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What Causes Tinnitus?

Tinnitus is thought to be maintained by changes in perception, cognition, and behavior. This information handout is a simple introduction to the psychological approach to tinnuitus.

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Notice: The 'Fillable PDF' format has been retired. For resources with form elements, both the 'Professional' and 'Client' versions are now available as fillable PDFs by default.

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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Languages this resource is available in

  • Czech
  • English (GB)
  • English (US)
  • French
  • Italian
  • Spanish (International)

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Introduction & Theoretical Background

Tinnitus is thought to be associated with changes in the way in which the brain processes information. Normally a filter operates to 'tune out' unnecessary noises - including physiological noises - allowing for habituation to certain noises. In tinnitus this mechanism seems to fail - leading to awareness of physioloigcal noises. Awareness and particular attributions can lead to emotional reactions, which can exacerbate perception of the noise. What Causes Tinnitus? is a description of this process. This information sheet forms part of a cognitive-behavioral understanding of tinnitus.

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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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