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Mental Model Tools · Pillar 2

Attention Trainer

Tinnitus feels loudest when your attention keeps snapping back to it. These short listening exercises train the skills it pulls on: picking out a sound, telling where it is, switching between sounds on purpose, and letting a sound sit at the edge of awareness.

Your 20-day program

0 of 20 sessions

One session a day, about 15 minutes. Headphones help a lot.

Session length

Your levels

Each exercise gets harder as you improve, and eases off if a round goes badly.

    Practice one exercise on its own:

    Why train attention? What the research says

    Tinnitus tends to grab attention, and attention tends to make it louder and harder to ignore. A handful of small studies have tried training attention directly:

    • Fifteen days of 30-minute sessions identifying and locating sounds reduced how much tinnitus could mask other sounds (Searchfield and colleagues, 2007).
    • In a controlled trial, 20 days of a 30-minute auditory attention game reduced tinnitus scores more than playing Tetris did (Wise and colleagues, 2016).
    • Twenty daily sessions of attention training that combined sound, sight and touch produced small reductions in tinnitus (Spiegel and colleagues, 2015).

    The studies were small, and broader brain-training and pitch-training programs did no better than their comparison groups. The common thread in the positive results is active listening that asks for a response, done daily for three to four weeks. That is what this program does. Treat it as practice for a skill, not a cure, and use it alongside your audiologist’s care.

    1. Searchfield GD et al. Object identification and attention training for treating tinnitus. Prog Brain Res 2007;166:441–60. doi:10.1016/S0079-6123(07)66043-9
    2. Wise K et al. Randomized controlled trial of a perceptual training game for tinnitus therapy. Games Health J 2016;5(2):141–9. doi:10.1089/g4h.2015.0068
    3. Spiegel DP et al. Multisensory attention training for treatment of tinnitus. Sci Rep 2015;5:10802. doi:10.1038/srep10802
    4. Kallogjeri D et al. Cognitive training for adults with bothersome tinnitus: a randomized clinical trial. JAMA Otolaryngol Head Neck Surg 2017;143(5):443–51. doi:10.1001/jamaoto.2016.3779
    5. Hoare DJ et al. Gameplay as a source of intrinsic motivation in a randomized controlled trial of auditory training for tinnitus. PLoS ONE 2014;9(9):e107430. doi:10.1371/journal.pone.0107430

    More practice: the Music Gym trains holding one instrument in a full band, and the Sensory Method is an 8-minute daily letting-go practice.

    Included with Notch Music

    Keep going with the full program

    The Attention Trainer comes free with Notch Music, yours to keep for good, along with unlimited song notching, notched sleep sounds and the practice log: $49.95 once, no subscription. Your progress so far is saved.

    Get Notch Music — $49.95

    Already have Notch Music?

    Enter the email you paid with and the key from your purchase email. You only do this once on each device.

    Before you start

    Two quick questions

    You’ll answer these again halfway through and at the end, so you can see honestly whether anything changed.

    Over the past week, how much did your tinnitus intrude on your life?

    0 · not at all10 · constantly

    When you want to, how easily can you put your tinnitus out of mind?

    0 · not at all10 · easily

    Set up

    Headphones on, volume low

    Two of the exercises use left and right, so headphones make a real difference. Play each side, then set your volume so the sounds are soft but clear.

    Keep everything soft. Louder makes the exercises easier to hear but harder to learn from, and loud sound is never good for tinnitus. If anything feels harsh, turn it down or stop.

    Exercise

    —

    —

    🔔
    Listen for the
    bell

    Round 1 of 3

    Tap only for the bell. Let every other sound pass. Spacebar works too.

    Where did the sound come from?

    1 of 15

    Listen…

    Follow the highlighted sound. Tap when it plays an odd note.

    HIGHleft ear
    LOWright ear

    When the highlight moves, move your attention with it. Ignore odd notes in the other sound.

    Close your eyes and settle in.

    Done

    Nice work

    ✓

    Session complete

    —

    The point isn’t the score. Each time you choose where your attention goes, you rehearse the move that lets tinnitus drift to the edge of awareness. Try using it once today, on purpose, with the ringing itself.

    This is a listening practice, not a medical treatment, and results vary. Please see an audiologist or physician about your own tinnitus, especially if it is new, one-sided or pulsing.