I want everyone to be helped from this hell. If CBT helps some people then I would never stop them. I suspect, with rare exception, these are people with less severe symptoms but greater OCD and anxiety at baseline. I have seen CBT help a friend with (non medically related) PTSD.
A counter example though: I was denied intratympanic steroids but was offered referral for counseling and anxiety meds. I truly believe my outcome might have been different otherwise.
Hell, knowing what I know now, I would have written a script myself for high dose oral steroids for a pet--even if it cost me my license.
I was literally told by the ENT I saw on emergency that my extreme anxiety was making all my hearing symptoms and tinnitus worse. This was before my extended audiogram so they didn't even believe I had any actual hearing difficulties. My doctor had never heard that macrolides can be ototoxic so assumed my distress was causing a big cause of the problem, not the other way around. It took an extended audiogram to change that.
Anyway, I did end up going to a psychiatrist and then eventually, much later, following up with CBT. It didn't help me. I think intelligence has nothing to do with this btw, I have a very intelligent friend (also a vet) who told me that mudras would cure me because they can fix her health problems too. Some people have minds that are maybe more adaptable in this way, or they have vast emotional support to help them through hell or their symptoms just aren't as bad. Or, in my case, I was never that visually focused and hearing/music was everything to me. Etc. Etc.
Whatever it is about me, no I can't accept this. But I believe that aspect will help me look into clinical trials and keep researching and find actual relief one day.
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