Programs
There is no surgery and no tablet that switches tinnitus off. What does work is retraining how the brain processes and prioritises the signal. Every program below is built on that principle, and every plan combines more than one of them.
Where every program starts
Before any therapy is recommended, we need a complete picture. The assessment is the single most important appointment in the program.
It is not a five minute hearing screen at the back of a shop. It is not a sales appointment for a device. And it is not a session where you are told your results are normal so there is nothing to be done.
If a treatable cause is found, we will tell you and refer you. If your hearing is normal, that is useful information, not a dead end. Plenty of our patients have normal audiograms and severe tinnitus.
The therapies
Most patients receive a combination. The mix depends on your assessment findings, your hearing, your lifestyle and how tinnitus is actually affecting you.
Spectrally modified music customised to your hearing profile, listened to daily and adjusted over a 26 week active phase, with one on one coaching from a Neuromonics certified audiologist. Delivered entirely by Telehealth.
The Neuromonics program
lenireBimodal neuromodulation. Sound through Bluetooth headphones paired with gentle electrical pulses on the tongue, stimulating two sensory pathways at once. Backed by three large scale clinical trials.
The Lenire program
The gold standard, and the framework most of our programs sit inside. TRT combines low level sound therapy with structured counselling, cognitive strategies and stress management, delivered by clinicians trained specifically in tinnitus.
It works by retraining the brain to reclassify tinnitus as a neutral, unimportant signal so it gradually stops surfacing. It typically runs 12 to 18 months, with reported success rates between 75 and 85 per cent.
CBT is the most robustly evidenced psychological intervention for tinnitus distress. It targets the emotional and behavioural side: the catastrophic thoughts, the monitoring, the avoidance of quiet rooms or noisy rooms, the anxiety spiral at 2am.
TRT changes how the brain processes the sound. CBT changes how you respond to it. Together they consistently outperform either one alone.
Carefully set, low level sound that reduces the contrast between tinnitus and silence. Delivered through hearing devices, bone conduction headphones, bedside sound or app based tools depending on what suits your hearing and your day.
The goal is never to drown tinnitus out. Full masking prevents habituation. The setting matters, which is why it is done clinically rather than bought off a shelf.
Stress and poor sleep do not just make tinnitus worse, they fuel the cycle that keeps it bothersome. We address both directly with practical strategies, sleep restructuring, relaxation training and app based support.
For many patients this is the fastest visible win in the whole program, often within the first few weeks.
Most patients arrive having been given almost no information about what tinnitus is, why it happens, or what can be done. Directive counselling from clinicians who specialise in tinnitus changes that.
It is not a pep talk. Understanding the mechanism is what makes the rest of the program work, because habituation is far harder when part of you still believes the sound is a threat.
Geography should not decide who gets treated. Assessment, counselling and the full Neuromonics program run remotely, so patients in regional and remote Australia get the same protocol and the same review schedule as someone walking through our door.
All you need is a device and a connection. Lenire is the one exception, because it requires in person fitting.
Choosing between them
The honest answer is that we cannot tell you before we assess you. What we can tell you is roughly how the decision gets made.
In practice, most plans are a combination. A device without counselling is a device. Counselling with the right sound support is a program.
Working together
Many of the people we treat have something else running alongside the tinnitus: hearing loss, PTSD, chronic pain, anxiety, poor sleep. Treating the tinnitus in isolation and ignoring the rest is how programs stall.
Our team works alongside ENT specialists, general practitioners, mental health social workers, pain specialists and exercise physiologists, so the parts of your health that affect your tinnitus are actually accounted for.
A device without counselling is a device. Counselling with the right sound support is a program.Why we combine them
Practical questions
Programs run 6 to 18 months depending on the pathway. Neuromonics has a 26 week active phase followed by 26 weeks of maintenance. TRT typically runs 12 to 18 months.
Regular scheduled check ins rather than ad hoc appointments, with your plan adjusted at each review based on your questionnaire scores and how you are tracking.
No. You can book directly. If you are a DVA client with service related tinnitus, our team handles the approval and funding paperwork.
Yes for Neuromonics, assessments and counselling. Lenire requires in person fitting and review.
It depends on the pathway. We give you the full cost in writing after assessment, before you commit to anything.
We measure from day one, so we know early. If a pathway is not moving your scores, we change it rather than waiting out the program.
Common questions
Most people notice a change in how disturbing the tinnitus feels before they notice a change in how loud it seems, often within the first weeks. That distinction is normal and it is a good early sign. Your questionnaire scores at each review will show what is actually moving.
No, and most people should not. Plans usually combine a device or sound approach with counselling and cognitive work, because the device changes how the signal is processed while the counselling changes how you respond to it. Together they consistently outperform either alone.
Bring the detail of what you tried, how it was set and for how long. It genuinely changes the recommendation. Sound therapy set to fully mask tinnitus prevents habituation, so a lot of people have had a version of it that could not have worked.
Tinnitus programs are not covered by Medicare. Some private health funds provide rebates on audiology services, which varies by fund and level of cover. For eligible DVA clients with accepted service related tinnitus, funding is available and our team handles the approvals.
We score you with validated questionnaires from the first appointment, so we know early rather than at the end. If the numbers are not moving we change the pathway rather than waiting out the program.
Yes. Assessment, counselling and the full Neuromonics program run by Telehealth. Lenire is the exception, because it requires in person fitting and review.
