Tinnitus Treatment: Clinical Protocols

Description

The quintessential clinical guide for audiologists on tinnitus and hyperacusis patient management Since publication of the first edition in 2005, new developments have impacted the treatment paradigm for tinnitus, such as sensory meditation and mindfulness. Tinnitus Treatment: Clinical Protocols, Second Edition, by world-renowned tinnitus experts and distinguished authors Richard S. Tyler and Ann Perreau provides comprehensive background information, up-to-date strategies, essential tools, and online supplementary materials grounded in years of clinical experience and research. It fills a gap in graduate education and available materials to empower audiologists to effectively treat patients suffering from bothersome to severely debilitating symptoms associated with tinnitus or hyperacusis. The textbook includes 15 chapters, starting with three chapters on tinnitus models, treatment approaches, and self-treatment options. The next three chapters summarize counseling approaches for audiologists and psychologists, including introduction of the three-track psychological counseling program for managing tinnitus. Chapters 7 and 8 discuss the use of hearing aids in patients with hearing loss-related tinnitus and sound therapy using wearable devices. Chapter 9 covers smartphone apps for tinnitus assessment, management, and education and wellness, including discussion of limitations. The last six chapters provide guidance on tinnitus management topics including treating children, implementing outcome measures, hyperacusis treatment, and future directions. Key Features New relaxation/distraction tactics including meditation, mindfulness, guided imagery, biofeedback, progressive muscle relaxation, art and music therapy, exercise, and exploration of new hobbiesTreatment guidance for patients with tinnitus associated with Meniere's disease, vestibular schwannoma, unilateral sudden sensorineural hearing loss, and middle ear myoclonusDiscussion and research-based evidence covering Internet-delivered self-help treatment strategiesNew supplemental videos, brochures, handouts, questionnaires, and datasheets enhance knowledge, scope of practice, and incorporation of effective approaches into clinical practice This is a must-have resource for every audiology student and advanced courses, as well as essential reading for all audiologists who feel underprepared in managing tinnitus and/or hyperacusis. This book includes complimentary access to a digital copy on https://medone.thieme.com. Tinnitus Treatment: Clinical Protocols MedOne Access Information Title Page Copyright Contents Videos Foreword Preface Acknowledgments Contributors 1 Neurophysiological Models, Psychological Models, and Treatments for Tinnitus 1.1 What Is Tinnitus? 1.2 Neurophysiological Models of Tinnitus 1.3 Psychological Models of Tinnitus 1.4 Categories of Tinnitus Treatments 1.5 Counseling in the Treatment of Tinnitus 1.5.1 Be Supportive 1.5.2 Provide Information 1.5.3 Components of Counseling 1.5.4 Examples of Counseling Treatment Protocols 1.6 Sound Therapies for Treating Patients’ Reactions to Tinnitus 1.6.1 Counseling for Sound Therapies 1.6.2 Use of Hearing Aids 1.6.3 Music Therapy 1.6.4 Hyperacusis 1.7 Obstacles to Tinnitus Treatment 1.7.1 Negative Beliefs by Clinicians or Patients 1.8 Conclusion Appendix 1.1 Tinnitus 2 Treating Tinnitus in Patients with Otologic Conditions 2.1 Treating Tinnitus in Patients with Meniere’s Disease 2.1.1 Treatment Protocol 2.2 Treating Tinnitus in Patientswith a Vestibular Schwannoma 2.2.1 Treatment Protocols 2.3 Treating Tinnitus in Patients with Unilateral Sudden Sensorineural Hearing Loss 2.3.1 Early Intervention 2.3.2 Information Regarding Mechanisms 2.3.3 Hearing Therapy 2.3.4 Treating Tinnitus Associated with Middle Ear Myoclonus 2.4 Other Relevant Conditions 2.5 Conclusion 3 Internet-Delivered Guided Self-Help Treatments for Tinnitus 3.1 Background 3.1.1 Tinnitus and Self-Help Material 3.2 Internet-Delivered GuidedSelf-Help 3.2.1 Technical Functionality of the Internet Platform 3.2.2 Conducting Assessments 3.2.3 Theoretical Foundation of the Intervention 3.2.4 The Intervention Content 3.2.5 Supporting Patients 3.2.6 Fostering Adherence 3.3 Evaluation of Internet-Interventions for Tinnitus and Potential Problems 3.3.1 Effects of the Internet-Based Self-Help for Tinnitus 3.3.2 Problems Related to Dropouts and Compliance 3.3.3 Security and Technical Concerns 3.4 Conclusion Appendix 3.1 Suggested Self-Help Resources for Tinnitus Appendix 3.2 Tinnitus Self-Treatment Brochure 4 Tinnitus Activities Treatment 4.1 Introduction 4.1.1 Patient Expectation Nurturing 4.1.2 Picture-Based Counseling 4.1.3 Patient-Centered Approach to Care 4.2 Discussion 4.2.1 Thoughts and Emotions 4.2.2 Hearing and Communication 4.2.3 Sleep 4.2.4 Concentration 4.3 Conclusion Appendix 4.1 Tinnitus Primary Functions Questionnaire (12-Item Version) Appendix 4.2 Things You Can Do for Your Tinnitus Appendix 4.3a Tinnitus Diary Appendix 4.3b Tinnitus Diary Example Case Appendix 4.4 Strategies to Improve Hearing and Communication Appendix 4.5 A Guide to a Good Night’s Sleep for Tinnitus Patients Appendix 4.6 Strategies to Improve Your Sleep Appendix 4.7 Strategies to Improve Concentration Appendix 4.8 Daily Listening Diary 5 Three-Track Tinnitus Protocol: Counseling Emphasizing the Patient, the Clinician, and the Alliance 5.1 Introduction 5.2 Protocol 5.2.1 Making the Initial Contact 5.2.2 The First Session: The Contract 5.2.3 Working in the Tracks 5.3 Conclusion 6 The Psychological Management of Tinnitus-Related Insomnia 6.1 Introduction 6.2 The Cognitive Behavioral Model 6.2.1 Cognitive Behavioral Therapy and Insomnia 6.2.2 The CB Model, Tinnitus, and Sleep 6.3 Group Therapy 6.4 Selection and Definitions 6.5 Assessment 6.5.1 Questionnaire Measures 6.5.2 Sleep Diaries 6.6 Group Structure 6.7 Treatment Protocol: Key Components 6.7.1 Group Support 6.7.2 Psychoeducation 6.7.3 Individual Goal Setting 6.7.4 Creating an Individualized Sleep Program 6.7.5 Sleep Titration 6.7.6 Stimulus Control 6.7.7 Motivation and Video Modeling 6.7.8 Relaxation 6.7.9 Cognitive Restructuring (Cognitive Therapy) 6.7.10 Worry Period 6.7.11 Sleep Hygiene 6.7.12 Sound Enrichment 6.7.13 ClockWatching 6.8 Conclusion Appendix 6.1 Relaxation Listening for Sleep 7 Optimizing Hearing Aid Fittings for Tinnitus Management 7.1 Introduction 7.2 Benefits, Modes, and Mechanisms 7.3 Clinic Protocol 7.3.1 Audiometry and Evaluation 7.3.2 Aural Rehabilitation and Goal Setting 7.3.3 Instruction 7.3.4 Counseling 7.3.5 Sensory Management: Selection of Hearing Aids and Their Features 7.3.6 Perceptual Training 7.3.7 Appointment Scheduling and Follow-Up 7.4 Conclusion 8 Combining Sound Therapy with Amplification 8.1 Introduction 8.2 Sound Therapy Framework 8.2.1 The Presence of Sound Effect 8.2.2 The Context of Sound Effect 8.2.3 Reaction to Sound Effect 8.2.4 Adaptation to Sound 8.2.5 WHO International Classification of Functioning, Disability, and Health 8.3 Protocol 8.3.1 Audiometry and Evaluation 8.3.2 Aural Rehabilitation and Goal Setting 8.3.3 Instruction 8.3.4 Counseling 8.3.5 Sensory Management: Selection and Use of Different Sounds 8.3.6 Device Selection and Fitting 8.3.7 Negative Effects 8.3.8 Perceptual Training 8.3.9 Follow-Up 8.3.10 New and Emerging Concepts 8.4 Conclusion 9 The Clinical Relevance of Apps for Tinnitus 9.1 Introduction 9.2 Apps for Tinnitus Assessment and Management 9.2.1 Apps for Education and Information on Tinnitus 9.2.2 Apps for Wellness 9.2.3 Limitations and Risks Associated with Smartphone Apps 9.3 Conclusions 10 Distractions, Relaxation, and Peace with Tinnitus: Guided Imagery, Meditation, Mindfulness, and More 10.1 Introduction 10.2 Meditation 10.3 Mindfulness 10.4 Guided Imagery 10.5 Biofeedback 10.6 Progressive Muscle Relaxation 10.7 Art Therapy 10.8 Music Therapy 10.9 Exercise 10.10 A New Hobby 10.11 Conclusions 11 Tinnitus in Children 11.1 Introduction 11.2 Prevalence 11.3 Etiology of Tinnitus in Children 11.4 Factors that may Promote Tinnitus in Children 11.4.1 Age 11.4.2 Gender 11.4.3 Hearing Loss 11.4.4 Temporary Threshold Shifts 11.4.5 Motion Sickness 11.4.6 Hyperacusis 11.5 Criteria of Tinnitus in Children 11.6 Impact of Tinnitus on Children and Parents 11.7 Evaluation 11.7.1 History 11.7.2 Physical Examination 11.7.3 Audiological 11.7.4 Laboratory Evaluations 11.7.5 Radiological 11.8 Preventing Tinnitus in Children 11.9 Treatment Options 11.9.1 Medical Treatment 11.9.2 Surgical Treatment 11.9.3 Counseling Treatment for Young Children 11.10 Conclusion 12 Measuring Tinnitus and Reactions to Tinnitus 12.1 Introduction 12.2 Measuring Tinnitus 12.2.1 Psychoacoustic Measurements 12.2.2 Measuring Reactions to Tinnitus 12.3 Measuring Quality of Life 12.3.1 Measuring Related Problems 12.4 Conclusions Appendix 12.1 Data Sheet Appendix 12.2 Tinnitus Handicap Questionnaire Appendix 12.3 Tinnitus Intake Questionnaire Appendix 12.4 Meaning of Life and Happiness Questionnaire Appendix 12.5 Ordered References for Tinnitus Outcome Measures 13 Hyperacusis 13.1 Introduction 13.2 Terminology 13.3 Causes 13.4 Mechanisms 13.5 Measuring Hyperacusis 13.6 Questionnaires 13.7 Treatments 13.7.1 Counseling—Hyperacusis Activity Treatment 13.7.2 Introduction 13.7.3 Thoughts and Emotions 13.7.4 Hearing and Communication 13.7.5 Sleep 13.7.6 Concentration 13.7.7 Hearing Protection 13.7.8 Sound Therapies 13.7.9 Using Hearing Aids to Help with Hyperacusis 13.8 Conclusion Appendix 13.1 Hyperacusis Problems Questionnaire Appendix 13.2 Hyperacusis Intake Questionnaire Appendix 13.3 Hyperacusis Disability and Handicap Scales Appendix 13.4 Life too Loud? Let’s Talk Hyperacusis Appendix 13.5 Hyperacusis Activities Treatment Appendix 13.6 Sound Therapy Treatment Protocol for Hyperacusis Appendix 13.7 Hyperacusis Listening Diary Example Case 14 Navigating Future Directions in Tinnitus Treatment 14.1 Introduction 14.1.1 What Should a Clinician Tell a Patient About Novel Treatment Methods? 14.2 Neuromodulation—Magnetic Stimulation, Electric Stimulation 14.2.1 What Is Magnetic Neuromodulation? 14.2.2 Magnetic Stimulation and Tinnitus 14.2.3 Caveats 14.2.4 Electric Stimulation 14.2.5 Electric Stimulation and Tinnitus 14.2.6 Caveats 14.3 Vagus Nerve Stimulation 14.3.1 Vagus Nerve Stimulation and Tinnitus 14.3.2 Caveats 14.4 Neurofeedback 14.4.1 Neurofeedback and Tinnitus 14.4.2 Caveats 14.5 Conclusions 15 Establishing a Tinnitus and Hyperacusis Clinic 15.1 Introduction 15.2 Structuring Clinical Services 15.2.1 Group Educational Session 15.2.2 Individual Sessions 15.3 Different Treatment Levels for Different Tinnitus and Hyperacusis Patients 15.3.1 Tinnitus 15.3.2 Hyperacusis 15.4 Billing for Tinnitus Services 15.5 Conclusion Appendix 15.1 Shared Medical Visit Waiver Appendix 15.2 Tinnitus Intake Questionnaire Appendix 15.3 Tinnitus Treatment Fact Sheet Index Additional MedOne Access Information