Cognitive Behaviour Therapy with one-to-one support combined with internet based CBT (iCBT) affords the best of both worlds in terms of high standards, evidence base, up to date information, interaction, excellent clinical outcomes, convenience and affordability for people needing access to CBT for Tinnitus. And it's all under one roof in the form of the CBT for Tinnitus E-Programme.

The Tinnitus E-Programme was first established as an online 6 module resource for the management of tinnitus in 2009. However, with the published research-based evidence for CBT for tinnitus demonstrating more success than anything previously for intrusive, troublesome tinnitus, CBT became the recommended treatment for tinnitus distress in the Dept of Health NICE guidelines (2017). By 2018, following the Independent Evaluation carried out by NHBRC, and continuing high attrition (90%+) when self-directed, the Tinnitus E-Programme was further developed not only in to a 6 module CBT for Tinnitus E-Programme but simultaneously became therapist-supported with one-to-one appointments using Zoom, email support and additional new specifically designed interactive 'CBT tools' built in to the CBT for Tinnitus E-Programme process. Therapist-support has proven to be imperative to patient benefit and resulted in much lower attrition. Self-directed CBT for Tinnitus (6 modules) remained free to access for a further four years until November 2022, but attrition remained at 90%+, most not advancing further than the second module. In fact, only 3% (2 out of 66) enrolled in the self-directed 6 module course since 2018 completed the process.

In 2020, the 12 module therapist-supported CBT for Tinnitus E-Programme was developed with the aim of being suitable for those with a Tinnitus Functional Index (TFI) category 4 (tinnitus is a big problem) and category 5 (tinnitus is a very big problem). It is this 12 part process that has become the main course used by people enrolling in the CBT for Tinnitus E-Programme, choosing one, two or three 1-1 appointments being included in the enrolment fee, based broadly on whether a TFI is category 3, 4 or 5, respectively..   

Individual CBT for tinnitus involves on average 10-12 individual appointments with a clinician qualified and experienced in both the management of tinnitus (plus hearing loss and hearing sensitivity) and Cognitive Behavioural psychotherapy. Such clinicians are few and far between. It is therefore difficult for patients to access and expensive.

On the other hand, by incorporating the process used by Debbie Featherstone in individual practice in to an easily accessible online format, enhanced by just a few one-to-one appointments along with email support and interactive online CBT tools, it is easy for patients to access at a fraction of the cost of individual working and offers "the best of both worlds".

Clinical Outcomes are every bit as good as they are for individual working - see Outcomes and Reviews and there is no waiting list. As soon as you enrol, you are able to start making the changes you need.

For more information about the CBT for Tinnitus E-Programme, go to the main CBT for Tinnitus E-Programme course site. There, you can read more about CBT for tinnitus, view the course, complete a TFI and enrol with your chosen number of one-to-one appointments included.