Can people who have habituated or gotten better at managing their tinnitus offer advice?
Struggling at 9 months in.
I have what is probably bog standard tinnitus, in the sense that it varies from loud to very loud (with occasional quiet days thrown into the mix). It's reactive too, and consists of several tones and sounds, though they all seem to coalesce during a spike.
I can tell you that it took a lot longer than 9 months to get a handle on it. The cerebral method of CBT didn't help much because it involves engaging with the way one
thinks about tinnitus, whereas my issue was managing the tsunami of overwhelmingly aversive emotions that quite naturally arise in relation to a noise that hogs the auditory landscape. That said, a lot of people swear by Jane Henry and Peter Wilson's
The Psychological Management of Chronic Tinnitus, which serves both as a guide and workbook to achieving habituation.
The approach I used that was finally successful was Mindfulness, specifically the programme outlined for dealing with chronic pain in John Kabat-Zinn's
Full Catastrophe Living. But even then, it wasn't easy. There were false starts and a period when I went around looking for trees near where I live with branches that might support the weight of a suicide attempt. I should also add that I was chaperoned by sporadic but profound suicidal ideations at plenty of other times too.
One experience that marked a turning point was when I was sat in meditation but caught up in the usual cluster of catastrophic thoughts that are a constant accompaniment to the onset and onslaught of tinnitus and the descent into torment, including, on this occasion, 'This method isn't working either.' But at that juncture I also realized that I had a choice. I could carry on buying into the tinnitus persona I had created, one that had grown to be as substantial as that of a well-drawn character invented by an accomplished novelist. Or I could go about things differently.
Existentialist philosophers claim that we can never think away free will. Or at least that's what the great English interlocutor of this brand of philosophy, Mary Warnock, claims. Personally, I find the case for hard determinism more convincing. But that's another story.
Anyway, after that, things got slightly, very slightly, better. Progress with tinnitus was still almost imperceptibly slow and incremental, proceeding in baby steps. Plus, it was also a game of snakes and ladders. I'd think that I'd finally got there, and then the shape-shifting tinnitus would try to convince me that it morphed into something even more malign. Plus, I had to deal with the onset of Tensor Tympani Syndrome for a while too.
Looking back now, I see this state, which persisted for quite some time, as indicating that I was only shakily and partly habituated. But in the end, I got to the point I am at now, where tinnitus is occasionally annoying and intrusive, but for the most part gets relegated to the background, in spite of its volume.
So there you are. This journey took about 5 years. But I am a slow learner. Typically, many get to this point in much less time.
One other thing that helped was reading the writings of the late Darlene Cohen (who successfully dealt with rheumatoid arthritis and eventually even achieved an admirable kind of Mexican stand-off with terminal cancer), a formidable character who was also an excellent prose stylist.
So her book
Finding a Joyful Life in the Heart of Pain is entertaining as well as inspirational. In spite of the off-puttingly New Agey sounding title, it is light years away from anything in that dodgy genre of literature.
Anyway, it's early days yet. So don't beat yourself up if you aren't doing quite so well right now.
Hope this helps in some way.