i am not completely old yet, and my tinnitus was clearly there when i was young professional, but it was at a much lower level, nevertheless it was kind of a handicap - my focus would be on maintaining my work, and the personal/private life was really constrained - for example i had to completely drop out of being quite an active violinist in the community symphony orchestra. even when young, the doctors had put me on elavil anti depressant, so i was already drug dependent when young, which was the fault of the medical professional not knowing what this disease was all about - at his point i am almost turning into a semi/hermit.