Tinnitus and mental health.
Type tinnitus into any search engine and you will see links to thousands of websites. They will explain its symptoms, causes and a variety of treatments that are available in the medical field. It seems everyone is catered for, because there is no shortage of information on alternative medicine or natural remedies for anyone wanting to pursue these routes. Those new to tinnitus sometimes feel isolated by it and therefore, it might be comforting to read, that millions of people around the world experience this condition and most learn to live with it.
Reassuring as this seems, learning to live with tinnitus and getting to a point where one accepts it and is not troubled by noise is easier said than done for some people. The reason being, the habituation process can be a mysterious one with many twists and turns along its path. Just when you think you’ve got a handle on it and a corner has been turned. A spike or the sudden introduction of a new sound can be a stark reminder that you haven’t quite reached there yet. This is particularly true for those new to the condition and similarly, for anyone that has been seasoned to it for a while and noticed a resurgence in intensity for one reason or another.
Since the majority of people learn to live with tinnitus it is reasonable to assume the condition stays relatively mild or moderate for them most of the time. Therefore, it might not always be necessary to see the GP. If it does, a consultation will usually allay any fears that there is nothing drastically wrong. Providing no pain is experienced in the ears and there is no problem with balance, dizziness or deafness, patients are usually told it’s tinnitus and they will get used to it. However, nothing is for certain as we are all different. It is not uncommon for some people to be feeling stressed or anxious by the noise in the early stages.
A light sedation or an antidepressant can often help a person to cope until the tinnitus settles down and one habituates. A referral to ENT for tests might be recommend just to make sure everything is as it should be and there are no signs of hearing loss which can cause tinnitus.
If there are no additional symptoms as mentioned above, when does it become necessary to seek more professional help for tinnitus if habituation is proving to be difficult? There is no definite time frame for this, although someone new to the condition a period of up to six months perhaps a little longer, is considered an acceptable amount of time to habituate. A lot depends on one’s personality and emotional makeup. If they find coping with daily life too difficult, this can increase stress and affect their mental well being and this needs to be kept in check.
Although an antidepressant can help a person not to become too down, some people are averse to taking them and prefer to go it alone, which isn’t always the best choice.
My opinion on this is that tinnitus and a person’s mental health are integrated. The more stressed we become the more intrusive the tinnitus will be and vice versa. Anything that helps to relax us will usually have a positive impact on the tinnitus and make it more tolerable. Counselling with Hearing Therapist or Audiologist trained in tinnitus management can be of immense help and should be considered.
The therapist discusses with the patient how the tinnitus makes them feel and how it has impacted on their life. Often people say they have lost interest in the things they once liked doing, which is understandable. Those they are close to particularly loved one’s don’t understand what they are going through which can put a lot of strain on a relationship. Talk therapy can help a person to look at life differently and with a more positive outlook. Over time the negative thinking that is often associated with tinnitus is gradually dispelled and demystified.
The therapist does this in a controlled and precise manner so that the patient feels relaxed and not pressured. In many instances the tinnitus is gradually pushed further into the background making it less prominent. I believe tinnitus counselling with or without medication can go a long way in helping a person to have a better quality of life.
Michael
PS: When someone with tinnitus is referred for counselling, I believe this is best done with a Hearing Therapist or Audiologist who has been trained in the management of tinnitus. Often these people have tinnitus or experienced it at some time in their life. Therefore, they will have a depth of understanding and be able to empathize with a patient rather than someone who is just a counsellor, psychotherapist or psychiatrist with no experience of tinnitus.
People have contacted me who have been referred to the health professionals I have mentioned, and the first thing they have been told: I know nothing about tinnitus.
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