06 DE ABRIL DE 2024

 

9h às 10h

Case Conceptualization (Formulation) And Treatment Plan

 

“By the end of this session, participants should be able to develop a CBT formulation explaining the development and maintenance of troublesome tinnitus or hyperacusis distress.” 

 

​

​

​

​

10h às 11h 

Differential Diagnosis: Tinnitus Disorder, Hyperacusis, Loudness Recruitment, Misophonia and Noise Sensitivity

 

“By the end of this session, participants should be able to distinguish between tinnitus disorder which requires CBT intervention and non-distressing tinnitus. They also should be able to distinguish between hyperacusis and misophonia using audiological tests, self-report questionnaires and clinical interview.”

 

​

​

​

​

11h às 11h30 | BREAK

​

​

​

​

11h30 às 12h30h 

Explore and Enhance Patient’s Motivation for CBT

 

“This practical session provides an opportunity for participants to practice principles of motivational interviewing (MI) in the context of tinnitus and hyperacusis rehabilitation. MI is “a collaborative conversation style for strengthening a person’s own motivation and commitment to change” 

 

​​

​

​

​

12h30 às 13h30 | LUNCH

​

​

​

 

13h30 às 15h

10 Steps of CBT For Tinnitus, Hyperacusis and Misophonia Rehabilitation

 

“In this talk, a programme of CBT comprising 14 therapy sessions will be introduced. This is a specialised therapy for tinnitus, hyperacusis and misophonia rehabilitation and comprises four stages: I) Assessment, II) Preparation, III) Active treatment, and IV) Maintenance stage. The content of the therapy briefly comprises (1) education about tinnitus, hyperacusis and misophonia and relevance of CBT, (2) enhancing patient’s motivation to engage with the therapy process, (3) setting goals, (4) formulation, (5) identifying troublesome thoughts, (6) identifying avoidance behaviours and rituals, (7) SEL (Stop Avoidance, Exposure, & Learn from it), (8) KKIS (Know, Keep on, Identify, Substitute), (9) identify and challenge deeper thoughts and beliefs, and (10) integrating CBT into lifestyle (CBStyle).”

​

​

​

​

​

15h às 15h30 | BREAK

​

​

 

​

15h30 às 17h

What to Expect From CBT: Reflections on Clinical Practice

 

 “By the end of this session participants will be able to describe the expected outcomes for CBT focused on tinnitus, hyperacusis and misophonia. They should be able to predict the treatment success based on patient’s characteristics. The data for consecutive patients enrolled and completed CBT will be reviewed. Prior to start of the therapy, 65% of patients had at least one psychological symptom that met the “caseness” criteria of the UK mental health services. This reduced to 37% after the therapy. The mean Tinnitus Impact Questionnaire (TIQ), Hyperacusis Impact Questionnaire (HIQ), and Misophonia Impact Questionnaire (MIQ) reduced from 14.2 (SD=36), 12 (SD=9.2), 16 (SD=8.1), respectively, before treatment to 5.4 (SD=4.8), 4.5 (SD=5.2), and 8.3 (SD=7.2), respectively, after treatment. In this talk, we will explore the characteristics of patients who did not benefit from the treatment compared to those who did. For example, do patients who were receiving psychological/psychiatric care (medication or psychotherapy) in addition to their tinnitus/hyperacusis/misophonia-focused CBT show better outcomes compared to those who did not.”

 

​