@Bill Bauer ~ I gave a lot of thought to ear plugs and ear muffs. I bought a set of Peltor ear muffs, but not ear plugs because I'm afraid of getting an ear infection from ear plugs.
A month after my acoustic trauma, I got an ear infection (the first in my life) and had to go to a doctor. I'm terrified of doctors. I told the doctor of my acoustic trauma. I told her that I had tinnitus from that moment on. She examined my ear, said I had an infection, and gave me antibiotics which were obviously ototoxic because when I took the first pill my T became a lot louder. At first I didn't make the connection, but the second day I took my dose and once again the T was louder for several hours. I continued my prescription on the assumption that the spikes were temporary, but I have since learned that I was lucky that they were temporary. Some people are permanently damaged by antibiotics. And it was a doctor who knew I had T who gave me a prescription that could have made me worse! So I want to avoid infections.
The problem with ear muffs is that if I wear them for something as ordinary as going into a store I'll be called crazy. So far my solution has been to not go anywhere that would necessitate ear protection. I don't go anywhere much anyway, so this didn't seem to be a problem. I had been in this card store in the past and the door didn't beep then, but apparently they added it. So even my very limited life puts me in danger and I have to rethink my strategy. If only I could just wear the ear muffs when I'm outside!
This is my dilemma. I've been trying to desensitize by exposing myself to everyday sounds, and by that I mean, sounds that are part of my everyday life. But when there's a sound that's not part of my everyday life, I have no idea if it's loud enough and close enough to hurt me.
When something unexpected happens, I have to wait a while to see if there's permanent damage. Right now, my T seems louder, but I can't yet tell if it's really louder or if I'm just more aware of it than usual. But what is undeniable is that I have a click when I swallow. I had this also a month ago from a truck horn. I find this even more disturbing than the T. I'm trying to reduce my anxiety because I believe the clicks are from TTTS and relaxing my muscles will make it go away, but it's really hard to relax when I'm trying not to swallow.
I seriously consider all the strategies that work for other people and I realize that it seems like I reject everything, but everything has a drawback and I don't know which risk is worse. If I wear ear plugs, I risk infection. If I wear ear muffs, I get called crazy (and that probably doesn't seem that bad, but I have to live with the verbal barrage). If I wear nothing, I risk unexpected and potentially dangerous noises.
On the subject of "negative thinking" and anxiety ~ If I knew for a fact that a noise couldn't harm me, I would have no problem exposing myself to it. I learned "exposure & response prevention" and I know it's a good technique. But the goal of ERP is to expose yourself to things that give you anxiety but can't actually harm you. The problem with the high-pitched tones is, I don't know if they can harm me. So I don't know if I should be exposing myself to them. I don't want to assume they can't harm me and then find out I was wrong. I also don't want to avoid harmless noises and cause H to last longer than it should. I'm paralyzed by indecision because I don't have the fact I need to make an informed choice.