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

    Mild to severe anxiety
    Insomnia
    Triggered fight or flight

  Depression
  Negative thinking
  Crying spells

  Hopelessness
  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.


See our main site: www.tinnituscognitivecenter.com
Blog Posts are Below:


Monthly Archives: June 2014

How does hearing work?

BestTinnitusTreatmentNYC1The mechanisms of hearing are complex and our understanding of them is continually evolving. Simplified, the ear translates air movements into nerve impulses sent to the brain. These impulses are then further processed based on things like location to the listener, volume and quality to determine what’s “important” and what can be ignored.

The acoustics of hearing

The intricate process of hearing begins with the ear canal and drum. That little opening in the side of your head has a surprisingly significant impact on how you hear. Like a subwoofer, the canal itself creates resonances which amplify or reduce specific frequencies. This is why even minor blockages can create problems with sound and speech recognition. Voice communications average around the 2000Hz range and the ear canal amplifies this peak. Changes in the shape of this acoustic chamber (as well as changes to the external ear) can alter the location of this peak, causing a distortion in sound.

image

Figure 1: Amplification in the ear canal

(Musiek, Frank E., Jane A. Baran. The Auditory System: Anatomy, Physiology, and Clinical Correlates. Allyn & Bacon. March 2006. Page 46)

The anatomy of hearingBestTinnitusTreatmentNYC2

After air vibrations reach the eardrum, delicate bones transcribe them to the fluid-filled chambers of the inner ear. Similar to tapping the skin of a water balloon, the sound ripples through the perilymph to a second fluid-filled chamber containing endolymph where things get really interesting.

Bathed within the endolymphatic chamber are the hair cells. These marvels of evolution translate fluid vibrations into nerve impulses that get carried to the brain. These hair cells are evolutionally related to neurons, and function in much the same way. The vibration causes change in the intracellular (inside the cell) potassium and calcium levels, releasing neurotransmitters that stimulate electro-chemical impulses down the hearing nerves.

BestTinnitusTreatmentNYC3The psychoacoustics of hearing

These afferent (to the brain) nerves carry impulses through the brainstem to the “auditory belt” which decides which signals are important. The “important” signals continue on to the cortices of the brain and our conscious hearing while others – don’t. This is one reason we can locate sound and “tune-out” background noise like ignoring someone else’s conversation at a party. As a part of this process, the brain also sends impulses back to the ear (efferent impulses) which change how the hair cells respond to sound by physically changing their shape and how they respond to ions.

How does anatomy affect tinnitus?BestTinnitusTreatmentNYC4

Considering this elaborate chain of events, it’s easy to see how a hiccup at any point could create noise. It’s also why tinnitus can be so difficult to treat effectively. When an obvious link in the chain is disrupted, for example with acoustic neuroma, the targeting of treatment is relatively straightforward. When it’s more idiopathic (unknown) things become challenging. Research into both the hearing mechanisms and treatments for tinnitus continue. Every day new and amazing discoveries are made although it will be some time before the mysteries of the ear, hearing and balance fully unravel.

If you’re suffering from tinnitus, there is help. We offer the best staff in the New York area for treatment of tinnitus. Contact us for a free consultation!

BestTinnitusTreatmentNYC5

Dietary Deficiencies and Tinnitus

According to the Mayo clinic, tinnitus affects as much as 10% of the population. The constant ringing and buzzing sound can be maddening, and research continues to search for causes and resolutions. Much study has gone into whether vitamins, minerals and other dietary issues can lead to tinnitus. While the jury is still out, there is a growing body of evidence that maintaining a healthy diet with a full complement of nutrients is beneficial.

Can deficiencies lead to tinnitus?BestTinnitusDoctorNYC1

A dietary deficiency is, by definition, when a specific nutrient is consistently low enough that it leads to a disease process. Rickets (caused by a deficiency in Vitamin D) and Scurvy (caused by a deficiency in Vitamin C) were prevented on old English sailing vessels by carrying barrels of citrus with them on long journeys (leading to the – perhaps less than complementary – nickname “Limeys”). Research has looked into nutrient levels as they relate to tinnitus and into supplementation as a solution to its frustrating symptoms.

BestTinnitusDoctorNYC2B12 and tinnitus

B12 deficiency and tinnitus has gotten a lot of press recently. A study published in the American Journal of Otolaryngololgy found a correlation between an existing deficiency in B12 and the tendency to develop hearing loss and tinnitus after exposure to loud noise. While the evidence for supplementation to improve tinnitus was not examined in this particular study, maintaining healthy levels of B12 may be helpful for avoiding the illness and preventing it from worsening.

Zinc and tinnitusBestTinnitusDoctorNYC3

Studies into zinc came to much the same conclusion as those of B12. Zinc is related to neurotransmission and is found in very high concentrations in the inner ear. The studies however have not been able to come to a consensus as to a relationship between zinc and tinnitus. Some studies have shown a strong correlation while others none at all. In these cases, it will take time to eliminate the factors leading to such strongly differing results. However, the trend in zinc studies so far is that (again) an existing deficiency in zinc may leave one susceptible to tinnitus (especially in the elderly) and supplementation in these cases may lead to improvement.

BestTinnitusDoctorNYC4Magnesium and tinnitus

There are few studies on magnesium as a treatment for tinnitus. Most of these were directed at magnesium administration immediately following an acoustic trauma (loud noise) or sudden sensorineural hearing loss (when the hearing goes away suddenly for no known reason). The goal was to investigate hearing loss prevention and the subsequent development of tinnitus.

Individuals supplemented immediately after an event that could cause hearing loss did show improvement. This implies magnesium may play a role in inner ear function; or at least in those healing processes of the ear after an acoustic trauma. Studies regarding magnesium as a treatment for existing tinnitus have not shown much benefit to date but research continues.

Should I supplement for my tinnitus?

As with any idiopathic disorder, it’s unclear as to what effect nutrients play in its development and treatment. It’s clear that nutrient deficiencies play a role in the development of disease including tinnitus. Certainly, a healthier lifestyle including improved diet and exercise is always beneficial to those suffering chronic illness. It’s rare that supplementing is harmful and many doctors recommend daily supplementation for improved general health.

BestTinnitusDoctorNYC5

Monthly Archives: June 2014

How does hearing work?

BestTinnitusTreatmentNYC1The mechanisms of hearing are complex and our understanding of them is continually evolving. Simplified, the ear translates air movements into nerve impulses sent to the brain. These impulses are then further processed based on things like location to the listener, volume and quality to determine what’s “important” and what can be ignored.

The acoustics of hearing

The intricate process of hearing begins with the ear canal and drum. That little opening in the side of your head has a surprisingly significant impact on how you hear. Like a subwoofer, the canal itself creates resonances which amplify or reduce specific frequencies. This is why even minor blockages can create problems with sound and speech recognition. Voice communications average around the 2000Hz range and the ear canal amplifies this peak. Changes in the shape of this acoustic chamber (as well as changes to the external ear) can alter the location of this peak, causing a distortion in sound.

image

Figure 1: Amplification in the ear canal

(Musiek, Frank E., Jane A. Baran. The Auditory System: Anatomy, Physiology, and Clinical Correlates. Allyn & Bacon. March 2006. Page 46)

The anatomy of hearingBestTinnitusTreatmentNYC2

After air vibrations reach the eardrum, delicate bones transcribe them to the fluid-filled chambers of the inner ear. Similar to tapping the skin of a water balloon, the sound ripples through the perilymph to a second fluid-filled chamber containing endolymph where things get really interesting.

Bathed within the endolymphatic chamber are the hair cells. These marvels of evolution translate fluid vibrations into nerve impulses that get carried to the brain. These hair cells are evolutionally related to neurons, and function in much the same way. The vibration causes change in the intracellular (inside the cell) potassium and calcium levels, releasing neurotransmitters that stimulate electro-chemical impulses down the hearing nerves.

BestTinnitusTreatmentNYC3The psychoacoustics of hearing

These afferent (to the brain) nerves carry impulses through the brainstem to the “auditory belt” which decides which signals are important. The “important” signals continue on to the cortices of the brain and our conscious hearing while others – don’t. This is one reason we can locate sound and “tune-out” background noise like ignoring someone else’s conversation at a party. As a part of this process, the brain also sends impulses back to the ear (efferent impulses) which change how the hair cells respond to sound by physically changing their shape and how they respond to ions.

How does anatomy affect tinnitus?BestTinnitusTreatmentNYC4

Considering this elaborate chain of events, it’s easy to see how a hiccup at any point could create noise. It’s also why tinnitus can be so difficult to treat effectively. When an obvious link in the chain is disrupted, for example with acoustic neuroma, the targeting of treatment is relatively straightforward. When it’s more idiopathic (unknown) things become challenging. Research into both the hearing mechanisms and treatments for tinnitus continue. Every day new and amazing discoveries are made although it will be some time before the mysteries of the ear, hearing and balance fully unravel.

If you’re suffering from tinnitus, there is help. We offer the best staff in the New York area for treatment of tinnitus. Contact us for a free consultation!

BestTinnitusTreatmentNYC5

Dietary Deficiencies and Tinnitus

According to the Mayo clinic, tinnitus affects as much as 10% of the population. The constant ringing and buzzing sound can be maddening, and research continues to search for causes and resolutions. Much study has gone into whether vitamins, minerals and other dietary issues can lead to tinnitus. While the jury is still out, there is a growing body of evidence that maintaining a healthy diet with a full complement of nutrients is beneficial.

Can deficiencies lead to tinnitus?BestTinnitusDoctorNYC1

A dietary deficiency is, by definition, when a specific nutrient is consistently low enough that it leads to a disease process. Rickets (caused by a deficiency in Vitamin D) and Scurvy (caused by a deficiency in Vitamin C) were prevented on old English sailing vessels by carrying barrels of citrus with them on long journeys (leading to the – perhaps less than complementary – nickname “Limeys”). Research has looked into nutrient levels as they relate to tinnitus and into supplementation as a solution to its frustrating symptoms.

BestTinnitusDoctorNYC2B12 and tinnitus

B12 deficiency and tinnitus has gotten a lot of press recently. A study published in the American Journal of Otolaryngololgy found a correlation between an existing deficiency in B12 and the tendency to develop hearing loss and tinnitus after exposure to loud noise. While the evidence for supplementation to improve tinnitus was not examined in this particular study, maintaining healthy levels of B12 may be helpful for avoiding the illness and preventing it from worsening.

Zinc and tinnitusBestTinnitusDoctorNYC3

Studies into zinc came to much the same conclusion as those of B12. Zinc is related to neurotransmission and is found in very high concentrations in the inner ear. The studies however have not been able to come to a consensus as to a relationship between zinc and tinnitus. Some studies have shown a strong correlation while others none at all. In these cases, it will take time to eliminate the factors leading to such strongly differing results. However, the trend in zinc studies so far is that (again) an existing deficiency in zinc may leave one susceptible to tinnitus (especially in the elderly) and supplementation in these cases may lead to improvement.

BestTinnitusDoctorNYC4Magnesium and tinnitus

There are few studies on magnesium as a treatment for tinnitus. Most of these were directed at magnesium administration immediately following an acoustic trauma (loud noise) or sudden sensorineural hearing loss (when the hearing goes away suddenly for no known reason). The goal was to investigate hearing loss prevention and the subsequent development of tinnitus.

Individuals supplemented immediately after an event that could cause hearing loss did show improvement. This implies magnesium may play a role in inner ear function; or at least in those healing processes of the ear after an acoustic trauma. Studies regarding magnesium as a treatment for existing tinnitus have not shown much benefit to date but research continues.

Should I supplement for my tinnitus?

As with any idiopathic disorder, it’s unclear as to what effect nutrients play in its development and treatment. It’s clear that nutrient deficiencies play a role in the development of disease including tinnitus. Certainly, a healthier lifestyle including improved diet and exercise is always beneficial to those suffering chronic illness. It’s rare that supplementing is harmful and many doctors recommend daily supplementation for improved general health.

BestTinnitusDoctorNYC5

Tinnitus Cognitive Center

Stephen Geller Katz, LCSW-R
19 West 34th Street
Penthouse Floor
New York, NY 10001


Call today for a consultation
646-213-2321