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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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

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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.

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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

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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.

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