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:


OCD and Tinnitus

Is there a relation between OCD and tinnitus? As per some observations, people with Tinnitus possess other psychopathological conditions, one of which is OCD (obsessive compulsive disorder). These two disorders correlate to each other. In some cases, one can increase the severity of the other. A person with a psychopathological condition like OCD and Tinnitus can experience the severity of their Tinnitus to get worse when faced with a situation that worsens the obsessive-compulsive disorder. Cross-sectional studies have shown that the person suffering from Tinnitus can develop OCD.

Tinnitus

Tinnitus is not a disease but a symptom of some other problems. In this condition, the brain perceives noises in the ear that are not present in the external surrounding. A person hears noises that do not exist. The most common noise is a high-pitched whistle, which is something an ordinary person would hear after a concert or exposure to a very loud noise. Other than high-pitched whistle, people have also reported to hear ringing and hissing sounds. Data shows that 50 million people are affected by this condition. Most people who suffer from Tinnitus are 50 years and older, but young children have also had this condition.

OCD and Tinnitus
(source)

Causes

Researches show that the most common cause of Tinnitus is the absence of tiny sensory hair cells in the ear. These hair cells function to interpret external sound frequencies. The loss of these hair cells may be a result of age, but it can also be a result of over time exposure to amplified sound waves. Tinnitus can be a threat amongst the people who like to listen to loud music. People who work in loud noise on a daily basis can also develop Tinnitus e.g., construction workers and airline traffic controllers.

Head and neck injuries, diabetes, multiple internal ear problems, brain injury, and cardiovascular diseases can also cause Tinnitus.

Treatment

There is no immediate cure to Tinnitus. However, there is a variety of therapies to treat it. These therapies can help alleviate the suffering of a person to a certain degree. Some of the therapies involve:

Tinnitus Retraining Therapy (TRT)

In this therapy, the therapist retrains the brain to perceive the Tinnitus-driven noises as normal. The therapist would use a device that sends out low-level noises in the person’s ear to desensitize the noises. A person with Tinnitus can leave a peaceful life if the therapy is successful.

Cognitive Behavioral Therapy

This therapy is an attempt to change the mind’s perception of the noises that the patient is hearing. A therapist consults the person with tinnitus about their problems and tries to condition their brain into not focusing on negative thoughts. Once the person has learned not to fixate on negative thoughts, they can better deal with the irritating noises the brain perceives.

OCD & Tinnitus are they related?
(source)

OCD (Obsessive Compulsive Disorder)

A person with this disorder exhibits unusual behavior. They are always in an urgent need of checking, fixing, and cleaning things. This condition makes a person feel the need of performing certain tasks repeatedly. It also involves the inability to control thoughts that occur repeatedly. Basically, it is exactly what it’s called i.e. an obsessive behavior toward particular compulsions. The most common compulsion being rigorous and repeated hand washing, keeping count of the objects in the surroundings, etc. Some may even obsessively hold on to useless things in the house.

Types of OCD groups

Studies have shown that different obsessive compulsive disorders belong to different groups. Some people with OCD display an obsession towards symmetry, which means that they cannot tolerate anything that is out of order. You will find them aligning paintings and curtains to precision. Another group of people likes to hoard objects and thoughts and is unable to let go of anything. Some groups obsess over cleanliness and spend days cleaning every inch of everything they can find.

Causes

OCD or obsessive-compulsive disorder is usually an inherited condition. Parents transfer this disorder to their offspring. Other causes are less common involves the use of medication that can cause OCD in patients that have never portrayed any behavior of obsessive-compulsive disorder.

Treatment

The most common and useful form of therapy for this involves exposure therapy, which is a part of the cognitive behavioral therapy. In this therapy, the patients have to face certain situations that frustrate them. The therapist encourages the person with the disorder not to react to that exposure. Overtime, the OCD patient builds tolerance to it.

Conclusion

The people who suffer from chronic Tinnitus and OCD experience the correlation between the two conditions. The increase of a psychopathological condition like OCD can result in the worsening of Tinnitus. When we look at the bright side of things, treatment of OCD can result in the betterment of Tinnitus and vice versa. If you suffer from any of these conditions, Tinnitus Cognitive Center can provide you with the best solution.

Hyperacusis & Tinnitus Are they Related?

Hyperacusis

This condition involves the inability to bear daily sounds. People suffering from hyperacusis usually find normal sounds to be very loud, painful, and uncomfortable. The most common cause of hyperacusis is impairment of the inner ear due to exposure to loud noises and aging.

Experts link this condition with tinnitus, which involves a ringing, buzzing, or whistling sound in the ear without any external source. Most people face this condition in both of their ears. However, hyperacusis can occur in just one ear, as well. Other conditions that make people intolerant to sound are phonophobia and loudness recruitment.

Symptoms of Hyperacusis

Symptoms of hyperacusis can be sudden or gradual. These symptoms include:

  • You will find your voice to be distorted or loud
  • You will find low sounds to be very comfortable, but ordinary sounds will irritate you
  • You will feel pain and discomfort Around loud and sudden sounds
  • Sounds with low intensity, such as that of a refrigerator, will seem very loud and annoying

Causes of Hyperacusis

Here are some causes of this condition:

  • Head injury
  • Certain medications
  • A slap on the ear
  • Hearing problem because of aging
  • Noise exposure such as working in a loud environment
  • Ear surgery
  • Exposure to an explosion or sudden sound
  • Medical procedures such as getting your ear canal cleaned can temporarily increase the intensity of sounds you hear
  • Facial nerve paralysis can affect the mechanism in your middle ear which is responsible for protecting your ears from loud noise

Other Causes of Hyperacusis

Below you will find some other causes of hyperacusis:

  • Fibromyalgia
  • Endocrine disorders
  • Autoimmune disorders
  • Neck and head injury or trauma
  • Withdrawal symptoms or medication side effects
  • Lyme disease
  • Migraine headache
  • Metabolic disorder
  • Meniere’s disease
  • Acoustic trauma and noise exposure
  • Neurological conditions
  • PTSD
  • Perilymph fistula
  • Ototoxins
  • TMJ disorder
  • TBI
  • Williams syndrome
  • Sensorineural hearing loss
  • Superior canal dehiscence
  • Facial nerve or viral infections in the inside of the ear

If you cannot tolerate sounds in a single ear, an ENT doctor will investigate for a tumor (acoustic neuroma) on the vestibular (balance) nerve. If they detect a tumor in time, experts can remove it in time. Even if the specialist finds a tumor, they need not necessarily remove the tumor.

Treatment of Hyperacusis

At this time, no medical or surgical approaches specific to hyperacusis exist. However, medical specialists can suggest various treatments to reduce a patient’s anxiety and fear. These therapies can also help with sensitivity to sound. Here are those therapies:

  • Retraining Therapy
  • Sound therapy
  • Cognitive-behavioral therapy
  • Lifestyle changes
  • Counseling and education

Tinnitus

In tinnitus, you will perceive noises despite them having no external source. Such sounds include hissing, ringing, and buzzing. This condition can occur in both or a single ear. Tinnitus can be centered inside or from outside the head. There are two types of Tinnitus. Objective tinnitus is when the noise is from inside the body. This type is rare, but an examiner can hear the sound. In Subjective Tinnitus, an ENT doctor cannot hear the sound. This type of tinnitus is very common.

Symptoms of Tinnitus

The symptoms of hyperacusis and tinnitus may differ in severity and description among individuals. Both hyperacusis and tinnitus may be symptoms of different diseases or disorders and may be linked with various conditions.

Symptoms of tinnitus may be:

  • Low or high pitched noise
  • Intermittent, pulsing, or constant
  • Non-bothersome or bothersome
  • Chronic or acute
  • Centered inside or localized from outside of the head
  • Present in both or a single ear

Causes of Tinnitus

Risk factors and causes of objective tinnitus are:

  • benign intracranial hypertension
  • atherosclerotic carotid arteries
  • arteriovenous malformation
  • arterial bruit
  • anemia
  • Blood flow changes in the vessels near your ear because of:
  • thyrotoxicosis
  • strenuous exercise
  • pregnancy
  • glomus tumors
  • neck or head injury or trauma
  • middle ear muscle spasms
  • Eustachian tube dysfunction
  • Vestibulocochlear nerve’s microvascular compression (VIII);
  • Palatomyoclonus

Risk factors and causes of subjective tinnitus are:

  • Barotrauma
  • Hormonal changes
  • Ménière’s disease
  • Acoustic trauma
  • Endocrine disorder
  • Cerumen blockage
  • Sinus/ear infection
  • Migraine headache
  • Presbycusis
  • Vitamin and mineral deficiencies
  • Temporomandibular joint (TMJ) disorder
  • Otitis media
  • Metabolic disorder
  • Medication side effects
  • Hearing loss
  • Tumors such as meningioma and vestibular schwannoma
  • Traumatic brain injury (TBI)
  • Otosclerosis
  • Whiplash
  • Viral infections of the inner ear
  • Multiple sclerosis

Treatment of Tinnitus

Before treating your Tinnitus, ENT doctor will go through diagnosis to identify the reason for this condition. The treatment will depend on the symptoms. Here are some types of treatments that will help you in treating Tinnitus:

Treating an underlying health condition

  • Earwax removal
  • Treating a blood vessel condition
  • Changing your medication

Noise suppression

  • White noise machines
  • Hearing aids
  • Masking devices
  • Tinnitus retraining

Conclusion

An ENT specialist will recognize the condition you are suffering from and suggest a suitable treatment method. If you want to consult an ENT specialist, you can contact us at 646-213-2321 or visit our website to learn more.

Pulsatile Tinnitus Specialist

Pulsatile Tinnitus is not a disease, but a symptom that affects almost five million Americans. In Pulsatile Tinnitus or PT for short, you will feel as if you’re constantly hearing a noise similar to whooshing, swooshing, or a heartbeat. This sound has no external source and can be very unsettling and debilitating. It gets to the point that you will start feeling annoyed with it. Around 60 percent of people suffering from PT also face anxiety or depression. The rate of depression is much higher than other chronic conditions because, in pulsatile tinnitus, it is difficult to diagnose the main issue and reason behind the symptoms.

Pulsatile Tinnitus Specialist
(Source)

Causes of Pulsatile Tinnitus

You will find many causes leading to the development of pulsatile tinnitus, depending on your body. Nonetheless, the root problem is similar. Here are some of the most common causes of PT:

1.    High Blood Pressure

When the blood pressure is high, the blood inside of the arteries has a higher pressure as well. When the arteries surrounding the ears have high pressure, you may feel and detect a ringing or ticking sound.

2.    Atherosclerosis

When the buildup of fats, waste materials, and cholesterol blocks your arteries, blood flow can be unstable. In this condition, you will hear some rhythmic sounds in one of your ears.

3.    Turbulent Blood Flow

Narrowed neck veins such as jugular veins or arteries such as carotid arteries may be the reason for changes in the flow of blood to or from your head. Your ears will then pick up irregular or turbulent circulation, leading to pulsatile tinnitus.

4.    Neck or Head Tumors

A tumor pressing the vein near your ear can also lead to pulsatile tinnitus.

5.    Abnormal Capillaries

Pulsatile tinnitus can also occur due to a problem with the tiny vessels supplying blood and connecting your capillaries and veins with arteries.

Pulsatile Tinnitus Treatment Specialist
(Source)

Pulsatile Tinnitus Treatment

Most people facing the symptom treat it by defining and treating various causes. If the high blood pressure in the veins or arteries is causing tinnitus, then you can alleviate the symptom by treating these health issues and changing your lifestyle. Here are some basic treatments:

  • Stress reduction
  • Quit smoking
  • Regular exercise
  • A low-sodium diet

If these causes are specific to certain problems in your veins or arteries, catheter pressure, or surgery, you first need to treat these conditions. Sometimes, doctors insert a stent in your blocked artery and open it up to improve the blood flow. A stent is a flexible and mesh tube.

1.    Sound Therapy

Before treating a blood vessel, your specialist may also suggest sound therapy. This method involves playing background noise like white noise or soft music to distract your mind from tinnitus. This will change your brain’s sensitivity towards the pitch of the tinnitus. You can also find a similar treatment, cognitive behavioral therapy, to be very effective. This therapy helps you think about problems in a different way and change your emotional reaction towards it.

2.    Relaxation

Relaxing can have a significant positive impact on your body. It improves blood pressure, normalizes the heart rate, and stimulates various brain activities. Relaxation techniques such as mindfulness, breathing exercises, and meditation reduce the impact of pulsatile tinnitus, and you can have a better daily routine.

3.    Cognitive Behavioral Therapy

In this therapy, a specialist aims to change the way you react to Tinnitus instead of removing the irritating sound. The concept of this therapy is to develop different techniques of thinking about and acting towards tinnitus.

4.    Tinnitus Retraining Therapy

In TRT, the specialist helps people suffering from Tinnitus to manage the impact of this condition on their daily life. In tinnitus retraining Therapy, a PT specialist will use sound therapy and directive counseling.

Complications Of Pulsatile Tinnitus

This condition can be the reason for your sleeping problems. If you get poor sleep, you may lead to:

  • Weight gain or any other metabolic issues
  • Cardiovascular problems
  • Low in energy
  • Difficulty in concentration

Conclusion

Many underlying causes can lead to pulsatile tinnitus, and a specialist with experience in treating tinnitus can help you. You need to visit a specialist so they can properly diagnose your condition. If you are looking for a professional and experienced pulsatile tinnitus specialist to help with your condition, you can set up an appointment at our clinic. They will understand the real cause of the condition and will treat you accordingly. To set up an appointment, you can contact us at 646-598-2251. We can also consult you on call. For further details, visit our website.

If you fail to get adequate treatment for your pulsatile tinnitus in time, it can have a negative effect on your quality of life. However, by visiting our clinic, you can learn various self-management approaches to help with this condition.

Is Telemedicine a Possible Treatment for Sound Disorders?

The latest technological advancements have revolutionized multiple industries and changed how the world works. Telemedicine can make all the visits to your doctor, physician or therapist more accessible and easy. Conventionally, diagnoses require an appointment, waiting in line, and making changes to your schedule. A clinic with a good Telemedicine program can provide healthcare services to its patients anywhere and anytime with the help of multiple telecommunication applications available in this modern day and age. It includes all the communication services and applications, such as video calls, emails, and text. It does not have to be audio-based.

There are three different types of telemedicine treatment:

1) Store & Forward

This involves the use of documented medical reports and medical images like CT scans and X-ray sheets. Instead of having a time-taking meeting with the patient, a doctor can receive these reports with the help of any online communication method e.g. email, IM etc.  The doctor can then make their diagnosis based on those reports. This also solves the problem of secrecy and privacy. A patient will feel much more secure sharing their private details and medical files on email rather than in person.

Telemedicine Treatment for Sound Disorders
(Source)

2) Remote Patient Monitoring

This enables physicians to keep a day-to-day check on their patient’s vitals and reports. RPM or remote patient monitoring services provide an interface that will not only check the vitals of a person with high blood pressure but also send it to his physician instantly. This is great because it is a much quicker process and can solve the problem of undiagnosed conditions turning out to be fatal. The doctor and physician can be quick to raise concern when they spot any discrepancies in the patient’s health, and this will ultimately lower the risk of emergencies.

3) Real-time Telehealth

Real-time telehealth is one of the most used and effective forms of telemedicine. This uses the real-time interaction of a doctor, physician or a therapist. It can involve the use of multiple real-time audio-video and messaging apps. Real-time telemedicine solves many problems for the patients who have trouble making it out of their house. The patients who find it hard travelling long distances can also benefit from just having a microphone, webcam, and an internet connection. They can visit their doctors from the comfort of their own homes. Doctors also benefit greatly from real-time telehealth programs because they are able to manage their work-life balance by being able to work conveniently from their homes.

What Can Telemedicine Be Used For?

Telemedicine is extremely useful for patients that have illnesses, such as allergies, diabetes, respiratory problems, and mental health issues. It can also be good for prevention and wellness information. A patient who cannot move due to an injury or sickness can benefit greatly from the use of telemedicine.

Telemedicine for Sound Disorders

Telemedicine can be an impeccable solution for people with sound disorders. A person with sound disorders usually does not need to go through tests that involve intravenous needles or ultrasounds. This makes the diagnosis accessible from the comfort of the house. Another reason Telemedicine can prove to be beneficial is because of the privacy that it provides an individual. Most of the cases of sound disorders go unreported. This is because the people suffering from it feel embarrassed to talk about it.

Telemedicine Treatment for Sound Disorders & Tinnitus
(Source)

People with sound disorders like Misophonia or Hyperacusis are often socially awkward and avoid face-to-face interaction. Telemedicine solves this problem and can provide healthcare with the help of email or chat. Treatments for sound disorders are often therapeutic and require long durations of counseling sessions. This plays right into one of the great advantages of Telemedicine since it will not require a patient to travel long distances every day. Telemedicine system is also a great source for making treatments cost efficient. It saves the cost of travel and appointment fee making it accessible for low-income workers.

Sound therapy is a treatment for Misophonia and Tinnitus. This therapy exposes a person to the irritable sounds that their brains perceive. For example, sound exposure uses noise-producing devices that treat the conditions, Misophonia and Tinnitus. This technique is easily applicable in a Telemedicine system since it only requires a headset and a source of music or sound. Modern technology, like internet service and a computer can perform this operation easily.

Conclusion

Telemedicine has the potential to revolutionize the way we treat sound disorders. The two primary therapies for sound disorders involve Cognitive behavioral therapy and sound exposure therapy. Evidence suggests that these therapies are easily applicable in a telemedicine system. Sound disorders like Misophonia, Hyperacusis or Tinnitus can be evidently treated and managed in a Tele-medical system. Not only that, but as technology improves, telemedicine solutions to sound disorders can be better than practically implied solutions. Visit us at Tinnitus Cognitive Center.

Tinnitus Treatment Center
Stephen Geller Katz LCSW
646-213-2321

Hyperacusis & Tinnitus: Are they Related?

What is Hyperacusis? This condition involves the inability to bear daily sounds. People suffering from hyperacusis usually find normal sounds to be very loud, painful, and uncomfortable. The most common cause of hyperacusis is impairment of the inner ear due to exposure to loud noises and aging.

Experts link this condition with tinnitus, which involves a ringing, buzzing, or whistling sound in the ear without any external source. Most people face this condition in both of their ears. However, hyperacusis can occur in just one ear, as well. Other conditions that make people intolerant to sound are phonophobia and loudness recruitment.

Hyperacusis and Tinnitus are they related?
(Source)

Symptoms of Hyperacusis

Symptoms of hyperacusis can be sudden or gradual. These symptoms include:

  • You will find your voice to be distorted or loud
  • You will find low sounds to be very comfortable, but ordinary sounds will irritate you
  • You will feel pain and discomfort Around loud and sudden sounds
  • Sounds with low intensity, such as that of a refrigerator, will seem very loud and annoying

Causes of Hyperacusis

Here are some causes of this condition:

  • Head injury
  • Certain medications
  • A slap on the ear
  • Hearing problem because of aging
  • Noise exposure such as working in a loud environment
  • Ear surgery
  • Exposure to an explosion or sudden sound
  • Medical procedures such as getting your ear canal cleaned can temporarily increase the intensity of sounds you hear
  • Facial nerve paralysis can affect the mechanism in your middle ear which is responsible for protecting your ears from loud noise

Other Causes of Hyperacusis

Below you will find some other causes of hyperacusis:

  • Fibromyalgia
  • Endocrine disorders
  • Autoimmune disorders
  • Neck and head injury or trauma
  • Withdrawal symptoms or medication side effects
  • Lyme disease
  • Migraine headache
  • Metabolic disorder
  • Meniere’s disease
  • Acoustic trauma and noise exposure
  • Neurological conditions
  • PTSD
  • Perilymph fistula
  • Ototoxins
  • TMJ disorder
  • TBI
  • Williams syndrome
  • Sensorineural hearing loss
  • Superior canal dehiscence
  • Facial nerve or viral infections in the inside of the ear

If you cannot tolerate sounds in a single ear, an ENT doctor will investigate for a tumor (acoustic neuroma) on the vestibular (balance) nerve. If they detect a tumor in time, experts can remove it in time. Even if the specialist finds a tumor, they need not necessarily remove the tumor.

Treatment of Hyperacusis

At this time, no medical or surgical approaches specific to hyperacusis exist. However, medical specialists can suggest various treatments to reduce a patient’s anxiety and fear. These therapies can also help with sensitivity to sound. Here are those therapies:

  • Retraining Therapy
  • Sound therapy
  • Cognitive-behavioral therapy
  • Lifestyle changes
  • Counseling and education

Tinnitus

In tinnitus, you will perceive noises despite them having no external source. Such sounds include hissing, ringing, and buzzing. This condition can occur in both or a single ear. Tinnitus can be centered inside or from outside the head. There are two types of Tinnitus. Objective tinnitus is when the noise is from inside the body. This type is rare, but an examiner can hear the sound. In Subjective Tinnitus, an ENT doctor cannot hear the sound. This type of tinnitus is very common.

Hyperacusis and Tinnitus is there a relation?
(Source)

Symptoms of Tinnitus

The symptoms of hyperacusis and tinnitus may differ in severity and description among individuals. Both hyperacusis and tinnitus may be symptoms of different diseases or disorders and may be linked with various conditions.

Symptoms of tinnitus may be:

  • Low or high pitched noise
  • Intermittent, pulsing, or constant
  • Non-bothersome or bothersome
  • Chronic or acute
  • Centered inside or localized from outside of the head
  • Present in both or a single ear

Causes of Tinnitus

Risk factors and causes of objective tinnitus are:

  • benign intracranial hypertension
  • atherosclerotic carotid arteries
  • arteriovenous malformation
  • arterial bruit
  • anemia
  • Blood flow changes in the vessels near your ear because of:
  • thyrotoxicosis
  • strenuous exercise
  • pregnancy
  • glomus tumors
  • neck or head injury or trauma
  • middle ear muscle spasms
  • Eustachian tube dysfunction
  • Vestibulocochlear nerve’s microvascular compression (VIII);
  • Palatomyoclonus

Risk factors and causes of subjective tinnitus are:

  • Barotrauma
  • Hormonal changes
  • Ménière’s disease
  • Acoustic trauma
  • Endocrine disorder
  • Cerumen blockage
  • Sinus/ear infection
  • Migraine headache
  • Presbycusis
  • Vitamin and mineral deficiencies
  • Temporomandibular joint (TMJ) disorder
  • Otitis media
  • Metabolic disorder
  • Medication side effects
  • Hearing loss
  • Tumors such as meningioma and vestibular schwannoma
  • Traumatic brain injury (TBI)
  • Otosclerosis
  • Whiplash
  • Viral infections of the inner ear
  • Multiple sclerosis

Treatment of Tinnitus

Before treating your Tinnitus, ENT doctor will go through diagnosis to identify the reason for this condition. The treatment will depend on the symptoms. Here are some types of treatments that will help you in treating Tinnitus:

Treating an underlying health condition

  • Earwax removal
  • Treating a blood vessel condition
  • Changing your medication

Noise suppression

  • White noise machines
  • Hearing aids
  • Masking devices
  • Tinnitus retraining

Medications

  • Tricyclic antidepressants, such as amitriptyline and nortriptyline
  • Alprazolam (Xanax)

Conclusion

A specialist will recognize the condition you are suffering from and suggest a suitable treatment method. Contact us at 646-213-2321 or visit our website to learn more.

Does Tinnitus Go Away?

Will tinnitus symptoms go away on their own? Tinnitus is a common auditory disorder that affects 50 million Americans. It is usually a symptom of other conditions or diseases. The person who suffers from Tinnitus experiences ringing, hissing or whistling sounds without the presence of any external sound. The brain makes faulty perceptions of sounds due to dysfunctional tiny hair cells in the ear. Some people hear more frequent and constant sounds while others hear it less often.

Symptoms

There are different types of phantom noises one may hear if he suffers from tinnitus.

  • Ringing
  • Buzzing
  • Hissing
  • Roaring
  • Humming
  • Whistling

These noises may vary in amplitude, frequency and intensity depending on each individual. They can also occur in selective ears or both ears. There exist two types of Tinnitus.

Do Tinnitus Symptoms Go Away?
(Source)

Subjective Tinnitus

This is the most common type of Tinnitus. In this Tinnitus, you only hear the sounds and no one else can hear the sounds because none is present externally or internally. It is occurring because your auditory nerves are interpreting frequencies that are not there.

Objective Tinnitus

This is a very rare type of Tinnitus. In this condition, the person hears sounds because there is a presence of sound. The blood vessels or muscle contractions can be responsible for this sound.

Common Causes of Tinnitus

Earwax

Overloaded build up of earwax in the ear can cause Tinnitus. This is because the wax can block the ear and cause hearing loss. This can cause the auditory nerve system to stimulate noises that do not exist.

Exposure to Loud Noise

Exposure to loud noise can damage the tiny hair cells in the ear that are sensitive to sound. These tiny hair cells absorb the sound vibrations and send them to the auditory nerve system, which interprets those vibrations and forms the sound in our brain. Long-term damage of these tiny hair cells can be a severe cause of hearing loss and Tinnitus.

Aging process

The average age of people with Tinnitus averages over 50 years old. This tells us that people over the age of 50 years old are more likely to develop Tinnitus and hearing loss. This is because, with age, cells in the body start to deteriorate. Better care of your lifestyle can slow down the aging process.

Stress

People suffering from Tinnitus can make this condition worse when they are under a lot of stress. Emotional stress can amplify Tinnitus in an individual and make it unbearable for them.

Pre-existing Conditions

Certain pre-existing medical conditions in an individual can lead to the development in Tinnitus symptoms. These conditions include, Menieres disease, Lyme disease, hypothyroidism, fibromyalgia.

Do Tinnitus Symptoms Resolve?
(Source)

Other causes can include injury, certain medications, sinus infections, acoustic neuromas or high blood pressure.

Does Tinnitus Go Away?

Tinnitus is a condition that is specific to each person. Whether or not the Tinnitus symptoms will be persistent or short lasting will depend on many factors that will include your age, general health, and the underlying cause of the condition.

In some cases, tinnitus disappears on its own while in others it can last for a longer time. Exposure to loud noise can also trigger Tinnitus in some people, this Tinnitus will only last only a couple of days. It will also re-emerge when exposed to loud noise again.

Permanent Tinnitus

Tinnitus in most cases is a temporary condition, but some severe cases can result in lasting and irreversible affects of Tinnitus. It is mostly dependant on the severity of the underlying cause

Hearing Loss

Hearing impairment is the most common underlying cause of Tinnitus. There are several causes one experiences hearing loss, Old age, loud noise, injury. If one is permanently impaired of their hearing, this can also result in permanent Tinnitus

Repeated Exposure to Loud Sounds

Continuous exposure to loud sounds can cause permanent hearing damage. This can ultimately lead to irreversible Tinnitus in a person. Musicians suffer from Tinnitus because of this very reason. Exposure to high amplitude music or sounds over the course of repeated days can have destructive affect on your ear.

Brain Injury

The brain makes plays a key role in processing sound and interpreting it according to its frequencies. Protected beneath the skull, any internal damage in the form of fracture or concussion can result to severe consequences, including Tinnitus.

Standard Care for Tinnitus

Tinnitus can be short lived in some people, while long lasting in others. No matter how it affects someone, it always has negative impact on ones lives. You can take a few steps that can possibly award you some relief before seeking help from a professional. These include, wearing earplugs, finding ways to mask the sound, learning to remain calm and avoiding loud noises.

Conclusion

You should not use over-the-counter drugs  as a treatment or cure for Tinnitus. The treatment for the severe conditions of Tinnitus requires special help from professional audiologists or psychologists.  If you seek medical help regarding sound disorders, visit us at Tinnitus Cognitive Center and Dr. Stephen Katz, will provide you with all the care and professional help that you need.

TINNITUS COGNITIVE CENTER
Stephen Katz, LCSW
646-213-2321

Do You Have Tinnitus? You May Benefit from Tinnitus Retraining Therapy

Can you Benefit from tinnitus retraining therapy? Tinnitus is a result of the brain’s perception of sound when there is no existence of sound. It mostly emerges naturally due to aging or is a result of over-exposure to loud volumes over the course of a lifetime. Patients with Tinnitus may also experience low tolerance to sounds or hypersensitivity to high frequency sound, which is a condition known as Hyperacusis. Auditory conditions like these have no cure or proper treatment. People with conditions like this resort to therapeutic solutions that help them habituate to the problems that emerge after Tinnitus noise interruptions.

TRT: Habituation

Habituation is a process that our brain undergoes everyday in our lives. Our brain’s neuroplasticity enables us to adapt to new information and change thought processes. Each time a new situation arises in our lives, we try to adopt new habits in order to better tolerate those situations. People who live near train stations habituate to the noisy trains passing by and carry on with their lives. The brain plays an important role in habituating to loud noise by examining the sound and evaluating whether it is life threatening or ordinary. Our brain convinces us in recognizing certain sounds as safe, normal and usual.

Tinnitus Retraining Therapy
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Tinnitus Retraining Therapy

Tinnitus retraining therapy implies the habituation model to treating people Tinnitus. It attempts to enable people to learn to live with it. It implies that there is a non-auditory component in the problems of Tinnitus, which involves the limbic system and autonomic nervous system inside the brain. This part of the brain is responsible for the link between memory and emotion, along with the fight or flight response.  These systems inside the brain are responsible for the severity of Tinnitus and the stress and anxiety that is associated with It.

Tinnitus retraining therapy aims to make slightly better improvements of the reactions made because of the links between the autonomic nervous system and limbic system. Its goal is to make the person suffering from Tinnitus habituate to the sounds and perceptions its brain is making. The Tinnitus retraining therapy involves several techniques that can achieve this.

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TRT: Counseling

One-on-one counseling with a professional can be helpful is numerous ways. It can serve the purpose to habituate to the noise. The therapist provides the individual with tinnitus with extensive information about the condition and information specific to his condition in order to normalize the situation of irritability. It also helps in desensitizing the person from any kind of trauma and negative thoughts that are hiding in the subconscious. Psychoanalysis is a recognized and proven Freudian technique when it comes to healing the sub-conscious mind.

Counseling not only provides information about the condition but also helps you in reactions to the occurring sounds and explains ways to live life in order to get the possible results. It incorporates other methods like sound therapy in order to get the best possible outcomes. Its ultimate goal is to train your brain to ignore and not pay attention to the Tinnitus sounds.

TRT: Sound therapy

In this method, the noises and sounds of Tinnitus are interfered with certain other noise. Noises that used to interfere to Tinnitus signals can be white noise, music or environmental sounds. You can do that by wearing sound producing device in your ear, which is going to help hide the Tinnitus signals and encourage you to habituate to it.

Takeaways from TR Therapy

Tinnitus retraining therapy or TRT takes a significant amount of time and effort by the person. It can take approximately about one or two years of tinnitus retraining therapy to start showing results. This is because the process of habituation takes time, especially when you have to habituate to unpleasant and displeasing stimuli. It has shown to display better results when incorporated with other therapeutic methods. It involves educational counseling and the use of sound therapy. It strives to improve or reduce the perception of the brain to the Tinnitus signals so the brain no longer perceives the noises as dangerous and continues to ignore them.

What is Tinnitus Retraining Therapy
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Final words

Tinnitus is a very common condition known to affect the lives of millions of Americans. Its treatments lack adequate research but many trials prove that Tinnitus retraining therapy is better than standard self-care. It is also a relatively safe therapy with no negative drawbacks. Only negative aspect about this therapy that may concern you is that it is time consuming. Changing the neural pathways in the brain takes time; however, it can be wondrous and impactful for someone suffering from Tinnitus. Our facility provides the most proper step-by-step Tinnitus retraining program that we have tailored to each individual’s unique requirements.

If you or anyone you know suffers from Tinnitus and seeks help from a professional, visit us at Tinnitus Cognitive Center.

Do You Have Ringing In The Ears?

Ringing in the ears or tinnitus can be a reason behind several things. While it can cause health problems, it is not a disease. You might be wondering the cause behind constant ringing in the ear without an external source. If you fail to treat it in time, it can damage the tiny hairs in the inner ear. It can also change the signals your brain receives, and because of that, you may have difficulty in hearing. Most often, tinnitus is a symptom of aging, but there might be several other causes as it also occurs in young people. Tinnitus can be permanent or temporary.

Tinnitus - Do You Have Ringing In The Ears?
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Tinnitus Triggers

·       Age-Related Hearing Loss

Hearing may get worse for many people as they age and deal with Tinnitus. Sometimes, it begins at the age of 60 and will affect both or one ear. Signs that your hearing is getting worse is that you will have trouble hearing high-frequency sounds.

·       Loud Noises

The leading cause of Tinnitus is loud noises. The sounds you hear once or every day in your life can lead to tinnitus. These sounds include the backfire of the car, loud machinery, a sporting event, or a concert. This affects both of your ears and can be permanent or temporary.

·       Too Much Earwax

Your body makes this lubricant to protect your ears and trap dirt but if too much of this wax piles up. It can lead to hearing loss or ringing in the ears. Doctors can remove this by gently cleaning your ear. Remember, you should not clean your ears on your own using a Q-tip because that can push the earwax further.

·       Certain medicines

Over the counter or prescription drugs can also trigger ringing in the ears or make it worse. This includes diuretic, aspirin, anti-inflammatory drugs, nonsteroidal, quinine based medicine, antibiotics, antidepressants, and even drugs for cancer. Taking large doses of these medicines means a higher risk of worsening the problem. At times, doctors may suggest that you stop using the drugs. If you do so, you may notice the symptoms go away after a while. However, you must never stop taking your medication without discussing it with your doctor.

·       Ear And Sinus Infections

You might experience tinnitus and other symptoms of a cold at the same time. This can be because of an ear infection that affects your hearing ability and increases the pressure on your sinuses. If that is the case, it should not last longer than the time you have an infection. If this condition persists beyond a week or month, you should visit your doctor.

·       TMJ

A problem with your jaw can cause tinnitus. You may notice pain and pop in your jaw joint. The joint shares some ligaments and nerves with your middle ear. The dentist treats you with TMJ disorders, which can help treat tinnitus as well.

·       Blood Pressure Issues

This includes blood pressure and many other conditions such as consumption of alcohol, caffeine, and experiencing high-stress levels. It also burns and hardens your arteries, so it becomes less stretchy. Because of this, your blood flows louder and stronger.

Other Medical Problems

These include changes in your inner bones, a disorder that is called Meniere’s disease, the neck injury, or the head injury. Conditions such as Lyme disease and fibromyalgia can also trigger ear ringing. Contact a doctor to help you out in such cases to ease the sound and pain.

Diagnosis

Anyone suffering from tinnitus should urgently visit a doctor for evaluation and examination. The medical evaluation can determine if your condition is serious or life-threatening.

Questions that a doctor might ask to include:

  • When or how did it start?
  • Are the pulsating and intermittent noises constant?
  • Do you feel dizziness, or is there any hearing loss?
  • Have you had any type of injury or illness recently?
  • Do you have pain in your jaw when clicking?
  • Have your ears experienced any type of exposure to the loud noise such as explosive or rock concert?

These tests may include:

  • A complete examination of the neck, head, ear, and torso
  • Blood test
  • Hearing test
  • Imaging study

Do You Have Ringing In The Ears? | Tinnitus doctor NYC
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Causes of Ringing in the Ears

The most common reason for tinnitus is the loss of tiny sensory hair due to the damage in the cochlea of the inner ear. This sometimes happens to aging people, but it can also be the result of prolonged exposure to excessively loud noise. Tinnitus can coincide with the hair loss. Many articles suggest that the loss of sensory hair can change how the brain processes sound and the sound’s frequency.

When the brain receives the less internal stimuli in the frequency, it begins to adopt the change that is happening. Tinnitus can be the brain’s way of filling in the missing frequencies the brain no longer receives.

Possible causes:

  • Ear infection
  • Middle ear problems
  • Head and neck injury

An object is stuck and is touching your eardrum:

  • Cardiovascular disease
  • Diabetes
  • TMJ disorders
  • Stiffening in-ear bone
  • Traumatic brain injury

Ringing in the Ears: Conclusion

If you hear a constant ringing sound in your ear, you might be suffering from Tinnitus. You can consult our specialist by calling at 646-213-2321 or visit our website for any further information.

Do I Need An ENT Doctor to Treat My Tinnitus?

Do you need An ENT doctor to treat your tinnitus? Sometimes, you may start hearing a ringing sound in your ears. This usually occurs after you get a bad infection in your ear, or you have heard a loud noise. The ringing sound can be very inconvenient and irritating, but it finally falls down. But what if it does not subside and stays with you forever? In America, more than 50 million people suffer from chronic tinnitus.

Do ENT doctors treat tinnitus?
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Tinnitus

This condition involves hearing sensitivity. Because of this, a person hears ringing in the ears or a noise that does not come from an external source. A basic issue is that the tinnitus affects about 20 to 15 percent of the people. Tinnitus is not a condition on its own but a symptom of various conditions. These include circulatory system disorder, ear injury, or age-related hearing loss.

The tinnitus is not always a sign indicating something serious, but it can be worse if you are aging.  Treating an identifiable cause can sometimes help. Other treatment methods mask the noises or reduce it, making tinnitus less visible. Tinnitus is of two types:

·       Subjective tinnitus

In subjective tinnitus, the affected person can only hear a sound. It can occur due to ear problems inside your inner, outer, or middle ear. It can also occur due to issues of hearing in the part of your brain that stands in between the nerve signals.

Objective tinnitus

In this type of tinnitus, only your doctor can hear when they are examining. This may occur because of a problem in your middle ear bone, muscle contractions, or blood vessels. No one can give you treatment, but only the local ENT doctor who specializes in treating tinnitus can tell you what type you have. Then, they can give you a very good and perfect treatment for this condition. Here are some of the ways an ENT doctor will help treat your tinnitus:

Treatment for Tinnitus

To treat tinnitus, doctors will first find out the best method that suits your symptoms. If you have tinnitus because of a health condition, the doctor will slowly take steps that can reduce the noise by treating that condition. These conditions involve:

·       Earwax removal

Removing the impacted earwax from your ear can decrease symptoms of tinnitus.

·       Treating a blood vessel condition

If you suffer from vascular conditions, an ENT doctor may suggest surgery, medication, or a different treatment.

·       Changing your medication

If you suffer from tinnitus because of certain medications you take from your doctor, your ENT doctor will change the medication or stop your usage of that drug.

Noise suppression

In some cases, white noise may prove helpful to suppress bothersome sounds. Your doctor will recommend that you use something electronic to suppress the sound.

·       White noise machines

Devices that create sounds of the environment, such as ocean waves and rain, are very helpful in reducing the noise, making them an effective treatment for tinnitus. You can also try a white noise machine, which can be very helpful while sleeping. Air conditioners, dehumidifiers, humidifiers, and fans can reduce the sound of tinnitus and help you sleep.

·       Hearing aids

This can be very useful if you cannot hear properly as well they are good in tinnitus.

·       Masking devices

This is similar to a hearing aid, and you have to wear this device on your ear. This device produces white noises endlessly, so it reduces the symptoms of tinnitus.

·       Tinnitus retraining

A wearable device that can mark the frequencies of the tinnitus you are experiencing. By using this technique, you will start living a normal life and avoid tinnitus sounds. Eventually, the device will help you forget and avoid hearing the sound. Counseling can be very helpful for retraining tinnitus.

ENT doctors & tinnitus
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Medications

Drugs can sometimes help to reduce the tinnitus symptoms, but the side effects can be a little dangerous such as nausea and drowsiness.

Diagnosis with Tinnitus

An ENT doctor will ask you the following questions while diagnosing your condition:

  • Tell the doctor everything about the pain
  • Explain which ear you are experiencing pain in
  • Explain how the sound comes to you: is it high or low pitched? Is it a swooshing or roaring sound?
  • They will ask if you have ever noticed that the noise changes pitch or volume. You need to make a diary and share it with the ENT doctor
  • You need to tell the ENT doctor if the sound gets worse while eating or performing any other tasks
  • You should inform the ENT doctor of any herbal remedies or medication you are taking

Conclusion: Consult with Tinnitus Treatment Expert Stephen Geller Katz LCSW

Stephen Katz has extensive experience in helping people suffering from tinnitus. The reason is that tinnitus is usually a symptom of another problem, so once that problem is solved, you will feel better. Dr. Katz will provide the best treatment options for tinnitus. To schedule an online appointment, contact us at 646-213-2321. You can also visit our website for further details about the conditions we treat.

Tinnitus & Sound Disorders

Tinnitus & Sound Disorders are a problem for many. Your ear has three main parts: inner, middle, and outer. To perform the function of hearing, you use all the parts. Sound waves enter your ear through the outer ear and then reach the middle part. In the middle ear, these waves vibrate your eardrum. There are three tiny bones in your middle ear called ossicles. These bones send the vibration to your inner ear. The inner ear is a snail-shaped organ that makes nerve impulses and sends them to your brain through sensory nerves. Your brain then recognizes these impulses as sounds.

Main Causes of Tinnitus
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Tinnitus & Sound Disorders

Ear Infections

You may feel severe pain if you have an ear infection because of the fluid buildup and inflammation in your middle ear. This infection can be acute or chronic. Acute infections are painful, but they only last for a short period. Chronic infection can last for a long time. It can reoccur and cause permanent damage to the middle ear.

Causes of Ear Infections

An ear infection occurs when your Eustachian tube becomes blocked or swollen. The Eustachian tube connects your middle ear with your nasal cavity and upper throat and is an exit for the fluid. Any blockage in this tube can cause fluid to build up in your middle ear.

The following can be the reasons for Eustachian Tube blockage:

  • Air pressure changes
  • Allergies
  • Sinus infections
  • Colds
  • Excess mucus
  • Smoking
  • Swollen or infected adenoids

Tinnitus

Tinnitus is a common problem causing a ringing noise in the ears without an external source. Tinnitus can result from a variety of diseases or some damage to your inner ear. It happens due to hearing loss, circulatory system disorder, ear injury, etc. It can improve with treatment. Usually, your doctor will identify the cause of Tinnitus and treat. Because of that, your Tinnitus goes away. Masking techniques also work well in making this noise less noticeable.

Causes of Tinnitus

Tinnitus may occur due to the following reasons:

  • Exposure to loud noise
  • Blockage of earwax
  • Changes in ear bone
  • TMJ disorder
  • Eustachian tube dysfunction
  • Meniere’s disease

What are the main causes of tinnitus?
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Meniere’s Disease

Meniere’s disease is a condition that affects your inner ear and causes you to feel vertigo. You may experience a specific type of dizziness as though you are spinning. Meniere’s disease occurs in one or both ears, and can cause permanent hearing loss.

Causes of Meniere’s Disease

An infection in your ear causes fluid buildup in your labyrinth, which is a part of your inner ear. When this part of your ear fills with excess fluid, it interferes with the signals that your brain receives. With interference in the signals to the brain, you may feel hearing problems and vertigo.

It isn’t yet clear why people get infected with this disease, but researchers suggest following theories as the possible causes of fluid buildup:

  • Viral infection
  • Allergic reaction
  • Migraine headaches
  • Blow to the head
  • Inherited tendency
  • Autoimmune responses
  • Poor drainage

Ear Barotrauma

This condition is a result of pressure differences between the outside and inside of the ear. Ear barotrauma can cause you pain, and in some cases, permanent hearing loss. The middle has air in and contains three small bones helping send the sound to the inner ear through vibration. The Eustachian tube also connects with this part of the area

The pressure inside the middle ear and outside environment should match. If there is any change in pressure, the Eustachian tube opens to equalize the pressure. Sometimes, this tube doesn’t open, damaging the eardrum due to change in the pressure. The eardrum is separating the middle and outer ear. A change in pressure causes damage or bleeding in the inner, middle, or outer ear. This condition can usually happen during air travel and diving.

Causes of Ear Barotrauma

Ear barotraumas occur due to pressure imbalance between the outer environment, and the environment inside the ear. The imbalance can occur due to an issue with the Eustachian tube. The fluid buildup or inflammation around the Eustachian tube can cause ear barotrauma. Some of these factors include:

  • Sinus congestion
  • Allergies
  • Anatomical abnormalities
  • Certain hormonal changes
  • Exposure to smoke
  • Cold or any other infection

Conclusion

Contact the Tinnitus Cognitive Center at (646) 213-2321 to get help with your condition as soon as possible. Our specialist, Stephen Katz LCSW, can help you live a normal life by treating a variety of issues with sound disorders, especially Tinnitus.

OCD and Tinnitus

Is there a relation between OCD and tinnitus? As per some observations, people with Tinnitus possess other psychopathological conditions, one of which is OCD (obsessive compulsive disorder). These two disorders correlate to each other. In some cases, one can increase the severity of the other. A person with a psychopathological condition like OCD and Tinnitus can experience the severity of their Tinnitus to get worse when faced with a situation that worsens the obsessive-compulsive disorder. Cross-sectional studies have shown that the person suffering from Tinnitus can develop OCD.

Tinnitus

Tinnitus is not a disease but a symptom of some other problems. In this condition, the brain perceives noises in the ear that are not present in the external surrounding. A person hears noises that do not exist. The most common noise is a high-pitched whistle, which is something an ordinary person would hear after a concert or exposure to a very loud noise. Other than high-pitched whistle, people have also reported to hear ringing and hissing sounds. Data shows that 50 million people are affected by this condition. Most people who suffer from Tinnitus are 50 years and older, but young children have also had this condition.

OCD and Tinnitus
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Causes

Researches show that the most common cause of Tinnitus is the absence of tiny sensory hair cells in the ear. These hair cells function to interpret external sound frequencies. The loss of these hair cells may be a result of age, but it can also be a result of over time exposure to amplified sound waves. Tinnitus can be a threat amongst the people who like to listen to loud music. People who work in loud noise on a daily basis can also develop Tinnitus e.g., construction workers and airline traffic controllers.

Head and neck injuries, diabetes, multiple internal ear problems, brain injury, and cardiovascular diseases can also cause Tinnitus.

Treatment

There is no immediate cure to Tinnitus. However, there is a variety of therapies to treat it. These therapies can help alleviate the suffering of a person to a certain degree. Some of the therapies involve:

Tinnitus Retraining Therapy (TRT)

In this therapy, the therapist retrains the brain to perceive the Tinnitus-driven noises as normal. The therapist would use a device that sends out low-level noises in the person’s ear to desensitize the noises. A person with Tinnitus can leave a peaceful life if the therapy is successful.

Cognitive Behavioral Therapy

This therapy is an attempt to change the mind’s perception of the noises that the patient is hearing. A therapist consults the person with tinnitus about their problems and tries to condition their brain into not focusing on negative thoughts. Once the person has learned not to fixate on negative thoughts, they can better deal with the irritating noises the brain perceives.

OCD & Tinnitus are they related?
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OCD (Obsessive Compulsive Disorder)

A person with this disorder exhibits unusual behavior. They are always in an urgent need of checking, fixing, and cleaning things. This condition makes a person feel the need of performing certain tasks repeatedly. It also involves the inability to control thoughts that occur repeatedly. Basically, it is exactly what it’s called i.e. an obsessive behavior toward particular compulsions. The most common compulsion being rigorous and repeated hand washing, keeping count of the objects in the surroundings, etc. Some may even obsessively hold on to useless things in the house.

Types of OCD groups

Studies have shown that different obsessive compulsive disorders belong to different groups. Some people with OCD display an obsession towards symmetry, which means that they cannot tolerate anything that is out of order. You will find them aligning paintings and curtains to precision. Another group of people likes to hoard objects and thoughts and is unable to let go of anything. Some groups obsess over cleanliness and spend days cleaning every inch of everything they can find.

Causes

OCD or obsessive-compulsive disorder is usually an inherited condition. Parents transfer this disorder to their offspring. Other causes are less common involves the use of medication that can cause OCD in patients that have never portrayed any behavior of obsessive-compulsive disorder.

Treatment

The most common and useful form of therapy for this involves exposure therapy, which is a part of the cognitive behavioral therapy. In this therapy, the patients have to face certain situations that frustrate them. The therapist encourages the person with the disorder not to react to that exposure. Overtime, the OCD patient builds tolerance to it.

Conclusion

The people who suffer from chronic Tinnitus and OCD experience the correlation between the two conditions. The increase of a psychopathological condition like OCD can result in the worsening of Tinnitus. When we look at the bright side of things, treatment of OCD can result in the betterment of Tinnitus and vice versa. If you suffer from any of these conditions, Tinnitus Cognitive Center can provide you with the best solution.

Hyperacusis & Tinnitus Are they Related?

Hyperacusis

This condition involves the inability to bear daily sounds. People suffering from hyperacusis usually find normal sounds to be very loud, painful, and uncomfortable. The most common cause of hyperacusis is impairment of the inner ear due to exposure to loud noises and aging.

Experts link this condition with tinnitus, which involves a ringing, buzzing, or whistling sound in the ear without any external source. Most people face this condition in both of their ears. However, hyperacusis can occur in just one ear, as well. Other conditions that make people intolerant to sound are phonophobia and loudness recruitment.

Symptoms of Hyperacusis

Symptoms of hyperacusis can be sudden or gradual. These symptoms include:

  • You will find your voice to be distorted or loud
  • You will find low sounds to be very comfortable, but ordinary sounds will irritate you
  • You will feel pain and discomfort Around loud and sudden sounds
  • Sounds with low intensity, such as that of a refrigerator, will seem very loud and annoying

Causes of Hyperacusis

Here are some causes of this condition:

  • Head injury
  • Certain medications
  • A slap on the ear
  • Hearing problem because of aging
  • Noise exposure such as working in a loud environment
  • Ear surgery
  • Exposure to an explosion or sudden sound
  • Medical procedures such as getting your ear canal cleaned can temporarily increase the intensity of sounds you hear
  • Facial nerve paralysis can affect the mechanism in your middle ear which is responsible for protecting your ears from loud noise

Other Causes of Hyperacusis

Below you will find some other causes of hyperacusis:

  • Fibromyalgia
  • Endocrine disorders
  • Autoimmune disorders
  • Neck and head injury or trauma
  • Withdrawal symptoms or medication side effects
  • Lyme disease
  • Migraine headache
  • Metabolic disorder
  • Meniere’s disease
  • Acoustic trauma and noise exposure
  • Neurological conditions
  • PTSD
  • Perilymph fistula
  • Ototoxins
  • TMJ disorder
  • TBI
  • Williams syndrome
  • Sensorineural hearing loss
  • Superior canal dehiscence
  • Facial nerve or viral infections in the inside of the ear

If you cannot tolerate sounds in a single ear, an ENT doctor will investigate for a tumor (acoustic neuroma) on the vestibular (balance) nerve. If they detect a tumor in time, experts can remove it in time. Even if the specialist finds a tumor, they need not necessarily remove the tumor.

Treatment of Hyperacusis

At this time, no medical or surgical approaches specific to hyperacusis exist. However, medical specialists can suggest various treatments to reduce a patient’s anxiety and fear. These therapies can also help with sensitivity to sound. Here are those therapies:

  • Retraining Therapy
  • Sound therapy
  • Cognitive-behavioral therapy
  • Lifestyle changes
  • Counseling and education

Tinnitus

In tinnitus, you will perceive noises despite them having no external source. Such sounds include hissing, ringing, and buzzing. This condition can occur in both or a single ear. Tinnitus can be centered inside or from outside the head. There are two types of Tinnitus. Objective tinnitus is when the noise is from inside the body. This type is rare, but an examiner can hear the sound. In Subjective Tinnitus, an ENT doctor cannot hear the sound. This type of tinnitus is very common.

Symptoms of Tinnitus

The symptoms of hyperacusis and tinnitus may differ in severity and description among individuals. Both hyperacusis and tinnitus may be symptoms of different diseases or disorders and may be linked with various conditions.

Symptoms of tinnitus may be:

  • Low or high pitched noise
  • Intermittent, pulsing, or constant
  • Non-bothersome or bothersome
  • Chronic or acute
  • Centered inside or localized from outside of the head
  • Present in both or a single ear

Causes of Tinnitus

Risk factors and causes of objective tinnitus are:

  • benign intracranial hypertension
  • atherosclerotic carotid arteries
  • arteriovenous malformation
  • arterial bruit
  • anemia
  • Blood flow changes in the vessels near your ear because of:
  • thyrotoxicosis
  • strenuous exercise
  • pregnancy
  • glomus tumors
  • neck or head injury or trauma
  • middle ear muscle spasms
  • Eustachian tube dysfunction
  • Vestibulocochlear nerve’s microvascular compression (VIII);
  • Palatomyoclonus

Risk factors and causes of subjective tinnitus are:

  • Barotrauma
  • Hormonal changes
  • Ménière’s disease
  • Acoustic trauma
  • Endocrine disorder
  • Cerumen blockage
  • Sinus/ear infection
  • Migraine headache
  • Presbycusis
  • Vitamin and mineral deficiencies
  • Temporomandibular joint (TMJ) disorder
  • Otitis media
  • Metabolic disorder
  • Medication side effects
  • Hearing loss
  • Tumors such as meningioma and vestibular schwannoma
  • Traumatic brain injury (TBI)
  • Otosclerosis
  • Whiplash
  • Viral infections of the inner ear
  • Multiple sclerosis

Treatment of Tinnitus

Before treating your Tinnitus, ENT doctor will go through diagnosis to identify the reason for this condition. The treatment will depend on the symptoms. Here are some types of treatments that will help you in treating Tinnitus:

Treating an underlying health condition

  • Earwax removal
  • Treating a blood vessel condition
  • Changing your medication

Noise suppression

  • White noise machines
  • Hearing aids
  • Masking devices
  • Tinnitus retraining

Conclusion

An ENT specialist will recognize the condition you are suffering from and suggest a suitable treatment method. If you want to consult an ENT specialist, you can contact us at 646-213-2321 or visit our website to learn more.

Pulsatile Tinnitus Specialist

Pulsatile Tinnitus is not a disease, but a symptom that affects almost five million Americans. In Pulsatile Tinnitus or PT for short, you will feel as if you’re constantly hearing a noise similar to whooshing, swooshing, or a heartbeat. This sound has no external source and can be very unsettling and debilitating. It gets to the point that you will start feeling annoyed with it. Around 60 percent of people suffering from PT also face anxiety or depression. The rate of depression is much higher than other chronic conditions because, in pulsatile tinnitus, it is difficult to diagnose the main issue and reason behind the symptoms.

Pulsatile Tinnitus Specialist
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Causes of Pulsatile Tinnitus

You will find many causes leading to the development of pulsatile tinnitus, depending on your body. Nonetheless, the root problem is similar. Here are some of the most common causes of PT:

1.    High Blood Pressure

When the blood pressure is high, the blood inside of the arteries has a higher pressure as well. When the arteries surrounding the ears have high pressure, you may feel and detect a ringing or ticking sound.

2.    Atherosclerosis

When the buildup of fats, waste materials, and cholesterol blocks your arteries, blood flow can be unstable. In this condition, you will hear some rhythmic sounds in one of your ears.

3.    Turbulent Blood Flow

Narrowed neck veins such as jugular veins or arteries such as carotid arteries may be the reason for changes in the flow of blood to or from your head. Your ears will then pick up irregular or turbulent circulation, leading to pulsatile tinnitus.

4.    Neck or Head Tumors

A tumor pressing the vein near your ear can also lead to pulsatile tinnitus.

5.    Abnormal Capillaries

Pulsatile tinnitus can also occur due to a problem with the tiny vessels supplying blood and connecting your capillaries and veins with arteries.

Pulsatile Tinnitus Treatment Specialist
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Pulsatile Tinnitus Treatment

Most people facing the symptom treat it by defining and treating various causes. If the high blood pressure in the veins or arteries is causing tinnitus, then you can alleviate the symptom by treating these health issues and changing your lifestyle. Here are some basic treatments:

  • Stress reduction
  • Quit smoking
  • Regular exercise
  • A low-sodium diet

If these causes are specific to certain problems in your veins or arteries, catheter pressure, or surgery, you first need to treat these conditions. Sometimes, doctors insert a stent in your blocked artery and open it up to improve the blood flow. A stent is a flexible and mesh tube.

1.    Sound Therapy

Before treating a blood vessel, your specialist may also suggest sound therapy. This method involves playing background noise like white noise or soft music to distract your mind from tinnitus. This will change your brain’s sensitivity towards the pitch of the tinnitus. You can also find a similar treatment, cognitive behavioral therapy, to be very effective. This therapy helps you think about problems in a different way and change your emotional reaction towards it.

2.    Relaxation

Relaxing can have a significant positive impact on your body. It improves blood pressure, normalizes the heart rate, and stimulates various brain activities. Relaxation techniques such as mindfulness, breathing exercises, and meditation reduce the impact of pulsatile tinnitus, and you can have a better daily routine.

3.    Cognitive Behavioral Therapy

In this therapy, a specialist aims to change the way you react to Tinnitus instead of removing the irritating sound. The concept of this therapy is to develop different techniques of thinking about and acting towards tinnitus.

4.    Tinnitus Retraining Therapy

In TRT, the specialist helps people suffering from Tinnitus to manage the impact of this condition on their daily life. In tinnitus retraining Therapy, a PT specialist will use sound therapy and directive counseling.

Complications Of Pulsatile Tinnitus

This condition can be the reason for your sleeping problems. If you get poor sleep, you may lead to:

  • Weight gain or any other metabolic issues
  • Cardiovascular problems
  • Low in energy
  • Difficulty in concentration

Conclusion

Many underlying causes can lead to pulsatile tinnitus, and a specialist with experience in treating tinnitus can help you. You need to visit a specialist so they can properly diagnose your condition. If you are looking for a professional and experienced pulsatile tinnitus specialist to help with your condition, you can set up an appointment at our clinic. They will understand the real cause of the condition and will treat you accordingly. To set up an appointment, you can contact us at 646-598-2251. We can also consult you on call. For further details, visit our website.

If you fail to get adequate treatment for your pulsatile tinnitus in time, it can have a negative effect on your quality of life. However, by visiting our clinic, you can learn various self-management approaches to help with this condition.

Is Telemedicine a Possible Treatment for Sound Disorders?

The latest technological advancements have revolutionized multiple industries and changed how the world works. Telemedicine can make all the visits to your doctor, physician or therapist more accessible and easy. Conventionally, diagnoses require an appointment, waiting in line, and making changes to your schedule. A clinic with a good Telemedicine program can provide healthcare services to its patients anywhere and anytime with the help of multiple telecommunication applications available in this modern day and age. It includes all the communication services and applications, such as video calls, emails, and text. It does not have to be audio-based.

There are three different types of telemedicine treatment:

1) Store & Forward

This involves the use of documented medical reports and medical images like CT scans and X-ray sheets. Instead of having a time-taking meeting with the patient, a doctor can receive these reports with the help of any online communication method e.g. email, IM etc.  The doctor can then make their diagnosis based on those reports. This also solves the problem of secrecy and privacy. A patient will feel much more secure sharing their private details and medical files on email rather than in person.

Telemedicine Treatment for Sound Disorders
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2) Remote Patient Monitoring

This enables physicians to keep a day-to-day check on their patient’s vitals and reports. RPM or remote patient monitoring services provide an interface that will not only check the vitals of a person with high blood pressure but also send it to his physician instantly. This is great because it is a much quicker process and can solve the problem of undiagnosed conditions turning out to be fatal. The doctor and physician can be quick to raise concern when they spot any discrepancies in the patient’s health, and this will ultimately lower the risk of emergencies.

3) Real-time Telehealth

Real-time telehealth is one of the most used and effective forms of telemedicine. This uses the real-time interaction of a doctor, physician or a therapist. It can involve the use of multiple real-time audio-video and messaging apps. Real-time telemedicine solves many problems for the patients who have trouble making it out of their house. The patients who find it hard travelling long distances can also benefit from just having a microphone, webcam, and an internet connection. They can visit their doctors from the comfort of their own homes. Doctors also benefit greatly from real-time telehealth programs because they are able to manage their work-life balance by being able to work conveniently from their homes.

What Can Telemedicine Be Used For?

Telemedicine is extremely useful for patients that have illnesses, such as allergies, diabetes, respiratory problems, and mental health issues. It can also be good for prevention and wellness information. A patient who cannot move due to an injury or sickness can benefit greatly from the use of telemedicine.

Telemedicine for Sound Disorders

Telemedicine can be an impeccable solution for people with sound disorders. A person with sound disorders usually does not need to go through tests that involve intravenous needles or ultrasounds. This makes the diagnosis accessible from the comfort of the house. Another reason Telemedicine can prove to be beneficial is because of the privacy that it provides an individual. Most of the cases of sound disorders go unreported. This is because the people suffering from it feel embarrassed to talk about it.

Telemedicine Treatment for Sound Disorders & Tinnitus
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People with sound disorders like Misophonia or Hyperacusis are often socially awkward and avoid face-to-face interaction. Telemedicine solves this problem and can provide healthcare with the help of email or chat. Treatments for sound disorders are often therapeutic and require long durations of counseling sessions. This plays right into one of the great advantages of Telemedicine since it will not require a patient to travel long distances every day. Telemedicine system is also a great source for making treatments cost efficient. It saves the cost of travel and appointment fee making it accessible for low-income workers.

Sound therapy is a treatment for Misophonia and Tinnitus. This therapy exposes a person to the irritable sounds that their brains perceive. For example, sound exposure uses noise-producing devices that treat the conditions, Misophonia and Tinnitus. This technique is easily applicable in a Telemedicine system since it only requires a headset and a source of music or sound. Modern technology, like internet service and a computer can perform this operation easily.

Conclusion

Telemedicine has the potential to revolutionize the way we treat sound disorders. The two primary therapies for sound disorders involve Cognitive behavioral therapy and sound exposure therapy. Evidence suggests that these therapies are easily applicable in a telemedicine system. Sound disorders like Misophonia, Hyperacusis or Tinnitus can be evidently treated and managed in a Tele-medical system. Not only that, but as technology improves, telemedicine solutions to sound disorders can be better than practically implied solutions. Visit us at Tinnitus Cognitive Center.

Tinnitus Treatment Center
Stephen Geller Katz LCSW
646-213-2321

Hyperacusis & Tinnitus: Are they Related?

What is Hyperacusis? This condition involves the inability to bear daily sounds. People suffering from hyperacusis usually find normal sounds to be very loud, painful, and uncomfortable. The most common cause of hyperacusis is impairment of the inner ear due to exposure to loud noises and aging.

Experts link this condition with tinnitus, which involves a ringing, buzzing, or whistling sound in the ear without any external source. Most people face this condition in both of their ears. However, hyperacusis can occur in just one ear, as well. Other conditions that make people intolerant to sound are phonophobia and loudness recruitment.

Hyperacusis and Tinnitus are they related?
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Symptoms of Hyperacusis

Symptoms of hyperacusis can be sudden or gradual. These symptoms include:

  • You will find your voice to be distorted or loud
  • You will find low sounds to be very comfortable, but ordinary sounds will irritate you
  • You will feel pain and discomfort Around loud and sudden sounds
  • Sounds with low intensity, such as that of a refrigerator, will seem very loud and annoying

Causes of Hyperacusis

Here are some causes of this condition:

  • Head injury
  • Certain medications
  • A slap on the ear
  • Hearing problem because of aging
  • Noise exposure such as working in a loud environment
  • Ear surgery
  • Exposure to an explosion or sudden sound
  • Medical procedures such as getting your ear canal cleaned can temporarily increase the intensity of sounds you hear
  • Facial nerve paralysis can affect the mechanism in your middle ear which is responsible for protecting your ears from loud noise

Other Causes of Hyperacusis

Below you will find some other causes of hyperacusis:

  • Fibromyalgia
  • Endocrine disorders
  • Autoimmune disorders
  • Neck and head injury or trauma
  • Withdrawal symptoms or medication side effects
  • Lyme disease
  • Migraine headache
  • Metabolic disorder
  • Meniere’s disease
  • Acoustic trauma and noise exposure
  • Neurological conditions
  • PTSD
  • Perilymph fistula
  • Ototoxins
  • TMJ disorder
  • TBI
  • Williams syndrome
  • Sensorineural hearing loss
  • Superior canal dehiscence
  • Facial nerve or viral infections in the inside of the ear

If you cannot tolerate sounds in a single ear, an ENT doctor will investigate for a tumor (acoustic neuroma) on the vestibular (balance) nerve. If they detect a tumor in time, experts can remove it in time. Even if the specialist finds a tumor, they need not necessarily remove the tumor.

Treatment of Hyperacusis

At this time, no medical or surgical approaches specific to hyperacusis exist. However, medical specialists can suggest various treatments to reduce a patient’s anxiety and fear. These therapies can also help with sensitivity to sound. Here are those therapies:

  • Retraining Therapy
  • Sound therapy
  • Cognitive-behavioral therapy
  • Lifestyle changes
  • Counseling and education

Tinnitus

In tinnitus, you will perceive noises despite them having no external source. Such sounds include hissing, ringing, and buzzing. This condition can occur in both or a single ear. Tinnitus can be centered inside or from outside the head. There are two types of Tinnitus. Objective tinnitus is when the noise is from inside the body. This type is rare, but an examiner can hear the sound. In Subjective Tinnitus, an ENT doctor cannot hear the sound. This type of tinnitus is very common.

Hyperacusis and Tinnitus is there a relation?
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Symptoms of Tinnitus

The symptoms of hyperacusis and tinnitus may differ in severity and description among individuals. Both hyperacusis and tinnitus may be symptoms of different diseases or disorders and may be linked with various conditions.

Symptoms of tinnitus may be:

  • Low or high pitched noise
  • Intermittent, pulsing, or constant
  • Non-bothersome or bothersome
  • Chronic or acute
  • Centered inside or localized from outside of the head
  • Present in both or a single ear

Causes of Tinnitus

Risk factors and causes of objective tinnitus are:

  • benign intracranial hypertension
  • atherosclerotic carotid arteries
  • arteriovenous malformation
  • arterial bruit
  • anemia
  • Blood flow changes in the vessels near your ear because of:
  • thyrotoxicosis
  • strenuous exercise
  • pregnancy
  • glomus tumors
  • neck or head injury or trauma
  • middle ear muscle spasms
  • Eustachian tube dysfunction
  • Vestibulocochlear nerve’s microvascular compression (VIII);
  • Palatomyoclonus

Risk factors and causes of subjective tinnitus are:

  • Barotrauma
  • Hormonal changes
  • Ménière’s disease
  • Acoustic trauma
  • Endocrine disorder
  • Cerumen blockage
  • Sinus/ear infection
  • Migraine headache
  • Presbycusis
  • Vitamin and mineral deficiencies
  • Temporomandibular joint (TMJ) disorder
  • Otitis media
  • Metabolic disorder
  • Medication side effects
  • Hearing loss
  • Tumors such as meningioma and vestibular schwannoma
  • Traumatic brain injury (TBI)
  • Otosclerosis
  • Whiplash
  • Viral infections of the inner ear
  • Multiple sclerosis

Treatment of Tinnitus

Before treating your Tinnitus, ENT doctor will go through diagnosis to identify the reason for this condition. The treatment will depend on the symptoms. Here are some types of treatments that will help you in treating Tinnitus:

Treating an underlying health condition

  • Earwax removal
  • Treating a blood vessel condition
  • Changing your medication

Noise suppression

  • White noise machines
  • Hearing aids
  • Masking devices
  • Tinnitus retraining

Medications

  • Tricyclic antidepressants, such as amitriptyline and nortriptyline
  • Alprazolam (Xanax)

Conclusion

A specialist will recognize the condition you are suffering from and suggest a suitable treatment method. Contact us at 646-213-2321 or visit our website to learn more.

Does Tinnitus Go Away?

Will tinnitus symptoms go away on their own? Tinnitus is a common auditory disorder that affects 50 million Americans. It is usually a symptom of other conditions or diseases. The person who suffers from Tinnitus experiences ringing, hissing or whistling sounds without the presence of any external sound. The brain makes faulty perceptions of sounds due to dysfunctional tiny hair cells in the ear. Some people hear more frequent and constant sounds while others hear it less often.

Symptoms

There are different types of phantom noises one may hear if he suffers from tinnitus.

  • Ringing
  • Buzzing
  • Hissing
  • Roaring
  • Humming
  • Whistling

These noises may vary in amplitude, frequency and intensity depending on each individual. They can also occur in selective ears or both ears. There exist two types of Tinnitus.

Do Tinnitus Symptoms Go Away?
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Subjective Tinnitus

This is the most common type of Tinnitus. In this Tinnitus, you only hear the sounds and no one else can hear the sounds because none is present externally or internally. It is occurring because your auditory nerves are interpreting frequencies that are not there.

Objective Tinnitus

This is a very rare type of Tinnitus. In this condition, the person hears sounds because there is a presence of sound. The blood vessels or muscle contractions can be responsible for this sound.

Common Causes of Tinnitus

Earwax

Overloaded build up of earwax in the ear can cause Tinnitus. This is because the wax can block the ear and cause hearing loss. This can cause the auditory nerve system to stimulate noises that do not exist.

Exposure to Loud Noise

Exposure to loud noise can damage the tiny hair cells in the ear that are sensitive to sound. These tiny hair cells absorb the sound vibrations and send them to the auditory nerve system, which interprets those vibrations and forms the sound in our brain. Long-term damage of these tiny hair cells can be a severe cause of hearing loss and Tinnitus.

Aging process

The average age of people with Tinnitus averages over 50 years old. This tells us that people over the age of 50 years old are more likely to develop Tinnitus and hearing loss. This is because, with age, cells in the body start to deteriorate. Better care of your lifestyle can slow down the aging process.

Stress

People suffering from Tinnitus can make this condition worse when they are under a lot of stress. Emotional stress can amplify Tinnitus in an individual and make it unbearable for them.

Pre-existing Conditions

Certain pre-existing medical conditions in an individual can lead to the development in Tinnitus symptoms. These conditions include, Menieres disease, Lyme disease, hypothyroidism, fibromyalgia.

Do Tinnitus Symptoms Resolve?
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Other causes can include injury, certain medications, sinus infections, acoustic neuromas or high blood pressure.

Does Tinnitus Go Away?

Tinnitus is a condition that is specific to each person. Whether or not the Tinnitus symptoms will be persistent or short lasting will depend on many factors that will include your age, general health, and the underlying cause of the condition.

In some cases, tinnitus disappears on its own while in others it can last for a longer time. Exposure to loud noise can also trigger Tinnitus in some people, this Tinnitus will only last only a couple of days. It will also re-emerge when exposed to loud noise again.

Permanent Tinnitus

Tinnitus in most cases is a temporary condition, but some severe cases can result in lasting and irreversible affects of Tinnitus. It is mostly dependant on the severity of the underlying cause

Hearing Loss

Hearing impairment is the most common underlying cause of Tinnitus. There are several causes one experiences hearing loss, Old age, loud noise, injury. If one is permanently impaired of their hearing, this can also result in permanent Tinnitus

Repeated Exposure to Loud Sounds

Continuous exposure to loud sounds can cause permanent hearing damage. This can ultimately lead to irreversible Tinnitus in a person. Musicians suffer from Tinnitus because of this very reason. Exposure to high amplitude music or sounds over the course of repeated days can have destructive affect on your ear.

Brain Injury

The brain makes plays a key role in processing sound and interpreting it according to its frequencies. Protected beneath the skull, any internal damage in the form of fracture or concussion can result to severe consequences, including Tinnitus.

Standard Care for Tinnitus

Tinnitus can be short lived in some people, while long lasting in others. No matter how it affects someone, it always has negative impact on ones lives. You can take a few steps that can possibly award you some relief before seeking help from a professional. These include, wearing earplugs, finding ways to mask the sound, learning to remain calm and avoiding loud noises.

Conclusion

You should not use over-the-counter drugs  as a treatment or cure for Tinnitus. The treatment for the severe conditions of Tinnitus requires special help from professional audiologists or psychologists.  If you seek medical help regarding sound disorders, visit us at Tinnitus Cognitive Center and Dr. Stephen Katz, will provide you with all the care and professional help that you need.

TINNITUS COGNITIVE CENTER
Stephen Katz, LCSW
646-213-2321

Do You Have Tinnitus? You May Benefit from Tinnitus Retraining Therapy

Can you Benefit from tinnitus retraining therapy? Tinnitus is a result of the brain’s perception of sound when there is no existence of sound. It mostly emerges naturally due to aging or is a result of over-exposure to loud volumes over the course of a lifetime. Patients with Tinnitus may also experience low tolerance to sounds or hypersensitivity to high frequency sound, which is a condition known as Hyperacusis. Auditory conditions like these have no cure or proper treatment. People with conditions like this resort to therapeutic solutions that help them habituate to the problems that emerge after Tinnitus noise interruptions.

TRT: Habituation

Habituation is a process that our brain undergoes everyday in our lives. Our brain’s neuroplasticity enables us to adapt to new information and change thought processes. Each time a new situation arises in our lives, we try to adopt new habits in order to better tolerate those situations. People who live near train stations habituate to the noisy trains passing by and carry on with their lives. The brain plays an important role in habituating to loud noise by examining the sound and evaluating whether it is life threatening or ordinary. Our brain convinces us in recognizing certain sounds as safe, normal and usual.

Tinnitus Retraining Therapy
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Tinnitus Retraining Therapy

Tinnitus retraining therapy implies the habituation model to treating people Tinnitus. It attempts to enable people to learn to live with it. It implies that there is a non-auditory component in the problems of Tinnitus, which involves the limbic system and autonomic nervous system inside the brain. This part of the brain is responsible for the link between memory and emotion, along with the fight or flight response.  These systems inside the brain are responsible for the severity of Tinnitus and the stress and anxiety that is associated with It.

Tinnitus retraining therapy aims to make slightly better improvements of the reactions made because of the links between the autonomic nervous system and limbic system. Its goal is to make the person suffering from Tinnitus habituate to the sounds and perceptions its brain is making. The Tinnitus retraining therapy involves several techniques that can achieve this.

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TRT: Counseling

One-on-one counseling with a professional can be helpful is numerous ways. It can serve the purpose to habituate to the noise. The therapist provides the individual with tinnitus with extensive information about the condition and information specific to his condition in order to normalize the situation of irritability. It also helps in desensitizing the person from any kind of trauma and negative thoughts that are hiding in the subconscious. Psychoanalysis is a recognized and proven Freudian technique when it comes to healing the sub-conscious mind.

Counseling not only provides information about the condition but also helps you in reactions to the occurring sounds and explains ways to live life in order to get the possible results. It incorporates other methods like sound therapy in order to get the best possible outcomes. Its ultimate goal is to train your brain to ignore and not pay attention to the Tinnitus sounds.

TRT: Sound therapy

In this method, the noises and sounds of Tinnitus are interfered with certain other noise. Noises that used to interfere to Tinnitus signals can be white noise, music or environmental sounds. You can do that by wearing sound producing device in your ear, which is going to help hide the Tinnitus signals and encourage you to habituate to it.

Takeaways from TR Therapy

Tinnitus retraining therapy or TRT takes a significant amount of time and effort by the person. It can take approximately about one or two years of tinnitus retraining therapy to start showing results. This is because the process of habituation takes time, especially when you have to habituate to unpleasant and displeasing stimuli. It has shown to display better results when incorporated with other therapeutic methods. It involves educational counseling and the use of sound therapy. It strives to improve or reduce the perception of the brain to the Tinnitus signals so the brain no longer perceives the noises as dangerous and continues to ignore them.

What is Tinnitus Retraining Therapy
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Final words

Tinnitus is a very common condition known to affect the lives of millions of Americans. Its treatments lack adequate research but many trials prove that Tinnitus retraining therapy is better than standard self-care. It is also a relatively safe therapy with no negative drawbacks. Only negative aspect about this therapy that may concern you is that it is time consuming. Changing the neural pathways in the brain takes time; however, it can be wondrous and impactful for someone suffering from Tinnitus. Our facility provides the most proper step-by-step Tinnitus retraining program that we have tailored to each individual’s unique requirements.

If you or anyone you know suffers from Tinnitus and seeks help from a professional, visit us at Tinnitus Cognitive Center.

Do You Have Ringing In The Ears?

Ringing in the ears or tinnitus can be a reason behind several things. While it can cause health problems, it is not a disease. You might be wondering the cause behind constant ringing in the ear without an external source. If you fail to treat it in time, it can damage the tiny hairs in the inner ear. It can also change the signals your brain receives, and because of that, you may have difficulty in hearing. Most often, tinnitus is a symptom of aging, but there might be several other causes as it also occurs in young people. Tinnitus can be permanent or temporary.

Tinnitus - Do You Have Ringing In The Ears?
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Tinnitus Triggers

·       Age-Related Hearing Loss

Hearing may get worse for many people as they age and deal with Tinnitus. Sometimes, it begins at the age of 60 and will affect both or one ear. Signs that your hearing is getting worse is that you will have trouble hearing high-frequency sounds.

·       Loud Noises

The leading cause of Tinnitus is loud noises. The sounds you hear once or every day in your life can lead to tinnitus. These sounds include the backfire of the car, loud machinery, a sporting event, or a concert. This affects both of your ears and can be permanent or temporary.

·       Too Much Earwax

Your body makes this lubricant to protect your ears and trap dirt but if too much of this wax piles up. It can lead to hearing loss or ringing in the ears. Doctors can remove this by gently cleaning your ear. Remember, you should not clean your ears on your own using a Q-tip because that can push the earwax further.

·       Certain medicines

Over the counter or prescription drugs can also trigger ringing in the ears or make it worse. This includes diuretic, aspirin, anti-inflammatory drugs, nonsteroidal, quinine based medicine, antibiotics, antidepressants, and even drugs for cancer. Taking large doses of these medicines means a higher risk of worsening the problem. At times, doctors may suggest that you stop using the drugs. If you do so, you may notice the symptoms go away after a while. However, you must never stop taking your medication without discussing it with your doctor.

·       Ear And Sinus Infections

You might experience tinnitus and other symptoms of a cold at the same time. This can be because of an ear infection that affects your hearing ability and increases the pressure on your sinuses. If that is the case, it should not last longer than the time you have an infection. If this condition persists beyond a week or month, you should visit your doctor.

·       TMJ

A problem with your jaw can cause tinnitus. You may notice pain and pop in your jaw joint. The joint shares some ligaments and nerves with your middle ear. The dentist treats you with TMJ disorders, which can help treat tinnitus as well.

·       Blood Pressure Issues

This includes blood pressure and many other conditions such as consumption of alcohol, caffeine, and experiencing high-stress levels. It also burns and hardens your arteries, so it becomes less stretchy. Because of this, your blood flows louder and stronger.

Other Medical Problems

These include changes in your inner bones, a disorder that is called Meniere’s disease, the neck injury, or the head injury. Conditions such as Lyme disease and fibromyalgia can also trigger ear ringing. Contact a doctor to help you out in such cases to ease the sound and pain.

Diagnosis

Anyone suffering from tinnitus should urgently visit a doctor for evaluation and examination. The medical evaluation can determine if your condition is serious or life-threatening.

Questions that a doctor might ask to include:

  • When or how did it start?
  • Are the pulsating and intermittent noises constant?
  • Do you feel dizziness, or is there any hearing loss?
  • Have you had any type of injury or illness recently?
  • Do you have pain in your jaw when clicking?
  • Have your ears experienced any type of exposure to the loud noise such as explosive or rock concert?

These tests may include:

  • A complete examination of the neck, head, ear, and torso
  • Blood test
  • Hearing test
  • Imaging study

Do You Have Ringing In The Ears? | Tinnitus doctor NYC
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Causes of Ringing in the Ears

The most common reason for tinnitus is the loss of tiny sensory hair due to the damage in the cochlea of the inner ear. This sometimes happens to aging people, but it can also be the result of prolonged exposure to excessively loud noise. Tinnitus can coincide with the hair loss. Many articles suggest that the loss of sensory hair can change how the brain processes sound and the sound’s frequency.

When the brain receives the less internal stimuli in the frequency, it begins to adopt the change that is happening. Tinnitus can be the brain’s way of filling in the missing frequencies the brain no longer receives.

Possible causes:

  • Ear infection
  • Middle ear problems
  • Head and neck injury

An object is stuck and is touching your eardrum:

  • Cardiovascular disease
  • Diabetes
  • TMJ disorders
  • Stiffening in-ear bone
  • Traumatic brain injury

Ringing in the Ears: Conclusion

If you hear a constant ringing sound in your ear, you might be suffering from Tinnitus. You can consult our specialist by calling at 646-213-2321 or visit our website for any further information.

Do I Need An ENT Doctor to Treat My Tinnitus?

Do you need An ENT doctor to treat your tinnitus? Sometimes, you may start hearing a ringing sound in your ears. This usually occurs after you get a bad infection in your ear, or you have heard a loud noise. The ringing sound can be very inconvenient and irritating, but it finally falls down. But what if it does not subside and stays with you forever? In America, more than 50 million people suffer from chronic tinnitus.

Do ENT doctors treat tinnitus?
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Tinnitus

This condition involves hearing sensitivity. Because of this, a person hears ringing in the ears or a noise that does not come from an external source. A basic issue is that the tinnitus affects about 20 to 15 percent of the people. Tinnitus is not a condition on its own but a symptom of various conditions. These include circulatory system disorder, ear injury, or age-related hearing loss.

The tinnitus is not always a sign indicating something serious, but it can be worse if you are aging.  Treating an identifiable cause can sometimes help. Other treatment methods mask the noises or reduce it, making tinnitus less visible. Tinnitus is of two types:

·       Subjective tinnitus

In subjective tinnitus, the affected person can only hear a sound. It can occur due to ear problems inside your inner, outer, or middle ear. It can also occur due to issues of hearing in the part of your brain that stands in between the nerve signals.

Objective tinnitus

In this type of tinnitus, only your doctor can hear when they are examining. This may occur because of a problem in your middle ear bone, muscle contractions, or blood vessels. No one can give you treatment, but only the local ENT doctor who specializes in treating tinnitus can tell you what type you have. Then, they can give you a very good and perfect treatment for this condition. Here are some of the ways an ENT doctor will help treat your tinnitus:

Treatment for Tinnitus

To treat tinnitus, doctors will first find out the best method that suits your symptoms. If you have tinnitus because of a health condition, the doctor will slowly take steps that can reduce the noise by treating that condition. These conditions involve:

·       Earwax removal

Removing the impacted earwax from your ear can decrease symptoms of tinnitus.

·       Treating a blood vessel condition

If you suffer from vascular conditions, an ENT doctor may suggest surgery, medication, or a different treatment.

·       Changing your medication

If you suffer from tinnitus because of certain medications you take from your doctor, your ENT doctor will change the medication or stop your usage of that drug.

Noise suppression

In some cases, white noise may prove helpful to suppress bothersome sounds. Your doctor will recommend that you use something electronic to suppress the sound.

·       White noise machines

Devices that create sounds of the environment, such as ocean waves and rain, are very helpful in reducing the noise, making them an effective treatment for tinnitus. You can also try a white noise machine, which can be very helpful while sleeping. Air conditioners, dehumidifiers, humidifiers, and fans can reduce the sound of tinnitus and help you sleep.

·       Hearing aids

This can be very useful if you cannot hear properly as well they are good in tinnitus.

·       Masking devices

This is similar to a hearing aid, and you have to wear this device on your ear. This device produces white noises endlessly, so it reduces the symptoms of tinnitus.

·       Tinnitus retraining

A wearable device that can mark the frequencies of the tinnitus you are experiencing. By using this technique, you will start living a normal life and avoid tinnitus sounds. Eventually, the device will help you forget and avoid hearing the sound. Counseling can be very helpful for retraining tinnitus.

ENT doctors & tinnitus
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Medications

Drugs can sometimes help to reduce the tinnitus symptoms, but the side effects can be a little dangerous such as nausea and drowsiness.

Diagnosis with Tinnitus

An ENT doctor will ask you the following questions while diagnosing your condition:

  • Tell the doctor everything about the pain
  • Explain which ear you are experiencing pain in
  • Explain how the sound comes to you: is it high or low pitched? Is it a swooshing or roaring sound?
  • They will ask if you have ever noticed that the noise changes pitch or volume. You need to make a diary and share it with the ENT doctor
  • You need to tell the ENT doctor if the sound gets worse while eating or performing any other tasks
  • You should inform the ENT doctor of any herbal remedies or medication you are taking

Conclusion: Consult with Tinnitus Treatment Expert Stephen Geller Katz LCSW

Stephen Katz has extensive experience in helping people suffering from tinnitus. The reason is that tinnitus is usually a symptom of another problem, so once that problem is solved, you will feel better. Dr. Katz will provide the best treatment options for tinnitus. To schedule an online appointment, contact us at 646-213-2321. You can also visit our website for further details about the conditions we treat.

Tinnitus & Sound Disorders

Tinnitus & Sound Disorders are a problem for many. Your ear has three main parts: inner, middle, and outer. To perform the function of hearing, you use all the parts. Sound waves enter your ear through the outer ear and then reach the middle part. In the middle ear, these waves vibrate your eardrum. There are three tiny bones in your middle ear called ossicles. These bones send the vibration to your inner ear. The inner ear is a snail-shaped organ that makes nerve impulses and sends them to your brain through sensory nerves. Your brain then recognizes these impulses as sounds.

Main Causes of Tinnitus
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Tinnitus & Sound Disorders

Ear Infections

You may feel severe pain if you have an ear infection because of the fluid buildup and inflammation in your middle ear. This infection can be acute or chronic. Acute infections are painful, but they only last for a short period. Chronic infection can last for a long time. It can reoccur and cause permanent damage to the middle ear.

Causes of Ear Infections

An ear infection occurs when your Eustachian tube becomes blocked or swollen. The Eustachian tube connects your middle ear with your nasal cavity and upper throat and is an exit for the fluid. Any blockage in this tube can cause fluid to build up in your middle ear.

The following can be the reasons for Eustachian Tube blockage:

  • Air pressure changes
  • Allergies
  • Sinus infections
  • Colds
  • Excess mucus
  • Smoking
  • Swollen or infected adenoids

Tinnitus

Tinnitus is a common problem causing a ringing noise in the ears without an external source. Tinnitus can result from a variety of diseases or some damage to your inner ear. It happens due to hearing loss, circulatory system disorder, ear injury, etc. It can improve with treatment. Usually, your doctor will identify the cause of Tinnitus and treat. Because of that, your Tinnitus goes away. Masking techniques also work well in making this noise less noticeable.

Causes of Tinnitus

Tinnitus may occur due to the following reasons:

  • Exposure to loud noise
  • Blockage of earwax
  • Changes in ear bone
  • TMJ disorder
  • Eustachian tube dysfunction
  • Meniere’s disease

What are the main causes of tinnitus?
(Source)

Meniere’s Disease

Meniere’s disease is a condition that affects your inner ear and causes you to feel vertigo. You may experience a specific type of dizziness as though you are spinning. Meniere’s disease occurs in one or both ears, and can cause permanent hearing loss.

Causes of Meniere’s Disease

An infection in your ear causes fluid buildup in your labyrinth, which is a part of your inner ear. When this part of your ear fills with excess fluid, it interferes with the signals that your brain receives. With interference in the signals to the brain, you may feel hearing problems and vertigo.

It isn’t yet clear why people get infected with this disease, but researchers suggest following theories as the possible causes of fluid buildup:

  • Viral infection
  • Allergic reaction
  • Migraine headaches
  • Blow to the head
  • Inherited tendency
  • Autoimmune responses
  • Poor drainage

Ear Barotrauma

This condition is a result of pressure differences between the outside and inside of the ear. Ear barotrauma can cause you pain, and in some cases, permanent hearing loss. The middle has air in and contains three small bones helping send the sound to the inner ear through vibration. The Eustachian tube also connects with this part of the area

The pressure inside the middle ear and outside environment should match. If there is any change in pressure, the Eustachian tube opens to equalize the pressure. Sometimes, this tube doesn’t open, damaging the eardrum due to change in the pressure. The eardrum is separating the middle and outer ear. A change in pressure causes damage or bleeding in the inner, middle, or outer ear. This condition can usually happen during air travel and diving.

Causes of Ear Barotrauma

Ear barotraumas occur due to pressure imbalance between the outer environment, and the environment inside the ear. The imbalance can occur due to an issue with the Eustachian tube. The fluid buildup or inflammation around the Eustachian tube can cause ear barotrauma. Some of these factors include:

  • Sinus congestion
  • Allergies
  • Anatomical abnormalities
  • Certain hormonal changes
  • Exposure to smoke
  • Cold or any other infection

Conclusion

Contact the Tinnitus Cognitive Center at (646) 213-2321 to get help with your condition as soon as possible. Our specialist, Stephen Katz LCSW, can help you live a normal life by treating a variety of issues with sound disorders, especially Tinnitus.

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