Feedback/Reviews & Appointments

Feedback/Reviews & Appointments

The process in this programme has not come about as a "happy accident"

The first six months of 2020 was spent analysing my process and data from work I had carried out with patients individually since 2005, all of whom had started out with either a Tinnitus Functional Index (TFI) category 4 (54-72%) or 5 (73-100%). These patients also had anxiety either at moderate or severe levels. From the analysis, I was able to translate the process in to what became the 12 Stage Cognitive Behaviour Therapy for Tinnitus E-Programme in 2020, then CBT4T in 2024.

Feedback from Users can be seen in Feedback/Reviews I also receive weekly feedback in the SITREPs since incorporating the SITREP in August 2023, so the majority of adjustments made for this CBT4T 2025 programme have been actioned through both the reviews and SITREPs.

Please take some time to read some of the feedback from our Users:

Feedback/Reviews

Included Appointments in Enrolment

Up to October 2023, enrolment was a choice between enrolling with ONE, TWO or THREE appointments included, the majority (70%) opting for the TWO appointment enrolment (around 10% opted for ONE and 20% for THREE appointments). From October 2023, enrolment was simplified so that everyone enrolling could do so with ONE 1-1 appointment, with the option to add additional 1-1 appointments as they progressed deeper in to the course.

What has become abundantly clear over these 4 years, is that up to TWO appointments suit some 90% of Users. A small proportion (around 5%) have needed a third appointment. Those that enrol with a mid-Category 3 Tinnitus Functional Index (TFI) where their tinnitus is "a moderate problem" needed just the one appointment.

CBT4T 2025-1APP

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How does the CBT for Tinnitus E-Programme work?

  • A Warm Welcome!
  • CBT4T 2025 - The Four Elements
  • Feedback/Reviews & Appointments
  • The ABC of Cognitive Behaviour Therapy (CBT)
  • The Tinnitus Functional Index (TFI)
  • CBT4T Substack
  • Website, Blog and Reviews
  • Research underpinning CBT for Tinnitus

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

Element 1: Preparation | Stage 1 - The Amygdala

  • Bottom>Up, Top>Down Brain Action
  • An Example
  • Neuroscience, Trauma & The CBT for Tinnitus E-Programme
  • 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

  • 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

Element 1: Preparation | Stage 3

Delayed 17 days

  • Progress Check 2
  • Stage 3 Practical
  • The Neuroscience Behind Change
  • An Important Understanding for a Successful Outcome
  • The 3 Levels of Hearing
  • The Significance of Sound
  • What Stress Does
  • Meaning in Tinnitus
  • Weekly SITREP

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

Element 2: Moving Forward | Stage 4B

Delayed 24 days

  • Cognitive Fusion 2
  • What Cognitive Distortions are behaind 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

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