Tinnitus & Hyperacusis

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Tinnitus Retraining Therapy (TRT)

Specialist audiological treatment for Tinnitus, Hyperacusis & Misophonia

tinnitus

When tinnitus or sound sensitivity starts to take over

Tinnitus and sound sensitivity can quietly take control of daily life.

Many people tell us:

  • I hear the sound all the time and can’t relax.”

  • Every day noises feel overwhelming.”

  • I’m constantly on edge, even when nothing is happening.”

  • 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:

  • Remove tinnitus and sound sensitivity from the brain’s threat system

  • Reduce emotional and stress-based reactions

  • Restore sound tolerance

  • 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:

  • Masking or sound suppression

  • A psychological coping technique

  • “Learning to live with it”

  • 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:

  • Explains tinnitus and sound sensitivity accurately

  • Removes fear-based interpretations

  • Prevents unintentional reinforcement

  • Guides safe and appropriate sound use

2. Sound therapy

Sound therapy is used to:

  • Reduce contrast between tinnitus and background sound

  • Stabilise auditory system gain

  • 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:

  • Provide consistent gentle sound input (specifically programmed for your ears)

  • Support desensitisation (hyperacusis)

  • Support habituation (tinnitus and misophonia)

Devices are individually programmed and adjusted gradually over time.

Ear level sound generator
Ear level sound generator on the ear- looks like a discreet hearing device.

Night-time sound therapy

Silence at night increases tinnitus awareness and nervous system arousal.

Night-time sound therapy:

  • Prevents silence

  • Supports sleep and relaxation

  • Helps maintain auditory system stability

Pillow and Sound Therapy Machine
Tinnitus sound therapy pillow and table top sound therapy machine

What to expect over time

TRT is a gradual retraining process.

Early phase (first weeks)

  • Focus on safety and stabilisation

  • No expectation of silence

Intermediate phase (2–3 months)

  • Reduced emotional reactivity

  • Improved sleep and sound tolerance

Later phase (3–6 months and beyond)

  • Tinnitus becomes less intrusive

  • Reduced monitoring

  • 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:

  • Work exclusively in tinnitus and sound sensitivity

  • Are formally trained in TRT protocols

  • Individualise sound therapy carefully

  • Monitor and adjust treatment over time

  • 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:

  • Tinnitus or sound sensitivity is persistent and distressing

  • Symptoms affect sleep, concentration, or quality of life

  • 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
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  • 03 98867157
  • 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

 

Yarra Junction