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The role and mechanisms of habituation to tinnitus

Updated: Jun 20, 2023


The role and mechanisms of habituation to tinnitus, used in the Habituation Protocol

Habituation can play a role in the experience of tinnitus, which is the perception of sound without an external auditory stimulus. Tinnitus can be described as a persistent ringing, buzzing, hissing, or other similar sounds in the ears or head. Habituation to tinnitus refers to a process in which individuals become less reactive or less bothered by the perception of tinnitus over time.


When tinnitus first occurs, it can be highly disruptive and distressing for individuals. The constant presence of the perceived sound can cause anxiety, stress, and difficulty concentrating. However, as individuals are exposed to tinnitus over an extended period, they may undergo habituation, reducing their emotional and attentional response to the sound.


Habituation to tinnitus can occur through various mechanisms. One mechanism involves changes in neural processing. Initially, the brain may allocate significant attention and resources to the perception of tinnitus, resulting in increased awareness and distress. However, with repeated exposure, the brain's response may gradually decrease, leading to habituation to reaction. This process involves adaptive neuroplasticity, where the brain reorganizes its neural connections to become less responsive to the tinnitus signal.


Psychological factors also play a role in the habituation of tinnitus. Cognitive and behavioral strategies, such as cognitive restructuring, relaxation techniques, and sound therapy (not used by the habituation Protocol), can help individuals shift their focus away from tinnitus and reduce their emotional response. By actively engaging in these strategies, individuals may learn to habituate to the perception of tinnitus and experience less distress over time.

It's important to note that habituation to tinnitus does not mean it disappears. Instead, it refers to a reduction in the emotional and attentional response to the perception of tinnitus.


Some individuals may achieve habituation to the point where they no longer notice the tinnitus unless they consciously think about it or are in a quiet environment. However, the tinnitus may remain noticeable for others but becomes less bothersome and disruptive to daily life.


It's worth mentioning that habituation to tinnitus is not a guaranteed outcome for everyone. The experience of tinnitus and the degree of habituation can vary among individuals. If tinnitus causes significant distress or interferes with daily functioning, it is advisable to seek professional help from a healthcare provider specializing in management. They can provide guidance and support and recommend appropriate treatments or therapies to help manage the condition.


Edvaldo de Oliveira Leme, RNC,ADON/LTC,BPSY.

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