Quiet - Issue 3 2021
QUIET Volume 32 Number 3 ISSN: 0968-1264
QUIET Volume 32 Number 3 ISSN: 0968-1264
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QUIET<br />
<strong>Issue</strong> Three <strong>2021</strong><br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 1
Thank you to our Corporate Members for their support<br />
AfterShokz<br />
Autifony Therapeutics<br />
Limited<br />
CAuRES Hearing<br />
Aid Solutions<br />
EarDial<br />
Hear Pure and<br />
Wellbeing<br />
HiKent<br />
The<br />
Hearing<br />
Coach<br />
Harbeth<br />
Audio Ltd<br />
Lakeland<br />
Hearing<br />
Nuheara<br />
RNID<br />
Snugs<br />
Earphones Ltd<br />
Tinnitus<br />
E-Programme<br />
East Kent University<br />
Hospitals NHS<br />
Foundation Trust<br />
Royal Hallamshire<br />
Hospital<br />
(Sheffield Teaching Hospitals<br />
NHS Foundation Trust)<br />
Always Ear<br />
Better<br />
Hearing<br />
Clinic<br />
Chippendale<br />
Hearing<br />
Geraint Davies<br />
Hearing Ltd<br />
Hear Again<br />
Limited<br />
Hear We Care<br />
Holland<br />
Doctors of<br />
Audiology<br />
Leightons<br />
Opticians and<br />
Hearing Care<br />
Oticon<br />
Scrivens Hearing<br />
Care<br />
Sonova UK<br />
Limited<br />
The Invisible<br />
Hearing<br />
Clinic<br />
Widex UK Ltd<br />
Gloucestershire<br />
Hospitals NHS<br />
Foundation Trust<br />
Sandwell and West<br />
Birmingham Hospitals<br />
NHS Trust<br />
AngliEAR Hearing &<br />
Tinnitus Solutions<br />
Bollington Hearing<br />
Centre<br />
Cubex Ltd<br />
Guymark UK<br />
Limited<br />
Hearbase<br />
I am Ear<br />
Hearwell<br />
Ltd<br />
M C Hearing<br />
Oto Health Ltd<br />
Simply Hearing<br />
Sound Matters<br />
The Outside Clinic<br />
Hospital<br />
services<br />
Nobles Hospital<br />
Isle of Man<br />
Torbay and South<br />
Devon NHS<br />
Foundation Trust<br />
Audiological<br />
Science<br />
British<br />
Academy<br />
of Audiology<br />
Diane<br />
Hammond<br />
Independent<br />
Audiologist<br />
Halo<br />
Hearing<br />
Solutions<br />
Hearing<br />
Power<br />
Help in<br />
Hearing Ltd<br />
Isabella Fisher<br />
Independent<br />
Hearing Care<br />
Neuromod<br />
Devices Ltd<br />
Peter Byrom<br />
Audiology Ltd<br />
Sivantos Ltd<br />
Specsavers<br />
The Tinnitus<br />
and<br />
Hyperacusis<br />
Network<br />
Barnsley Hospital NHS<br />
Foundation Trust<br />
Royal Berkshire NHS<br />
Foundation Trust<br />
University Hospitals<br />
Bristol and Weston<br />
NHS Foundation Trust<br />
Audiological<br />
Specialist<br />
Care Ltd<br />
British Society<br />
of Audiology<br />
Duearity<br />
Harley Street<br />
Hearing<br />
Hearing Therapy<br />
Ltd<br />
Hidden Hearing<br />
Isle of Man<br />
Hearing Solutions<br />
North East<br />
Hearing and<br />
Balance<br />
Puretone Ltd<br />
Smiths<br />
Hearing<br />
Care Ltd<br />
Starkey Hearing<br />
Technologies<br />
The<br />
Tinnitus<br />
Clinic<br />
Chesterfield Royal<br />
Hospital NHS<br />
Foundation Trust<br />
Royal Cornwall NHS<br />
Foundation Trust<br />
Worcestershire Acute<br />
Hospitals NHS Trust
Supporters 02<br />
Thank you to our Corporate Members<br />
Managing tinnitus 08<br />
Evolution not revolution - tinnitus<br />
management and technology<br />
Getting #BacktoLive<br />
Getting the most from your ENT<br />
appointment<br />
Fundraising 18<br />
Support the BTA and challenge<br />
yourself<br />
Real lives 20<br />
Andrew, Sash, Andrea and Paul share<br />
their stories of living with tinnitus<br />
Tinnitus support 25<br />
Products for tinnitus<br />
Noticeboard<br />
Tinnitus support group listings<br />
QUIET<br />
Volume 32 Number 3 ISSN: 0968-1264<br />
Xmas appeal 04<br />
How you can help people like Lynette<br />
Conference report 06<br />
The BTA Virtual Annual Conference<br />
Research 13<br />
The Shapiro Prize winner announced<br />
Tinnitus and tinnitus disorder<br />
For professionals 16<br />
Treating young people with tinnitus<br />
Don't throw away the wrapper! The wrapper for your magazine is<br />
now compostable with your garden waste.<br />
Contacts<br />
Our Vision:<br />
A world where no one suffers from tinnitus.<br />
Our Mission:<br />
We will drive progress towards a cure and deliver<br />
excellent support to help people living with tinnitus.<br />
tinnitus.org.uk<br />
Editor<br />
Nic Wray<br />
nic@tinnitus.org.uk<br />
Address<br />
British Tinnitus Association, Ground Floor, Unit 5, Acorn<br />
Business Park, Woodseats Close, Sheffield, S8 OTB<br />
Registered charity no: 1011145. Registered in England.<br />
Helpline<br />
0800 018 0527<br />
Whilst the British Tinnitus Association (BTA) makes every attempt to ensure the accuracy and reliability of information in this<br />
magazine, it is not a substitute for medical advice. You should always see your GP/ medical professional. Advertisements for<br />
organisations, products or services do not imply endorsement of them by the BTA. All views are those of the authors and not the BTA.
LYNETTE’S<br />
CHRISTMAS<br />
WISH<br />
www.tinnitus.org.uk/christmasappeal<br />
I am writing this article to say thank you.<br />
Thank you for your continued support<br />
of the British Tinnitus Association. Your<br />
ongoing support meant the BTA could<br />
help more people like me when they<br />
needed it most.<br />
For me, that time was Christmas. My name is Lynette and I know<br />
Christmas can be a difficult time for many. For those living with<br />
tinnitus it can be a time of isolation, stress and anxiety. I wanted<br />
to share my tinnitus story with you and let you know how the BTA<br />
were there for me.<br />
My story<br />
Christmas 2020 was a particularly turbulent<br />
and traumatic time for me: my tinnitus had<br />
heightened to a point where I’d not slept for<br />
three nights solid. I went to work one day,<br />
and I didn’t know who or where I was. I just<br />
felt like I was at crisis point and having a<br />
nervous breakdown.<br />
It was only then that I realised I needed additional support from all the<br />
professionals that had helped me when I was first diagnosed with<br />
tinnitus and hearing loss. Particularly the BTA, because they are the<br />
professionals in dealing with this and the unknowns associated with<br />
tinnitus. They were really helpful and supportive.<br />
I had to take time off work to recover but realised during that time that I<br />
needed to do my own self-help, and with the BTA’s support, I was able to<br />
manage better and I haven’t been at crisis point since December 2020.<br />
14,000<br />
Around 14,000 calls, web<br />
chats, emails and texts are<br />
answered each year by the<br />
Tinnitus Support Team.<br />
1.7 million<br />
1.7. million people<br />
benefitted from accessing<br />
BTA support and information<br />
services last year.<br />
Please donate today at<br />
www.tinnitus.org.uk/<br />
christmasappeal
How the BTA supported me<br />
The hospital signposted me to the BTA website. Their website has lots<br />
of information and I became a member straight after. I then called<br />
the helpline for advice and after the call registered with one of the<br />
BTA support groups. I attended monthly support group sessions and<br />
thought "I’m not on my own". At that moment I felt very well supported.<br />
The BTA are here for you<br />
The BTA’s helpline services are available over the Christmas period.<br />
Their telephone helpline, web chat, email and SMS text service are solely<br />
dedicated to supporting people with tinnitus when they need<br />
that support most. At a time of year when tinnitus can make people<br />
feel a sense of isolation, these helpline services are vital. Please help<br />
the BTA to be there at Christmas, and all year round, by donating today.<br />
How you can help<br />
Please donate today to make sure the BTA can support more people<br />
like me. I know what a difference the BTA made to my life and how I<br />
manage my tinnitus. Help them to be there for people with tinnitus over<br />
Christmas and help them feel less isolated. This is my Christmas wish.<br />
The BTA receive no money directly<br />
from the government, so your donation this<br />
Christmas really will make a huge difference<br />
to people living with tinnitus.<br />
Here are some examples<br />
of the difference your<br />
donation can make:<br />
£23<br />
could pay for the<br />
BTA to facilitate a<br />
support group session<br />
£44<br />
could support<br />
1,500 people by text<br />
£110<br />
could train a new<br />
helpline volunteer<br />
Thank you.<br />
Lynette<br />
Please<br />
donate today<br />
Help the BTA support more<br />
people like me struggling<br />
with tinnitus over Christmas<br />
and the year ahead.<br />
Donate by using the<br />
reply slip and enclosed<br />
envelope or visiting<br />
www.tinnitus.org.uk/<br />
christmasappeal<br />
Alternatively, you can call<br />
0114 250 9933 and donate<br />
over the phone.
Event round-up<br />
Aimed at audiologists, ENTs, GPs, hearing<br />
care professionals, psychologists, tinnitus<br />
support groups and researchers, the BTA<br />
VIrtual Conference Programme ran a<br />
different theme each day – including the<br />
psychology of tinnitus, practical skills and<br />
the latest in tinnitus research – with topics<br />
ranging from paediatric tinnitus, PTSD<br />
management and tinnitus, and the impact<br />
of tinnitus on professional musicians.<br />
In numbers:<br />
• 5 days<br />
• 20 lectures & seminars<br />
• 35% non-UK speakers<br />
• 308 attendees<br />
• 25 countries<br />
The most popular session of the week was<br />
‘Tinnitus and psychological symptoms in<br />
adult cochlear implant recipients’, which<br />
was presented by Dr Robert Pierzycki from<br />
the University of Nottingham, with over 162<br />
people logging in live.<br />
Other highlights included Professor David<br />
Baguley’s session on ‘Insights into tinnitus<br />
and hyperacusis and their association with<br />
general/mental health, from the Busselton<br />
Healthy Ageing Study’ and ‘Traumatic<br />
exposures and their influence on tinnitus’,<br />
presented by Dr Marc Fagelson.<br />
Wordcloud from attendee feedback<br />
Echoing last year’s conference, it was<br />
particularly encouraging to see high levels<br />
of engagement from attendees with the<br />
live Q&A sessions after the presentations.<br />
The online format gave the chance for<br />
more questions – no delay in waiting for<br />
the roving mic – and people really took<br />
advantage of the opportunity to interact.<br />
Feedback from attendees was very positive,<br />
with comments such as, “One of the best,<br />
most informative events I have attended<br />
EVER of the past 20+ years” and “Fantastic<br />
presentations with some unique ideas that<br />
even as an experienced audiologist I had<br />
not considered”.<br />
The sessions will be available online for the<br />
next twelve months for attendees. For those<br />
who have missed out, post-event access<br />
for all the sessions can be purchased at<br />
https://www.btaconference<strong>2021</strong>tickets.<br />
co.uk/bta<br />
6 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
THE<br />
SOUND<br />
OF<br />
SCIENCE<br />
Searching For A Tinnitus Cure<br />
Tinnitus Week<br />
7-13 February 2022<br />
www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 7
Evolution not revo<br />
Audiologist Aida Francisca Lopes discusses modern tinnitus treatments<br />
Today, people are aware of the complexity<br />
of tinnitus, its management and causes,<br />
but this has not always been the case.<br />
Previously, tinnitus was simply known as<br />
"ringing in the ears". Sound therapy options<br />
were limited to cassette tapes, radio and<br />
analogue hearing aids.<br />
However, with research have come better<br />
and more convenient management tools<br />
which can be adapted to the lifestyles of<br />
today’s generation.<br />
Sound enrichment<br />
Although the principles of tinnitus<br />
management haven’t changed much, the<br />
devices and the delivery methods have<br />
changed over time. These now include:<br />
• Small in-ear white noise generators<br />
• Digital hearing aids<br />
• Combination devices (digital hearing aids<br />
with a built-in sound generator)<br />
• Tabletop sound generators<br />
• Smartphone apps<br />
• YouTube channels with ambient noise<br />
soundtracks.<br />
Ways to use sound enrichment<br />
One common way to initially try sound<br />
enrichment or sound therapy is to listen to<br />
relaxing and natural sounds. You can use<br />
sound generators that are standalone table<br />
top models, wearable ones or even sound<br />
pillows or pillow speakers.<br />
Sound pillows or pillow speakers can be<br />
Table top sound generator<br />
plugged into a sound generator, CD or MP3<br />
player. You can adjust the sound at the<br />
level where your partner is not disturbed<br />
and you can have the sound on throughout<br />
the night.<br />
Some sound generators come with an<br />
aromatherapy diffuser to aid relaxation or<br />
sleep, and others come with the option to<br />
load your favourite sounds.<br />
Sound therapy can also be delivered<br />
through ‘smart speakers’. For example, the<br />
Echo Dot speaker with its Alexa App offers a<br />
set of ambient sounds. You could ask Alexa<br />
to play the rain noise for 10 minutes to put<br />
you to sleep and set a time for the sound to<br />
turn on when or before you wake up so that<br />
you do not wake up to silence.<br />
Apps for tinnitus<br />
Various Apps have been built for tinnitus<br />
sound therapy. These provide information<br />
8 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
lution!<br />
and advice, as well as sound therapy,<br />
meditation and relaxation exercises. Two<br />
popular ones are Oticon Tinnitus Sound and<br />
Beltone Tinnitus Calmer. The Beltone app<br />
also has psychological strategies including<br />
elements of mindfulness and elements<br />
of Cognitive based therapy (CBT), as does<br />
Tinnibot.<br />
A survey conducted by Dr Magdelena<br />
Sereda identified a number of other<br />
apps that individuals with tinnitus found<br />
helpful, although not all of these had<br />
been developed specifically for tinnitus<br />
management. These included:<br />
• MyNoise<br />
• ReSound Relief<br />
• Rain Rain Sleep Sounds<br />
• Headspace<br />
• Tinnitus HQ<br />
• Tinnitus Balance<br />
Combination devices<br />
Because tinnitus often comes with hearing<br />
loss, these are often treated at the same<br />
time. Combination devices target hearing<br />
loss with amplification and can give<br />
background noise for tinnitus relief at<br />
the same time. These devices come with<br />
different types of noise, and whichever<br />
ones feel better to you and more effective<br />
can be applied in the device settings.<br />
You can also get Bluetooth enabled devices<br />
(such as the Engage Oticon) that have a<br />
range of sounds. These can be connected to<br />
your phone via Bluetooth and an app so that<br />
the settings and volumes can be adjusted<br />
using your phone. You can also wirelessly<br />
stream alternative tinnitus relief options,<br />
such as your favourite music, audiobook,<br />
Smart phone and smart speaker<br />
podcast or even a relaxation guide.<br />
Other therapies<br />
We have more in tinnitus management than<br />
just sound enrichment. Psychologically<br />
based therapies are also available.<br />
Traditionally, these have been delivered<br />
face to face but they can now also be<br />
undertaken via the internet. Internet-based<br />
cognitive behavioral therapy (iCBT) is ideal<br />
for individuals who are too busy for face-toface<br />
sessions, but who would like to have<br />
therapies done in the comfort of their home.<br />
The NHS provide a service called Improved<br />
Access to Psychological Therapies (IAPT)<br />
where you can now refer yourself in times<br />
of worry and stress and talk to someone<br />
regarding tinnitus-related anxiety and your<br />
mental wellbeing.<br />
You can find more information on these<br />
topics through the BTA’s website, social<br />
media streams, email newsletters and<br />
publications.<br />
That organisations, products or services have<br />
been named in this article does not imply<br />
endorsement of them by the BTA.<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 9
Getting #BackToLive<br />
Since March 2020, live music events have<br />
very much laid dormant. This has had a<br />
significant impact on musicians, event<br />
organisers and people who enjoy going to<br />
festivals, gigs and clubs.<br />
Live music events are now beginning to<br />
take place again, as we start to get back<br />
to what is now commonly being called<br />
#BackToLive.<br />
This means it is vital that we make more<br />
people aware of the need to protect<br />
themselves from tinnitus and hearing<br />
damage at live music events. The problem<br />
is that having been restricted so much over<br />
the past 18 months, will people want to<br />
think about protecting their hearing?<br />
Musician and DJ Anne Savage is<br />
an incredible BTA supporter and an<br />
Ambassador for our tinnitus prevention<br />
campaign, Plug’em. We asked Anne how<br />
recent events had impacted her and how<br />
she felt about getting back to live:<br />
“As a full-time musician and DJ,<br />
obviously my live gigs stopped overnight.<br />
Initially I thought it might improve my<br />
tinnitus due to less exposure to loud<br />
music, but the stress and uncertainty<br />
surrounding the impact of the pandemic<br />
on the future of night-time industries -<br />
for example venues going out of business<br />
- actually made it worse at times.<br />
"I am thrilled most venues are back<br />
open and I’m happy to be working again,<br />
but I worry about large crowds and<br />
contracting the virus even though I’m<br />
double-jabbed. I also have concerns for<br />
my fans, clientele and all young people<br />
Anne Savage<br />
as they return to festivals and nightlife.<br />
They may place less importance on<br />
hearing conservation - that message<br />
seems to have got lost amongst the other<br />
medical and pandemic-related worries<br />
people have had to contend with.<br />
So now, more than ever, it is crucial to<br />
get across the importance of protecting<br />
your hearing to avoid tinnitus and other<br />
noise-induced hearing damage.”<br />
If you want to know more about how to<br />
protect your ears at live events then visit<br />
www.plugem.co.uk. And if you have<br />
questions or are worried about tinnitus,<br />
please do get in touch with our Tinnitus<br />
Support Team on 0800 018 0527 or by<br />
joining a web chat with us at www.tinnitus.<br />
org.uk .<br />
10 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
Getting the most from your<br />
ENT APPOINTMENT<br />
Taking an active role in your tinnitus<br />
management can help you improve your<br />
quality of life. One way to do this is to<br />
make sure you get the most out of any<br />
appointment with your ENT consultant or<br />
audiologist, so we've come up with four top<br />
tips to help:<br />
1. Be prepared<br />
Think about your appointment ahead<br />
of time. Think about your concerns and<br />
questions. Make a list of what you want to<br />
discuss.<br />
Questions you may want to ask could be:<br />
• Do I need any tests?<br />
• What treatment options are there?<br />
• Is there anything I can do to help myself?<br />
• Where can I go for more information?<br />
• What happens next?<br />
2. Check the details<br />
Find out how long your appointment will be.<br />
By knowing how much time you have, you'll<br />
be able to plan your approach.<br />
3. Confirm the type of<br />
appointment<br />
Will it take place face to face, over the<br />
telephone or video call? This will allow you<br />
to prepare, for example if you need to find a<br />
quiet and comfortable place for a phone or<br />
video call, and you may need headphones.<br />
If you need captions for a video call, or an<br />
interpreter for a face-to-face meeting, ask<br />
if this is available.<br />
4. Opt in to letters<br />
If you are seen in a hospital clinic, it can be<br />
useful to receive a copy of your clinic letter,<br />
as well as your audiogram (hearing test)<br />
and management plan.<br />
You may also like to watch 'Getting the<br />
most your GP consultation' on our website:<br />
www.tinnitus.org.uk/free-webinars<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 11
Registration opens<br />
baaudiology.org<br />
SPRING 2022<br />
18th<br />
Save the date<br />
Annual<br />
Conference<br />
13-14 October 2022<br />
Central<br />
Manchester<br />
Complex<br />
Convention<br />
12 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
The Marie and Jack<br />
Shapiro Prize<br />
We're pleased to announce the award<br />
of the Marie and Jack Shapiro Prize to a<br />
study that sought to investigate ways of<br />
increasing access to psychology-based<br />
tinnitus treatments.<br />
There is currently no cure for tinnitus,<br />
but psychology-based treatments<br />
have a strong evidence base for their<br />
effectiveness. Access to these treatments<br />
is patchy and it is tremendous to see people<br />
thinking about new ways of delivering these<br />
interventions.<br />
This study provides both the clinical and<br />
research communities with a number of<br />
important learning points. These could help<br />
lead new research towards more effective<br />
and accessible treatments for tinnitus.<br />
The paper, “The TinMan study: feasibility<br />
trial of a psychologically informed,<br />
audiologist-delivered, manualised<br />
intervention for tinnitus” led by Drs John<br />
Taylor and Dean Thompson from the<br />
NIHR Nottingham Biomedical Research<br />
Centre and a team of patients, clinicians<br />
and researchers, found that although the<br />
patients found the treatment acceptable<br />
and helpful, audiologists identified<br />
potential barriers to use that will need to be<br />
addressed before it can be used in clinic.<br />
The prize was judged by our Professional<br />
Advisers’ Committee, who commented<br />
that it was “A useful study to explore a<br />
newly emerging way of increasing access<br />
to psychologically informed treatments for<br />
tinnitus. It is great to see robust feasibility<br />
studies being developed to explore how<br />
such approaches need to be designed<br />
and adapted and to consider if this type<br />
of intervention can be of use to patients.<br />
Although the findings may indicate that<br />
this approach has significant barriers, in<br />
the longer term, this type of work is likely<br />
to have an impact on how tinnitus care<br />
evolves.”<br />
Chief Investigator Dr Derek Hoare said, "On<br />
behalf of the team involved in this work, I<br />
would like to thank the BTA and say how<br />
delighted we are to be awarded this year’s<br />
Shapiro Prize. This work was funded by the<br />
NIHR and was a highly collaborative effort.<br />
The team included patients and patient<br />
advocates, clinicians and researchers.<br />
Together we produced and tested a<br />
treatment manual that can be used by<br />
audiologists to provide psychological<br />
support for people with tinnitus. With a<br />
little more work, we plan to test the new<br />
treatment manual in a larger trial and make<br />
it ready for use in clinics.”<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 13
Tinnitus & tinnitus disorder<br />
The British Academy of Audiology (BAA)<br />
Conference returned face to face last<br />
month and attracted over 500 delegates to<br />
what is the largest audiology conference in<br />
the UK.<br />
Prize-winning poster<br />
The BAA Conference offered the<br />
opportunity for organisations to submit a<br />
poster to display the latest findings in the<br />
field. Topics included clinical, education,<br />
research, service innovation and workforce<br />
abstracts. With nearly 100 posters on<br />
display, the BTA were delighted that our<br />
A patient perspective on definitions for<br />
tinnitus and tinnitus disorder research<br />
poster, produced by Dr Georgina Burns-<br />
O'Connell with contributions from Lucy<br />
Potter and Nic Wray and our Consultation<br />
Group, won Best Research Poster. This was<br />
a fantastic achievement for the authors<br />
and the BTA.<br />
Tinnitus and tinnitus disorder<br />
Clinicians and researchers (De Ridder et al.<br />
<strong>2021</strong>) recently proposed a new definition<br />
for ‘tinnitus’ and developed a definition for<br />
‘tinnitus disorder’:<br />
• Tinnitus = perception of sounds with<br />
"no identifiable corresponding external<br />
acoustic source"<br />
• Tinnitus disorder = tinnitus with<br />
associated suffering.<br />
Suffering is defined as “emotional distress,<br />
cognitive dysfunction, and/or autonomic<br />
arousal, leading to behavioural changes<br />
and functional disability”.<br />
Lucy Potter with the BTA posters<br />
Gathering perspectives<br />
To the best of our knowledge, individuals<br />
with lived experience of tinnitus were<br />
excluded from developing the proposed<br />
definitions, so the BTA team aimed to<br />
gather perspectives on these definitions<br />
from those with lived experience of tinnitus.<br />
A survey was conducted to explore<br />
participants’ thoughts on the proposed<br />
definitions and arguments set out in the<br />
original paper.<br />
The participants consisted of those with<br />
lived experiences of tinnitus and who were<br />
members of the British Tinnitus Association<br />
(BTA) Consultation Group. Thirty-two people<br />
responded to the survey.<br />
The survey provided the definitions of<br />
tinnitus and tinnitus disorder and other<br />
statements about tinnitus and asked<br />
the participants whether they agreed or<br />
disagreed. Participants were also able<br />
to elaborate on their choice via free text<br />
responses.<br />
14 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
T<br />
Strong views<br />
The results of the survey demonstrated<br />
strong views on the proposed definitions<br />
of tinnitus and tinnitus disorder. 94% of<br />
participants agreed with the definition of<br />
tinnitus compared to 66% of participants<br />
agreeing with the definition of tinnitus<br />
disorder.<br />
The majority of participants agreed with<br />
the definition of tinnitus because they felt it<br />
was factual, clear and broad.<br />
Over three-quarters (78%) of participants<br />
felt the proposed definitions would not<br />
impact on the way they live with tinnitus:<br />
“whatever label is applied to<br />
experiencing tinnitus is irrelevant.”<br />
The definition of ‘tinnitus disorder’ was<br />
disputed by some participants and<br />
some found it inaccessible and difficult<br />
to understand. Areas of disagreement<br />
included:<br />
Whether they had experienced any<br />
changes in behaviour<br />
Whether they had experienced functional<br />
disability<br />
Classing tinnitus as a psychological<br />
problem.<br />
Some strengths of the definition of tinnitus<br />
disorder were recognised: participants<br />
acknowledged that it:<br />
May increase awareness of the condition<br />
Could lead to standardised approaches to<br />
medical care<br />
Acknowledges that tinnitus can have a<br />
wider impact<br />
Recognises it is a serious condition that<br />
can affect everyday life.<br />
Participants felt by excluding their<br />
perspective from the initial proposal of the<br />
definition, the paper was not written with<br />
British Tinnitus Association, Ground Floor, Unit 5, Acorn Business Park, Woodseats Close, Sheffield, S8 0TB<br />
Registered charity no: 1011145 | Company limited by guarantee no: 2709302 | Registered in England<br />
them in mind:<br />
"whilst this paper draws upon many<br />
aspects of medical knowledge […],<br />
it demonstrates seemingly little<br />
understanding of tinnitus from a<br />
sufferer’s perspective, or that of their<br />
family, friends and colleagues."<br />
In summary<br />
A patient perspective on definitions<br />
for tinnitus and tinnitus disorder<br />
Dr Georgina Burns-O’Connell, Lucy Potter, Nic Wray and the British Tinnitus Association Consultation Group<br />
Correspondence: Georgina Burns-O’Connell | T: +44 (0)114 250 9933 | E: georgina@tinnitus.org.uk | W: www.tinnitus.org.uk | T: @GeorgieBOC<br />
Tinnitus definitions<br />
Clinicians and researchers (De Ridder et al. <strong>2021</strong>) recently<br />
proposed a new definition for ‘tinnitus’ and developed a<br />
definition for ‘Tinnitus Disorder’:<br />
• Tinnitus = perception of sounds with ‘no<br />
identifiable corresponding external acoustic<br />
source’<br />
• Tinnitus Disorder = tinnitus with associated<br />
suffering.<br />
Suffering is defined as “emotional distress, cognitive<br />
dysfunction, and/or autonomic arousal, leading to<br />
behavioural changes and functional disability”.<br />
To the best of our knowledge, individuals with lived experience of<br />
tinnitus were excluded from developing the proposed definitions.<br />
Aim<br />
To gather perspectives on the proposed definitions from those<br />
with lived experience of tinnitus.<br />
Methodology<br />
A survey was conducted to explore participants’ thoughts on the<br />
proposed definitions and arguments set out in the original paper.<br />
The participants consisted of those with lived experiences<br />
of tinnitus and who were members of the British Tinnitus<br />
Association (BTA) Consultation Group. Thirty-two people<br />
responded to the survey.<br />
The survey provided the definitions of tinnitus and Tinnitus<br />
Disorder and other statements about tinnitus and asked the<br />
participants whether they agreed or disagreed participants were<br />
also able to elaborate on their choice via free text responses.<br />
Results<br />
The results of the survey demonstrated strong views on the<br />
proposed definitions of tinnitus and Tinnitus Disorder.<br />
94% of participants agreed with the definition of tinnitus<br />
compared to 66% of participants agreeing with the definition of<br />
Tinnitus Disorder.<br />
Tinnitus definition<br />
6%<br />
94%<br />
Agree<br />
Disagree<br />
The majority of participants agreed with the definition of tinnitus<br />
because they felt it was factual, clear and broad.<br />
34%<br />
Tinnitus Disorder definition<br />
66%<br />
Agree<br />
Disagree<br />
Results<br />
The prize-winning poster<br />
The majority (78%) of participants felt the proposed definitions<br />
would not impact on the way they live with tinnitus: “whatever<br />
label is applied to experiencing tinnitus is irrelevant”.<br />
The definition of ‘Tinnitus Disorder’ was disputed by some<br />
participants. Areas of disagreement included:<br />
Whether they had experienced any changes in behaviour<br />
Whether they experienced functional disability<br />
Classing tinnitus as a psychological problem.<br />
Participants argued the ‘Tinnitus Disorder’ definition was<br />
inaccessible, and participants had to read it over a few times<br />
“before getting a grasp of what it is saying”.<br />
Some strengths of the definition of Tinnitus Disorder were<br />
recognised, participants acknowledged that it:<br />
May increase awareness of the condition<br />
Could lead to standardised approaches to medical<br />
care<br />
Acknowledges that tinnitus can have a wider impact<br />
Recognises it is a serious condition that can affect everyday life.<br />
Take-away<br />
It is essential that those with lived experience of<br />
tinnitus are included in developing research proposals<br />
as well as future discussions and research about<br />
defining tinnitus and Tinnitus Disorder.<br />
The debate around the best way(s) to define tinnitus is an<br />
important one, with the outcomes likely to have significant<br />
impacts on how people with tinnitus access healthcare and the<br />
availability of treatments.<br />
If new definitions, classifications, and terms such as ‘Tinnitus<br />
Disorder’ are to be developed, the potential consequences must be<br />
discussed with those who experience tinnitus.<br />
Conclusion<br />
Although the majority agreed with the proposal, the participants<br />
believed the definition of Tinnitus Disorder to be complex and hard<br />
for non-professional people to understand.<br />
Participants felt by excluding their perspective from the initial<br />
proposal of the definition, the paper was not written with them in<br />
mind:<br />
‘whilst this paper draws upon many aspects of medical knowledge<br />
[…], it demonstrates seemingly little understanding of tinnitus<br />
from a sufferer’s perspective, or that of their family, friend and<br />
colleagues’.<br />
The debate around the best way(s) to<br />
define tinnitus is an important one, with<br />
the outcomes likely to have significant<br />
impacts on how people with tinnitus<br />
access healthcare and the availability of<br />
treatments.<br />
It is essential that those with lived<br />
experience of tinnitus are included in<br />
developing research proposals as well as<br />
future discussions and research about<br />
defining tinnitus and tinnitus disorder.<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 15
Treating young pe<br />
Audiologist Megan Hayden discusses<br />
the challenges of seeing a young<br />
person with tinnitus as they<br />
transition to adult services.<br />
The situation<br />
Sixteen-year-old ‘Sarah’ attended our direct<br />
referral clinic for under-50’s. She presented with<br />
normal hearing; her main complaint was tinnitus.<br />
She was identified as requiring further support, but<br />
which support route was the best avenue?<br />
We offer two in-house options for tinnitus support:<br />
the group Tinnitus Education Session (TES) or an<br />
individual appointment. The TES has a number of<br />
benefits that can’t be experienced in a one-to-one<br />
setting such as camaraderie, the opportunity to<br />
identify with others, validation of experience and<br />
symptom/social comparison. However, if a TES is<br />
not suitable, an individual session may be offered.<br />
Technically the transition from paediatrics to<br />
adults can start at 16, but the child/family typically<br />
chooses to delay transition to 18. For this reason it<br />
is unusual to see Sarah's age group in a TES.<br />
An individualised one-to-one appointment was<br />
considered to be the best management option.<br />
Considerations<br />
1. If her age group is not represented in the TES,<br />
would the benefits of the group session be<br />
accessible to Sarah, or could it possibly contribute<br />
to feelings of isolation?<br />
2. Sarah may still benefit from symptom/social<br />
comparison. However, this could potentially cause<br />
health anxiety. Is emotional maturity something to<br />
consider?<br />
3. Sarah was very shy and quietly spoken - would<br />
she feel comfortable raising her own concerns and<br />
opinions, or would she become lost in the group?<br />
Preparation<br />
In preparation, I considered whether I would<br />
approach Sarah's appointment any differently to<br />
that of one of our older patients, but decided that I<br />
would not. My main objectives of the appointment<br />
would remain unchanged. These were:<br />
• to gain understanding and insight into Sarah's<br />
tinnitus, her reaction and feelings towards it<br />
• to understand causal and influencing factors<br />
• to clarify the wider application/potential<br />
impacts to quality of life (sleep, mood, behaviour<br />
changes)<br />
• to provide reassurance and education on<br />
tinnitus/tinnitus management strategies<br />
As in all my appointments, I would need to ensure<br />
that the information (verbal and written) given was<br />
accessible to Sarah.<br />
I consulted two documents, namely the British<br />
Society of Audiology’s Tinnitus in Children Practice<br />
Guidance and the National Institute of Health and<br />
Care Excellence (NICE) guidelines, Tinnitus:<br />
assessment and management, recommendations.<br />
There are no NICE guidelines specific to children/<br />
young people with tinnitus, however, the NICE<br />
guidelines apply to all patients (adults, children<br />
and young people) with tinnitus unless otherwise<br />
stated.<br />
These helped reassure me that I was correct in my<br />
approach. Research available is limited and of<br />
variable quality, but suggests that children with<br />
tinnitus share many similarities to adults with<br />
tinnitus. Like adults, whilst the experience of<br />
tinnitus is common, most children with tinnitus are<br />
not bothered by it, and a simple explanation and<br />
reassurance are all that is required. Only a small<br />
number of children will require further<br />
management to help with distress or impact upon<br />
their lives.<br />
The appointment<br />
My appointment with Sarah aimed to establish the<br />
level of distress and impact upon her and her<br />
16 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
ople with tinnitus<br />
family, ascertain any causal or influencing factors<br />
and begin to plan the management strategy. I was<br />
able to draw upon both the information leaflets<br />
from the BTA for adults and their leaflets for older<br />
children, having taken into account Sarah’s age,<br />
cognitive and linguistic ability and individual<br />
circumstances.<br />
Sarah’s appointment was online, and it was not<br />
easy as Sarah didn’t have a webcam, and the lack<br />
of information from body language/visual cues<br />
made this more counselling style interaction<br />
difficult. Sarah is not naturally very chatty, though<br />
when prompted with questions, was happy to talk.<br />
However, her answers were often short, and did<br />
require further questioning/prompting to get<br />
further information.<br />
I felt any further follow-up appointments would<br />
have benefited from attending clinic and being<br />
seen in person but at the end of this session, Sarah<br />
was happy to be discharged and contact us if<br />
further support was required.<br />
Challenges/reflection<br />
Overall, the goals of the appointment were<br />
achieved, and the outcome was a positive one.<br />
However, there were a number of challenges:<br />
1. Sarah's choice to not have her webcam on/the<br />
lack of visual information. Non-verbal information<br />
is critical in a counselling style appointment, and<br />
without this visual information it was very difficult<br />
to gauge Sarah's understanding.<br />
2. Difference in disclosure/communication style.<br />
During the conversation Sarah was happy to talk<br />
and answer questions asked, but with limited<br />
elaboration unless further prompted. I was<br />
prompting and guiding disclosure/conversation<br />
much more than I am used to in an adult<br />
appointment (despite using open-ended questions)<br />
and it was much less free-flowing than adult<br />
conversation<br />
3 The role of the parent. There seemed to be an<br />
awkward balance between being a dependant, and<br />
wanting independence. It was difficult to know<br />
whether I could share information and make<br />
appointments with the parent, or whether I should<br />
be making it solely with Sarah.It was also unusual<br />
not ‘debriefing’ the parent on what has occurred,<br />
and not seeing the patient as a child.<br />
A colleague shared that from her experience<br />
parent anxiety can be a large contributor, and so<br />
having them attend the management discussion<br />
part of the appointment (with the patient's<br />
consent) can be beneficial.<br />
For our area, our usual signposting to local support<br />
services does not apply to patients under 18.<br />
Should there have been need for further suppot, a<br />
referral to CAMS would have been required.<br />
Picture posed by model. Sarah is a pseudonym.<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 17
<strong>2021</strong> marathon dre<br />
L-R: Louise, Angela, Colette, Richard, Hugo, Helen, Jess, Chloe and Stephan, Neal, Jo and Christina<br />
Christina<br />
“Sunday 3 October<br />
<strong>2021</strong> is a date<br />
I’ll never forget.<br />
I still can’t quite<br />
process how the<br />
hell I did it, but I did.<br />
"Big thanks to my bestie who was by<br />
my side in her car checking in on me.<br />
Thank you to everyone that came<br />
out and joined me during my final 5<br />
miles – they were testing and painful.<br />
I did the run for the British Tinnitus<br />
Association but also for myself: my<br />
hard work and determination have<br />
paid off.<br />
"Never in my life did I ever think I’d get<br />
a medal for completing a marathon, I<br />
feel a bit choked. It’s been an amazing<br />
journey and I’ve met some amazing<br />
people along the way with some<br />
amazing stories. This is just the start<br />
of something new.<br />
"Challenge yourself – it’s the best<br />
feeling ever.”<br />
Hugo<br />
“There was a<br />
real sense of<br />
community and<br />
support on the<br />
day – the crowds<br />
were amazing.<br />
"And it meant so much to see my<br />
family and friends along the course in<br />
London cheering me on!<br />
"I was delighted with my finish time<br />
of 4 hours 4 minutes, especially after<br />
having to take a couple of weeks out<br />
of training just before the event due to<br />
Covid.<br />
"Throughout my training and<br />
fundraising, I found that the cause<br />
really resonated with people – they<br />
either knew someone with tinnitus or<br />
had a personal experience.<br />
"I’m thrilled to have been able to raise<br />
awareness and over £7,400 for a<br />
cause close to my heart.”<br />
18 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
am team!<br />
Inspired to take<br />
on a challenge?<br />
We have 10 places left for the Brighton<br />
Marathon on 10 April 2022 and would<br />
love to help you to achieve something<br />
amazing whilst supporting our work. For<br />
more info and to sign up for a place, visit<br />
www.tinnitus.org.uk/brighton-marathon.<br />
Deadline 28 February 2022.<br />
RideLondon is back for 2022!<br />
Richard<br />
"Congratulations<br />
everyone! This has<br />
been an amazing<br />
journey. A year ago<br />
I was struggling to<br />
cope with my tinnitus<br />
and couldn't see a way forward and<br />
now I've completed a marathon.<br />
Massive thanks to all of you for putting<br />
this together. Bring on next year!"<br />
The Virgin Money London Marathon<br />
was back in person on Sunday 3<br />
October after a long wait.<br />
As 35,871 runners took to the streets of<br />
London, 22,342 virtual runners completed<br />
their 26.2 miles in their local areas,<br />
including our wonderful team of<br />
fundraisers.<br />
As well as successfully completing the<br />
gruelling challenge and raising awareness<br />
of tinnitus in their local areas, our marathon<br />
team raised an incredible £16,269.23 to<br />
support the work we do for the tinnitus<br />
community. A huge well done and thank<br />
you, Team BTA!<br />
The world's greatest festival of cycling<br />
returns on Sunday 29 May 2022, with a new<br />
format and new route, and we'd love you to<br />
join our team!<br />
RideLondon-Essex 100 is a unique<br />
opportunity to ride 100 miles on traffic-free<br />
roads through the heart of London and<br />
neighbouring Essex. By taking part, you'll be<br />
one of 25,000 to complete the new London-<br />
Essex route and one of only five to do it for<br />
the BTA and the tinnitus community.<br />
The entry fee is £65 and the suggested<br />
minimum sponsorship is £500. Visit<br />
www.tinnitus.org.uk/ridelondon-is-back<br />
to find out more.<br />
If you have already secured a place, you'll<br />
be welcome in Team BTA. You'll get<br />
personalised fundraising support and there<br />
is no minimum sponsorship. Email<br />
fundraising@tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 19
I felt resentful<br />
Andrew Smith acquired tinnitus as a result of a severe ear infection. Here he shares how<br />
the condition affects him and his family.<br />
I’ve had tinnitus since May 2018. It was the<br />
result of a severe infection in my left inner<br />
ear which was diagnosed as labyrinthitis.<br />
The illness caused damage to the hair cells<br />
in my cochlear and as a result I suffered<br />
irreparable severe hearing loss and<br />
associated tinnitus.<br />
Like a distant jet engine<br />
I had experienced a mild form of tinnitus<br />
a few times before but this had always<br />
cleared by the following morning. Initially I<br />
didn’t identify the noise in my ear as being<br />
tinnitus. The pain and other symptoms were<br />
so severe that it took me a while to even<br />
realise that I had it! In my case the sound is<br />
always a 'rushing' noise – like a distant jet<br />
engine. It is constant but varies in volume<br />
and is sometimes accompanied by other<br />
sounds – distant church bells being one.<br />
Muddled and forgetful<br />
At the time of the onset I had retired<br />
but was continuing to work part-time<br />
for a friend. Unfortunately I found the<br />
labyrinthitis symptoms – not least the<br />
tinnitus - caused me to become muddled<br />
and forgetful when carrying out relatively<br />
simple tasks and I resigned from my<br />
role. I felt resentful that my tinnitus had<br />
prevented me from continuing in a job<br />
which I had found enjoyable.<br />
The combination of tinnitus and deafness<br />
sometimes causes me to feel irritable<br />
and short-tempered. This can obviously<br />
have a negative effect on family life. As<br />
Andrew Smith<br />
understanding as my wife is, she also has<br />
to live with it through me, and I know that<br />
isn’t easy for her.<br />
I attended the A & E department of our local<br />
hospital when my symptoms became really<br />
acute but I didn’t feel the seriousness of my<br />
condition was recognised by the clinician. I<br />
visited my GP a few days after this and he<br />
was able to get me a prompt appointment<br />
with an ENT consultant, who told me<br />
that I was suffering from severe 'classic'<br />
labyrinthitis.<br />
The damage had been done<br />
Following examination, he said that my<br />
hearing may improve slightly with time but<br />
really the damage had been done. Up to this<br />
point, I had assumed the tinnitus and the<br />
hearing loss was part of the acute phase<br />
which would improve as part of the healing<br />
process. So the consultant’s rather final<br />
20 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
tone came as quite a shock.<br />
Although the symptoms of my condition<br />
were discussed, the tinnitus element didn’t<br />
seem to figure to any great extent. It was<br />
only when I went to be assessed for a<br />
hearing aid by an audiologist that it was<br />
suggested this may also help to reduce the<br />
tinnitus.<br />
The consultant referred me to a Hearing<br />
Therapist and I have continued to have<br />
contact with her for over two years<br />
although our sessions have had to be by<br />
phone for more than a year due to Covid-19.<br />
Having time to talk<br />
Having time to talk to someone with<br />
knowledge of tinnitus has most definitely<br />
been helpful. A range of techniques to<br />
help me live with my tinnitus have been<br />
discussed, including relaxation, when<br />
it may not be helpful to wear a hearing<br />
aid, and habituation (a rather important<br />
sounding word that means “getting used to<br />
it”).<br />
My Hearing Therapist suggested that I join<br />
the BTA. I found the information helpful:<br />
it was important for me to know that<br />
many other people were having similar<br />
experiences to mine. I would certainly<br />
encourage anyone who has tinnitus to join<br />
the association.<br />
Working hard<br />
From what I have read, many people with<br />
tinnitus have experienced a dismissive<br />
response from health professionals, and<br />
the BTA is working hard to turn this around.<br />
It is often difficult when you feel that you’re<br />
a lone voice to make that voice heard.<br />
I felt quite hopeless when the full impact<br />
of my condition became clear and I am<br />
pleased with what I have achieved since. An<br />
enjoyable and absorbing activity certainly<br />
helps me to deal with tinnitus. Just how<br />
well I do deal with it varies a lot – the<br />
pandemic has certainly not helped. I feel<br />
my experience of the last three years has<br />
been mixed: it would have been helpful<br />
if it had been explained that hearing loss<br />
is often accompanied by tinnitus. Talking<br />
about it to someone who understands most<br />
definitely helped me.<br />
When tinnitus is first experienced, it can<br />
so easily cause someone to feel helpless,<br />
hopeless and desperate, but there are ways<br />
in which help can be effectively provided. I<br />
feel the BTA is doing a good job in helping to<br />
provide support where it matters.<br />
Share your own story<br />
Whether you're new to tinnitus or have<br />
had it for many years; whether you're<br />
managing it well or finding it all a bit of<br />
a struggle, your story could help us to<br />
reach more people, and potentially<br />
make a difference to their lives.<br />
Don't worry — you'd have control over<br />
how, when and where we share your story<br />
and we'll help you put it together — no<br />
writing skills needed!<br />
We are especially looking for:<br />
• people based in Wales or in<br />
Scotland<br />
• people with musical hallucination<br />
• people from minority ethnic<br />
backgrounds<br />
who are willing to help us and become<br />
one of our story tellers.<br />
If this is something you'd be interested<br />
in, please get in touch with Nic Wray on<br />
nic@tinnitus.org.uk or write to her at Nic<br />
Wray, FREEPOST BTA (no stamp needed).<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 21
To beat tinnitus, accept it<br />
Sash Dublish shares his experience of living with tinnitus and hyperacusis.<br />
My tinnitus journey started in September 2018<br />
following a manual cleaning of ear wax, though I<br />
believe tinnitus was inevitable due to exposure to<br />
loud music over the years - the ear wax cleaning<br />
was just a trigger.<br />
I thought nothing of it<br />
My tinnitus started fairly low, so I thought nothing<br />
of it and really continued life as normal. I was<br />
DJing, going to nightclubs and using headphones,<br />
although I was a little more cautious. Gradually<br />
each loud event would make my tinnitus worse,<br />
even though I went to events only three or four<br />
times a year.<br />
In July 2019, I started experiencing hyperacusis<br />
following a house alarm. Initially I was really<br />
annoyed at myself, but it couldn’t have been<br />
avoided. I have a number of physical symptoms<br />
with hyperacusis and it sometimes accentuates<br />
the tinnitus.<br />
I can hear it everywhere<br />
Currently, my tinnitus is so loud – it feels around<br />
90 decibels. I can hear it everywhere including<br />
the shower. My hyperacusis has improved but<br />
all sounds are louder. I still have symptoms like<br />
sensitivity, ear flutter and ear burning. Apart from<br />
very loud noises, I have noticed my hyperacusis<br />
and tinnitus get a lot worse due to wind speed,<br />
when I experience intense migraines, fatigue and<br />
nausea the next day.<br />
Unfortunately, due to tinnitus I have had to give up<br />
the activities I love like going to football matches,<br />
nightclubs, music festivals, DJing and using<br />
headphones. That has been the hardest part - it<br />
has curtailed my social life significantly. Even<br />
an outdoor music festival worsened my tinnitus.<br />
Taking flights is hazardous due to changes in air<br />
pressure.<br />
I used to wear earplugs when shopping or driving<br />
but I hardly wear them now, which I think has<br />
helped as I am not so anxious about loud sounds. I<br />
Sash Dublish<br />
am trying very hard not to focus on sound. Anxiety<br />
exacerbates my perception of tinnitus.<br />
When I am busy, I do not hear my tinnitus even<br />
though it is so loud and noticeable. I do hear it in<br />
bed very loudly but luckily most times I am able<br />
to nod off easily. I find some form of pink noise<br />
doesn’t necessarily mask it, but it helps me sleep<br />
better.<br />
I am starting to meditate<br />
I am starting to meditate – it’s still early days but<br />
I can see why for some people it could help to<br />
distract the mind from the sound of tinnitus.<br />
To beat tinnitus, accept it and try not to think<br />
about it – I know, more easily said than done! Keep<br />
busy and distracted. There will be ups and down:<br />
please do not blame yourself for spikes which will<br />
inevitably happen from time to time.<br />
It also helps to talk to people about tinnitus. I have<br />
a very good Audiologist and is just nice to speak<br />
to someone who understands the condition, even<br />
though there is no cure. I am also about to start<br />
Tinnitus Retraining Therapy soon.<br />
22 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
Living happily with<br />
tinnitus<br />
Andrea White didn't know if she could<br />
live with tinnitus at first, but her<br />
story has a happy ending.<br />
Waking up one morning in late 2015 with an<br />
intrusive high-pitched hiss in my head was a<br />
surprise, but I soon realised this must be tinnitus<br />
and my existence quickly became tortured by it.<br />
I thought my hearing was good<br />
My GP confirmed it, said I’d have to get used to it<br />
and re-directed me to Audiology, where a hearing<br />
test showed I had some loss of hearing at the top<br />
levels, which was news to me as I thought my<br />
hearing was good. Hearing aids were prescribed,<br />
which I accepted, although secretly I thought I was<br />
much too young to wear them, so I put them aside<br />
and ignored them. I wasn’t too young of course,<br />
and it was a big mistake not to take them on.<br />
The long journey to find a cure<br />
I thought I knew best and set out on the long<br />
journey to find a 'cure'. Research on the internet<br />
revealed that many people had tried many<br />
different things, almost all of which had no real<br />
effect. In addition, medical researchers were<br />
beginning to see this condition as a neuronal<br />
disorder in the auditory cortex with various causes.<br />
With this in mind my first experiment was to<br />
have a course of repeat transcranial magnetic<br />
stimulation (rTMS]. This cost a lot of money and<br />
had no effect on my neurons.<br />
Be in the moment<br />
My second experiment was of a psychological<br />
nature where I had a series of meetings with a<br />
psychologist who helped me to 'be in the moment'<br />
with my life and its activities. With this new<br />
'mindfulness' tool, I began to notice things a lot<br />
more and this strategy effectively diverted my<br />
Andrea White<br />
thoughts and attention away from the tinnitus,<br />
the noise of which became subdued and often<br />
disappeared.<br />
Almost 100% free of the noise<br />
I also decided to give the hearing aids a try and,<br />
amazingly, the recovery of the high-pitched<br />
sounds I was missing seemed to completely wipe<br />
out any residual tinnitus noise. I am now almost<br />
100% free of the noise of tinnitus, I hear it briefly<br />
when I awake, but it disappears within minutes<br />
as I focus on other things.<br />
My life now has changed completely, from those<br />
early days of fear and unhappiness where I<br />
thought I’d be on anti-depressants forever, to a<br />
normal, busy, happy existence where I am able<br />
to immerse myself in and thoroughly enjoy my<br />
activities and life generally.<br />
The experts were right<br />
In the beginning I was told that I would have to<br />
habituate to tinnitus – the experts were right, you<br />
just have to find your way to achieving it, and I<br />
hope that my experience will help.<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 23
Paul's story: I thought it was<br />
game over for my music career<br />
By day, Paul Pearson is one of the team of printers who print <strong>Quiet</strong> magazine.<br />
But he also has another passion - music. How does tinnitus affect this?<br />
Hello, my name is Paul Pearson. I’m a<br />
DJ, radio DJ, music producer and a litho<br />
printer by day. As you can probably guess,<br />
I’m also a tinnitus sufferer. I've been a<br />
printer by trade for 20 years, and a DJ for<br />
even longer.<br />
As a DJ and weekly clubber since before<br />
the Millennium, I've spent a lot of time in<br />
night clubs and bars and didn't protect my<br />
ears. I would say I've had tinnitus since<br />
the mid-2000s at a guess.I would wake<br />
up from gigs or nights out with ringing<br />
ears and think, "It's ok, it will pass," which<br />
it usually did until one time it didn’t and it<br />
has never gone away.<br />
I attended a club night in Sheffield and<br />
the sound system was terrible, very top<br />
heavy and harsh on the ears. When I woke<br />
up the following day, the ringing I was<br />
used to hearing never stopped.<br />
My tinnitus mainly bothers me in quiet<br />
spaces. As I work in a loud environment,<br />
it's also hard to hear some days. More<br />
recently, I have been noticing it with my<br />
earplugs in and I definitely notice it in the<br />
studio when I have my headphones on<br />
and no music playing. The enclosure of<br />
headphones can be unbearable at times.<br />
Although I will not give in to my tinnitus<br />
and stop doing what I love, it’s certainly<br />
getting worse as time goes on.<br />
My tinnitus is quite high frequency, like<br />
bad white noise and ringing. Bizarrely,<br />
Paul with a BTA appeal letter on press!<br />
sometimes I can hear voices like a family<br />
member speaking to me or words being<br />
spoken. It doesn’t affect my family life<br />
but my little girl can be loud at times and<br />
has shouted a few times in my ears which<br />
can be painful. Laying in bed at night is<br />
definitely the worst if I concentrate on my<br />
tinnitus.<br />
In 2008, I visited my local hospital after<br />
speaking to my GP where I went into a<br />
soundproof room to test my hearing, which<br />
was unbearable! The end result was I that<br />
I have lost some hearing.Nothing else<br />
was really suggested back then or any<br />
help other than a hearing aid white noise<br />
generator, which at 27 did not go down well<br />
24 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
with me and I left quite frustrated. I’m quite<br />
a strong-willed person so I just decided to<br />
learn to live with it and maybe look at some<br />
sort of treatment in the future as I get older<br />
and technology advances, or I may look at<br />
alternative therapies.<br />
One thing that does help me and has for<br />
the past few years is meditation. I meditate<br />
daily and that time out does help calm the<br />
mind in today's busy world.<br />
When my tinnitus started, I thought it was<br />
game over for my music career, that I would<br />
have to give up DJing and producing music.<br />
Luckily this has not been the case and it's<br />
pushed me to work harder. Pre-pandemic, I<br />
still had regular gigs and one good thing to<br />
come out of lockdown is a regular slot on<br />
LDC Radio in Leeds. My hobby is not ideal<br />
for a tinnitus sufferer, but I refuse to let this<br />
get in my way.<br />
The ironic part of my story is I first found<br />
out about the BTA through my job as<br />
a printer. I have regularly printed the<br />
magazine you are reading for many years.<br />
Apart from the writers and editors, I’m<br />
usually the first to read it! The BTA has<br />
helped me get a lot of insight into tinnitus<br />
and see I’m not alone.<br />
My plans for the future are keep on with my<br />
music as I’ve been in love with dance music<br />
since the mid-90s. Music is in my soul and I<br />
refuse to let this condition stand in my way.<br />
Hopefully in the future we will see a<br />
breakthrough in medicine or therapy for all<br />
tinnitus sufferers, but my word of advice<br />
to everyone is wear earplugs! I wish I could<br />
go back in time to speak to the 20-year-old<br />
me and stress the importance of earplugs.<br />
I wear my ACS plugs everyday and think<br />
every music fan needs to invest in a pair.<br />
Look after your hearing: you only get one<br />
set of ears!<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 25
PRODUCTS FOR TINNITUS<br />
Each of these products will not only help you, but each purchase will<br />
help support the work that we do for people with tinnitus.<br />
CDs and audio<br />
We offer four hour-long noise CDs, each of which feature a different waveform<br />
sound (white, pink, brown or purple).<br />
Our best-seller ‘Sound of the Sea on Deal Beach’ is available in CD or memory<br />
stick form. This features the sound of the sea coming in on a pebble beach,<br />
which can be a useful, calming aid to relaxation.<br />
See our range in our online shop at www.tinnitus.org.uk/shop.<br />
Bone conduction<br />
headphones<br />
Bone conduction technology uses vibrations through your cheekbones to<br />
deliver sound directly to your inner ear (cochlea), bypassing the eardrum. This<br />
means you can still hear the world around you whilst using sound as a form of<br />
distraction and relaxation for your tinnitus.<br />
Our partnership with Sport Rewards means we can offer preferentially priced<br />
AfterShokz headphones to BTA members.<br />
Sport Rewards will also donate 10% of the purchase price of products* bought<br />
via www.sportrewards.co.uk/collections/bta to the BTA.<br />
Ear plugs and<br />
ear defenders<br />
Sound therapy<br />
systems<br />
We only have one pair of ears, and they have to last us a lifetime. Damage to<br />
hearing caused by noise is irreversible. The risk of damage is dependent not<br />
only on the volume of the noise, but the length of time you’re exposed to that<br />
noise.<br />
To minimise your risk of damage, always wear hearing protection in a noisy<br />
environment. Buy ear plugs or ear defenders that are made for the task –<br />
cotton wool or sticking your fingers in your ears won’t do anything to help!<br />
You can see our range of hearing protection – which includes ear defenders for<br />
babies and young children- in our online shop at www.tinnitus.org.uk/shop.<br />
Sound therapy systems play high quality digital recordings of real, natural<br />
sounds and/or carefully designed neutral sounds. You can choose the sound<br />
or sounds that work best for you. Sound pillows or under pillow speakers mean<br />
you can surround yourself in sound without disturbing a companion.<br />
We are working in partnership with Puretone to provide preferentially priced<br />
sound therapy systems and pillow speakers to BTA supporters and members.<br />
Puretone will also donate 10% of the purchase price of products* bought via<br />
www.puretone.net/btashop to the BTA.<br />
*excluding postage costs<br />
26 www.tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three
Local Support Group<br />
Volunteers Needed!<br />
Are you looking for a<br />
tinnitus support group in<br />
your area? Are your local<br />
group meetings on hold?<br />
If you would like to help revive<br />
your local group or start a<br />
new one in your area, please<br />
get in touch with Emily<br />
Ducker on emilyd@tinnitus.<br />
org.uk or call 0114 250 9933.<br />
Online Tinnitus &<br />
Hyperacusis Group!<br />
Wednesday 19 January<br />
7.00-8.30pm.<br />
www.tinnitus.org.uk/<br />
online-support-groups<br />
YDYCH CHI'N SIARAD<br />
CYMRAEG?<br />
The BTA is expanding its online<br />
tinnitus support group offering<br />
with a Welsh-speaking group!<br />
We hope to get it up and<br />
running in the New Year, but<br />
we need your help.<br />
If you are fluent in Welsh and<br />
would be interested in cofacilitating<br />
or helping in the<br />
background as a volunteer,<br />
please get in touch with Emily<br />
at emilyd@tinnitus.org.uk<br />
Why not become<br />
a helpline<br />
volunteer? Full<br />
training provided<br />
Contact emilyd@<br />
tinnitus.org.uk<br />
QUIET <strong>2021</strong> <strong>Issue</strong> Three www.tinnitus.org.uk 27
SUPPORT GROUPS<br />
Scotland<br />
Edinburgh & SE Scotland<br />
Forth Valley<br />
Glasgow<br />
Highlands<br />
Northern Ireland<br />
Belfast<br />
Craigavon<br />
Enniskillen (on hold)<br />
Newry & Mourne<br />
Omagh (on hold)<br />
RNID Northern Ireland<br />
Western (Londonderry)<br />
North-West England<br />
& Isle of Man<br />
Aintree (on hold)<br />
Blackpool (on hold)<br />
Bolton<br />
Cumbria<br />
Garstang (on hold)<br />
Isle of Man<br />
Kendal (on hold)<br />
Manchester<br />
Prestwich<br />
St Helens<br />
Stockport (on hold)<br />
Widnes<br />
Wales<br />
Cardigan<br />
Newport<br />
Pontyclun<br />
Pontypridd<br />
Rhondda<br />
Swansea<br />
Ystradgynlais<br />
(on hold)<br />
(on hold)<br />
(on hold)<br />
(on hold)<br />
South-West England<br />
Bournemouth (on hold)<br />
Bristol (on hold)<br />
Gloucester (on hold)<br />
Kingsbridge &District<br />
Mid-Somerset (on hold)<br />
South West England<br />
Taunton (on hold)<br />
Truro<br />
South-East England<br />
Aldershot & District<br />
Amersham<br />
Ashford, Kent<br />
Basingstoke<br />
Brighton<br />
Canterbury<br />
Crowborough<br />
Dover<br />
Faversham<br />
Harpenden (on hold)<br />
H'wards Heath (on hold)<br />
Hitchin (on hold)<br />
Isle of Wight (on hold)<br />
Maidstone<br />
Marlow/Farnham Common<br />
Oxford (on hold)<br />
Pembury (West Kent)<br />
Rochester<br />
Salisbury<br />
Southampton (on hold)<br />
Thanet<br />
Worthing (on hold)<br />
West Midlands<br />
Birmingham & District<br />
Newcastle under Lyme<br />
Shrewsbury<br />
Stoke on Trent<br />
Telford<br />
Warwick<br />
Whitchurch<br />
As we go to press, some groups<br />
may be planning to hold physical<br />
meetings.<br />
Find out when and where these<br />
groups are meeting by checking<br />
the Support Groups Directory<br />
online at bit.ly/TSGTT or contact<br />
us on 0800 018 0527 or<br />
helpline@tinnitus.org.uk.<br />
We will ensure these groups have<br />
the tools to do so safely.<br />
North-East England<br />
Chester-le-Street<br />
Darlington<br />
Newcastle<br />
North Tyneside<br />
Seaham<br />
Yorkshire & Humber<br />
Bradford<br />
Brighouse NEW!<br />
Keighley<br />
Rotherham<br />
Ro'ham Central (on hold)<br />
Sheffield (on hold)<br />
York<br />
East Midlands<br />
Chesterfield<br />
Derby<br />
(on hold)<br />
Leicester (on hold)<br />
Lincoln (on hold)<br />
Northampton<br />
East of England<br />
Bury St Edmunds<br />
Cambridgeshire<br />
Chelmsford<br />
Ipswich (on hold)<br />
King's Lynn<br />
Lowestoft (on hold)<br />
North East Essex<br />
Norwich/Norfolk<br />
Southend-on-Sea<br />
London (within M25)<br />
Bexley<br />
Boreham Wood<br />
Bromley<br />
Chiswick (on hold)<br />
Greenwich<br />
Hornchurch<br />
Isleworth (on hold)<br />
Kingston<br />
North London<br />
Orpington<br />
Redbridge & Hackney<br />
Key<br />
BTA Gold Standard group<br />
Meeting online