Tinnitus and Hyperacusis Therapy Masterclass
Dr. Hashir Aazh
- 18 CPD points by the British
Academy of Audiology (BAA)
- 18 CPD points by the
British Society of Hearing Aid Audiologists (BSHAA)
- Participants from Canada
can apply for 18 CEEs from the Canadian Association of Speech-Language
Pathologists and Audiologists (CASLPA)
This course is designed for those who wish to pursue a career as an
advanced practitioner in providing specialised care for children and adults
experiencing troublesome tinnitus and hyperacusis. Students will gain a wider
spectrum of theoretical knowledge and clinical skills with regard to tinnitus
and hyperacusis rehabilitation. This course will outline psychometric
assessment, appropriate referrals to ENT and mental health, evidence-based
practice, application of specialist cognitive behaviour therapy (CBT) in
tinnitus and hyperacusis rehabilitation, and service development.
Intended learning outcomes
By the end of this course students should be able to:
- Make appropriate onward referrals
to ENT for medical examination and treatment.
- Identify limits of their
own professional competence and boundaries and make appropriate onward
referrals to mental health.
- Apply the bio-psycho-social
model of healthcare in assessment and management of tinnitus and
- Critically analyse the clinical application of a wide
range of self-report questionnaires in assessment of tinnitus handicap,
tinnitus loudness, annoyance and effect on life, severity of insomnia,
and symptoms of anxiety and depression.
- Critically interpret the
outcome of the Uncomfortable Loudness Levels test and the application of
psychometric self-report assessment tools in diagnosis of hyperacusis
and quantifying its severity and its effect on patient’s life.
- Select and apply a wide range of specialist self-report tools for
screening of underlying panic disorder, phobia, obsessive compulsive
disorder, generalised anxiety, suicidal ideations, health anxiety and
depression and make appropriate onward referral to mental health
services for further investigations and treatment.
- Analyse and critically
discuss the relevance and evidence-base for psychological models of
chronic tinnitus and hyperacusis.
- Critically discuss the
key cognitive behavioural theories and their relevance to the
development and maintenance of troublesome tinnitus and hyperacusis.
- Apply a wide range of
basic cognitive behavioural therapy (CBT) skills for management of
tinnitus and hyperacusis.
- Apply a wide range of basic
counselling skills in order to help the patient to explore and pinpoint
the tinnitus or hyperacusis-related distress and the significance of
their impact on the patient’s life.
- Develop formulation and
case conceptualisation focused on tinnitus/hyperacusis-related distress
- Design appropriate Behavioural
Experiments for tinnitus and hyperacusis rehabilitation
- Use Diary of Thoughts
and Feelings and Thought Records for management of tinnitus and
hyperacusis associated distress
- Apply principles of
guided discovery and empirical demonstration in order to help patients
explore the effect of tinnitus/hyperacusis on their life, their
cognitive appraisal, emotional and behavioural reactions.
- Use Socratic questioning
style in order to help patients explore alternative perspectives and
- Apply a wide range of
basic client-centred counselling skills and empathic listening skills within
a clinical context for patients experiencing troublesome tinnitus and
- Identify the ethical
limits of the use of counselling skills.
- Critically analyse the
clinical practice guidelines for management of tinnitus and
- Develop a Tinnitus and
Hyperacusis Rehabilitation Clinic informed by the latest research
evidence and consistent with professional guidelines.
The course is expected to include sessions addressing the
following topics (though please note that these may be subject to change):
- Tinnitus and hyperacusis
- Tinnitus and hyperacusis
- Paediatric tinnitus and
- Specialist cognitive
behavioural therapy focused on tinnitus and hyperacusis management
- Evidence-based practice
- Service development
- Management of a tinnitus
& hyperacusis rehabilitation service
Hearing aid dispensers
Speech and language therapists
Teachers of the deaf
Study recourses provided or required
Below is the list of the materials which are provided to
students or are required:
1) Pre-course reading materials which include research
papers on the topics listed below are provided to students after registration
for the course
- General principles of
- CBT for tinnitus
- CBT for hyperacusis
- Evidence-based tinnitus
- Diagnosis of Hyperacusis
2) In addition to
the materials above, students are given access to the course online materials
via the Dropbox (access to Dropbox is required). These include:
- Electronic copy of the
- Tinnitus and Hyperacusis
- Screening tools for
anxiety disorders, depression, and insomnia
- Counselling tools
- Patient-Centred Tinnitus
Management Tool (PCTMT)
- Audit and service
- Report templates
- Risk management tool
- List of research papers
3) Discussion forum: students are invited to join a tinnitus
and hyperacusis therapy (THT) group in LinkedIn for clinical and research
discussions and exchange of ideas. http://www.linkedin.com/groups/Tinnitus-Hyperacusis-Therapy-4107920
4) Recommended textbooks (these are not provided):
Wells, A. (2013). Cognitive
Therapy of Anxiety Disorders: A practical manual and conceptual guide.
John Wiley & Sons.
McKenna, L., Baguley, D., & McFerran, D. (2011). Living with tinnitus and hyperacusis. SPCK.
Stallard, P. (2005). A
clinician guide to think good feel good: Using CBT with children and young
people. John Wiley & Sons.
6) Students will be provided with the instructions on how
to prepare their counselling video task. Students need to have access to a video
camera (this is not provided).
Teaching and learning methods
A wide range of learning methods are applied within this specialist course
comprising: interactive lectures, group discussions, self-directed learning,
reflective writing, critical writing, and practical exercises through role
play. These are complemented by the post-course learning opportunities that
are summarised in the list below:
Students are encouraged to participate in
discussion forum in Linkedin group.
Personalised feedback from the course tutor on
Students are encouraged to use the course
online materials on Dropbox.
- Critical writing essay
- Counselling skills
assignment with 1000 words reflective writing on one’s counselling
Mode of study
The course is taught face-to-face
The total learning time is 150 hours, consisting of:
- Lectures and practical
training: 18 hours
- Directed self-study: 112
hours (reading and working through the provided/ recommended course material)
- Self-directed study: 20
hours (general reading around the subject, contributing to online
A degree at BSc, MSc, or doctorate level, or other
qualifications of an equivalent standard, in one of the disciplines listed
above in the “target audience” section.
No previous experience in tinnitus and hyperacusis
management is required. Experienced professionals in the field also
Applications may be made at any time. Places will be
booked on a first-come-first-served basis.