
• 24 Newman CW, Jacobson GP, Spitzer JB. Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg 1996; 122 (2) 143-148
• 25 Wilson PH, Henry J, Bowen M, Haralambous G. Tinnitus reaction questionnaire: psychometric properties of a measure of distress associated with tinnitus. J Speech Hear Res 1991; 34 (1) 197-201
• 26 Kuk FK, Tyler RS, Russell D, Jordan H. The psychometric properties of a tinnitus handicap questionnaire. Ear Hear 1990; 11 (6) 434-445
• 27 Meikle MB, Henry JA, Griest SE , et al. The tinnitus functional index: development of a new clinical measure for chronic, intrusive tinnitus. Ear Hear 2012; 33 (2) 153-176
• 28 Cronlein T, Geisler P, Hajak G. Introduction to management of tinnitus. In: Moller A, Langguth B, DeRidder D, Kleinjung T, , eds. Textbook of Tinnitus. New York, NY: Springer; 2011. . Ch.68. 505-510
• 29 Reavis K, Chang J, Zeng F. Patterned sound therapy for the treatment of tinnitus. Hear J 2010; 63: 21-24
• 30 Okamoto H, Stracke H, Stoll W, Pantev C. Listening to tailor-made notched music reduces tinnitus loudness and tinnitus-related auditory cortex activity. Proc Natl Acad Sci U S A 2010; 107 (3) 1207-1210
• 31 Jastreboff P, Jastreboff M. Hyperacusis. 2001 . Available at http://www.audiologyonline.com/articles/hyperacusis-1223 . Accessed December 4, 2013