Managing Tinnitus and Depression

Published
November 13, 2024
4 min
read
Author:
Dr. Fabrice Bardy
Reviewer:
Dr. Matthieu Recugnat
Person holding their head in distress, symbolizing the emotional impact of depression and tinnitus.

Depression is more than just feeling down or discouraged for a short time. While most people experience low moods occasionally, depression involves persistent feelings of sadness or hopelessness that last for weeks or months, not just days.

For many people with tinnitus, there’s a strong link between their condition and depression. The constant ringing or buzzing can worsen feelings of distress and frustration, while depression can intensify the perception of tinnitus, creating a challenging cycle.

The encouraging news is that with the right treatment and support, most people can find relief. Addressing both tinnitus and depression together can make a significant difference in improving quality of life.

  • Negative bias in the brain is increase in case of depression which might impact tinnitus perception.
  • It's important to seek help from a GP if you think you may be depressed.
  • With the right treatment and support, you will be able to find relief.

"For many people with tinnitus, there’s a strong link between their condition and depression."

Tinnitus and Depression: Understanding Negative Bias and Finding Relief

Recent research shows that depression affects the brain’s ability to process sensory information, particularly in the amygdala1, which is central to emotional regulation. In a depressive state, a phenomenon known as "negative bias" can develop, where the brain becomes overly focused on negative stimuli while positive experiences feel muted. This change can make everyday activities seem joyless and amplify distressing sensations—like tinnitus.

For people with both depression and tinnitus, this negative bias can make the ringing or buzzing in the ears feel even more intrusive and overwhelming. During depressive episodes, neurons in the amygdala that would typically respond to positive stimuli become less active, while those focused on negative stimuli are overactive. This imbalance can make tinnitus particularly distressing, creating a feedback loop of anxiety and frustration.

Addressing this negative bias is key to managing both depression and tinnitus. Some medicine have shown promise in helping alleviate this bias by stabilising brain chemicals like serotonin and norepinephrine, which can reduce the emotional intensity of tinnitus and depressive symptoms. This article discusses antidepressant options for tinnitus as well as alternative therapies.

How Antidepressants May Help with Tinnitus and Depression

For some individuals experiencing both tinnitus and depression, antidepressant medications may offer a degree of relief, as these medications can help address underlying depressive symptoms that may worsen tinnitus perception. Antidepressants generally work by balancing neurotransmitters in the brain, such as serotonin and norepinephrine, which play a significant role in mood regulation. By helping stabilize these brain chemicals, antidepressants can reduce feelings of anxiety and distress, potentially softening the negative emotional response to tinnitus.

It’s essential to speak with a healthcare provider before starting any medication for tinnitus or depression, as antidepressants affect people differently and may not be suitable for everyone. A doctor can help determine the most appropriate course of action, considering both the potential benefits and any side effects. They may also recommend additional supportive strategies, such as cognitive behavioural therapy or mindfulness-based approaches, to further enhance quality of life and emotional well-being. One such therapeutic support is MindEar, which specifically helps individuals address both the sensory and emotional components of tinnitus and depression.

How MindEar Can Help with Tinnitus and Depression

For people suffering from tinnitus, the negative bias linked to the sound can become even more pronounced. Treating the underlying depression through approaches like Cognitive Behavioral Therapy (CBT) can help recalibrate the amygdala circuits, reducing the negative bias that amplifies tinnitus-related distress. This process enables the brain to gradually move toward a more balanced state, creating the conditions necessary for habituation to occur, ultimately reducing the impact of tinnitus on daily life and improving overall emotional well-being.

MindEar addresses these emotional and sensory processing aspects of tinnitus through a combination of sound therapy, mindfulness, and CBT-based strategies. These tools work together to help recalibrate the response to tinnitus, reducing its emotional impact and counteracting the brain’s tendency toward negative bias. 

Here’s how MindEar supports individuals on this journey:

  1. Counteracting Negative Bias: By providing calming sounds and mindfulness practices that promote relaxation and shift focus, MindEar encourages the brain to engage with positive experiences. Over time, this can help reduce the hyperactivity in neurons associated with negative perceptions, balancing your emotional response.
  2. Building Emotional Resilience: MindEar incorporates cognitive-behavioral and acceptance-based approaches that help observe and accept the tinnitus without judgment. These techniques help identify and change thought patterns around tinnitus, reducing its emotional hold and allows to regain control over the reactions. This process lessens the grip that both tinnitus and depression might have on daily life.
  3. Empowering a Shift Toward Normalcy: MindEar’s gradual, user-guided approach allows individuals to make steady progress, fostering a sense of achievement and autonomy. This shift toward greater emotional resilience and balanced sensory perception helps you find relief and brings you closer to previous levels of engagement and enjoyment in daily activities.

How MindEar can help you in your tinnitus journey

The MindEar App offers a range of scientifically-backed solutions that can help you manage your tinnitus symptoms effectively. In the MindEar app you will find a soundscape library offering a variety of adjustable soundscapes to help you find the sound sound therapy that works best for you. You can also talk to a tinnitus expert to help you better understand your tinnitus. In addition, cognitive behavioral therapy and mindfulness techniques are also accessible to provide you with the tools to take control of your condition so that you can live a life without noticing it. MindEar is here to guide you on that journey.

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By addressing the underlying negative bias in sensory processing, MindEar helps restore balanced neural activity in the brain, allowing you to regain a sense of control and empowerment over your life. This support can break the cycle of frustration often linked to both tinnitus and depression, helping you move toward a state of calm and emotional well-being. As this cycle weakens, your brain can gradually habituate to the tinnitus, filtering it out to the point where it becomes far less noticeable and no longer disruptive. This transformation enables you to reengage with the activities you love, enjoying life with renewed freedom and peace.

Source

1. Bigot, Mathilde, Claire-Hélène De Badts, Axel Benchetrit, Éléonore Vicq, Carine Moigneu, Manon Meyrel, Sébastien Wagner et al. "Disrupted basolateral amygdala circuits supports negative valence bias in depressive states." Translational Psychiatry 14, no. 1 (2024): 382.

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