"Rather than predict and believe how good or bad your day might be... depending on what tinnitus does or doesn't do... CBT4T trains you back to living your life without being under the influence of tinnitus" - Debbie Featherstone, CBT4T
About CBT4T & How to Enrol
Developed by Debbie Featherstone in 2020 and now in its sixth edition (2026), the Neuroscience and Cognitive Behaviour Therapy (CBT) process used in CBT4T Online is specifically for people whose Tinnitus Functional Index (TFI) is high scoring - Category 4 (53-72%) and Category 5 (73-100%), although it is equally successful for those enrolling with a TFI Category 3 (32-53%).
A category 4 and 5 TFI reflects higher than normal stress/anxiety symptoms, a significant proportion of which is shock-reaction that cannot be processed by cognitive processing through CBT. Rather, shock remains stored in the body, wreaking havoc through unexplained symptoms, both physical and emotional.
Reduce stress and reduce anxiety using the process in CBT4T that first accesses, then clears the stored shock, enabling consistent excellent outcomes from the bespoke CBT process in this specialist programme.
The CBT4T process has evolved in to what compares closely with innovative, recent approaches in two other clinical fields: Pain Management (Pain Reprocessing Therapy - PRT) and Trauma (Cognitive Processing Therapy - CPT).
CBT4T Overview & Enrolment
The online CBT4T Programme is provided by dual qualified Hearing Therapist & Psychotherapist Debbie Featherstone. Add appointments either when you enrol or later. The first appointment is due after completing Stage 4.
VIEW CBT4T ENROLMENT Join CBT4T either by Subscription or Open-ended
CBT4T Online and CBT4T Online with ONE appointment are by subscription: HAVE ACCESS TO CBT4T FOR AS LONG AS YOUR SUBSCRIPTION REMAINS ACTIVE
- CBT4T Online (£20/month or £155/year) Purchase appointment(s) later. A first appointment is due at the end of Stage 4
- CBT4T Online with ONE appointment included - Subscribe for £30/month (3 day free trial) 80% of enrolments in 2025 used only one appointment (average 1 hour 20 minutes). Add appointments later £95 per appointment if needed. A first appointment is due on completing Stage 4.
CBT4T Online with appointments included are open-ended just as they always have been: HAVE ACCESS TO CBT4T FOR AS LONG AS YOU ARE USING IT. Where there has been no login for 2 years, it is assumed you are no longer using the programme
- CBT4T Online with ONE appointment included - £190 (or £30/month subscription) This enrolment includes ONE appointment. A first appointment is due on completion of Stage 4
- CBT4T Online with TWO appointments included - £325 (or 4 monthly payments x £85) The most popular enrolment, this enrolment includes TWO appointments, the first of which takes place on completion of Stage 4
- CBT4T Online with THREE appointments included - £425 (or 4 monthly payments x £110) An option when your initial Tinnitus Functional Index (TFI) is category 5. A first appointment is due on completing Stage 4
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All enrolment types have the same content. Appointments are carried out using Zoom and generally are 60-90 minutes
Complete a Tinnitus Functional Index (TFI) and make sure to request your results at the end of the questions before you press Send. You will receive an email with your TFI results and supporting information about CBT4T.
A CBT for Tinnitus E-Programme (CBT4T) Case Study
About the Neuroscience, Brain Plasticity and Cognitive Behaviour Therapy (CBT)
There are around 86 billion neurons in the brain, organised to fire in patterns (neural pathways) that produce what we experience, moment by moment. Their purpose is to process information and it's the processed information that gives us what we experience.
Neurons that fire together, wire together through repetition, resulting in processed information repeating over and over. This all works to our benefit until what we experience is unpleasant.
Firing patterns of neurons (neural pathways) don't differentiate between an actual experience and an imagined experience, so when we imagine a pleasant experience, the patterns produced are the same as if we were having the actual pleasant experience.
The downside is that firing patterns (neural pathways) work in the same way when we have - or imagine - an unpleasant experience. Something called "Cognitive Bias" kicks in - for good reason, as our brains are wired first and foremost for survival. What we know we know – we cannot “un-know” it. Whatever is going on around us we view through our own window of Cognitive Bias. Consciously and unconsciously, we persistently seek out that which confirms what we know (Confirmation Bias), ignoring to the point of not even noticing there may be alternatives. This is how we end up going down the rabbit hole of suffering, and we perpetuate suffering through multiple means, one of the most common being the repeated use of Cognitive Distortions, for example:
- Predicting the future
- All or nothing thinking
- Maximising the negative, minimising the positive
- Emotional reasoning
- Self and other blaming
Fortunately, brain plasticity gives us the ability to change old firing patterns in to NEW firing patterns of neurons. The more FLEXIBLE we allow our mind (mindset) to be, the more EFFECTIVELY we make use of brain plasticity, precisely what CBT4T enables you to do.