Principles and application of educational counseling used in progressive audiologic tinnitus management

James Henry, Tara Zaugg, Paula Myers, Caroline Kendall, Mitchel Turbin

Research output: Contribution to journalReview articlepeer-review

32 Scopus citations


Exposure to loud sounds is a common cause and exacerbater of tinnitus - a troubling auditory symptom that affects millions of people worldwide. Clinical research at the National Center for Rehabilitative Auditory Research has resulted in a clinical model of tinnitus management referred to as Progressive Audiologic Tinnitus Management (PATM). The model involves five hierarchical levels of management: Triage, Audiologic Evaluation, Group Education, Tinnitus Evaluation, and Individualized Management. Counseling by audiologists and, as needed, mental health providers, is a key component of PATM. This style of counseling focuses less on didactic informational counseling; instead, counseling is used for facilitating patients' learning to adjust to the disturbing auditory symptom by successfully employing tools from two powerful skillsets for self-management of chronic tinnitus - the therapeutic uses of sound and techniques from cognitive-behavioral psychology. This article provides an overview of the methods of counseling used with PATM and provides details concerning the overarching principles of collaborative adult learning that are believed to be most important in facilitating self-management by patients who complain of tinnitus.

Original languageEnglish (US)
Pages (from-to)33-48
Number of pages16
JournalNoise and Health
Issue number42
StatePublished - Jan 1 2009
Externally publishedYes


  • Auditory
  • Counseling
  • Education
  • Health literacy
  • Hearing disorders
  • Intervention
  • Psychology
  • Rehabilitation

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Public Health, Environmental and Occupational Health
  • Speech and Hearing


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