Tinnitus masker closely matched to the pitch and spectrum of the tinnitus, and as loud or somewhat louder than the perceived loudness of the tinnitus. The trigger sound is applied to the ear or ears with tinnitus and typically lasts a minute or two. Not everyone can experience RI; for those who do not, tinnitus masking is likely to be ineffective. Two qualities of a tinnitus masker need to be taken into account: how effective the masking is, and how intrusive or distracting the generated sound itself is. The masking sound may have various temporal, spectral and amplitudinal characteristics. In some cases,
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