The Habituation Process

I wrote the post below, at another forum and posted it here, as some people might find it helpful.

Michael Leigh

The habituation process.

Habituation is frequently talked about in tinnitus forums and probably comes in at second place to the popular question: when will a cure be found? It seems some people have become quite taken with this word and believe it is the most important thing to strive for when dealing with this condition. Everyone wants to habituate as soon as possible and carry on living their life doing everything that they want to and putting tinnitus firmly behind them.

I can honestly say that I see nothing wrong with that, but wanting something in the speed that we would like it isn’t always achievable, especially with something like tinnitus. A few people that have had tinnitus for a while have contacted me to discuss just that. They have concerns about the length of time it’s taking to habituate. Similarly, I have heard from those new to this condition that want the habitation process to start as quickly as possible. Both groups tell me they are doing all the right things but it seems patience is giving way to despondency and despair and some are starting to believe habituation might never happen for them.

It is of little comfort to these people when they hear family and friends say, tinnitus is just a minor irritant and something that can easily be ignored. Occasionally, it might be intrusive but this is never more than temporary and they are still able to carry on with their life unperturbed. I often sense the frustration a person is under when they are relaying this to me. Whether I’m talking to them on the telephone, private messenger or answering an email. It is then I’m often asked: why is it that the habituation process doesn’t seem to be happening for them?

Answering such a question isn’t easy because there is no single answer that I can provide but I will say this. Tinnitus is a common condition that comes in many forms and intensities and no two people experience it the same. It can be very troublesome especially in the early stages of onset, but gradually this gives way and the condition settles down and in time many manage to cope with it when it’s mild or moderate. Sometimes this may involve treatment via a hearing therapist or a person achieves this naturally without being referred to a clinic.

It should be noted that tinnitus can be a complex condition, depending on how loud and intrusive it is for the individual? So what I’ve just outlined won’t apply to everyone. There are other factors that also come into play. A person’s make-up or rather their outlook on life. Whether they are positive or negative thinking can help or delay the habitation process. In addition to this, stress and anxiety are often associated with tinnitus and a person might be taking medication such as an antidepressant to help cope with it. There are a myriad of scenarios that I could relay to you on how tinnitus can affect someone’s quality of life, their well-being and the habituation process. For now I will say this:

When a person habituates to tinnitus it means they are able cope with it but this doesn’t mean they will never hear it. Although some people habituate to a level where the tinnitus is rarely heard or stays at a very low level. Whether the tinnitus is silent for periods of time or remains low, mild, moderate or is occasionally intrusive, it doesn’t really matter, because it all means the same thing. When habituation is reached a person will know, because whatever the level it will not bother you.

However, like everything there are exceptions and tinnitus is no different. I believe there are some limitations to habituation. As I have previously said the condition comes in many forms and intensities. Some people have variable tinnitus that can fluctuate from: silent, mild, moderate and severe. When it is loud and intrusive (severe) and this level is sustained for long periods it can become very debilitating and a person might have to take medication to cope with it, which is usually supplied by their doctor. This level of sustained intrusiveness shouldn’t be confused with a tinnitus spike, which usually returns to baseline within a short period of time.

I want to say that I believe habituation is achievable for most people with time. In some instances a person might need the professional help of a Hearing Therapist or Audiologist, as there are a variety of treatment options available to help one in the habituation process. One should also try to be realistic. There are some people that will accept nothing less than a complete cure from their tinnitus and this is unfortunate, because they could waste a lot of time being miserable.

I have corresponded with people that have said, their tinnitus is very low and is only heard occasionally or in a quiet room, at night for instance. Yet these people are not satisfied because they want a complete cure and will deliberately seek out quiet surroundings to monitor their tinnitus, checking to see if it has increased or not. It’s as if they have become obsessed with this condition and to the point where is starts to affect their relationship with those that are close to them, and I don’t think this is healthy.

In summing up I want to say one last thing. Those that are having treatment with a Hearing Therapist, Audiologist, or finding that their tinnitus is becoming less intrusive and they are in the habituation process. Try not to read negative posts or associate with negative thinking people who are not in the same place that you are, as their beliefs can prevent your advancement, if you are not careful.

I wish you well

Michael

PS: further reading on habituation:

Tinnitus, A Personal View

Answers to Hyperacusis and Habituation

Hyperacusis, As I see it.

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10 Replies

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  • Thanks Michael. Another face from TT. Sorry I had to leave that one.

    Your posts are always helpful.

  • Thank you for your kind comments Slipware. TT is a good forum and has some very experienced people there that are knowledgeable in tinnitus, hyperacusis and the auditory system. However, it can take time to get used to because of the large audience that it attracts from all over the world. Difference of opinions and customs vary a lot and arguments sometimes result, but we usually find a way through it.

    All the best

    Michael

  • It wasn't the arguments or wide audience it was the fact that so many people say they are suicidal. Heart breaking. Can't read them and more. It just depresses me.

  • I fully understand that Slipware. TT isn't for everyone especially those seeking help they can do without reading those sort of problems.

    Michael

  • We need to keep positive, however low we may feel.

  • Hi Slipware, I briefly went on to TT when I first got T and I fell deeper into my home of despair. Thank goodness I soon found the BTA forum which was and still is a great place! Angela xx

  • I can fully understand your reasons for leaving TT Angela. There are some very helpful people there but unfortunately there's a lot of negativity too. This can be harmful.

    All the best

    Michael

  • Guess it depends how one defines negative and also support. Is it negative to reach out for help when one is in so much tinnitus pain ( like electric current going through ones body 24/7 , exhaustion ) despite continuing to be positive for others, to carry on going as best one can. Yes , it can be upsetting to see how bad people can get, but when mine was not so bad I was grateful that at that time I could have been in a worse place and feeling for others , now the place I am in ( CFS developing as a result of the tinnitus onslaught ) I am pleased that others are not in my place , and truly and genuinely pleased that there is help for people in other parts of the country. Please don't let us deny the variety of experience coming together. The worse it gets the more support is needed, and if NHS doesn't provide it then ourselves have to help each other, or we are totally isolated.

  • Hi Lindsay , I agree we should all feel we can come here for support and help . Think this group just a bit more upbeat then other forum . I felt only despair when reading some other posts . This is only forum I am on now and does help me on bad days to hear how other people manage . I hope you get some help , I also suffer with extreme fatigue and know how difficult it can be ! Hugs emma

  • I don’t regard someone reaching out for help and support for their tinnitus to be negative or explaining how the condition makes them feel, as there would be no point in having a support forum. The forum where my post was originally intended, some of the people go out of their way to criticize and denounce all treatments for tinnitus, by saying they are ineffective which is not true. This can be harmful to someone seeking help, or having treatment via a hearing therapist for instance. Those that are trapped in a downward spiral go further than this. I suspect this was one of the reasons some of the members on this thread left TT.

    Michael

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