CBT for Tinnitus 12

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As new reviews from people completing their course of CBT for Tinnitus come in, they are uploaded to the website in Latest Reviews

About CBT for Tinnitus E-Programme 12

This course is an extended version of the CBT for Tinnitus E-Programme. Rather than being a 6 module course, this 12 module course is for those with higher distress scores for the Tinnitus Handicap Inventory (THI) and Tinnitus Functional Index (TFI) in Categories 4 and 5 (THI 58+ and TFI 54+)  

    • This course includes TWO 1-1 appointments 
    • You can choose to use the first appointment as a Consultation for Assessment (60-90 minutes) - 1-1 appointments use Zoom
    • If this is how you would prefer to begin, please do so by booking an Assessment
    • 4 step, 12 module course of Tinnitus Management with CBT (Cognitive Behavioural Therapy)
    • Email support throughout the course
    • PROMO-CODES: If you have a code that gives a discount on the full cost, enter it during checkout
    • Book additional 1-1 time when you need it (£90 per appointment or £210 for 3 appointments)

    Options for Tinnitus Management with Debbie Featherstone

    What's Your THI Score?

    The THI (Tinnitus Handicap Inventory) is a widely used measure to assess levels of tinnitus distress. A more recent and sensitive measure is the TFI (Tinnitus Functional Index) and categories are very similar.

    Completing a THI can help you choose your best option COMPLETE YOUR THI  If your THI score is 58% or higher:

    • Also complete the Tinnitus Functional Index (TFI)
    • Where your TFI score is greater than 135/250 (54%) your score is Category 4 or above
    • This course - CBT for Tinnitus E-Programme 12 - is the more suitable of the two courses as it leads you through the process more slowly and includes additional content to that needed by those with mild-moderate tinnitus distress 

    Recent Feedback and Comments

    Here are a few snippets of what's being said about the CBT for Tinnitus E-Programme (TEP):

    “The Tinnitus E-Programme is a quality on-line programme for actively learning how to manage tinnitus. It is a game changer!”

    “This course and all the support has really helped me to live with my tinnitus and I feel my life is now getting back to normal. I know that I couldn't get to where I am now without this programme. I feel ok now about my tinnitus. I can still hear the hissing sound sometimes but it doesn't really concern me.”

    “CBT going well. Really like reading module 3 as this nicely focused the CBT towards tinnitus.”

    "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."

    • Enrol on CBT for Tinnitus E-Programme 12 - includes two 1-1 appointments plus email support, or
    • Book an online assessment (£175) and have access to CBT for Tinnitus E-Programme 12 with 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

    There may be a possibility to work with me on a 1-1 basis, but these places are limited. The cost is currently £940 and on average people need around 12 appointments over 6-12 months.

    The CBT for Tinnitus E-Programme is something I have developed for the many, to make a CBT for Tinnitus course available with minimum 1-1 contact to enable much reduced costs. The course has had to be extended to help cater for those with higher distress levels because I am unable to meet demand of all 1-1. 

    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, I would encourage you to use CBT for Tinnitus E-Programme 12 BEFORE requesting to work one-to-one with me.

    Where I am able to accept you for 1-1, 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. On average, the first 4-6 appointments are weekly, thereafter fortnightly until towards the end of the process 3-4 weeks apart.

    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

    Deal differently with the noise
    CBT approach to managing tinnitus

    • Enrol on CBT for Tinnitus E-Programme 12 - includes TWO 1-1 appointments plus email support, or
    • Book an online assessment (£175) and have access to CBT for Tinnitus E-Programme 12 with one remaining 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
    MODULE 1
    Module 1 Practical
    Tinnitus Explained
    The Brain and Tinnitus
    Tinnitus & the Autonomic Response
    How Tinnitus is Managed

    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 neurochemistry and neurobiological systems affected and how to change them

    The twelve 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 

    In Module 6 (mid-term) and again 4-6 weeks after completing the 12 modules, 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 by mid-term, and by 2 or more categories by the end. 

    Additional one-to-one appointments can be arranged at a much reduced rate (£90 per appointment/3 appointments for £210) at any point during the course

    Aims & Objectives of the Tinnitus E-Programme

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

    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

    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.


    • 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

    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

    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 or email

    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: