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Managing Tinnitus with Retraining Therapy

How tinnitus retraining therapy treatment can help you manage your symptoms.
Last update on Sep, 19, 2025

Tinnitus can cause you to perceive sounds such as ringing, buzzing, or hissing without an external source. Many people refer to it as “ringing in the ears,” but that is a misnomer, as different people may experience different sounds. Tinnitus is a symptom rather than a condition or a disease. It can be associated with hearing loss, a blood vessel disorder, an ear injury, or something else happening in your body. [1]

Although the sound perceived does not have an external source, tinnitus sounds very real to the person experiencing it. And while tinnitus is rarely a symptom of a serious medical condition, it can have a significant impact on someone living with these symptoms.

Living with tinnitus can make it difficult to sleep, concentrate, and relax, which can increase anxiety and depression. This can create a vicious cycle of chronic stress, which is correlated with worsened tinnitus symptoms.

The good news is that tinnitus retraining therapy (TRT) can help you manage your symptoms. Let’s explore how tinnitus retraining therapy treatments work and how to get started.

Learn about the truth about tinnitus. 

What is Sound Therapy Treatment for Tinnitus?

Tinnitus retraining therapy, or TRT, is a method that gradually shifts your awareness of your tinnitus. This doesn’t make the tinnitus sound go away. Instead, it reduces your sensitivity to your tinnitus, making it less disruptive to your life and allowing you to cope better. [2]

TRT uses a combination of counseling and sound therapy.

  • Counseling helps you understand how tinnitus works, breaking down negative thought patterns towards tinnitus, and helping you change your perception.
  • Sound therapy involves using a tinnitus masking device that plays a variety of sounds to help your brain tune out the sound of tinnitus.

It helps to be aware that TRT is different from cognitive behavioral therapy (CBT). Although CBT and TRT for tinnitus are similar, CBT is conducted by a clinical psychologist, while TRT can be performed by an audiologist. CBT can be effective for helping you cope with tinnitus, but not all clinical psychologists have specific training in TRT. [3]

Does Tinnitus Retraining Therapy Work?

Sound therapy and tinnitus retraining therapy can be effective at retraining your brain so your tinnitus is less bothersome to you.

While these treatments do not make tinnitus go away, counseling has been shown to make patients feel more neutral towards their tinnitus, instead of symptoms being disruptive. Likewise, studies have shown that sound therapy is effective in distracting patients from tinnitus sounds. [4]

Is TRT the Best Therapy for Tinnitus?

TRT is not the only therapy for tinnitus. However, it is the most commonly used method because it tends to be the most effective. In addition to TRT, people with tinnitus can benefit from:

  • White noise machines, particularly when trying to fall asleep.
  • Wearable sound generators, which provide a more pleasant contrasting sound throughout the day.
  • Hearing aids, which can address underlying hearing loss and reduce the perception of tinnitus.
  • Anxiety medication, which can help patients cope with tinnitus symptoms.

Note that anxiety medication can help minimize the effect of tinnitus on your life, but no medication directly treats or cures tinnitus.[4]

If you need hearing aids to cope with tinnitus, Amplifon Hearing Health Care is here to help. From finding the right hearing aids to getting the perfect fit, we have all the resources you need to get started. 

How Long Does TRT Take?

While TRT is the most effective treatment, it does take time. Many patients in TRT programs notice an improvement after three months, but it can take 12 to 18 months to become fully habituated to their symptoms.[5] 

Does Insurance Cover TRT?

While effective, it’s helpful to know that tinnitus retraining therapy is not usually covered by insurance. This is because TRT is considered an experimental therapy. However, your benefits may cover the hearing tests used to diagnose tinnitus, as well as hearing aids with tinnitus masking features.[6]

What will your benefits cover? Use Amplifon’s benefit checking tool to get the most out of your hearing benefits!

Because TRT takes time, some people with tinnitus have trouble affording care or following through with the lengthy treatment plan. However, emerging technology makes it possible to complete therapy through a smart device.

Whereas conventional TRT is usually done in person, smart device-based TRT (smart-TRT) can be completed through a phone or tablet. Smart-TRT is relatively new, but studies have shown that it can be just as effective as conventional TRT. [7]

The ability to do tinnitus retraining therapy at home makes TRT more accessible and affordable. Ask your hearing healthcare provider for more information on starting at-home TRT. 

How to Find Tinnitus Retraining Therapy

Tinnitus can affect many areas of your life, but treatment is available. If you are living with tinnitus and want to try TRT, there are many ways to get help. Getting a hearing evaluation is the first step in finding treatment. Request a hearing evaluation with Amplifon to get started. 

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Hearing aids can help some people with tinnitus. Wondering if your insurance covers hearing aids? Find out with Amplifon’s benefit checking tool.

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Sources:

1. Medline Plus. “Tinnitus.” Retrieved from https://medlineplus.gov/ency/article/003043.htm

2. Mayo Clinic. “Tinnitus.” Retrieved from https://www.mayoclinic.org/diseases-conditions/tinnitus/diagnosis-treatment/drc-20350162

3. American Tinnitus Association. “Cognitive Behavioral Therapy Versus Tinnitus Retraining Therapy: Similarities and Differences.” Retrieved from https://www.ata.org/cognitive-behavioral-therapy-versus-tinnitus-retraining-therapy/

4. National Institute on Deafness and Other Communication Disorders. “Tinnitus.” Retrieved from https://www.nidcd.nih.gov/health/tinnitus#5

5. National Library of Medicine. “Long-Term Results of Tinnitus Retraining Therapy in Patients Who Failed to Complete the Program.” Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC7838913/

6. Care Credit. “Tinnitus Retraining Therapy Cost and Treatment Guide.” Retrieved from https://www.carecredit.com/well-u/health-wellness/tinnitus-retraining-therapy-cost-and-financing/

7. National Library of Medicine. “The Treatment Outcome of Smart Device–Based Tinnitus Retraining Therapy: Prospective Cohort Study.” Retrieved from https://pmc.ncbi.nlm.nih.gov/articles/PMC9880806/

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