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Clients who present with audiological problems frequently experience a psychological component which acts to exacerbate or maintain their condition. Specific cognitive behavioral models exist for both tinnitus and hyperacusis, and for balance disorders such as persistent postural perceptual dizziness (PPPD). Similar to other physical health conditions ACT and mindfulness have also been demonstrated to be helpful treatment approaches.

Information handouts


Richard Tyler at the University of Iowa has developed some excellent teaching materials which are useful for psychologists working with tinnitus.

  1. Introduction archived copy
  2. Thoughts and emotions archived copy
  3. Thoughts and emotions review archived copy
  4. Hearing and communication archived copy
  5. Review of hearing and communication archived copy
  6. Sleep archived copy
  7. Review of sleep archived copy
  8. Concentration archived copy
  9. Review of concentration archived copy
  10. Summary archived copy
  • Tinnitus retraining therapy based on the Jastreboff Model (Jonathan Hazell)
  • Illustrations used in Tinnitus Retraining counselling download
  • ‘Things that go bump in the night’ – description of how contraction of the tensor tympani muscle can produce unusual/uncomfortable sensations in the ear download

Balance disorders

  • Testing strategies for patients with hyperacusis – Dr Gail Whitelaw download  archived copy
  • PPPD: Early detection and integrative rehabilitation therapy improves outcomes – presentation by Jennifer Fay, Artmis Youseefnia, Tara Denham, Eva Mihovich download archived copy


  • Andersson, G. (2002). Psychological aspects of tinnitus and the application of cognitive-behavioural therapy. Clinical Psychology Review, 22(7), 977-990.
  • Henry, J. L., Wilson, P. H. (2002). Tinnitus: A self-management guide for the ringing in your ears. Boston: Allyn & Bacon. download archived copy
  • McKenna, L., Handscomb, L., Hoare, D. J., & Hall, D. A. (2014). A scientific cognitive-behavioral model of tinnitus: novel conceptualizations of tinnitus distress. Frontiers in neurology, 5 download
  • McKenna, L,. Baguley, D., McFerran, D. J. (2010). Living with tinnitus and hyperacusis. London: Sheldon

Persistent Postural Perceptual Dizziness

  • Edelman, S., Mahoney, A. E., & Cremer, P. D. (2012). Cognitive behavior therapy for chronic subjective dizziness: a randomized, controlled trial. American journal of otolaryngology33(4), 395-401.
  • Mahoney, A. E., Edelman, S., & Cremer, P. D. (2013). Cognitive behavior therapy for chronic subjective dizziness: longer-term gains and predictors of disability. American journal of otolaryngology34(2), 115-120.
  • Whalley, M. G., & Cane, D. A. (2016). A Cognitive-Behavioral Model of Persistent Postural-Perceptual Dizziness. Cognitive and Behavioral Practice download


  • Edelstein, M., Brang, D., Rouw, R., & Ramachandran, V. S. (2013). Misophonia: physiological investigations and case descriptions. Childhood3, 27  download
  • Schröder, A., Vulink, N., & Denys, D. (2013). Misophonia: diagnostic criteria for a new psychiatric disorder. PLoS One8(1), e54706  download

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