How Do You Learn to Cope with the Uncertainty?

Scruffiey

Member
Author
Jan 18, 2025
25
Tinnitus Since
10/2024
Cause of Tinnitus
ETD
I am four months in now, early days I know, but thankfully my tinnitus has gone from an unbearable loud sweeping siren to a 3.5 kHz buzz and a quiet electrical sound. I could do without it entirely, but it is not the end of the world, and for that, I am grateful.

But the raw ear feeling, the twitching tympani in response to everyday sounds, and the facial discomfort make me fearful. I cannot shake the thought that I am just one smashed plate, slammed door, or dropped toilet lid away from going from being able to watch TV to constant neuralgia pain or worse, type 2 afferent pain. I do not think I could keep going at that point. While I am not actively suicidal, I have often felt like a reluctant participant in life, and that would be a reduction in quality too far.

Between COVID and caring for a parent with dementia, I have spent most of the past seven years stuck inside, losing my old life. I was finally ready to start rebuilding something new, but now, not only is that no longer an option, I cannot even feel safe in my own home. Something as simple as sitting in the garden will likely require earplugs, which is hardly a relaxing situation.

How am I supposed to pass the next 10 plus years, lonely, in a state of constant low level anxiety at home, just waiting? Not even for a cure, but at least for a potential treatment if things get worse…
 
I am four months in now, early days I know, but thankfully my tinnitus has gone from an unbearable loud sweeping siren to a 3.5 kHz buzz and a quiet electrical sound. I could do without it entirely, but it is not the end of the world, and for that, I am grateful.
You are not feeling safe because this is still new to you, your brain, and your nervous system. This takes time. And like you said, it's not the "end of the world."

With time, most people eventually learn to let go of their fears and fully accept it as it is for now. Once you reach that stage, you will slowly start to feel safer in your own skin and around normal, everyday sounds.

It feels like forever in the stage you are in now, but I think there is a great chance you will be in a better place in another 6 to 8 months down the road.
 
You are not feeling safe because this is still new to you, your brain, and your nervous system. This takes time. And like you said, it's not the "end of the world."

With time, most people eventually learn to let go of their fears and fully accept it as it is for now. Once you reach that stage, you will slowly start to feel safer in your own skin and around normal, everyday sounds.

It feels like forever in the stage you are in now, but I think there is a great chance you will be in a better place in another 6 to 8 months down the road.
Unfortunately, my tinnitus started as a typical ringing but then went through a two-month trial by fire before settling back down. Because of that, I'm acutely aware of just how bad it can get.

That said, I'm in a better place when it comes to my tinnitus. Sure, some days it still upsets me, but I know it's still early days. Even if it worsens a bit over time, I could probably go about my life relatively normally by using extra protection and holding out for a future treatment.

But the idea of a sword of Damocles hanging over me—a life of constant, untreatable pain simply caused by everyday sounds, stealing any chance of truly living? That, I cannot accept.

If I knew there was a tinnitus-safe pill I could take if the pain reached an advanced stage, great—I'd be happy to risk a bit of normality. But there isn't. And neuralgia isn't called the suicide disease because it's a catchy slogan.
I'm in the same boat. Mine worsens almost daily, and my anxiety can't bear it.
Yes, unfortunately, I've always been an anxious person—this is not the condition for us.

I've seen from some of your other posts that you're going through benzodiazepine withdrawal. I can't imagine how hard that must be, but perhaps once you make it through to the other side, things will settle down with time.
 
Unfortunately, my tinnitus started as a typical ringing but then went through a two-month trial by fire before settling back down. Because of that, I'm acutely aware of just how bad it can get.

That said, I'm in a better place when it comes to my tinnitus. Sure, some days it still upsets me, but I know it's still early days. Even if it worsens a bit over time, I could probably go about my life relatively normally by using extra protection and holding out for a future treatment.

But the idea of a sword of Damocles hanging over me—a life of constant, untreatable pain simply caused by everyday sounds, stealing any chance of truly living? That, I cannot accept.

If I knew there was a tinnitus-safe pill I could take if the pain reached an advanced stage, great—I'd be happy to risk a bit of normality. But there isn't. And neuralgia isn't called the suicide disease because it's a catchy slogan.

Yes, unfortunately, I've always been an anxious person—this is not the condition for us.

I've seen from some of your other posts that you're going through benzodiazepine withdrawal. I can't imagine how hard that must be, but perhaps once you make it through to the other side, things will settle down with time.
Yes, anxiety, OCD, tinnitus, and benzodiazepine withdrawal—I'm facing the fight of my life. I've seen others here, far more well-adjusted than me, struggle to get through it, which makes me terrified.

I have so many tones. :/

Praying for you.
 
But the idea of a sword of Damocles hanging over me—a life of constant, untreatable pain simply caused by everyday sounds, stealing any chance of truly living? That, I cannot accept.

If I knew there was a tinnitus-safe pill I could take if the pain reached an advanced stage, great—I'd be happy to risk a bit of normality. But there isn't. And neuralgia isn't called the suicide disease because it's a catchy slogan.
I had neuralgia in my face for more than two years, so I understand what you're going through. I experienced constant facial pain, 24/7. When I was outdoors in the wind or strong sunlight, I had to cover my face because it felt like it was burning.

Despite all the suffering, I had no choice but to keep going—within limits, of course. Over time, it gradually improved. When I finally stopped obsessing over it, let go of negative thoughts, and worked through the trauma that had caused it, the pain slowly started to ease.

You might want to look into Botox injections in your masseter, and possibly your temporalis and SCM. This could help temporarily reduce or stop the firing of the trigeminal nerve, providing some relief.
 
I had neuralgia in my face for more than two years, so I understand what you're going through. I experienced constant facial pain, 24/7. When I was outdoors in the wind or strong sunlight, I had to cover my face because it felt like it was burning.

Despite all the suffering, I had no choice but to keep going—within limits, of course. Over time, it gradually improved. When I finally stopped obsessing over it, let go of negative thoughts, and worked through the trauma that had caused it, the pain slowly started to ease.

You might want to look into Botox injections in your masseter, and possibly your temporalis and SCM. This could help temporarily reduce or stop the firing of the trigeminal nerve, providing some relief.
Yikes, I'm sorry to hear that. Was yours sound-triggered, or was it a separate case of neuralgia? I haven't seen too many success stories of recovering from noxacusis, except in the short term.

I'll keep Botox in mind if it progresses, though I still have a baby face even in my mid-30s and worry about how much younger I could possibly look.
Yes, anxiety, OCD, tinnitus, and benzodiazepine withdrawal—I'm facing the fight of my life. I've seen others here, far more well-adjusted than me, struggle to get through it, which makes me terrified.

I have so many tones. :/

Praying for you.
How long has it been going on? I've only ever had to withdraw from smoking, and I wasn't dealing with tinnitus during that. The closest I can compare is my two-month period with a full-blown siren and multiple screaming tones layered on top in the mornings and evenings. It was harrowing and exhausting—I just wanted it to be over. But it did eventually get better, a lot better.

Just because you have this now doesn't mean you're stuck with it at this level forever. The withdrawals are making your anxiety and tinnitus worse. My only advice is to distract yourself as much as possible, constantly. I found an addictive game in my first month that helped me get through the worst of it.

I am not well-adjusted at all—never have been. ;) But you'll be surprised by how much inner strength you can pull from, even when you're totally breaking down and it doesn't feel like it. Even just crawling to bed for another day is an accomplishment.

There is another side.
 
Yikes, I'm sorry to hear that. Was yours sound-triggered, or was it a separate case of neuralgia? I haven't seen too many success stories of recovering from noxacusis, except in the short term.

I'll keep Botox in mind if it progresses, though I still have a baby face even in my mid-30s and worry about how much younger I could possibly look.

How long has it been going on? I've only ever had to withdraw from smoking, and I wasn't dealing with tinnitus during that. The closest I can compare is my two-month period with a full-blown siren and multiple screaming tones layered on top in the mornings and evenings. It was harrowing and exhausting—I just wanted it to be over. But it did eventually get better, a lot better.

Just because you have this now doesn't mean you're stuck with it at this level forever. The withdrawals are making your anxiety and tinnitus worse. My only advice is to distract yourself as much as possible, constantly. I found an addictive game in my first month that helped me get through the worst of it.

I am not well-adjusted at all—never have been. ;) But you'll be surprised by how much inner strength you can pull from, even when you're totally breaking down and it doesn't feel like it. Even just crawling to bed for another day is an accomplishment.

There is another side.
Yeah, I should have never taken a benzo. It's been going on for about two months—sirens, violins, screaming, extreme hyperacusis, and some noxacusis.

How did yours improve? Was it just distraction? Did you use protection?
 
Yikes, I'm sorry to hear that. Was yours sound-triggered, or was it a separate case of neuralgia? I haven't seen too many success stories of recovering from noxacusis, except in the short term.

I'll keep Botox in mind if it progresses, though I still have a baby face even in my mid-30s and worry about how much younger I could possibly look.
For me, it was mostly a separate case. As I mentioned, it was 24/7 but worsened with cold weather, hot weather, wind, touch, and so on.

And just to clarify, I'm referring to medical Botox, not cosmetic.

If you keep looking for "horror stories" about people who didn't improve, you're only making things harder for your own recovery. That's how our brains are wired—especially if you have a lot of anxiety and are completely fixated on it. I'd suggest stopping those searches and focusing on your own path to recovery.

Remember, many people who do get better don't take the time to write about it like I am now.

Wishing you the best on your journey.
 
For me, it was mostly a separate case. As I mentioned, it was 24/7 but worsened with cold weather, hot weather, wind, touch, and so on.

And just to clarify, I'm referring to medical Botox, not cosmetic.

If you keep looking for "horror stories" about people who didn't improve, you're only making things harder for your own recovery. That's how our brains are wired—especially if you have a lot of anxiety and are completely fixated on it. I'd suggest stopping those searches and focusing on your own path to recovery.

Remember, many people who do get better don't take the time to write about it like I am now.

Wishing you the best on your journey.
The comment about looking young was a joke—got to try and laugh a bit, haven't you?

That does sound truly horrible, and I'm sorry you went through it. However, it doesn't seem quite the same as the anxiety of having it triggered by everyday sounds, including my own voice. I also haven't found anyone with this variant who has had success with common neuralgia treatments.

Normally, I'd agree with you. In fact, when my tinnitus first started, I purposely avoided looking it up too much to steer clear of negativity (which, in hindsight, probably wasn't the best approach). But I haven't come across any cases of people recovering after more than a year, and even those who do seem to have reduced tolerance and longer recovery times. Unfortunately, that only reinforces my anxiety.

If I could find even a handful of good recovery stories to hold onto—I know these places tend to attract the worst cases, but surely someone would come back to report progress!—or if it were just the tinnitus itself, where many seem to go on to live fulfilling lives, I'd be much more motivated to focus on my own recovery. But with such a bleak outlook and the constant discomfort, it's much harder to ignore.

Still, I appreciate you trying. Thank you.
Yeah, I should have never taken a benzo. It's been going on for about two months—sirens, violins, screaming, extreme hyperacusis, and some noxacusis.

How did yours improve? Was it just distraction? Did you use protection?
I didn't use much protection at first, aside from avoiding loud sounds like a boiling kettle or a running bath. I also wore cotton wool in my ears while making dinner or when people were around, just as a general precaution. My ears felt delicate and would react with a dripping wet sensation and discomfort in response to sudden louder noises. At the time, I hadn't read up on things yet.

I believe my tinnitus worsened significantly due to the nasal steroids and antihistamines I was taking after being diagnosed with the classic Eustachian tube dysfunction (ETD). It turns out that antihistamines make me quite depressed, and nasal steroids, besides causing thick mucus to drain from my Eustachian tubes (which wasn't helping), also made me extremely stressed and anxious. That might be similar to how benzodiazepine withdrawals are affecting you. In fact, after realizing the steroids were messing me up, I had to take benzodiazepines for a few days just to cope with the horrific comedown.

During that time, I spent most of my days sitting in my room with the TV on and an air purifier running—probably louder than I should have had it, but I wasn't aware then that too much sound could be detrimental. That said, I think complete silence would have been a mistake, and it wasn't causing me any physical pain. I played games on my laptop from morning to night and watched comforting box sets to fall asleep. Gradually, over about eight weeks (though it felt much, much longer), things started to improve, even if only slightly. It was still absolutely horrible and soul-crushing, but with each small improvement, I got closer to being able to cope.

I kept telling myself, If it just gets a little quieter here, or if this sound fades, I can handle it. And, little by little, it did. Then the goalposts would move. The screams in the morning stopped. The siren-like sound backed off for slightly longer periods during the day, and its volume lowered a bit. When I went for walks outside, I didn't notice it as much—though I now wish I had protected my ears during those walks. Each time it reappeared, or when hyperacusis flared up, or when I developed a new symptom like pain up the side of my head, I had no idea what was happening, and it was incredibly challenging.

By the third month, while I was still exhausted and beaten down, I started to see some light at the end of the tunnel on certain days. It still flared up at night, and I experienced new symptoms like in-the-middle-of-the-head tinnitus, fluttering ears, or dropout tinnitus episodes. But around the 14-week mark, for the first time, I felt like Yeah, I can cope with this.

Now, after four months, I still have rough mornings, but it's at a level where I can manage. I can even relax with the TV at night—though I still need a bit of extra distraction, like doing a crossword, to fully concentrate.

Not everyone's experience follows the same course, but I got through the hardest thing I've ever endured while, at the same time, my father was passing from dementia in the next room. At one point, I felt so dissociated that I wasn't sure I could stop myself from doing something I wouldn't be able to take back. But I'm still here. They say that truly coming to terms with this horrible condition can take a year or two, so don't feel like this stage is forever.

If you can, I really recommend seeing a therapist, even just for a few sessions. Being able to fully unload on someone has made some of my darkest moments more manageable. Mine also guided me through relaxation exercises that, even if only briefly, helped me release some of the tension I had been carrying.
 
The comment about looking young was a joke—got to try and laugh a bit, haven't you?

That does sound truly horrible, and I'm sorry you went through it. However, it doesn't seem quite the same as the anxiety of having it triggered by everyday sounds, including my own voice. I also haven't found anyone with this variant who has had success with common neuralgia treatments.

Normally, I'd agree with you. In fact, when my tinnitus first started, I purposely avoided looking it up too much to steer clear of negativity (which, in hindsight, probably wasn't the best approach). But I haven't come across any cases of people recovering after more than a year, and even those who do seem to have reduced tolerance and longer recovery times. Unfortunately, that only reinforces my anxiety.
Oh, really? Was it a joke? I got that, mate. 😅

I'm not sure what you're trying to tell me. This isn't a contest of who's worse off. The trigeminal nerve is connected to the ear, so these mechanisms affect each other.

Honestly, I don't see much logic in what you wrote, except for the last sentence: "Unfortunately, that only reinforces my anxiety."

That's exactly my point. If you keep searching for answers online, you'll end up feeding your brain more "horror stories," which will only make your anxiety worse. Trust me, I've been there.

Neuralgias are fueled by stress and anxiety. They get significantly worse when you're stuck in a hypervigilant fight-or-flight cycle.

You won't find many "success stories" because:

a) Many people don't visit forums.

b) Those who improve move on with their lives, so you won't know they got better.

I'm not sure what you're hoping to get from this, but I hope you find what you're looking for.
 

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