INTRODUCTION
Dozens of counseling and sound therapies have been proposed over the past two decades. While each of these approaches has been reported to be beneficial for certain patients, none are universally effective, and only a few have survived the test of time. Furthermore, none of the existing tinnitus therapies directly address all of the problems that contribute to the distress experienced by tinnitus patients. Inattention to any of these issues can lead to failure.
In this paper, we describe a new integrated approach to tinnitus patient management that incorporates not only the optimal segments of existing therapies, but novel acoustical stimuli and relaxation exercises, as well.
