Karen has completed Element 1 of 4: Preparation (Stages 1-3) and recently completed Stage 4 - the first Stage in to Element 2 of 4: Moving Forward (Stages 4-6). 7 weeks after enrolment, repeat measures are as follows:

Following these repeat measures and a first appointment, Karen's feedback is:

Q: The progress I have achieved indicated in my stage 4 repeat Tinnitus Functional Index (TFI):

A: "My progress was more than I was expecting when I enrolled on CBT4T"

Q: The progress I have achieved indicated in my stage 4 repeat Anxiety/stress Symptoms (ASQ):

A: "My progress more than I was expecting when I enrolled on CBT4T"

Q: What do you believe to have been the most impactful aspect(s) up to Stage 4 for you? Choose as many as you like:

A:

2. Physiological exercises (9 minutes)

3. Guided relaxation (30 minutes)

5. Understanding more about the Change Process

6. Recognising how many 2nd, 3rd, 4th etc “Arrows” cause you emotional distress

7. Recognising how much Cognitive Distortions cause you emotional distress

8. There is a difference between having a Problem-oriented perspective and a Recovery-oriented perspective

Q: Of the above impactful aspects you have chosen, pick your top three (or more) in order of importance for you (identify them as first, second, third etc.)

A: First - 6; Second - 7; Third - 3

Q: Are there any further aspects that you would like to add?

A: "I find the weekly sitrep a good exercise for me, it makes me reflect on the week and how I have felt in that particular week. The neuroscience was very helpful and the visual of the neurons rushing around a path helped with my understanding of the module. Also the section on stopping brain chatter, which I use a lot now."

Q: In your own words, please write about your experiences so far (up to Stage 4/starting Stage 5):

A: "Life has got in the way a bit and I haven’t spent as much time as I wanted engaging in the course, that being said I have probably absorbed more by going more slowly. I obviously hoped that the programme would help me with my tinnitus but am surprised as to how much it has already. My awareness and anxiety from my tinnitus has already come down a lot, which is fantastic! It’s been a positive experience so far and it am sure it will continue to be."

Q: Would you recommend CBT4T to others looking for help, based on your experience of the course so far, and why?

A: "Definitely! I feel like this programme is giving me the control to manage my tinnitus in a positive and informed way. I never imagined when I joined the course that there would be so much content and that I would learn so much. The tools I have already have helped me deal with difficult situations and the outcomes of these have been more positive as a result."