The CBT4T Online Programme for Tinnitus, Anxiety & Stress
"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
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)
- Life is full of unwanted, unwelcome experiences
- When something happens that we cannot control, what we CAN do is control how we react to that something
- CBT4T is for those willing to learn to control how they react to tinnitus
- Suffering from tinnitus is neither inevitable nor necessary
Janet joined CBT4T with ONE appointment included
Janet's feedback at the end of Stage 4:
"I found doing the SITREP weekly, helped hold me accountable for what I was doing during the week. I treated it like a weekly appointment with Debbie and put down what I would have said in an appointment with her.... continued
Sharon joined CBT4T with ONE appointment included
Sharon's feedback at the end of Stage 6
"I would definitely recommend the course. It is affordable and you can go at your own pace. Before I started the course I felt like I couldn’t cope with it anymore and was starting to feel quite depressed. The course has helped me understand Tinnitus and how the brain works. I now have times when the Tinnitus goes into the background and I don’t think about it...continued
Sarah joined CBT4T with TWO appointments included
Final 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
John joined CBT4T with ONE appointment included
John's feedback at the end of Stage 4:
"Learning the science behind the whole CBT4T process has helped me to engage fully with the program. Also, the logs and SITREPS, which give an opportunity for regular reflection, have kept me focused. The case studies, too - so good to know that there are many people out there who have successfully dealt with this.... continued
CBT4T Online Enrolment Choices/Options
CBT4T Online open-ended enrolment
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. (Average time taken to complete the CBT4T programme is 8 months when enrolling with category 4 TFI) 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) 80% of enrolments in 2025 used only one appointment. This enrolment includes ONE appointment. A first appointment is due on completion of Stage 4
- CBT4T Online with TWO appointments included - 4 x £85/month or £325 one-off payment. 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 - 4 x £110/month or £425 one-off payment. A first appointment is due on completing Stage 4
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- Individual appointments with Debbie Featherstone using Zoom average 90 minutes
- About the first appointment
- Additional appointments are rarely needed but are available. Appointments can be added £95 per appointment - less than half a normal consultation fee made available for CBT4T members (those enrolled in or with an active subscription to CBT4T)
CBT4T Online subscriptions NEW from May 2026
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. A first appointment is due on completing Stage 4
- Add appointments £95 per appointment - less than half a normal consultation fee made available for CBT4T members (those enrolled in or with an active subscription to CBT4T)
- The CBT4T Evolution Find out more
- The Autonomic Ladder Find out more
- Debbie Featherstone - CBT4T Founder Find out more
- What makes CBT4T an individual process Find out more
- CBT4T participant review by medical practitioner Find out more
- 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)
Provided by Debbie Featherstone - dual qualified Hearing Therapist & Psychotherapist
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
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