Tinnitus Retraining Therapy (TRT) is a structured, long-term program that combines directive counseling with sound therapy to retrain how your brain processes tinnitus. Most patients reach meaningful habituation in 12–24 months.
Conditions we treat
- Chronic subjective tinnitus
- Hyperacusis and sound sensitivity
- Tinnitus-related insomnia
- Tinnitus-related anxiety and avoidance
- Misophonia (specific protocols)
Our approach
TRT is not a quick fix. It is a neuroscience-grounded program built on the Jastreboff model of tinnitus, delivered by audiologists with formal TRT training:
Directive counseling
Structured education about tinnitus neurophysiology that reduces the threat response driving symptom severity.
Sound therapy
Personalized low-level broadband sound enrichment to weaken the contrast between tinnitus and silence.
Long-term tracking
Quarterly outcome measures (THI, VAS) to confirm habituation is on track.
How it works
- 1
Initial intake
Hearing history, audiogram review, and TRT category assignment.
- 2
Counseling phase
Two to four structured counseling sessions over the first month.
- 3
Sound therapy onboarding
Recommendations for sound generators, hearing aids with masking, or environmental sound.
- 4
Quarterly check-ins
Brief sessions every three months for 18–24 months.
Is this right for you?
Best for
- Patients with bothersome tinnitus persisting beyond 6 months
- Those willing to commit to a multi-year program
- Patients who have already had ENT clearance
Not the right fit
- New-onset tinnitus (under 3 months) without ENT evaluation
- Pulsatile tinnitus without vascular workup
- Acute Meniere's flares or sudden hearing loss
Frequently asked questions
Will TRT make my tinnitus go away?
TRT is about habituation, not elimination. The goal is for tinnitus to fade into the background — present but no longer distressing or noticed most of the day.
Do I need to wear sound generators all day?
During the active phase, most protocols recommend 6–8 hours per day of low-level sound enrichment. This tapers as habituation progresses.
Is TRT the same as CBT for tinnitus?
They are different evidence-based approaches. TRT emphasizes counseling and sound therapy together. CBT focuses on cognitive and behavioral patterns. Some patients benefit from both.
Can I do TRT entirely online?
Yes. Counseling, outcome tracking, and sound therapy guidance translate well to telehealth. We coordinate with local audiologists for any in-person fittings needed.
Ready to start?
Schedule a free 15-minute discovery call to see if this program fits your needs.