An Update on Cognitive Behavioural Therapy (CBT) in the treatment of tinnitus

Successfully dealing with the patient who has significant tinnitus has always been a problem for practising otorhinolaryngologists. Options are limited especially when it comes to chronic tinnitus. Cognitive Behavioural Therapy (CBT) for tinnitus is a service provided by trained psychologists and is a well-documented, safe, practical and validated treatment for tinnitus. It involves challenging the negative automatic thoughts and core beliefs, reducing the emotional reactions caused by tinnitus and thereby changing any maladaptive behaviour leading to an increased quality of life. Current literature reviews indicate CBT has a definitive role in the management of tinnitus, especially distress related to tinnitus. Involvement of ‘tinnitus trained’ psychologists needs to be considered when managing these patients.