About The Book


This book is designed for conducting one-on-one counseling. While the PTM counseling involves both audiologic and psychologic counseling, this book focuses on the audiologic counseling. Normally, this book would be used for patients who require PTM Level 5 Individualized Support. However, it can be used for any patient who requires individual counseling to learn how to manage reactions to tinnitus. The Counseling Guide is used like a flip chart, but laid flat on a table between clinician and patient. One side provides bulleted talking points to aid the clinician in describing the concepts. The other side faces the patient and shows simplified text and illustrations to facilitate comprehension.

The Counseling Guide, which is almost 300 pages long, includes three sections. The first section is a complete description of the PTM audiologic counseling, which corresponds to the education that is provided during the first Level 3 group workshop. The second section corresponds to the second Level 3 group workshop, as a follow-up to the first workshop. The third section is a counseling guide for patients who suffer from reduced sound tolerance (hyperacusis).

A 76-minute audio CD is included with the Counseling Guide. The CD contains a tutorial of how sound can be used to manage tinnitus, followed by samples of different sounds. Clinicians can use the CD to supplement the PTM counseling.


About the Authors

James Henry, PhD, is a certified audiologist with a doctorate in Behavioral Neuroscience. He works as a VA Research Career Scientist at the National Center for Rehabilitative Auditory Research (NCRAR) located at the Portland, Oregon VA Medical Center, and is a Research Professor, Dept. of Otolaryngology, Oregon Health & Science University. He has been at the VA for 23 years, and has conducted tinnitus research for 17 years. His research focuses on the development of standardized protocols for clinical assessment and management of tinnitus, and conducting randomized clinical trials to assess outcomes of different methods of tinnitus intervention.

Tara Zaugg, AuD, is a licensed, certified, and clinically-privileged research audiologist employed at the NCRAR. Through her involvement in tinnitus clinical trials over the last 10 years at the NCRAR, she has developed considerable expertise in tinnitus assessment and management, and in the training of audiologists to perform tinnitus management.

Table Of Contents

Section 1. Managing Your Tinnitus: What to Do and How to do it (Introduction)

  • Part 1: Review the Tinnitus and Hearing Survey
  • Part 2: Learning How to Make a “Sound Plan” to Manage Tinnitus
  • Part 3: Design Your First “Sound Plan”

Section 2. Managing Your Tinnitus: What to Do and How to do it (Follow-up session)

  • Part 1: Review the Sound Plan Worksheet
  • Part 2: Discuss Your “Sound Plan”
  • Part 3: Ideas for Choosing Devices
  • Part 4: Update Your “Sound Plan”
  • Part 5 (optional): Sound-based Methods of Tinnitus Management
  • Part 6 (optional): Other Things You Can Do

Section 3. What To Do When Everyday Sounds Are Too Loud


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