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Tinnitus & Hyperacusis Therapy Masterclass

Specialist training on Tinnitus and Hyperacusis Therapy

Venue: Birkbeck College, University of London, 3-7 March 2014



  • Audiologists

  • Hearing therapists

  • Hearing aid dispensers

  • Psychologists

  • Psychiatrists 

  • Otologists

  • Neurologists

  • Speech and language therapists

  • Occupational therapists

  • Teachers of the deaf 

Copyright © Rehabilitation & Therapy Skills Development Ltd



  • Participants will be provided with the specialist skill, knowledge and tools which are essential for developing a Tinnitus & Hyperacusis Therapy Clinic.
  • Participants will leave this practical course with a solid grounding in tinnitus and hyperacusis therapy that can be put into practice straight away.
  • At every stage of learning, theory will be constantly applied to practical examples. There will be many case studies and practical training sessions on specialist Cognitive Behavioural Therapy focused on tinnitus and hyperacusis, Motivational Interviewing and Rogerian counselling.
  • Participants will be provided with a high quality course manual including worksheets, counselling tools and forms to use with their patients.
  • Participants will be provided with all documentation required for service development including templates for tinnitus clinic protocol, reports, clinical audit and service evaluation guidelines.



Auditory and Vestibular Research 2016. 25(1):14-23. 

A comparison between tinnitus retraining therapy and a simplified version in treatment of tinnitus in adults

Hashir Aazh, Brian C. J. Moore


Background and Aim: Tinnitus retraining therapy (TRT) comprises comprehensive edu­cational counseling and sound therapy. The aim of this study was to compare the eff­ectiveness of TRT relative to a simplified version of TRT (sTRT). Simplified TRT is different from TRT in the duration and type of the educational counseling (shorter) but is similar to TRT in the application of sound therapy.
Methods: This was a retrospective service eva­luation survey and the data were collected from 12 consecutive patients who received TRT and 12 patients who received sTRT. The average duration of tinnitus was six years (SD=7.9) with a range between one month and 30 years. All patients received between three and six months of treatment, which typically involved three to four appointments.
Results: The results showed that scores on the Tinnitus Handicap Inventory (THI) and the visual analog scale of tinnitus loudness, annoyance and effect on life declined sig­nificantly (improved) for both TRT and sTRT groups (p<0.05). 75% of the patients receiving TRT and 83% of patients receiving sTRT exhibited a decline of 25 or more in THI score. The mean decline in the THI scores was 34 (SD=14) for the TRT group, and 41 (SD=21) for the sTRT group, and the difference in means was not statistically significant (p=0.34).
Conclusion: The results suggest that the dura­tion and type of counseling does not play a critical role in treatment outcome and sTRT may be used when time constraints do not allow the full treatment.

Auditory and Vestibular Research 2016. 25(2):63-74. 

Cognitive behavioural therapy in management of hyperacusis: a narrative review and clinical implementation

Hashir Aazh, Rory Allott


Background and Aim: The aim of this article was to critically discuss the clinical application of a cognitive behaviour therapy (CBT) protocol for the treatment of hyperacusis and its asso­ciated distress.
Methods: Narrative review
Recent Findings: Reviewing the research lit­erature suggests that hyperacusis, anxiety and safety seeking behaviours may be linked. Therefore, it seems reasonable to suggest that clinical management of hyperacusis should also include addressing co-existing anxiety and avoidance behaviour. Although, there is strong evidence supporting the effectiveness of CBT in treating anxiety, the studies directly assessing the effect of CBT on hyperacusis are limited. In this paper, the clinical implementation of a CBT protocol for hyperacusis rehabilitation is discussed.
Conclusion: Although a causal relationship bet­ween anxiety and hyperacusis is not clear, there is a growing body of evidence suggesting a pos­sible link between them. In the absence of a cure for hyperacusis, treatment of the anxiety component of the condition could be beneficial.


Course Specification

Course Specification French

Course Specification Spanish

Key Topics

Psycho-audiological assessment

Methodology for pinpointing tinnitus distress

Techniques of Cognitive Therapy

Psychology for audiologists

Effectiveness of therapy

Discourse on audiologist-delivered Cognitive Therapy

Depression and tinnitus

Suicide and self-harm

Screening for mental illness

Hearing loss and tinnitus

Insomnia and tinnitus

Science behind hyperacusis diagnostic criteria

Variation in ULLs across frequency

Unilateral hyperacusis

Adverse childhood experiences and tinnitus disability

Geriatric tinnitus and hyperacusis

Paediatric tinnitus and hyperacusis

Service development

Course director

Provisional programme


Post masterclass support

Feedback from participants

Motivational Interviewing for audiologists

Course Structure



Non-regular use of hearing aids

Disadvantages of non-regular use of hearing aids

What is Motivational Interviewing?

RCT on MI for hearing aid use

Hyperacusis Conference


For Patients

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