Prof, I misspoke earlier in regard to TRT. I know very little about it but often suggest to my patients that they can try it since there isn't significant risk. Most have not found it worth the trouble.
In this discussion I had confused it with a form of cognitive behavioral therapy (CBT). Sorry if I caused confusion but I was primarily referring to CBT.
In regard to your observations on the mental aspect of tinnitus, well, I agree. Mine tends to be worse when I'm stressed, tired or sick. And I'm learning to mentally 'attenuate' the perception but it is far from foolproof.
It has never been an issue in regard to sleep. I run a small floor fan in the room and that masks it fairly well.
In the past, when I would have those sudden bursts of very loud ringing I had the luxury of having one of my partners look at my ear drum and/or perform a quick tympanometry. Always normal.
I have not had formal audiometry but informally it is clear that it is mild presbycusis (old ears) and just high frequency and primarily just on the left.
In this discussion I had confused it with a form of cognitive behavioral therapy (CBT). Sorry if I caused confusion but I was primarily referring to CBT.
In regard to your observations on the mental aspect of tinnitus, well, I agree. Mine tends to be worse when I'm stressed, tired or sick. And I'm learning to mentally 'attenuate' the perception but it is far from foolproof.
It has never been an issue in regard to sleep. I run a small floor fan in the room and that masks it fairly well.
In the past, when I would have those sudden bursts of very loud ringing I had the luxury of having one of my partners look at my ear drum and/or perform a quick tympanometry. Always normal.
I have not had formal audiometry but informally it is clear that it is mild presbycusis (old ears) and just high frequency and primarily just on the left.