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@linearb, I found work a lifesaver when it came to tinnitus -- because it forced me to get up in the morning and go on with my life. It also served as a greatly needed distraction. I looked into taking short-term disability but my psychiatrist, who was helping me deal with my acute anxiety sparked by tinnitus, urged me not to do it if at all possible. I sometimes would have very difficult days, when I needed to go to my car, listen to my meditation tapes and do deep breathing.
I have constant tinnitus in both ears that was, in the beginning, very loud. I also had to deal with the panic attacks it caused. During all this, I missed only one day of work.
My situation was helped by the fact that I work in a high-pressure, but not intensely noisy, job; and that I had very understanding and supportive bosses and co-workers. I listened to masking sounds during the day through head phones, so as not to disturb those around me. Believe it or not, I did some of the best work in my career while I was struggling through the early stages of tinnitus. I think this disorder, oddly enough, made me more determined and focused.
This, of course, is just my experience and may not be yours. I always have been a "worker" -- don't even see myself retiring, although my husband already has.
But since you are asking for advice: I would say the first step is to tell yourself that you want to return to work, that you are ready and you know you can make it happen. It helps to give yourself permission (if your work environment allows it) to not work a full day, if it becomes unbearable. Taking meditation breaks helped me tremendously. You could start out by rebuilding your client list? I don't know your work situation, so its hard for me to make specific suggestions. But I think the main thing is to be positive and determined not to let tinnitus win, if work is really something you want back in your life.
You also can find distraction from your tinnitus in non-work situations; going out with friends, joining low-key social groups, volunteering a few hours a day or week. If you truly are having trouble leaving the house, you might benefit from some therapy.
Good luck to you,
@Tennrltr.