Tinnitus sound or noise levels can lead to tinnitus. Ear plugs or other measures can help with prevention. Several medicines have ototoxic effects, and can have a cumulative effect that can increase the damage done by noise. If ototoxic medications must be administered, close attention by the physician to prescription details, such as dose and dosage interval, can reduce the damage done. If there is an underlying cause, treating it may lead to improvements. Otherwise, the primary treatment for tinnitus is talk therapy and sound therapy; there are no effective medications. The best supported treatment for tinnitus is a type of
Tinnitus retraining therapy metrics. Tinnitus activities treatment (TAT) is a clinical adaptation of TRT that focuses on four areas: thoughts and emotions, hearing and communication, sleep, and concentration. Progressive tinnitus management (PTM) is a 5-step structured clinical protocol for management of tinnitus which may include tinnitus retraining therapy. The five steps are: The U.S. Department of Veterans Affairs (VA) now employs PTM to help patients self-manage their tinnitus. Cognitive behavior therapy (CBT), the counselling part of TRT, as a generalized type of psychological and behavioral counselling, has also been used by itself in the management of tinnitus. If tinnitus is associated with hearing