CBT for Tinnitus for Tinnitus UK Supporters

CBT4T Substack launched 10th April 2025

Become a Subscriber - it's free!

CBT for Tinnitus E-Programme (CBT4T) for Severe & Very Severe Tinnitus, Stress and Anxiety

"CBT4T is crafted to be an individual process and to be affordable. The CBT4T process has the equivalent effectiveness of 30 hours individual therapy, but for around ONE TENTH of the cost."

The CBT4T process is used AT YOUR OWN PACE. Each stage does have its own MINIMUM length of time set; however, for any process to be robust and consistently produce good outcomes for its users, the process must fit the needs of the individual.

The in-depth content, use of bespoke tools, progress checks, email support and weekly accountability SITREP has reduced the cost by some 90%:

30 in-therapy hours (20 x 90 minute sessions) based on £100 per hour* (£100 x 30) = £3,000 : cost of CBT4T enrolment is just £295
Two one-to-one appointments are included in your CBT4T 2025 enrolment for £295.00
Add-on appointments (commonly 90 minutes) when/if needed are £95.00
90% of people enrolling on CBT4T need a maximum two one-to-one appointments i.e one appointment in addition to their appointment included in enrolment
All appointments use Zoom

*Private therapy fees vary around the country, and are dependant upon individual therapists' area(s) of specialism. A 60 minute private Consultation is likely to cost anything from £100-£200+

CBT4T 2025

CBT4T 2025 includes TWO 60-90 minute one-to-one appointments using Zoom, along with support throughout the process via email, logs, weekly reporting (SITREP) and bespoke CBT tools. Additional appointments can be booked for £95 per appointment if needed - all appointments allow for up to 90 minutes.

CBT4T 2025-1APP includes ONE 60-90 minute one-to-one appointment using Zoom, along with support throughout the process via email, logs, weekly reporting (SITREP) and bespoke CBT tools. Additional appointments can be booked for £95 per appointment if needed - all appointments allow for up to 90 minutes.

CBT4T 2025 Enhanced offers enrolment that includes a 60-90 minute appointment (using Zoom) at the end of each of the first SIX MONTHS of enrolment to review with you your progress to date and discuss a plan of action for the upcoming month. This enhanced 1-1 support is in addition to logs, email, weekly reporting (SITREP), and bespoke CBT tools.

Choose your enrolment - Use Tinnitus UK Supporter Code for 10% OFF all enrolments

CBT4T 2025 includes TWO appointments
Add additional appointments when/if needed (£95 ea)
£100 £90 x 3 monthly payments or
£295 £265.50 single payment
Go to course site

Your enrolment also donates 10% to Tinnitus UK

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

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

£625 or 6 x £110 monthly payments (Tinnitus UK Supporter discount saves £62.50 or 6 x £11)
MONTHLY APPOINTMENTS for each of the first 6 months of enrolment
All appointments allow for up to 90 minutes
Weekly SITREP
Email support
Logs
Specially formulated CBT4T tools

Feedback from Users of CBT4T

Juha (Finland)

Final Review:

Do you recommend others to use the Tinnitus E-Programme and if so, please say why:

"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!" Go to Juha's full review

Kirk (USA)

Final Review:

Do you recommend others to use the Tinnitus E-Programme and if so, please say why:

"Yes! It works!"

"The Tinnitus E-Programme has been life changing for me. It is very educational and well thought out. I had no idea how connected tinnitus is to the fight or flight reflex, anxiety, etc. The program was easy to follow, included weekly accountability and allows one to progress at their own pace. I’ve completed the program but will be using some of the relaxation and visualization exercises and the other resources for the rest of my life. Excellent program. Amazing results." Go to Kirk's full review

Gary (UK)

Final Review:

Do you recommend others to use the Tinnitus E-Programme and if so, please say why:

"Yes 100%. It really helps you understand tinnitus, what's going on and gives you the tools to take back control over your life."

"I would recommend this course 100% to anyone who is finding it difficult to cope with tinnitus. Like many, tinnitus appeared in my life and it instantly took hold - I could not sleep, concentrating was difficult and my anxiety was through the roof. I genuinely felt like so much of my life had been ruined because of tinnitus. I did what many did at this point - went online and read. This is generally a mistake, because its very easy to feel more negative after reading stories online, but one good thing did happen is that I came across this course. I was generally sceptical of how CBT would help with that I was going through, but I had nothing to lose so I enrolled immediately. The course is structured really well, and releasing a module each week allows you to take your time going through the course. You never need to rush and going at your own pace allows you to really take on board what is being taught. The relaxation exercises in particular are really great and after a few weeks you really start to notice the difference they make. The course also does a great job in explaining what tinnitus is and what your brain is doing in reaction to tinnitus. This knowledge really takes away a lot of the fear you might have around tinnitus. Debbie really knows her stuff, and she keeps in regular contact with you. Her feedback is always really helpful, whether its by email or by the face to face appointments. I have now completed the course and it was the best decision I could have made. If you're reading this and sceptical about CBT like I was, then don't be. If your willing to engage with the course and the exercises it really does make a difference. My life went from being controlled by tinnitus, to tinnitus no longer having control over me, or my life." Go to Gary's full review

The CBT for Tinnitus E-Programme (CBT4T)

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 Protocol developed for CBT4T enables the user to separate having tinnitus from being distressed by tinnitus

The Protocol 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 Protocol changes the nervous system from being DYSREGULATED to REGULATED
Using the bespoke tools unique to this course, Part 2 of the Protocol first DISRUPTS old embedded neural pathways > GROWS new neural pathways > STRENGTHENS the new neural pathways
The Protocol 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

CBT4T Programme

For distressing tinnitus, anxiety and stress

Tinnitus E-Programme

The CBT for Tinnitus E-Programme (CBT4T)