"You only habituated because you have a mild case".
"It is impossible to ignore this hellscape of loud and varied tones, you don't know what suffering is. I have a severe case."
"I am just trying to hang on until a cure is found."
"I am sick and tired of people with mild cases parading their success stories around, it pisses me off."
Many people with tinnitus and its close cousins hyperacusis and noxacusis suffer tremendously. Tinnitus Talk is filled with people deeply affected by this condition. The largest thread on this forum is called "Suicidal" so clearly many people have their lives deeply affected by this condition. The sounds are real, the suffering is real, the devastation of so many lives is real. Here's the thing. Tinnitus Talk is also filled with success stories. In addition, tinnitus affects 10-20% of the entire population (that's a BILLION people) and the vast majority of people with tinnitus do not have their lives brought to ruin. How many have you discovered to have tinnitus only after you started talking about it? About 35,000 of us are registered here, a relatively small number.
Some statistics from a scholarly article on the subject:
So why are most people barely affected and some pushed to the absolute limit of survival? Are there mild and severe cases? To be sure, but what does that mean? Is it decibels, frequency, number of discrete noises, distortion levels, ... It's a lot easier to ignore a pleasant low level hiss that sounds like a sea shell than perhaps jackhammer noises and possessed screech owl noises for sure. The latter is a bigger hill to climb. Consider, however, that the physical characteristics of the sounds does not tell the entire story. There are multiple threads here where a member is absolutely devastated by their tinnitus but yet they report that they have to go into a quite room to find it. Others talk of tinnitus so loud that they can't hear the people talking in the room but yet they habituated. So what gives, what does mild or severe case really mean? Why are the numbers severely devastated so small compared to the universe of tinnitus?
The clinical experience of professionals studying the workings of the brain as well as those who treat tinnitus and other ailments with a high distress component talk about a model where there is the original arrival of the sounds, the initial shock of this new unwanted visitor living rent free in our heads AND then our reaction to the new visitor. Some people have a much higher tendency to having a hypervigilant reaction to these sounds, they have a harder time accepting the freeloader as the new normal, a non threat, an unimportant change that is merely the result of ageing and/or exposures to life (and headphones of course). It's the same reason why some people absolutely love living in NYC with traffic noises, constructions, jack hammers, car horns, etc and some people cannot fall asleep if they faintly hear a TV 3 doors down the hall. It is the combination of the original new sounds and our reaction to them, our emotional relationship with the "beast".
I have no idea if there will ever be a "cure" for tinnitus but there is something that you can do right now to get relief if tinnitus is ruining your life. There are lots of names for exploring our emotional reaction to our tinnitus - Back to Silence, CBT, mindfulness, ... Bullshit or effective? A published study on the subject:
Another study on the subject:
And finally, a search of published literature on the subject:
There are two takeaways from this research. First, techniques such as mindfulness or CBT where you learn to accept tinnitus and reduce the relevance of and focus on tinnitus makes you better AND it does not matter how severe your initial reported symptoms and perceptions are. Yes, there are more mild and more severe cases but our emotional reaction to the new condition are part of mild vs. severe and all cases can be helped by improving our reaction to it, our relationship with it. Our emotions about it.
Get out the flamethrower if you must but consider the reasons for such a reaction should you have it. If you need your tinnitus, if your current goal does not involve getting better, if you're here for other reasons that's cool, continue on your journey. Your life, your choice but for those who are here to find things that can make them better there is an opportunity for a better life for every one on Tinnitus Talk. If you are looking for hope and guidance, science based options for relief then this may help you. I have no dog in this hunt, just my own life experiences with chronic illness and unspeakable loss and what I have learned through research. Also remember that not all books and practitioners are created equal. Sometimes you have to bring your car to several mechanics before you find one that fixes it right.
No judgement, I just have a heartfelt need to try to help people get better. It's a calling born out of the loss of my dear wife and all of my friends to cancer and my struggles with my two cancers. Tinnitus brought me here but these events have elevated my purpose in life.
George
"It is impossible to ignore this hellscape of loud and varied tones, you don't know what suffering is. I have a severe case."
"I am just trying to hang on until a cure is found."
"I am sick and tired of people with mild cases parading their success stories around, it pisses me off."
Many people with tinnitus and its close cousins hyperacusis and noxacusis suffer tremendously. Tinnitus Talk is filled with people deeply affected by this condition. The largest thread on this forum is called "Suicidal" so clearly many people have their lives deeply affected by this condition. The sounds are real, the suffering is real, the devastation of so many lives is real. Here's the thing. Tinnitus Talk is also filled with success stories. In addition, tinnitus affects 10-20% of the entire population (that's a BILLION people) and the vast majority of people with tinnitus do not have their lives brought to ruin. How many have you discovered to have tinnitus only after you started talking about it? About 35,000 of us are registered here, a relatively small number.
Some statistics from a scholarly article on the subject:
"Tinnitus, described as a sensation or awareness of sound that is not caused by an external sound source, affects approximately six million people in the UK -- 10 percent of the UK's population. Approximately 1 in 100 people are very distressed or disabled by it and as many as 1 in 20 people are at least moderately distressed by it. Tinnitus is associated with complaints of emotional stress, insomnia, auditory perceptual problems and concentration problems"
So why are most people barely affected and some pushed to the absolute limit of survival? Are there mild and severe cases? To be sure, but what does that mean? Is it decibels, frequency, number of discrete noises, distortion levels, ... It's a lot easier to ignore a pleasant low level hiss that sounds like a sea shell than perhaps jackhammer noises and possessed screech owl noises for sure. The latter is a bigger hill to climb. Consider, however, that the physical characteristics of the sounds does not tell the entire story. There are multiple threads here where a member is absolutely devastated by their tinnitus but yet they report that they have to go into a quite room to find it. Others talk of tinnitus so loud that they can't hear the people talking in the room but yet they habituated. So what gives, what does mild or severe case really mean? Why are the numbers severely devastated so small compared to the universe of tinnitus?
The clinical experience of professionals studying the workings of the brain as well as those who treat tinnitus and other ailments with a high distress component talk about a model where there is the original arrival of the sounds, the initial shock of this new unwanted visitor living rent free in our heads AND then our reaction to the new visitor. Some people have a much higher tendency to having a hypervigilant reaction to these sounds, they have a harder time accepting the freeloader as the new normal, a non threat, an unimportant change that is merely the result of ageing and/or exposures to life (and headphones of course). It's the same reason why some people absolutely love living in NYC with traffic noises, constructions, jack hammers, car horns, etc and some people cannot fall asleep if they faintly hear a TV 3 doors down the hall. It is the combination of the original new sounds and our reaction to them, our emotional relationship with the "beast".
I have no idea if there will ever be a "cure" for tinnitus but there is something that you can do right now to get relief if tinnitus is ruining your life. There are lots of names for exploring our emotional reaction to our tinnitus - Back to Silence, CBT, mindfulness, ... Bullshit or effective? A published study on the subject:
"In a study of 182 adults with chronic tinnitus distress, MBCT-t resulted in significant, reliable improvements. These improvements occurred regardless of tinnitus severity or comorbidity (e.g., hearing loss, hyperacusis)."
Another study on the subject:
"Results: A total of 75 patients were randomly allocated to MBCT (n = 39) or RT (n = 36). Both groups showed significant reductions in tinnitus severity and loudness, psychological distress, anxiety, depression, and disability. MBCT led to a significantly greater reduction in tinnitus severity than RT. Treatment was effective regardless of initial tinnitus severity, duration, or hearing loss."
And finally, a search of published literature on the subject:
"Results: The systematic search yielded seven articles (425 patients). Three randomized controlled trials (RCTs), three cohort studies and one comparative controlled trial. Different types of MBIs, including MBCT and MBSR, were assessed with various questionnaires. Two of three RCTs showed a statistically significant decrease in tinnitus distress scores directly after treatment in the mindfulness group compared to the control group. Six of seven studies showed statistically significant decrease in tinnitus distress scores directly after mindfulness therapy. One of three RCTs showed a statistically significant improvement of depression questionnaire scores after MBI compared to the control group directly post treatment."
There are two takeaways from this research. First, techniques such as mindfulness or CBT where you learn to accept tinnitus and reduce the relevance of and focus on tinnitus makes you better AND it does not matter how severe your initial reported symptoms and perceptions are. Yes, there are more mild and more severe cases but our emotional reaction to the new condition are part of mild vs. severe and all cases can be helped by improving our reaction to it, our relationship with it. Our emotions about it.
Get out the flamethrower if you must but consider the reasons for such a reaction should you have it. If you need your tinnitus, if your current goal does not involve getting better, if you're here for other reasons that's cool, continue on your journey. Your life, your choice but for those who are here to find things that can make them better there is an opportunity for a better life for every one on Tinnitus Talk. If you are looking for hope and guidance, science based options for relief then this may help you. I have no dog in this hunt, just my own life experiences with chronic illness and unspeakable loss and what I have learned through research. Also remember that not all books and practitioners are created equal. Sometimes you have to bring your car to several mechanics before you find one that fixes it right.
No judgement, I just have a heartfelt need to try to help people get better. It's a calling born out of the loss of my dear wife and all of my friends to cancer and my struggles with my two cancers. Tinnitus brought me here but these events have elevated my purpose in life.
George