Tinnitus & Hyperacusis Therapy Masterclass

Copyright © Rehabilitation & Therapy Skills Development Ltd

tinnitustherapy.org.uk

Specialist course for management of tinnitus and hyperacusis in children and adults

 








Provisional programme

Tinnitus & Hyperacusis Therapy Master Class

Dates: 25-27 July 2018

Venue: Birkbeck, University of London, London,

United Kingdom     

 

 

 

Wednesday 25th July 2018     

Time

Topic

Presenter

“Synopsis”

8:30-9:00

Registration 

9:00-10:00

Introduction to the course and tinnitus and hyperacusis rehabilitation 

Dr. Hashir Aazh, Head of Tinnitus & Hyperacusis Therapy Specialist Clinic, Royal Surrey County Hospital, Guildford     

10:00- 11:00

Application of cognitive behavioural therapy (CBT) and client-centred counselling skills in exploring tinnitus/hyperacusis-related distress

 Dr. Hashir Aazh, Head of Tinnitus & Hyperacusis Therapy Specialist Clinic, Royal Surrey County Hospital, Guildford     

“How to use reflective listening skills and Socratic questioning in exploring and pinpointing tinnitus/hyperacusis-related distress. This session introduces the concept of distinguishing tinnitus/hyperacusis-related distress from the distress caused by other psychopathologies in patients who happen to also experience tinnitus/hyperacusis. Professional boundaries and onward referral guideline to mental health will be discussed.”

11:00-11:30

Break

11:30-12:30

The psychoacoustics of tinnitus: pitch, loudness, masking, and residual inhibition

Professor Brian Moore, University of Cambridge, Cambridge

“This lecture focuses on perceptual measurements of the characteristics of tinnitus and their applications in understanding the causes and origins of tinnitus. Topics covered include estimating the loudness and pitch of tinnitus, relationship of tinnitus pitch and tinnitus spectrum to the audiogram, the masking of tinnitus and the effectiveness of different types of maskers, and residual inhibition.”  

12:30-13:30

Lunch

13:30-15:00

Audiologist-delivered CBT focused on Tinnitus and Hyperacusis Rehabilitation

Dr. Hashir Aazh, Head of Tinnitus & Hyperacusis Therapy Specialist Clinic, Royal Surrey County Hospital, Guildford     

“This is an interactive session which gives an overview of specific interventions used in audiologist-led specialised CBT for tinnitus and hyperacusis. These comprise: (1) Exploring tinnitus/hyperacusis-related distress using in-depth interview,(2)Developing a cognitive behavioural formulation for tinnitus/hyperacusis distress (3) Enhancing patient’s motivation for the therapy, (4) Designing a behavioural experiment (BE) in order to target and challenge troublesome thoughts, (5) Reviewing and reflecting on BE, (6)Creating counter-statements, (7) Diary of thoughts and feelings (DTF), (8) Psycho-education, and (9) Discharge” 

15:00-15:30

Break 

15:30-17:00

History taking, audiological investigations and psychometric assessment in patients with tinnitus and/or hyperacusis

Hashir Aazh

“By the end of this session participants will be able to take a clinical case history for their tinnitus patients. How to perform and interpret pure-tone audiometry and uncomfortable loudness levels tests in patients with tinnitus and/or hyperacusis?  This talk also focuses on reviewing the clinical application of a wide range of self-report questionnaires in assessment of tinnitus handicap, self-report tinnitus loudness, annoyance and effect on life, severity of insomnia, and symptoms of anxiety and depression. In addition, by the end of this session, participants should be able to 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.”

 

 

Thursday 26th July 2018

Time

Topic

Presenter(s)

“Synopsis”

9:00-10:00

Case conceptualization (formulation) and treatment plan  

Hashir Aazh

By the end of this session, participants should be able to develop a CBT formulation explaining the development and maintenance of troublesome tinnitus or hyperacusis.”

10:00-11:00

Establish relationship using client-centred counselling skills

Hashir Aazh

“By the end of this practical session participants should be able to demonstrate an understanding of the theoretical and empirical underpinnings of client-centred counselling model of Carl Rogers. To apply a wide range of basic counselling skills within a clinical context for patients experiencing troublesome tinnitus and hyperacusis.”  

11:00-11:30

Break

11:30-12:30

Syndromic Tinnitus

Mr. Don McFerran, Consultant Ear, Nose and Throat Surgeon,

Colchester Hospital University NHS Foundation Trust, Colchester, Essex

“This lecture reviews Syndromic tinnitus and evidence-base for various medical treatments. Most cases of tinnitus are associated with pathological changes within the temporal bone, though for most people this pathology is simply the wear and tear of presbyacusis or noise induced hearing loss. There are, however, some examples of tinnitus that are associated with particular medical syndromes comprising: otosclerosis, chronic otitis media, Ménière's disease, vestibular schwannoma, vascular aetiology, myoclonus of the middle ear muscles, palatal myoclonus, patulous Eustachian tube, Temporomandibular joint dysfunction, ....”

12:30-13:30

Lunch

13:30-15:00

Explore and enhance patient’s motivation for CBT

Hashir Aazh

“This practical session provides an opportunity for participants to practice principles of motivational interviewing (MI; Miller 1996; Miller 1983) in the context of tinnitus and hyperacusis rehabilitation. MI is “a collaborative conversation style for strengthening a person’s own motivation and commitment to change”(Miller & Rollnick 2012).”   

15:00-15:30

Break

15:30-17:00

The design of behavioural experiments in management of hyperacusis in children and adults      

Hashir Aazh

“This practical session focuses on the design and delivery of behavioural experiments in an audiologist-led Tinnitus and Hyperacusis Rehabilitation service. Behavioural experiments are defined as planned experiential activities undertaken by patients which are designed directly from a cognitive formulation of a problem. The main aim of behavioural experiments is to change perspective. If the troublesome thought and safety behaviours are accurately captured and examined in the experiment, then the change is likely to happen even after one single key behavioural experiment.”

 

 

 

Friday 27th July 2018  

Time

Topic

Presenter(s)

“Synopsis”

9:00-11:00

Self-appraisal and modifications of troublesome perceptions related to tinnitus and/or hyperacusis based on empirical data

Hashir Aazh

“Patients are encouraged to examine the validity of their predictions or negative thoughts based on what they learned through carrying out the behavioural experiment. Most patients express that at least some of their predictions did not come true.  Then patients are encouraged to create counter-statements for their negative thoughts based on the evidence they gathered during their behavioural experiment.”

11:00-11:30

Break

 

11:30-13:00

Application and principles of  Diary of Thoughts and Feelings (DTF) and guided discovery in tinnitus and hyperacusis management 

Hashir Aazh

“ By the end of this practical session, participants should be able to use DTF for identification of tinnitus/hyperacusis-related events and patient’s cognitive-behavioural-emotional reactions to them.”

13:00-14:00

Lunch

14:00-15:00

 Management of complex cases with other psychiatric co-morbidities

Hashir Aazh

“How to provide an effective specialist intervention focused on tinnitus and hyperacusis in patients with complex needs. Professional boundaries, confidentiality and medical ethics will be discussed.”

15:00-15:30

Break

15:30-16:30

 Service Development and Clinical Guidelines for Tinnitus and Hyperacusis Management 

Hashir Aazh

“This presentation reviews policies, protocols, audit tools, risk management, additional training, report writing, and other relevant topics to management of a tinnitus and hyperacusis rehabilitation service.”

16:30-17:00

Conclusions