The Tinnitus Functional Index (TFI)

The Tinnitus Functional Index (TFI)

Completing your Tinnitus Functional Index (TFI)

The first thing to do is to complete your initial TFI (Tinnitus Functional Index):
If you found the CBT4T via the main website www.tinnituseprogram.org, or the courses site courses.tinnituseprogram.org you may have already completed a TFI and sent it in. That's great! No need to do another! 

I ask you to complete your TFI for two reasons:

  1. Completing it gives you your starting point. It reflects how you have been coping with tinnitus over the past week to two weeks. It gives you a measure that is used to "measure" how much you progress and improve through using the course. You'll complete them again mid-term and at the end of the course, and your score will have reduced - most commonly by at least 2 of the TFI categories 

  2. The second reason is that when you press SEND at the end of the TFI, you receive a copy of your answers, and they also come through to me. I will be working with you after you enrol, so it gives me an idea of how well you are currently coping in terms of tinnitus distress.

  3. Once you have enrolled, in addition to your TFI, I also ask that you complete and send in a THI (Tinnitus Handicap Inventory), your GAD-7 that gives a measure of anxiety (you will be asked to complete a second anxiety measure (Anxiety Symptoms Q) should your GAD-7 or PSS indicate being higher than at a mild level), your Perceived Stress Scale (PSS) and also a brief history of what has happened in terms of your tinnitus to date - it is called your Mini-history. 

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How does the CBT4T programme work?

  • A Warm Welcome!
  • The Four Elements | CBT4T Support
  • Feedback/Reviews & Appointments
  • The ABC of Cognitive Behaviour Therapy (CBT)
  • The Tinnitus Functional Index (TFI)1
  • CBT4T Substack
  • Website and Reviews
  • Research underpinning CBT for Tinnitus

Links to logs and tools used throughout CBT4T

  • Links to logs and tools

Q & As

  • Starting out with the breathing exercise (Stage 1)
  • Doing the breathing exercise in silence
  • Part 1 and Part 2 of the Breathing exercise
  • Relaxation & Meditation
  • Sleep problems
  • Taking breaks away from the course
  • The Meaning Adjuster

Element 1: Preparation | Stage 1 - Clinical Measures & Mini-History

  • Before you begin Stage 1
  • Why are your Clinical Measures Important?
  • Please commit to completing your measures
  • Complete and Send in your Mini-history
  • Join CBT4T Substack

Element 1: Preparation | Stage 1 - The Amygdala

  • Bottom>Up, Top>Down Brain Action
  • An Example
  • Neuroscience, Trauma & CBT4T
  • Are there exceptions for benefiting from using CBT?
  • To conclude
  • IMPACT STATEMENT

Element 1: Preparation | Stage 1 - Sleep (Optional section)

  • Information about sleep
  • Professor Colin Espie
  • Sleep Diary
  • Professor Matthew Walker
  • Professor Matthew Walker - TED Talk Sleep is your Superpower
  • Professor Matthew Walker - This is how you sleep better

Element 1: Preparation | Stage 1 - Practical

  • Stage 1 Practical
  • How to carry out the breathing exercise
  • Breathing Exercise Instructions
  • Physiological Relaxation & Relaxation Logs

Element 1: Preparation | Stage 1 - Tinnitus Explained

  • What tinnitus sounds like
  • Common Triggers
  • The Brain and Tinnitus
  • Tinnitus & the Autonomic Response
  • How tinnitus is managed
  • Hyperacusis - heightened sensitivity to sound
  • "What is the association between tinnitus and hyperacusis?" by Professor David Baguley
  • Weekly SITREP

Element 1: Preparation | Stage 2

Delayed 7 days

  • Progress Check 1
  • How to pace your progress
  • Before you begin Stage 2
  • Stage 2 Practical
  • The Autonomic Ladder
  • How Change Works
  • Maslow's Hierarchy & Human Function
  • Weekly SITREP
  • Have you joined CBT4T Substack yet?

Element 1: Preparation | Stage 3

Delayed 17 days

  • Progress Check 2
  • Stage 3 Practical
  • The Neuroscience Behind Change
  • FOUR Important Points to Understand for a Successful Outcome
  • The 3 Levels of Hearing - how they relate to how we hear tinnitus
  • The Significance of Sound
  • What Stress Does
  • Meaning in Tinnitus
  • Weekly SITREP
  • Have you joined CBT4T Substack yet?

Element 2: Moving Forward | Stage 4A

Delayed 24 days

  • Progress Check 3
  • Stage 4 Practical
  • Cognitive Fusion 1 - Firing, Wiring & "Self-talk"
  • Negative Thoughts
  • The Tension Cycle
  • CBT4T Substack

Element 2: Moving Forward | Stage 4B

Delayed 24 days

  • Cognitive Fusion 2
  • What Cognitive Distortions are behind your Negative Thoughts?
  • The Iceberg Analogy
  • Cognitive Distortions Practical
  • Before you leave Stage 4

Element 2: Moving Forward | Stage 5A

Delayed 38 days

  • Progress Check 4
  • Stage 5 Practical
  • "Daily Moments" activity for added strengthening of neural pathways
  • Objective vs Subjective Thinking
  • Reaction Analysis or "Spot the links"
  • Meaning Adjuster
  • Join CBT4T Substack

Element 2: Moving Forward | Stage 5B

Delayed 38 days

  • Setting your Goals
  • Valued-based Action

Element 2: Moving Forward | Stage 6

Delayed 52 days

  • Progress Check 5
  • Stage 6 Practical
  • Cognitive Reframing
  • Mid-term Measures
  • Brain Plasticity - optional reading
  • Mid-term Progress & Feedback

Element 3: Meaning & Belief | Stage 7 Module 1

Delayed 66 days

  • Stage 7 Practical
  • Taming Tinnitus
  • Continue Practice Reframing

Element 3: Meaning & Belief | Stage 7 Module 2

Delayed 66 days

  • Practical
  • Change the Mind to Change the Brain to Change the Mind 1
  • Change the Mind to Change the Brain to Change the Mind - 2
  • Continue Reframing

Element 3: Meaning & Belief | Stage 7 Module 3

Delayed 80 days

  • Repeat Clinical Measures
  • Practical
  • The Beck Thought Record for Reframing
  • Core Belief Identification (Self)
  • Core Belief Identification (Others)
  • Core Belief Identification (The World/My Life)

Element 3: Meaning & Belief | Stage 7 Module 4 Identify New Core Belief

Delayed 80 days

  • Identify New Core Belief
  • New Core Belief Record
  • Rate Confidence in the New Core Belief

Element 4: Consolidate & Completion | Stage 8

Delayed 80 days

  • Practical
  • Reframing Practice
  • Neuroscience Research - Tinnitus
  • Tinnitus and the Power of Prediction | Dr Will Sedley
  • Measuring your progress

Element 4: Consolidate & Completion | Stage 8 Final Module

Delayed 80 days

  • Final Practical
  • Reframing Practice
  • Completing this process
  • Final Progress Check
  • Completing the process