Are you Suffering from any of these symptoms as a result of Tinnitus? Free 15 Min Consultation.

    Mild to severe anxiety
    Triggered fight or flight

  Negative thinking
  Crying spells

  Suicidal thoughts
  Ringing in the ears

    Do you feel your family and friends don’t understand?
    Are you growing more isolated?
    Do you feel like life will never be the same?
    Are you refraining from activities that you enjoy?
    Are you fearful of losing your job?
    Do you find that your thoughts tend to be negative?

If you answered yes to 3 or more of these questions or symptoms, then we can help.
You may be a candidate for Tinnitus Cognitive Retraining Therapy, or TCRT.  Stephen Geller Katz, LCSW-R, with over 20 years of clinical experience, a New York University graduate, developed Tinnitus Cognitive Retraining Therapy and founded Tinnitus Cognitive Center in response to the growing number of Tinnitus sufferers coming to his private practice. He discovered that by helping people to retrain and reinterpret the thoughts around their Tinnitus, anxiety and depression symptoms began to improve. But even more important so did the Tinnitus.

Call us at (646) 213-2321 for a FREE consultation.

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Top Tinnitus Treatment Introduction

Welcome to my blog!

My name is Stephen Geller Katz and I have and over the last 10 years I have developed a highly successful therapy for tinnitus which I have named Tinnitus Cognitive Retraining Therapy or TCRT.

Mission Statement

stephen-geller-katz-LCSW-RThis blog’s mission is to provide you with hope.  Maybe you have been told there is nothing you can do or that you just have to get used to it.

I am telling you right now that there is plenty you can do and you don’t have to just get used to it.

If you have found my site it was probably no accident.  You are definitely desperate to get some help for  this disturbing condition.  The good news is that there is hope.  My therapy has been successful in helping countless sufferers of tinnitus to lower the volume and intensity and as well as decrease the depression and anxiety that accompany and team up to actually feed the tinnitus.

Many people who come to me are desperate for hope and are even more stressed by the “doom and gloom” they encounter on the internet and from many of their doctors.  It’s this type of negative information that makes people feel helpless and even increases the tinnitus symptoms.

Case in point:

Peter N. reported that he had low level tinnitus for several years which did not seem to bother him.  When he mentioned that he had ringing in the ear to a friend the response was:  “You must have tinnitus.”  “What’s that?” Peter inquired.  “Look it up on the internet,” his well-intentioned friend advised.  You can probably see where this is going.  Our friend Peter went home that very night and spent several hours on the internet and after one sleepless night, he became so worked up and anxious that the tinnitus level hit the roof and his real problems with tinnitus began.  After working with me a short time Peter began to make steady progress.  Early on in treatment he made important connections between his emotions and the tinnitus level.   He then concluded:  “It was my mind that got me here and it is my mind that is getting me out.”

We can help improve your tinnitus symptoms.

Call us at 646-213-2321 today for a FREE 15 min phone consultation.


Tinnitus Treatment Options

Tinnitus Treatment

tinnitus-treatment-options-specialist-new-york-01There are many treatment options for tinnitus. Most should be performed by professionals only because tinnitus can be a sign of a deeper problem. If you are interested in the symptoms of this condition, please check out our article titled ‘’Symptoms of Tinnitus’’. Even if you suspect that you have this ailment it is best to contact a professional to get a proper diagnosis.

The main objective for all tinnitus treatment options is to lower the perceived burden of tinnitus, allowing the patient to live a more comfortable life. CBT can help with anything involving negative perceptions. We have an article on CBT and how it can improve your life regarding tinnitus.

There is currently no scientifically proven cure for most cases of chronic tinnitus. The search for a definitive cure is still going on and some progress is being made, but we have yet to discover a cure.  However, excellent tools such as CBT and meditation can lessen the burden of this ailment. These currently available treatments are not cures per se, they do not heal the patient but they lessen the discomfort of the patient to some degree.

Even though there is currently not a cure there are a lot of things that can be used to cope with it. More than just sitting around and meditating every second of the day. Instead, you can use these things to make your life easier.

Earwax removal

Removing impacted earwax can decrease tinnitus symptoms.

Changing your medication

If a medication you’re taking appears to be the cause of tinnitus contact your doctor about it. Do not get off the medication without contacting your doctor beforehand.

Noise suppression

tinnitus-noise-suppression-treatment-option-02In some cases, white noise may help suppress the sound so that it’s less bothersome. Your doctor may suggest using an electronic device to suppress the noise. Devices include:

White noise machines. These machines make sounds that mask the ringing in your ears. From ocean waves to static noises. I have heard many people tell me that it helps them to sleep at night. It has been proven that ocean waves are very relaxing and can help patients to wind down and sleep all through the night.

Hearing aids. These can be especially helpful if you have hearing problems as well as tinnitus. But please note that hearing aids do not always help with tinnitus.

Masking devices. These are worn in the ear like hearing aids. They are a mixture of hearing aids and white noise machines. It makes sounds like ocean waves in your ear that drowns out the ringing.

Tinnitus retraining. A wearable device delivers individually programmed tonal music to mask the specific frequencies of the tinnitus you experience. After a while, you may not even be able to hear the ringing anymore. Counseling is often a component of tinnitus retraining.


There are no medications that can cure tinnitus now, but in some cases, they may help reduce the severity of symptoms. Possible medications are:

Tricyclic antidepressants, such as amitriptyline and nortriptyline, have been used with some success. Keep in mind these are typically only used for severe tinnitus, as they can cause troublesome side effects, including dry mouth, blurred vision, constipation and heart problems.

Alprazolam (Niravam, Xanax) may help reduce tinnitus symptoms, but side effects can include drowsiness and nausea. It can also become habit-forming.

Contact us for a professional to speak to so that you can know what medication may be proper for you.

Lifestyle and home remedies

white-noise-for-tinnitus-problems-nyc-specialist-03Often, tinnitus can’t be treated. Some people, however, get used to it and notice it less than they did at first. For many people, certain adjustments make the symptoms less annoying. These tips may help:

Avoid possible irritants. Reduce your exposure to things that may make your tinnitus worse. Common examples include loud noises, caffeine, and nicotine.

Cover up the noise. In a quiet setting, a fan, soft music or low-volume radio static may help to drown out the noise from tinnitus.

Manage stress. Stress can make tinnitus worse. One can benefit from acquiring a calming self-care routine. Focus on calming yourself and do things that you know will calm your mind. The more stress you feel the louder tinnitus tends to get so make sure to take time to breathe and calm your mind.

Reduce your alcohol consumption. Alcohol increases the force of your blood by dilating your blood vessels, causing greater blood flow, especially in the inner ear area. And those with pulsatile tinnitus will find this to be very distressing. Please dial back on alcohol consumption.

Contact us today to schedule an appointment to treat your tinnitus. We can help you on your way to improving your life and mindset.

Tinnitus arising from external, middle, and inner ear by NYC Tinnitus Specialist

Tinnitus is when a person can hear sounds that are not actually present.

external-middle-inner-ear-tinnitus-specialist-nyc-01A lot of people call tinnitus “ringing in ears”. There are so many ways that tinnitus can take place from ringing to clicking. Tinnitus can be ongoing or just temporary. For more information on this ailment check out our article explaining the symptoms of tinnitus. There is currently no scientifically-validated cure for most types of tinnitus. Treatment for tinnitus is mostly based on changing your mindset about the illness rather than focusing a lot on changing it. We have articles focusing on how you can change the way you view your tinnitus and how practicing CBT can give you a more fulfilling life.

Millions of Americans experience tinnitus, making it one of the most common health conditions in the country. The U.S. Centers for Disease Control estimates that nearly 23% of the general public — over 50 million Americans — experience some form of tinnitus. Roughly 20 million people struggle with burdensome chronic tinnitus, while 2 million have extreme and debilitating cases.

Damage to the inner ear typically is the cause of the ringing and discomfort. Most studies show that tinnitus forms from inner ear damage. Such as ear infections, hearing loss, and There is currently no scientifically proven a cure for most cases of chronic tinnitus. The search for a definitive cure is still going on and some progress is being made but we have yet to discover a cure. However, excellent tools such as CBT and meditation can lessen the burden of this ailment. These currently available treatments are not cures per se, they do not heal the patient but they lessen the discomfort of the patient to some degree.

External Ear

The external ear is rarely affected but when it is, patients report that the back of the ear down to their jaw feels numb. There are a few theories as to why that it is, and it is attributed to a problem in the middle ear. One of the main theories is the eustachian tube is not getting much blood flow. Since it has very low blood flow it gives the sensation of being numb. If you are experiencing this, it would benefit you to talk to a professional as soon as possible because this could be a sign of an underlying issue.

Middle ear


The middle ear contains your eardrum, oval window, the round window, and the Eustachian tube.

The eardrum is very thin, measures approximately 8-10 mm in diameter and is stretched by means of small muscles. The pressure from sound waves makes the eardrum vibrate.

The vibrations are transmitted further into the ear via three bones in the middle ear: the hammer, the anvil, and the stirrup. I’m terms such as hammer, anvil, and stirrup to give you a better picture of what the function of these bones are. These three bones form a kind of bridge, and the stirrup, which is the last bone that sounds reach, is connected to the oval window.

The oval window

The oval window is a membrane covering the entrance to the cochlea in the inner ear. When the eardrum vibrates, the sound waves travel via the hammer and anvil to the stirrup and then on to the oval window.

The round window

The round window in the middle ear vibrates in opposite phase to vibrations entering the inner ear through the oval window. In doing so, it allows fluid in the cochlea to move.

The Eustachian tube

tinnitus-treatment-cure-new-york-03The Eustachian tube is also found in the middle ear and is situated at the back of the ear. The Eustachian tube’s function is to equalize the air pressure on both sides of the eardrum, ensuring that pressure does not build up in the ear. The tube opens when you swallow, thus equalizing the air pressure inside and outside the ear, but as many tinnitus sufferers know, the opening and closing of the eustachian tube can be distressing. The clicking in tinnitus is due to us being able to hear the tubes open and close with every swallow.

All in all, it is best to talk to a professional that can assist you with these problems. We offer help to those suffering from tinnitus, you don’t have to suffer in silence.

Contact us today to schedule an appointment to treat your tinnitus. We can help you on your way to improving your life and mindset.

Meditation for Tinnitus NYC

Does Meditation for Tinnitus Work?

does-meditation-for-tinnitus-work-01Meditation and yoga have been proven to lessen the symptoms of tinnitus. Tinnitus is an affliction that causes ringing, clinking, whistling, pulsing, and humming in one’s ears. It Can be a great distraction to those that are not used to the noise. The best way to deal with these noises is to practice radical acceptance. Yoga and meditation can help you to reach this point of peace. Make peace with this affliction and you will be able to deal with anything life throws at you.

It has been observed that during meditation sessions, some patients reported that the ringing in their ears would subside. Or they have found that they can handle it much better after embracing its existence and meditating instead of working hard to distract themselves from it. By sitting down with correct posture and taking deep calming breaths you can begin to conquer tinnitus. Take deep breaths and let the silence of the room soothe your mind. The more you do this the less you will notice the ringing in your ears.

meditation-for-tinnitus-02Even if the ringing persists, embrace it fully. Know that you are okay. Enjoy the moment and just be in the now. It may be annoying at first but from personal experience, I know that you can overcome this affliction with patience and peace of mind.

The key is to keep up this routine. Do not let negative thoughts make you reject meditation altogether. Meditation will help you to take control of everything in your life and help you to accept every part of yourself.

Go to a quiet room of your house and empty your mind of everything. The last thing you need is to stress about work or your boss because it has been proven that stress increases the ringing in your ears. It makes things worse and will do nothing but work against you. Just clear your mind and focus on your breathing and posture.


Slowly visualize things that improve your mood. This could be flowers or meadows. Some patients even enjoy visualizing rain splashing down upon the water. There are videos and CDs dedicated to emulating rainfall These are wonderful tools to use to calm your mind and get you into a mindset of peace and quiet. There are many CDs out there that contain the sounds of ocean waves splashing upon the shore.

Turn these CDs on and imagine yourself sitting on the beach and let out calm breaths. As you exhale imagine all your troubles leaving your body. Imagine your tinnitus symptoms disappearing into the waves. Calming your mind is essential.

Add meditation to your schedule. One is never too busy to meditate. Meditation is beneficial especially when you feel like your tinnitus is overwhelming to you. You can conquer this like anything else.

If you need any help with managing your symptoms you can contact us. We can help you on your way to improving your life and mindset. Conquering tinnitus comes from within and it all starts with your mindset. Instead of being a victim you can be a victor. Contact us today for guidance.

Signs and Symptoms of Tinnitus by NYC Tinnitus Expert

Symptoms of Tinnitus

There are many symptoms of tinnitus. From ringing to clinking to roaring, buzzing, and hissing. Tinnitus can take many different forms or take all at once. It can be very distressing if you do not know that tinnitus is. The main symptoms used to diagnose tinnitus include:

  • Ringing
  • Buzzing
  • Clicking
  • Hissing
  • Whistling
  • Pulsatile tinnitus


The noises may be continuous or could occur every now and then. All of these could have underlining causes, so it is best to contact a doctor if you are experiencing these symptoms. Symptoms such as fainting could be caused by a disease that needs to be diagnosed as soon as possible.

Some people find that in time their symptoms go away and with others, it stays. If your tinnitus has yet to go away and you have been living with it for years I suggest you check out our article titled ‘’Cognitive Behavioral Therapy for Tinnitus’’ In that article, we talk about how much CBT can improve your life and help you to have a more positive outlook when dealing with


Clicking is a very common symptom of tinnitus. The clicking comes from swallowing. When we swallow, yawn, or blow our noses, the Eustachian tube opens and allows air to pass from the middle of your ear to the back of your nose. This symptom is very similar to pulsatile tinnitus because it is a result of damage to the nerves in your ear. Because of that you can hear things in your body that most people can’t. In pulsatile tinnitus you can hear your heartbeat but the clicking in the ear is you hearing you eustachian tubes opening with each swallow. It can be alarming and annoying but can be treated by a doctor.


tinnitus-sounds-symptoms-signs-info-03Hyperacusis is a fancy word for saying that the patient is very sensitive to sounds. Even if the sound is at a normal or low volume it may be distressing to someone that is struggling with tinnitus. It is because the brain is working overtime to compensate for the damaged nerves in your ear. So, do not fret if the tv is at a normal volume and yet it feels as if your eardrums could split at any moment. This is a normal reaction to tinnitus. It is distressing but can be helped by visiting a doctor. Hyperacusis is often the result of prolonged exposure to loud noises. This issue is most commonly viewed amongst musicians and people who work with machines or contruction.

Pulsatile tinnitus


Pulsatile tinnitus is different from regular tinnitus in that you may hear rhythmical noises that beat in time with your pulse. This problem is often caused by blood flow changes in the vessels near the ear, or to a specific condition such as a perforated eardrum or atherosclerosis.

Pulsatile tinnitus tends to come and go and rarely stays the whole time. The pulsing is your heartbeat. Every time your heart thumps your ears thump with it. It can be very alarming but just know that often it will fade away. I have observed that this tends to happen after the patient has been exposed to loud noises for a long period of time and the ears are overwhelmed. It is a sign that the vessels near the ear have been damaged or irritated recently.

These symptoms are signs that you must go see a doctor as soon as possible. For help with these symptoms contact us today to schedule an appointment to treat your tinnitus. We can help you on your way to improving your life and mindset.

What Do Tinnitus Sufferers Have in Common

 Tinnitus sufferersIt is clear that tinnitus is the perception of sound and sufferer may hear varying degree of noises in the ear by different types of exposure. Some people may develop tinnitus by external exposure while others develop due to an underlying disorder, but there is no specific agenda behind this mystery. Whatever the reason you may discover after diagnosis, the fact remains the same that you are suffering from troubleshooting of tinnitus. There are many leading causes of tinnitus that why it is difficult to examine theroot cause of tinnitus.

Common Elemental Problems Associated With Tinnitus

Besides the perception of sound this condition put some common effects on sufferers. Studies have found that tinnitus sufferers are more vulnerable to sleeping disorders, anxiety, depression, stress, and hypersensitivity. But it is still unclear that tinnitus creates these disorders, or these underlying conditions contribute to tinnitus occurrence.
Tinnitus is something that just not creates physical disorder, but it is also considered to affect the people at an emotional level. However, you can still overcome your disorder by self-analyzing your symptoms via comparing it with another sufferer to gain better options for management therapy.

Here are some common disorders that every sufferer might face during tinnitus:

Insomnia And Tinnitus

 Tinnitus sufferersMost sufferers of tinnitus have found difficulty in sleeping due to resuming and pausing sounds. It is found that people who are suffering from insomnia also receive the same ringing sensation just as the tinnitus victim experience. The prescribed sleeping pills during tinnitus also responsible for the creation of sleep disturbance as it alters your normal sleeping pattern. To avoid these chronic problems you have to involve remedial measure in your life to get proper relief.

Tinnitus And Hypersensitivity

There are different structural functions of the ear that works as a barrier against external noises. But excessive exposure leads to create unbearable tinnitus along other rare conditions. Most sufferer of tinnitus hears high-intensity noises during tinnitus episodes which are not present in the surrounding. This hypertensive process leads to creating intensifying auditory response in some people, and that is the reason people hear internal noises in the ear even the beats of heart and blood flow rate.

Depression And Tinnitus

 Tinnitus sufferersCongestive issues are also responsible for troubleshooting tinnitus such as anxiety and depression. In most of the cases is it seen that tinnitus create hopelessness due to frequent exposure to sounds. A recent report stated 40 to 70% of tinnitus patients with depression and other disruptive behavioral disorders.

Self Examination Of Tinnitus

Once you recognize the point source of your tinnitus condition, you can develop an easy and effective method to live even in compelling condition.

Bottom Line

Apart from seeing an audiologist, you can also learn to cope up with this condition even you experience this in your whole life!! You can also alleviate annoying sensation by avoiding unhealthy nuisance exposure as this exposure not only retard your cognitive abilities but can also leave you with hearing disability for your whole life. Moreover, be a self observer to point out tinnitus symptoms.

Types of Tinnitus Sounds

The tinnitus sounds can be of varying types. There is no specific guideline for recognition of tinnitus sounds. But according to the type of sound experience during tinnitus, various categories have been made to distinguish between different types of tinnitus. Tinnitus considered as the melodious sound in medical terminology. The common type of symptomatic sound…

How to Overcome Tinnitus

When you have tinnitus, existing environmental noises become more muddling – the ringing noises can be unbearable at times. This critical condition causes spontaneous and unusual sounds, produced in the eardrums. Doctors and audiologists have done many studies on such cases to determine the cause of tinnitus, but have not yet identified the principal cause…

The Leading Cause of Tinnitus

Tinnitus is a complex and unbearable neurological condition. Several factors can lead to the development of this debilitating disease; a lot of them are physical while some are caused because of morbidity syndrome. There is plenty of research going on to determine the prevalence of tinnitus in specific age-groups, but the cited documentation does not…

Can Clubbing Cause Tinnitus?

Tinnitus is a perception of a ringing noise in your ears. A fairly common problem, it is observed to affect one in five people. It cannot be classified as a medical condition in itself; however, it can be an indication of underlying health problems. Although tinnitus is a generally uncomfortable condition it is not necessarily…

Avoid These Foods for Tinnitus Relief

We all know tinnitus is the unbearable ringing sensation and their cases have been drastically increasing due to many factors. Various studies have been stated this condition as incurable although some of the research has stated the remedial measures to overcome this illness. Though it is true that you cannot completely cure your ringing sensation,…

Tinnitus Cognitive Center

Stephen Geller Katz, LCSW-R
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New York, NY 10001

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