Guide
Tinnitus.
What it is (usually the brain, not the ear), when a sound is a red flag, the treatments that genuinely help (CBT, hearing aids, sound), the honest state of drugs and neuromodulation — and every lever to make it matter less.
Contents
- 01What tinnitus actually isTinnitus is sound you hear that has no outside source — ringing, buzzing, hissing, a…
- 02The types & what causes itTinnitus is one word for many different things, and sorting which kind you have is the…
- 03Why it torments some and not othersHere's the puzzle at the heart of tinnitus: two people can have an identical sound, and one…
- 04When to see a doctorMost tinnitus needs no scan and no specialist — but a short list of patterns genuinely…
- 05The workup: what to expectA good tinnitus assessment is mostly about your hearing, not the noise itself. The point is…
- 06The honest truth: no cure, real helpLet's be straight before the toolkit: there is no pill or procedure that reliably erases…
- 07The best-evidenced treatment: CBTIf tinnitus is a distress loop, the treatment with the strongest evidence is the one that…
- 08Sound therapy & hearing aidsThe second pillar is sound — both correcting the hearing loss that sits underneath most…
- 09Retraining therapy & counsellingBefore the fancy devices, the humble pairing of good education and everyday sound has its…
- 10Drugs: the honest stateHere's a fact that surprises everyone: there is no drug approved anywhere to treat tinnitus…
- 11Neuromodulation: the real frontierIf there's genuine forward motion in tinnitus, it's here — retraining the brain's auditory…
- 12What's coming (and what failed)The tinnitus research graveyard is full of Phase 2 failures, and honesty demands naming…
- 13Protect your hearingEverything else in this guide helps you live with tinnitus. This is the one lever that…
- 14Sleep, stress & the nervous systemTinnitus and your nervous system feed each other: stress and bad sleep make it louder in…
- 15Diet, triggers & somatic tinnitusTwo honest corrections here. The famous 'cut out caffeine and salt' advice is mostly a myth…
- 16Supplements: graded hardTinnitus desperation is a goldmine for the supplement industry, and almost none of what it…
- 17Putting it togetherThe whole guide in one arc: rule out the red flags, correct the hearing underneath it…
- 18Sources & how to read the evidenceThis guide was built from the primary literature — clinical guidelines, Cochrane reviews…
Educational reference — not medical advice. This summarises published research and clinical guidance. Act on the red flags urgently — sudden hearing loss is an emergency — get properly assessed with a hearing test, and never start, stop, or change any medication on your own. Decide anything here with a qualified clinician.