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The CBT4T Online Programme for Tinnitus, Anxiety & Stress


"I highly recommend this programme, both as a person with tinnitus and as a clinical psychologist and cognitive psychotherapist – it provides a first-class ticket to an excellent and effective tinnitus habituation journey!" Read the full review

Final Outcomes & Personal Evaluations from Sharon and Paul, both in the UK

  • Tinnitus Functional Index (TFI) results: 70.0% > 23.6%
  • Tinnitus Handicap Inventory (THI) results: 66% > 10%
  • GAD-7 (Anxiety) results: 14/21 > 2/21
  • PSS (Stress) results: 18 > 4
  • ASQ (Anxiety/stress Symptoms) results: 49.1% > 7.4%

"I went to the Doctors for tablets for anxiety caused by the Tinnitus and came away with Debbie’s name and details of this course. The Doctor's husband had used it and she highly recommended it. I started to feel improvements in my anxiety within a couple of weeks and then slowly my sleeping also improved..." more
  • Tinnitus Functional Index (TFI): 53.6% > 18.8%
  • Tinnitus Handicap Inventory (THI): 50% > 16%
  • GAD7 (Anxiety): 7/21 > 5/21
  • PSS (Stress): 19 > 9
  • ASQ (Anxiety/stress Symptoms): 56.2% > 12.1%

"I found it useful, particularly no pressure as it can be done at your own pace. Basically it stopped me being anxious about it. I really didn’t think I was but as I went through the course I realised how stressed I’ve been all these years..." more
John joined CBT4T with ONE appointment included

John's feedback at the end of Stage 6:
"The course is substantial with lots of elements which fit together in a coherent way. Sometimes I've wanted to move more quickly through it but I can see that it can't be rushed if real change is going to happen. Certain elements (e.g. cognitive distortions) have been an eye opener and I can see how they are applicable to life in general... continued
Janet joined CBT4T with ONE appointment included

Tinnitus Functional Index (TFI) result: 82.8% > 19.2%

Janet's final review
"I would highly recommend CBT4T to anyone struggling with their tinnitus... Before doing this course I blamed everything that went wrong on my tinnitus. Now I recognise my cognitive distortions for what they are. Unhelpful and untrue... I will always have tinnitus but I'm fine with that. For a large part of my days I am not aware of it".... continued
Martyn joined CBT4T with TWO appointments included

Martyn's feedback at the end of Stage 4
"It has been so helpful for me to understand why I feel the way I do. It really helps to understand how the brain functions and then to learn that it IS possible for me to influence and change it in a positive way. In a few weeks I have gone from feeling completely out of control, isolated and alone to much calmer and back in control..." continued
Sarah joined CBT4T with TWO appointments included

Tinnitus Functional Index (TFI) result: 58.4% > 7.6%

Sarah's Final Review
"The CBT4T course has been a game changer, it has given me my life back. It has worked for me, and it can work for you too! I want people to know, you CAN do something about it, don't let people tell you otherwise. You are not on your own....continued

CBT4T

  • A uniquely neuroscience-informed CBT process for severe and very severe tinnitus distress
  • Employing the Neuroscience & CBT process enables the user to separate having tinnitus from being distressed by tinnitus
  • The process combines polyvagal-informed neuro-psychotherapy and associated neuroscience, behavioural and cognitive therapy with a focus on 3rd wave CBT




Send in your Tinnitus Functional Index (TFI) > Receive your result > Join the CBT4T programme if your TFI is category 4 (big problem) or 5 (very big problem)


CBT4T Enrolment

  • CBT4T Online - £20/month or £155/year Subscription. You can add a 60-90 minute first appointment after Stage 4

  • CBT4T Online with ONE appointment included - £190 (or 3 x £65/month) This enrolment includes ONE appointment. A first appointment is due on completing Stage 4. CBT4T programme content and its supporting features have reduced the need for any more than one appointment for more than 80% of CBT4T Users in 2025 & 2026

  • CBT4T Online with TWO appointments included - £325 or 3 x £110/month. The most frequently purchased enrolment 2020-2026, this enrolment includes TWO appointments, the first of which takes place on completion of Stage 4

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    About  CBT4T 1-1 appointments with Debbie Featherstone

    • CBT4T programme content and its supporting features have reduced the need for any more than one appointment for more than 80% of CBT4T Users in 2025 & 2026
    • Individual appointments with Debbie Featherstone using Zoom average 90 minutes
    • For CBT4T enrolments without included appointments, a first appointment is £125
    • After a first appointment, subsequent appointments are £95 - 80% of CBT4T Users need ONE appointment only




    • CBT4T participant review by clinical psychologist  Find out more

    The CBT for Tinnitus E-Programme Partnership with Tinnitus UK

    The CBT for Tinnitus E-Programme has been in a formal partnership with Tinnitus UK (previously the British Tinnitus Association) since January 2020 over and above our Corporate Member status. Our joint purpose is to provide the best possible support for those seeking help and relief from their distress of tinnitus.

    Members and Supporters of Tinnitus UK can enrol for the CBT for Tinnitus E-Programme with a 10% discount, while Tinnitus UK earn a donation of 10% of the pre-discounted fee.

    Enrolment can only accept one discount voucher code.

    Tinnitus UK Supporter code available on Tinnitus UK website. 10% discount available on all packages

    About the CBT for Tinnitus E-Programme (CBT4T Online)


    Around 86 billion neurons in the brain are 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 we imagine by thinking of - 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. We filter any experience we have through our personal 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 (neuroplasticity) gives us the ability to weaken old firing patterns and to grow & strengthen NEW firing patterns of neurons. The more FLEXIBLE we allow our mind (mindset) to be, the more EFFECTIVELY we make use of brain plasticity. This is precisely what the CBT for Tinnitus E-Programme (CBT4T) enables you to do.   

    CBT4T (the new name for the CBT for Tinnitus E-Programme from October 2023) is a neuroscience-informed CBT process for severe and very severe stress and/or anxiety experienced because of tinnitus. The Neuroscience & CBT Process developed for CBT4T enables the user to separate having tinnitus from being distressed by tinnitus

    The process used is unique to this course:
    • There is a reason for everything used in the course being not only what it is but where it is in the process
    • Part 1 of the process changes the nervous system from being DYSREGULATED to REGULATED
    • Using the bespoke tools unique to this course, Part 2 of the process first DISRUPTS old embedded neural pathways > GROWS new neural pathways > STRENGTHENS the new neural pathways
    • The process combines polyvagal informed neuro-psychotherapy, associated neuroscience, behavioural and cognitive therapy with a focus on third wave CBT
    • Third wave CBT enables psychological flexibility, develops and deepens a recovery-oriented perspective. This is wholly different to 2nd wave CBT that is problem-oriented and thought-focused

    Snapshot of how CBT4T brings about the necessary changes

    Read more in the CBT4T Bulletin
    Behavioural or Cognitive

    How much change can be expected using the CBT4T process?

    Outcomes are consistent, reliable and now this process has been used for FIVE years (2020-2025) and improved year on year, have proven to be sustainable:

    Tinnitus Functional Index (TFI) Category changes following completion of the 12 stage CBT for Tinnitus E-Programme

    Average change by TFI value:
    • Cat 5 pre-course: 84.9% > 29.9% (Cat 2 post-course)
    • Cat 4 pre-course: 64.8% > 20.8% (Cat 2 post-course)
    • Cat 3 pre-course: 45.6% > 19.0% (Cat 2 post course)
    Figures published 22 May 2022

    CBT4T | CBT for Tinnitus E-Programme © 2009-2026




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