Tinnitus Retraining Therapy by Pawel J. Jastreboff & Jonathan W. P. Hazell

Author:Pawel J. Jastreboff & Jonathan W. P. Hazell [Jastreboff]
Language: eng
Format: epub
Publisher: CAMBRIDGE UNIVERSITY PRESS
Published: 2013-01-29T16:00:00+00:00

Inadequate initial counseling or lack of sufficient follow-up visits

Some patients find it very difficult to follow the protocol: they fail to make the effort of following sound therapy; they think they know better or simply misunderstand instructions. Sometimes, it appears that a patient is doing the right things, but careful questioning reveals problems that need to be addressed. Repetition of the elements of the initial counseling, presented in a different perhaps simplified manner, with checking for comprehension, and increasing the frequency of follow-up visits is usually helpful. Remember that for initiating habituation of tinnitus it is essential to reclassify tinnitus to a category of neutral stimuli. It might not be achieved during initial counseling, so that repeating the description of the neurophysiological model is necessary to assure reclassification of tinnitus.

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