1. Managing Your Tinnitus: What to Do and How to Do it (Session 2 of 2)

2. Wearable listening devices Two Categories of Devices Stationary (tabletop) devices

3. Wearable Listening Devices The AirDrive earphones sit in front of the ear and allow ambient sound to pass, and therefore, allowing user have conversation or watch tv.

4. MP3 Players Very flexible Download any sound from CD or podcast Normally use “earbuds” Very flexible Download any sound from CD or podcast Normally use “earbuds”

5. Bluetooth Short-range radio technology Normally used with cell phones Available with some MP3 players Short-range radio technology Normally used with cell phones Available with some MP3 players

6. Bluetooth with Hearing Aids Available with some behind-the-ear hearing aids Hearing aids can receive signal from MP3 player Also works with some cell phones Available with some behind-the-ear hearing aids Hearing aids can receive signal from MP3 player Also works with some cell phones

7. Satellite Radio Huge number of listening choices ~160 channels Huge number of listening choices ~160 channels

8. Hearing Aids with T-coils Many hearing aids have a T-coil— sometimes called a telephone program Tiny coil of wire in a hearing aid that can pick up electromagnetic signals Many hearing aids have a T-coil— sometimes called a telephone program Tiny coil of wire in a hearing aid that can pick up electromagnetic signals

9. Hearing Aids with T-coils This is a satellite radio Instead of headphones, a neckloop is plugged into it This is a satellite radio Instead of headphones, a neckloop is plugged into it

10. Hearing Aids with T-coils The neckloop sends a wireless signal up to the hearing aid You can plug a neckloop into anything with a standard headphone jack— including cell phones, radios, and MP3 players The neckloop sends a wireless signal up to the hearing aid You can plug a neckloop into anything with a standard headphone jack— including cell phones, radios, and MP3 players

11. Tabletop Devices: Examples

12. Tabletop Water Fountain

13. Tabletop Sound Generators

14. Docking Station for an MP3 Player

15. Electric Fan

16. Adding Sight to Sound So far, we have talked about using only sound for managing reactions to tinnitus Listening and watching together can sometimes be more helpful So far, we have talked about using only sound for managing reactions to tinnitus Listening and watching together can sometimes be more helpful

17. I am 100% focused on this football game!

18. More Ideas for Using Both Sight and Sound Going out to a movie Watching a DVD or a TV show Going to a play, a concert, or a comedy club The content should be meaningful and interesting—to do a better job of keeping your attention Special DVDs are designed to show peaceful scenes with relaxing music in the background – makes soothing sound both visual and auditory (see workbook) Going out to a movie Watching a DVD or a TV show Going to a play, a concert, or a comedy club The content should be meaningful and interesting—to do a better job of keeping your attention Special DVDs are designed to show peaceful scenes with relaxing music in the background – makes soothing sound both visual and auditory (see workbook)

19. Some Ideas for Using Sound at Night

20. “Sound Pillow” Has a cord that can plug into anything with a standard headphone: iPod, MP3 player, radio, TV, etc. Sound from device comes through speakers in pillow Only you hear the sound Disadvantage: sound is usually only heard in one ear Useful if you have tinnitus in only one ear Has a cord that can plug into anything with a standard headphone: iPod, MP3 player, radio, TV, etc. Sound from device comes through speakers in pillow Only you hear the sound Disadvantage: sound is usually only heard in one ear Useful if you have tinnitus in only one ear

21. Pillow Speakers These speakers can be placed under your pillow This way you can use your own pillow not the one that comes with the “sound pillow” The pillow speaker is mainly useful when you have tinnitus in one ear and you can place that ear on the pillow These speakers can be placed under your pillow This way you can use your own pillow not the one that comes with the “sound pillow” The pillow speaker is mainly useful when you have tinnitus in one ear and you can place that ear on the pillow

22. Fleece Headband with Embedded Speakers Originally made for skiers, but can be used comfortably in bed Plugs into any device with standard headphone jack Only you hear the sound Sound is heard in both ears Originally made for skiers, but can be used comfortably in bed Plugs into any device with standard headphone jack Only you hear the sound Sound is heard in both ears

23. Neck Pillows Sometimes used for sleeping on an airplane This idea came from a Veteran who had tinnitus who wanted to wear standard earphones at night – he arranges the pillow so that when he lays his head on it, there's no pressure on the earphones Sometimes used for sleeping on an airplane This idea came from a Veteran who had tinnitus who wanted to wear standard earphones at night – he arranges the pillow so that when he lays his head on it, there's no pressure on the earphones

24. Sound Therapy Takes Time It takes a long time for tinnitus to respond to sound therapy We generally like things to work right away like medication, but tinnitus is different Be patient as sound therapy takes 3 to 6 months to become effective It takes a long time for tinnitus to respond to sound therapy We generally like things to work right away like medication, but tinnitus is different Be patient as sound therapy takes 3 to 6 months to become effective

25. Changing Thoughts and Feelings to Manage Tinnitus This is the fundamental principle of cognitive behavioral therapy Describes ways to change your thoughts and feelings about tinnitus These is done in addition to using sound to manage tinnitus This is the fundamental principle of cognitive behavioral therapy Describes ways to change your thoughts and feelings about tinnitus These is done in addition to using sound to manage tinnitus

26. Avoid Loud Noise Use double hearing protection when you are around very loud noise (e.g., shooting, flight deck, etc.) This means using insert ear plugs and over the ear hearing protection Use ear plugs when going to concerts, bars, clubs, where loud music is played Use ear plugs when using power tools or powered lawn mowers Use double hearing protection when you are around very loud noise (e.g., shooting, flight deck, etc.) This means using insert ear plugs and over the ear hearing protection Use ear plugs when going to concerts, bars, clubs, where loud music is played Use ear plugs when using power tools or powered lawn mowers

28. Standard earplugs

29. Correct use Incorrect use

30. Earmuffs

31. Take Good Care of Yourself Exercise daily Eat healthy foods Avoid/reduce stress Make meditation a routine part of your day Exercise daily Eat healthy foods Avoid/reduce stress Make meditation a routine part of your day

32. Keep Your Mind and Body Active

33. Learn All You Can About Tinnitus