Example of TRT 'directive' counselling

Here is an example of how patients are counselled during TRT.  Read this first:

In the audio file you will hear JWPH counselling an imaginary (but very typical) patient with tinnitus, some sensitivity to external sounds, and normal ears and hearing for their age. Most patients worry about the things that triggered tinnitus, a vast number of different events and situations. However the PERSISTENCE of tinnitus, what makes it go on, is essentially the same in every case and covered by this illustration. 

Remember this is not full TRT, because everyone has a unique experience which must be addressed in a 1;1 situation after careful history taking. However most people can benefit form 'generic' information about the Jastreboff model and TRT. Don't forget the importance of 24 hour sound enrichment

Every TRT trained professional uses a different, and personal counselling technique, but many elements are shared by all of us. It is different from classical counselling, where there is a lot of listening. TRT directive counselling is a teaching or training session, where information and knowledge about tinnitus and sound sensitivity is given to the patient. This is a key part of TRT. 

If you are being treated with TRT and without this teaching approach on an ongoing basis, then it is NOT TRT! 

Download the audio file (this takes about 45 minutes, it is about 6 Mb and plays for 50 minutes) and the illustrations, which you should have in front of you as you listen. Do not use the illustrations on their own, until you have listened to the recording

  Download audio file of directive counselling (English only)

   Download illustrations for use with audio file  (English only)

   Download audio file of tinnitus simulations (1.5 Meg)

(Adobe ® Reader required - get your free copy)