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What Keeps Tinnitus Going

What Keeps Tinnitus Going is a tinnitus formulation diagram which combines information about neurological-level change (the brain’s ‘filter’) and psychological-level change (thoughts, feelings, and behavior) to come to an understanding of why tinnitus often fails to improve.

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A PDF of the resource, theoretical background, suggested therapist questions and prompts.

Client version

A PDF of the resource plus client-friendly instructions where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

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Languages this resource is available in

  • Chinese (Simplified)
  • Czech
  • English (GB)
  • English (US)
  • Spanish (International)

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Introduction & Theoretical Background

What Keeps Tinnitus Going? is a tinnitus formulation diagram which combines information about neurological-level change (the brain's 'filter') and psychological-level change (thoughts, feelings, and behavior). It describes how changes in the brain's auditory 'filter' can lead to the experience of tinnitus, and how emotional arousal acts to maintain the changes in how the filter operates.

Therapist Guidance

This is a Psychology Tools information handout. Suggested uses include:
  • Client handout - use as a psychoeducation resource
  • Discussion point - use to provoke a discussion and explore client beliefs
  • Therapist learning tool - improve your familiarity with a psychological construct
  • Teaching resource - use as a learning tool during training

References And Further Reading

  • McKenna, L., Handscombe, L., Hoare, D. J., Hall, D. A. (2014). A scientific cognitive-behavioural model of tinnitus: novel conceptualizations of tinnitus distress. Frontiers in Neurology, 5, 1-15.