Principles and application of educational counseling used in progressive audiologic tinnitus management

Exposure to loud sounds is a common cause and exacerbater of tinnitus - a troubling auditory symptom that affects millions of people worldwide. Clinical research at the National Center for Rehabilitative Auditory Research has resulted in a clinical model of tinnitus management referred to as Progres...

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Bibliographic Details
Published in:Noise & health 2009-01, Vol.11 (42), p.33-48
Main Authors: Henry, James A, Zaugg, Tara L, Myers, Paula J, Kendall, Caroline J, Turbin, Mitchel B
Format: Article
Language:English
Subjects:
Adult
Audiology
Behavior
Behavior Therapy
Care and treatment
Chronic illnesses
Cognitive Therapy
Counseling
Diagnosis
Health counseling
Health education
Hearing loss
Humans
Intervention
Methods
Music
Otolaryngology
Otology
Patient Education as Topic
Patients
Principles
Psychologists
Risk factors
Self Care
Self-care, Health
Sound
Speech
Tinnitus
Tinnitus - diagnosis
Tinnitus - psychology
Tinnitus - rehabilitation
Tinnitus - therapy
Triage
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Summary:Exposure to loud sounds is a common cause and exacerbater of tinnitus - a troubling auditory symptom that affects millions of people worldwide. Clinical research at the National Center for Rehabilitative Auditory Research has resulted in a clinical model of tinnitus management referred to as Progressive Audiologic Tinnitus Management (PATM). The model involves five hierarchical levels of management: Triage, Audiologic Evaluation, Group Education, Tinnitus Evaluation, and Individualized Management. Counseling by audiologists and, as needed, mental health providers, is a key component of PATM. This style of counseling focuses less on didactic informational counseling; instead, counseling is used for facilitating patients' learning to adjust to the disturbing auditory symptom by successfully employing tools from two powerful skillsets for self-management of chronic tinnitus - the therapeutic uses of sound and techniques from cognitive-behavioral psychology. This article provides an overview of the methods of counseling used with PATM and provides details concerning the overarching principles of collaborative adult learning that are believed to be most important in facilitating self-management by patients who complain of tinnitus.
ISSN:1463-1741
1998-4030
DOI:10.4103/1463-1741.45311