Tinnitus and Anxiety


  1. 1.

    Individuals with tinnitus often suffer from anxiety.

  2. 2.

    Such co-morbid anxiety is associated with increased severity of tinnitus and distress as well as general impairment of quality of life.

  3. 3.

    Similar brain areas are involved in the pathogenesis of tinnitus and anxiety disorders indicating a close interrelationship between these two disorders.

  4. 4.

    Hyperacusis and phonophobia represent specific problems in a subset of tinnitus patients who require special attention.

  5. 5.

    Treatment of concurrent anxiety symptoms in ­tinnitus patients is essential.

  6. 6.

    Treatment options include pharmacological (e.g. antidepressants) and psychotherapeutic (e.g. cognitive behavioral therapy, tinnitus-retraining therapy) approaches.



Anxiety Chronic tinnitus Pharma­cotherapy Psychotherapy 



Composite diagnostic interview


International classification of diseases


Selective serotonin and noradrenalin reuptake inhibitor


Selective serotonin reuptake inhibitor


World Health Organization


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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Psychiatry, Psychosomatics, and PsychotherapyUniversity of RegensburgRegensburgGermany
  2. 2.Interdisciplinary Tinnitus ClinicUniversity of RegensburgRegensburgGermany

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