CourseCraft

There are 3 main options available:

    1. CBT for Tinnitus E-Programme - the 4 step, 6 module course of Tinnitus Management, therapist supported with up to 120 minutes of 1-1 time using Zoom Telehealth (or similar should you prefer, for example FaceTime) and email support throughout. Starting with an individual assessment/ consultation is recommended (See item 1 in the grid below)
    2. STEP-iT - (Supported Tinnitus E-Programme - internet-based Tinnitus Management) Similar to the Tinnitus E-Programme but with email support only (See item 3 in the grid below)
    3. One-to-one - 1-1 appointments supporting you through a complete course of CBT for Tinnitus plus addressing any additional/underlying issues that are hearing related (for example, hyperacusis) or non-hearing related (for example, around anxiety and/or mood). See item 5 in the grid below.

    Pick your option according to:

    • Severity of tinnitus distress
    • Your preference
    • Affordability

    Options for Tinnitus Management with Debbie Featherstone

    Recent Feedback and Comments

    Here are a few snippets of what's being said about the TEP.....

    "I am particularly impressed with the depth of the recorded relaxation programs. They do exactly what they are intended to do. I am also very satisfied with the responses to my emails I get from Debbie and her depth of skill and knowledge of working with people with tinnitus."

    "I have been concerned about long-standing insomnia issues and how they impact on CBT for tinnitus. Debbie gave me reassurance that I was on track with the program and was making incremental progress in line with those who are currently taking and those who have taken the program."

    "Now I understand the tinnitus more than ever, how to relax and I’m able to observe my thoughts. After using the breathing exercise and the relaxation (recordings), I feel different - quiet and relaxed"

    "I have found the Tinnitus E-Programme to be great! Especially to understand why and how to be more rational about tinnitus, and less stressed about why I have it"

    "Debbie explains everything thoroughly and simply. I use the breathing exercises and relaxation everyday"

    "This course has done exactly what Debbie (Featherstone) told me it would do. My thanks to Debbie - it has been a life-saver being shown that there is a “way out”, a way of dealing with tinnitus, and also dealing with stress in general which is on-going."

    "A well thought out course which covered many aspects of the cause of tinnitus and management of it."

    "I find the switching between listening to the tinnitus and not listening very helpful"

    "Over the past 10 weeks, again I have had a lot of stress with different circumstances. But even so, I amazed to see my (THI) score come down from 46 to 29. I know I will benefit more from working with Debbie using more CBT."

    "Being able to talk to Debbie about tinnitus and her fully understanding the problems and impact it causes helped me a great deal."

    "It helped me to relax more and helped me to get to sleep easier. I don’t feel as isolated and realise other people have the same feelings about having tinnitus."

    "I particularly like having the four relaxation recordings to download and keep. Having 4 of them allows a good choice. I now have a much better understanding of the problem and realise how to deal with it."

    "Has been beneficial and I can now relax a lot easier which therefore helps with getting to sleep which was one major problem for me!"

    "Debbie has been most helpful answering queries and giving clear explanations. Her whole manner is relaxing in itself which generates a feeling of well-being. She shows great empathy."

    "I love the way you write and how hopeful I feel after reading these modules. I'm hopeful, uninterested in tinnitus, very still."

    "I've been falling asleep in less than 10 minutes. I find that I've become more bored of my tinnitus. I worry for a second 'what if I hear it again?' then I think of something else (automatically not forced) and give it no more thought. It just seems like my brain is finding it harder to focus on the tinnitus sounds."

    "I feel a lot less anxious about the future living with tinnitus. I found the course very easy to cope with and enjoyed it!"

    "The course was helpful. I feel less anxious now I have more information regarding the way tinnitus works."

    "'Coursecraft' was easy to use."

    SIGN UP NOW
    Book your Assessment

    • Enrol on CBT for Tinnitus E-Programme (£175) - includes two 1-1 appointments plus email support, or
    • Book an online assessment (£175) and have access to CBT for Tinnitus E-Programme completely FREE, one 1-1 appointment remaining plus email support BOOK ASSESSMENT 
    • Either way, the cost is the same

    To have an Assessment enables me to support you from the start

    Pay for your Assessment now and send in your Booking Form (current waiting time 2-10 working days, depending on the day/time you choose): 

    Working 1-1 with Debbie Featherstone

    It may be that you feel you need more than the CBT for Tinnitus E-Programme has to offer, especially so where your THI, TFI and anxiety scores are high.

    The CBT for Tinnitus E-Programme is something I have developed for the many, to make a genuine CBT for Tinnitus course available online with minimum 1-1 contact to enable much reduced costs. The remainder of my work focuses on 1-1 with clients throughout the UK and internationally. 

    "Progress" is measured using Outcomes i.e. measured difference between for example your THI score at the outset of our work together and your THI score at the end. Other measures are used of course too. It is not unusual for me to be working alongside people with THI Category 5 tinnitus (78-100%) and enabling them to reduce their scores to Category 2 (mild) or even Category 1 (no tinnitus distress). These levels of change do take time and effort, and most significantly ENGAGEMENT. Working with me one to one promotes the necessary engagement.

    It may be you have hyperacusis - there is a separate measure for hyperacusis (not generally used as part of the TEP or STEP iT) that we use when working one to one. I can also help you deal with anxiety, low mood and depression on a totally individual basis that cannot be done without one on one time. Acoustic Shock Injury (ASI) may be another reason for the need to work one to one - there are many more reasons too.

    Around 80% of those with tinnitus manage perfectly well using the support available through the CBT for Tinnitus E-Programme. If you are one of those with greater need, if at all possible, I would encourage you to work one-to-one with me.

    You would still begin with an assessment (£175.00) - usually around 90 minutes. And although the average number of sessions people need is around 12, those with particularly complex needs have more.

    Working one to one with me, you are not limited to "number of sessions". Details of one to one Tinnitus Management fees are available on the Debbie Featherstone website - fees

    Free Tinnitus E-Programme 'Taster'

    Request your free access to the Introduction information and start making changes now CLICK HERE 

    Deal differently with the noise
    CBT approach to managing tinnitus

    • Enrol on CBT for Tinnitus E-Programme (£175) - includes two 1-1 appointments plus email support, or
    • Book an online assessment (£175) and have access to CBT for Tinnitus E-Programme completely FREE including one 1-1 appointment plus email support BOOK ASSESSMENT  
    • Either way, it costs the same

    To have an Assessment enables me to support you from the start.

    Here's What You Will Learn

    Table of Contents

    Specific Interest Subjects
    Sleep
    COMING SOON - Mindfulness Exercises
    Additional One-to-One Appointments Using Zoom
    Add One to One Appointments
    Modules
    MODULE 1
    Mini-History
    Module 1 Practical
    Tinnitus Explained
    The Brain and Tinnitus

    About the Tinnitus E-Programme & CBT

    The Tinnitus E-Programme is a tried and tested process of practical learning to manage your tinnitus in 6 - 10 weeks - stage by stage - in a structured, easy to follow way that leads to you to being able to manage your tinnitus effectively.

    • Run as an online course of Tinnitus Management since 2009
    • Independently evaluated by the NHS NIHR NHBRC (National Institute of Health Research, Nottingham Hearing Biomedical Research Centre) based at the University of Nottingham in the UK
    • Includes the neuroscience - neurochemistry and neurobiological systems affected and how to change them

    The six modules lead you through a FOUR-STEP CBT-based process from the start. It is essential to understand the physiology and neurobiology that cause the symptoms we experience as distress, alongside understanding the mechanism of tinnitus. They are intrinsically joined together.

    It is because of how we feel about tinnitus that it causes distress. If we feel nothing for and about the noise we experience as tinnitus, we'd not react to it. In fact, we'd not bother to tune in and listen to it. It would be much the same as being used to traffic going about its business outside the house. You know it's there but so what? Most of us habituate to traffic noise and other sensory information in our environments. Think about the last time you were in a supermarket. Was there music playing? What noises did you NOTICE while you were in there? The likelihood is you don't remember, and another likelihood is that while you were there, you didn't think about it. Module 3 in the TEP discusses our 3 levels of hearing, "Significance of Sound", and the impact of "meaning" i.e. what a sound might mean to us.

    These are all factors that are monitored subconsciously and when there is no significance and no meaning - positive or negative - the conscious part of us doesn't have to consider it. It is when there IS significance and meaning that our attention is drawn and we become conscious of what is happening. Being brain-based, this means that the pre-frontal cortex (PFC) has to make a decision - "how do I feel about this?" "I don't like it" so monitoring of the situation takes over - a joint effort by both the subconscious (limbic system) and conscious (PFC).

    What makes us feel one way or another - 'not care about', 'care about and like', 'care about and dislike'? We feel what we do because of the meaning we attach to each given situation. Those meanings become BELIEFS. They come from subconscious 'filters' based on previous experience. Many of these filters have been there since childhood, but we are always adding, strengthening and changing filters. We only tend to weaken filters through being conscious of them. We can only challenge them by being conscious of them, allowing the PFC to challenge them to bring about a filter-change in the subconscious.

    The 'filters' are called Cognitive Distortions: distorted understanding that gives rise to a distorted meaning/significance. There are more than a dozen of the most common Cognitive Distortions, but as individuals, we have a tendency to use the same 3 or 4 of them over and over. Probably the most common are "Predicting the Future", "All or Nothing Thinking", "Maximising the Negative" and "Mind Reading".

    In my tinnitus clinics for example, guess how often I have heard people say things like: "I'll never feel normal again"; "Tinnitus has ruined my life"; "No one knows how bad this is"? Those statements are true for the person saying them - they BELIEVE them to be true. And BELIEFS are powerful.

    But what happens once those very same people realise what BELIEFS are? That they come through "filters" from the subconscious....? In most cases, they recognise their Cognitive Distortions immediately. And this is covered during Modules 3 - 5 of Part One TEP, including using part one of a CBT Thought Record that helps identify these BELIEFS through using a structured process. 

    At the End of CBT for Tinnitus E-Programme 

    Around weeks 8 - 10 (STAGE FOUR), the measures used at the start (including the THI) are repeated. This is where progress is measured and most scores have reduced by at least 1 THI category, but more commonly by 2 categories. The exception to this tends to be those who began with Category 4 and 5 scores (THI score 58+). For this group of Users, additional one-to-one appointments can be arranged at a much reduced rate (£90 per session)

    Aims & Objectives of the Tinnitus E-Programme

    Mission Statement, Aims and Objectives for the CBT for Tinnitus E-Programme

    Introduction
    The research informs us that one in ten of the population reports having tinnitus, yet there is no clearly defined approach to its treatment. The one single approach that the latest research has evidenced as very effective is Cognitive Behavioural Therapy. The Tinnitus E-Programme provides this.

    While the research also informs us that 85% of the one in ten are not troubled by tinnitus, the remaining 15% are. For the 15%, reported tinnitus distress ranges from mild through to very severe tinnitus distress. A “cure” for tinnitus is evasive due to its complex nature, and the numerous possible ‘points of origin’ of the electrical activity that is experienced as tinnitus.

    Mission Statement
    To make as widely available as possible a practical and easy-to-follow set of steps towards reducing tinnitus intrusiveness perception

    Aims
    The Tinnitus E-Programme is the title given to a structured process that includes education, practical daily exercises, and understanding of the psychology behind reaction to tinnitus that leads to the decrease of tinnitus intrusiveness perception within approximately 6 – 10 weeks.

    Objectives

    • To alter mid-brain (paleomammalian area of the brain) limbic activity that drives emotional reactions. This reduces cortisol levels in the blood and improves blood flow to the pre-frontal cortex (PFC) allowing for improved sense of control and ability to think with clarity
    • To impart information that educates the user about the mechanism of tinnitus and the systemic processes that drive reaction to tinnitus
    • To support the user through the change process through one to one contact (including use of an online telehealth video platform, user-to-therapist feedback mechanism at the end of each stage/module and email support) to address individual differences. A “one size fits all” approach is inappropriate and unhelpful
    • To teach the user the principles of Cognitive Behavioural Therapy (CBT), what it is, how it works, and to introduce the user to “thought and meaning” identification using the newly introduced Meaning Adjuster, and the choice to use the original Beck Thought Record   
    • To evidence clear clinical outcomes using ‘before and after’ research-validated measures that reflect reduced levels of tinnitus distress
    • To use the individual clinical outcomes as part of the evaluation of need for further in-depth CBT through additional individual appointments when needed

    REMEMBER! Book a one to one online assessment with me and have completely FREE access to this 6 Module Tinnitus E-Programme. The assessment takes 90-120 minutes when you have my undivided attention and guidance. The Assessment fee is £175 but then the course itself won't cost a penny! 

    Ask to book an Assessment from the main website: Assessment Booking Form  and make sure you have completed at least the THI (Tinnitus Handicap Inventory) and sent it through GO TO THI 

    Anything you don't understand, hop on to the main website Tinnitus E-Programme and ask a question using LiveChat

    Deal differently with the noise
    CBT approach to managing tinnitus

    • Enrol on CBT for Tinnitus E-Programme (£175) - includes two 1-1 appointments plus email support, or 
    • Book an online assessment (£175) and have access to the CBT for Tinnitus E-Programme completely FREE, one 1-1 appointment remaining plus email support BOOK ASSESSMENT

    To have an Assessment helps me to support you from the start.

    Funding

    There is funding available if you genuinely need it.

    Funded by TEP Investor Donors - those who have become TEP Investor Donors are individuals who are all ex-patients and ex-TEP users, and want to support others who need help with tinnitus but are struggling financially.

    Funding can be applied for from the main website: Funding Application

    Decisions are made on a case by case basis  

    Deal differently with the noise
    CBT approach to managing tinnitus

    Frequently Asked Questions

    How long do I have access to the course?

    Once you've enrolled, you'll have access to the course material for as long as you need.

    I have some questions about tinnitus. Where can I find answers?

    There is a FAQs section in the Tinnitus E-Programme website that may well help. Go to www.tinnituseprogram.org/faqs.html

    I still have a question, how can I contact you?

    I'd be happy to answer any questions you might have. Go to Ask A Question in the Tinnitus E-Programme website www.tinnituseprogram.org/ask-a-question.html or email admin@tinnituseprogram.org

    Deal differently with the noise
    CBT approach to managing tinnitus

    • Enrol on CBT for Tinnitus E-Programme (£175) - includes two 1-1 appointments plus email support, or
    • Book an online assessment (£175) and have access to the CBT for Tinnitus E-Programme completely FREE, one remaining 1-1 appointment plus email support BOOK ASSESSMENT
    • Either way, it costs the same

    Having an Assessment helps me to support you from the start.

    Waiting time is 2-10 days depending on the day/time you choose and you can pay for the Consultation/Assessment here: