The relationship between hearing loss and cognitive status has long been recognized with significant work in the early 1980s. Nonetheless, the complexity of hearing loss, complexity of cognitive function, and predominance cross-sectional work has limited ability to confirm or deny a causal relationship. If a relationship exists, causal or not, it is plausible that treatment of hearing loss may reduce risk or mitigate evidence of cognitive decline with age.
Tinnitus management is nuanced and many approaches can be taken, some supported by more evidence than others. Cognitive behavioral therapy (CBT) repeatedly has been shown to be an effective approach to help patients manage their tinnitus distress. This article provides a general overview of what CBT entails and when to consider referring your tinnitus patients to a health-care provider who specializes in CBT.