Autonomous Tinnitus Management (Self-Help for Tinnitus)

A common refrain heard from people with tinnitus is, “My doctor said there’s nothing that can be done.” This chapter shows that there are, in fact, are many steps that people can take to help themselves. However, there is no clear signposting through this confusing maze of potential self-treatments and this is of concern as whilst some self-management techniques have been shown to be of benefit, for others the evidence of effectiveness is less conclusive, and for some, there is evidence of no effect or indeed potential harm. It is important for health professionals and patient support organisations to encourage and facilitate evidence-based autonomous interventions such as tinnitus support groups, using reliable information and self-help books, sound therapy and relaxation techniques. People with tinnitus should be discouraged from trying dietary supplements, lasers, and ear-candling. Information from the Internet or social media, and participation in chatrooms and forums can have benefits, but the quality and reliability of information is variable and could lead to an increase in tinnitus distress. Rigorous, large-scale studies are called for as a stronger evidence base would help people make better informed decisions about the options they choose to self-manage their tinnitus.