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п»ї<title>Emotional distress associated with tinnitus or tinnitus</title>
The words "tinnitus" or "tinnitus" may not ring a bell, but the reality is that we have all, at some point in our lives, had them. Haven't you ever had a ringing or buzzing sound that other people around you didn't notice? That ringing in your ear doesn't mean they are talking bad about you behind your back, it's tinnitus!
Now, in general, that sound, more or less annoying, is temporary and eventually disappears, right? Imagine that it was there persistently, that you perceived it all the time... How do you think it would influence your daily life to always hear that ringing or buzzing? Read on and discover the importance of working on psychological and emotional factors when tinnitus is perceived continuously.
"Tinnitus prevents me from feeling absolute silence."
-Santiago Segura
Let's start at the beginning, what exactly is tinnitus? With this brief introduction we all have a general idea of what tinnitus is, don't we? But, in order to understand it better, let's delimit it in a more precise way. First of all, tinnitus is the perception of a sound without an external sound source.
Let us give an example. If we are perceiving that beeping or buzzing sound because the television is actually emitting it, then it would not be tinnitus. On the other hand, we must take into account that, even if there is no external source of the sound, this does not mean that we are dealing with an auditory hallucination.
In addition, tinnitus can be perceived only in one ear, in both ears, or it can be referred to the whole head. Finally, although we are talking about ringing or buzzing, it can also be perceived as other more complex noises (such as the sound of crickets or the murmur of the sea).
What types of tinnitus are there? Apart from being differentiated by the type of sound we can perceive, in general we classify tinnitus as objective or subjective. Now I will develop the explanation of one and the other, but first it is important to clarify that calling them subjective does not mean that the person is "inventing" them.
Objective tinnitus is the perception of a sound that is generated in the body and that is conducted to the cochlea by means of bone conduction or of a sound that is conducted to the middle ear cavity. Therefore, it is not due to any alteration of the auditory system, but is a physical sound that is perceived in the same way as normal sounds.
This means that it can be heard by physicians by auscultation and that its origin is arterial noises, arteriovenous fistulas and venous murmurs. This type of tinnitus has a good prognosis, but accounts for only 5% of tinnitus cases. In contrast, subjective tinnitus is only perceived by the patient. That is, it is the perception of sounds in the absence of physical sounds.
As we have already indicated, it does not mean that the person invents it, but that it is a phantom sensation that is due to pathologies in the ear or in the auditory nervous system. In this type the causes are otological, cardiovascular and vascular, metabolic, neurological, pharmacological, dental and psychological. Yes, psychological. Tinnitus can begin to be perceived after a time of intense emotional distress.
"Ear care is something that unfortunately you don't think about until you've had a problem."
-Chris Martin
How can tinnitus influence the lives of those who suffer from it? Now that we know a little more about tinnitus... How does it influence the lives of those who suffer from it? Like everything, it depends on each case. There are people who are not bothered by it and who manage to internalize it as just another aspect of their lives, without it interfering with their normal development. Thus, they manage not to perceive it, as happens to those who live in big cities and do not "hear" the bustle of the street.
But there are also cases of people in which this symptom generates emotions of negative valence, such as anxiety, sadness or anger. Here, people often enter a vicious circle in which their attention is constantly fixed on the tinnitus, so they do not stop perceiving it. They want to stop hearing it, but not being able to do so increases their worries about it. They fear that it will increase in intensity or that they will not be able to handle it.
"You either get used to them or you go crazy."
-Steve Martin
Generally, they get hooked on these thoughts, unable to stop thinking about it. Moreover, this leads them to give up leisure and pleasurable activities. They thus enter a vicious circle from which they cannot escape, causing their discomfort to increase and with it the perception of tinnitus in turn. On the other hand, we must not forget the sleep problems that can result.
As many times we have emotional problems, not knowing how to manage it does not mean that we have to blame the person who is in this situation. On the contrary, what happens is that there is a lack of effective tools to regulate their emotions and manage tinnitus, so it is important to contact an appropriate psychologist specialized in the treatment of tinnitus to help us acquire them.
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