Tinnitus Retraining Therapy (TRT)
Specialist audiological treatment for Tinnitus, Hyperacusis & Misophonia
When tinnitus or sound sensitivity starts to take over
Tinnitus and sound sensitivity can quietly take control of daily life.
Many people tell us:
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“I hear the sound all the time and can’t relax.”
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“Every day noises feel overwhelming.”
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“I’m constantly on edge, even when nothing is happening.”
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“Doctors say my ears are fine, but I don’t feel fine.”
If this feels familiar, you are not imagining it — and you are not alone.
At All Ears Hearing & Tinnitus Clinic, we specialise exclusively in tinnitus, hyperacusis, and misophonia. Our approach is based on Tinnitus Retraining Therapy (TRT), a structured audiological treatment designed to retrain how the brain and nervous system respond to sound.
⚠️ Important information about sound use
Please do not attempt to use sound therapy on your own without specialist guidance.
While sound is a key part of Tinnitus Retraining Therapy (TRT), using the wrong type of sound, at the wrong level, or in the wrong way can worsen tinnitus or sound sensitivity.
If you notice that:
• a particular sound makes your tinnitus louder later, or
• your tinnitus feels more intrusive after using a sound, or
• your sound sensitivity increases after sound exposure this is an important sign that your auditory system does not tolerate that sound in that form.
This does not mean sound therapy is wrong for you — it means it needs to be used correctly and individually.
• assess how your auditory system responds to sound
• teach you which types of sound are appropriate for you
• guide you on how loud, how long, and when to use sound
• adjust sound therapy carefully over time as your system stabilises
Sound therapy in TRT is therapeutic, not random.
Correct guidance is essential to avoid reinforcing tinnitus or sound sensitivity.
What is Tinnitus Retraining Therapy (TRT)?
TRT is a specialist audiological treatment based on the neurophysiological model of tinnitus and sound sensitivity.
TRT aims to:
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Remove tinnitus and sound sensitivity from the brain’s threat system
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Reduce emotional and stress-based reactions
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Restore sound tolerance
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Allow the brain to habituate naturally over time
TRT works primarily at a subconscious level, where these reactions are formed.
What TRT is not
TRT is not:
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Masking or sound suppression
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A psychological coping technique
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“Learning to live with it”
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A quick or instant cure
TRT across all ages and neurodivergent profiles
Tinnitus Retraining Therapy (TRT) can be provided across the lifespan, including for young children (from around 3 years of age) and for individuals who are autistic or neurodivergent, including those with ADHD, intellectual disability, or other developmental differences. TRT is adapted carefully to the individual’s developmental level, sensory profile, communication style, and family context. With the right specialist guidance, TRT can be delivered in a safe, supportive, and effective way, even for those who have found other approaches overwhelming or unsuitable.
The two essential parts of TRT
1. Specialist therapeutic counselling
Counselling in TRT is not general reassurance.
It is a structured process that:
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Explains tinnitus and sound sensitivity accurately
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Removes fear-based interpretations
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Prevents unintentional reinforcement
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Guides safe and appropriate sound use
2. Sound therapy
Sound therapy is used to:
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Reduce contrast between tinnitus and background sound
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Stabilise auditory system gain
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Reduce subconscious monitoring
Sound is neutral, non-annoying, and does not mask tinnitus.
Sound therapy in daily life
Daytime ear-level sound therapy
If appropriate, ear-level devices may be recommended during the day to:
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Provide consistent gentle sound input (specifically programmed for your ears)
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Support desensitisation (hyperacusis)
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Support habituation (tinnitus and misophonia)
Devices are individually programmed and adjusted gradually over time.
Night-time sound therapy
Silence at night increases tinnitus awareness and nervous system arousal.
Night-time sound therapy:
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Prevents silence
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Supports sleep and relaxation
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Helps maintain auditory system stability
What to expect over time
TRT is a gradual retraining process.
Early phase (first weeks)
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Focus on safety and stabilisation
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No expectation of silence
Intermediate phase (2–3 months)
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Reduced emotional reactivity
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Improved sleep and sound tolerance
Later phase (3–6 months and beyond)
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Tinnitus becomes less intrusive
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Reduced monitoring
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Improved quality of life
Fluctuations are normal and expected.
Why specialist guidance matters
TRT is highly protocol-dependent.
Incorrect counselling or sound use can reinforce symptoms rather than reduce them.
At All Ears Hearing & Tinnitus Clinic, TRT is delivered by audiologists who:
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Work exclusively in tinnitus and sound sensitivity
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Are formally trained in TRT protocols
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Individualise sound therapy carefully
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Monitor and adjust treatment over time
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Treated 100s of patients with intrusive tinnitus and severe sound sensitivities.
Is TRT right for you?
TRT is not required for everyone with tinnitus.
It is most helpful when:
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Tinnitus or sound sensitivity is persistent and distressing
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Symptoms affect sleep, concentration, or quality of life
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Avoidance and reassurance alone have not helped
A specialist assessment is required to determine suitability.
Take the next step
If tinnitus or sound sensitivity is affecting your life, specialist help is available.
A comprehensive assessment will allow us to:
- Understand your symptoms clearly
- Explain what is happening in your auditory system
- Advise whether TRT or another audiological approach is appropriate
Book an appointment with All Ears Hearing & Tinnitus Clinic to discuss your options.
The sooner you begin Tinnitus Retraining Therapy; the sooner you will experience relief. You do not have to live with tinnitus and sound sensitivity distress.
📞 Call us now at 03 9886 7157
📍 Visit us at All Ears Hearing & Tinnitus Clinic
📧 Email: contact@allearshearing.com.au
Mount Waverley
(Pinewood Shopping Village)
- Level 1, 407 Blackburn Road
Mount Waverley, VIC 3149 - 03 98867157
- contact@allearshearing.com.au
- Monday: 9:00am – 5:00 pm
Tuesday: 9:00am – 5:00pm
Wednesday: 9:00am - 5:00pm
Thursday: 9:00am – 5:00 pm
Friday: 9:00am - 5:00pm
Saturday: Only on request. Weekend charges apply
Bentleigh East
- 869 Centre Road
- Bentleigh East, VIC 3165
- 03 98867157
- contact@allearshearing.com.au
- Tuesday : 10:30 am – 5 pm
Yarra Junction
- Yarra Junction Arcade
Shop 4/2456 Warburton Hwy
Yarra Junction, VIC 3797 - 03 5905 2790
- contact@allearshearing.com.au
- Hours: All days 10-5:00 pm except on Tuesday.


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