I am happy to announce that Cambridge University Press published at the end of 2004 a book on TRT I wrote with Dr. Hazell titled "Tinnitus Retraining Therapy:  Implementing the Neurophysiological Model" by Pawel Jastreboff and Jonathan Hazell. 

During the last years TRT has become very popular. An increasing number of medical professionals are now attempting to use TRT for their tinnitus and hyperacusis patients. Although the method appears to be simple and easy to implement, it is in reality quite complex. In addition, to achieve a positive outcome, TRT requires an extensive amount of time for one-on-one interaction with the patients by highly trained personnel.

During last years we conducted 16 intensive 3-day courses specifically aimed at teaching TRT to physicians and audiologists. At the moment there is a number of people in the United States and Canada who have been properly trained to perform TRT and who are working with tinnitus patients on an everyday basis with successful results. A list of these people is posted so that anyone interested in TRT can contact those who are closest to their geographic area. While I am not disputing the usefulness of other treatments, I believe that only these people possess the knowledge necessary to implement TRT and achieve a success rate similar to ours. 

One important issue, which is sometimes misinterpreted, is the need for noise generators. Indeed, it is convenient to use the generator for about 60 - 70 percent of the cases, but they are not the absolute requirement for TRT. For many patients enriching the sound background (with or without amplification by hearing aids) according to specific directions, combined with directive counseling is absolutely sufficient. Notably, directive counseling is a crucial element of TRT, and even the use of the best devices will not be successful without proper counseling.