Home > Conditions > Neurofeedback Therapy for Tinnitus
Neurofeedback Therapy for Tinnitus
Tinnitus is often described as a ringing, buzzing, hissing, or humming sound in the ears that does not come from an external source. For some people, it is occasional and mild. For others, it can feel constant, intrusive, and exhausting.

If you’re dealing with tinnitus, you’re not alone. It is understandable if it’s affecting your sleep, focus, or sense of calm. Many people find that the hardest part isn’t just the sound itself, but how much attention and distress it can create over time.
Research suggests that tinnitus is not just an “ear issue,” but also involves how the brain processes sound and attention.
Tinnitus Symptoms
Tinnitus can show up in different ways. Common symptoms include:
- Ringing, buzzing, or humming sounds in one or both ears
- Sounds that seem louder in quiet environments
- Difficulty falling or staying asleep
- Trouble concentrating or staying focused
- Increased stress, frustration, or irritability
- Feeling mentally “on edge” or unable to relax
For some, tinnitus becomes more noticeable during times of stress or fatigue. It reflects how closely tinnitus is tied to brain and nervous system activity.
How does it show up in the brain?
Tinnitus is closely linked to how the brain processes sound even when no external sound is present. Research shows that:
- The auditory areas of the brain can become overactive or “hyper-focused” on internal signals
- Brain rhythms may shift, especially in areas related to attention and perception
- Networks involved in emotion and stress can amplify how distressing tinnitus feels
In simple terms, the brain may get “stuck” in a loop of noticing and reacting to the sound.
Neurofeedback works by helping the brain gradually shift out of these patterns. By encouraging more balanced activity, the brain can become less reactive and less focused on the tinnitus signal. Often leading to a quieter, more manageable experience.
How does Neurofeedback help/treatment Outcomes
Studies suggest that neurofeedback may help reduce the perceived intensity and distress associated with tinnitus by promoting more balanced brain activity. Many individuals report:
- Reduced awareness of the sound
- Less emotional reactivity to tinnitus
- Improved relaxation and sleep
- Better focus during daily activities
What other therapies do we offer that can help?
In addition to Neurofeedback (NFB), Boston Neurodynamics provides a range of complementary, evidence-informed therapies.
These modalities are designed to support brain and body regulation and can be used individually or in combination.
- Biofeedback (BFB): Helps individuals gain awareness and control over physiological functions such as heart rate, breathing, and muscle tension to promote relaxation and stress management.
- Bioregulation Therapy (BRT): Uses gentle electromagnetic signals to encourage the body’s natural self-regulation and restore balance in the nervous system.
- Hemoencephalography (HEG): It is a form of neurofeedback that measures the brain’s blood flow. People have found that HEG helps improve blood flow to the prefrontal lobe.
- Photobiomodulation (PBM): Uses light (photonic) energy to modulate the function of cells; this is accomplished by stimulating molecular entities capable of absorbing discrete wavelengths.
- Psychotherapy: Provides a supportive environment to explore emotions, behaviors, and thought patterns while integrating neurophysiological insights for more effective outcomes.
- Stress Management and Resiliency Training (SMART): This program helps participants regain control and build resilience through a variety of mind and body principles and self-care interventions,leading to reduced medical symptoms and enhanced quality of life.
- Transcranial direct current stimulation (tDCS): It is a simple form of brain stimulation that can be used to alter brain activity. In tDCS, a very weak direct electrical current is applied to the scalp. tDCS is an active, non-invasive treatment.
Turn Down the Volume on Phantom Auditory Noise.
Tinnitus isn’t just an issue with your ears; it is often an over-activation in the auditory cortex of the brain, which creates a phantom sound to fill a perceived silence. Neurofeedback helps down-regulate hyper-excitable cortical networks, teaching your brain to filter out the internal ringing and return the phantom noise back to a manageable background level.

Selected Tinnitus and Neurofeedback related research
- Ashton, H., Reid, K., Marsh, R., Johnson, I., Alter, K., & Griffiths, T. (2007). High frequency localised “hot spots” in temporal lobes of patients with intractable tinnitus: A quantitative electroencephalographic (QEEG) study. Neuroscience Letters, 426(1), 23-28.
- Azevedo, A. A. d., Figueiredo, R. R., & Penido, N. d. O. (2020). Tinnitus and event related potentials: a systematic review. Brazilian Journal of Otorhinolaryngology, 86(1), 119-126.
- Busse, J. W., Craigie, S., Juurlink, D. N., Buckley, D. N., Wang, L., Couban, R. J., Agoritsas, T., Akl, E. A., Carrasco-Labra, A., Cooper, L., Cullis, F., Daubeny, R. A., Foroutan, F., Hand, P., Heen, A. F., Hillis, C. M., Hubing, L., Mynpuri, S., Shebag, M., … Guyatt, G. H. (2020). Guideline for opioid therapy and chronic noncancer pain. CMAJ, 192(31), E920-E921.
- Cederroth, C. R., Gallus, S., Hall, D. A., Kleinjung, T., Langguth, B., Maruotti, A., Meyer, M., Nosrati-Zarehoeiyan, A., Schlee, W., Schiller, A., & Canlon, B. (2019). Towards an understanding of tinnitus heterogeneity. Frontiers in Aging Neuroscience, 11, Article 53.
- Deyo, R. A., Hallvik, S. E., Hildebran, C., Marino, M., O’Kane, N., Van Otterloo, J., Podichetty, V. K., Wright, D. A., Carson, J., Wakeland, W., & Leichtling, G. (2021). Association of prescription drug monitoring program utilization laws with opioid prescribing, overdose deaths, and treatment for opioid use disorder. JAMA Network Open, 4(5), e2111559.
- Dohrmann, K., Elbert, Thomas., Schlee, W., & Weisz, N. (2007). Tuning the tinnitus percept by modification of synchronous brain activity. Restorative Neurology and Neuroscience, 25(3-4), 371-378.
- Grover, C. A., & Elder, J. W. (2020). The effect of a prescription drug monitoring program on emergency department opioid prescribing. The Journal of Emergency Medicine, 59(1), 1-8.
- Güntensperger, D., Kleinjung, T., Neff, P., Thüring, C., & Meyer, M. (2020). Combining neurofeedback with source estimation: Evaluation of an sLORETA neurofeedback protocol for chronic tinnitus treatment. Restorative Neurology and Neuroscience, 38(4), 283-299.
- Güntensperger, D., Thüring, C., Kleinjung, T., Neff, P., & Meyer, M. (2019). Investigating the Efficacy of an Individualized Alpha/Delta Neurofeedback Protocol in the Treatment of Chronic Tinnitus. Neural Plasticity, 2019, 1-15.
- Güntensperger, D., Thüring, C., Meyer, M., Neff, P., & Kleinjung, T. (2017). Neurofeedback for Tinnitus Treatment – Review and Current Concepts. Frontiers in Aging Neuroscience, 9, Article 386.
- Houdayer, E., Teggi, R., Velikova, S., Gonzalez-Rosa, J. J., Bussi, M., Comi, G., & Leocani, L. (2015). Involvement of cortico-subcortical circuits in normoacousic chronic tinnitus: A source localization EEG study. Clinical Neurophysiology, 126(12), 2356-2365.
- Jensen, M., Hüttenrauch, E., Schmidt, J., Andersson, G., Chavanon, M.-L., & Weise, C. (2020). Neurofeedback for tinnitus: study protocol for a randomised controlled trial assessing the specificity of an alpha/delta neurofeedback training protocol in alleviating both sound perception and psychological distress in a cohort of chronic tinnitus sufferers. Trials, 21(1), Article 382.
- Langguth, B., Kreuzer, P. M., Kleinjung, T., & De Ridder, D. (2013). Tinnitus: Pathophysiology and treatment. The Lancet Neurology, 12(9), 920-930.
- Milner, R., Lewandowska, M., Ganc, M., Nikadon, J., Niedziałek, I., Jędrzejczak, W. W., & Skarżyński, H. (2020). Electrophysiological correlates of focused attention on low- and high-distressed tinnitus. PLOS ONE, 15(8)
- Moazami-Goudarzi, M., Michels, L., Weisz, N., & Jeanmonod, D. (2010). Temporo-insular enhancement of EEG low and high frequencies in patients with chronic tinnitus. QEEG study of chronic tinnitus patients. BMC Neuroscience, 11, Article 40.
- Sanyal, C., Asbridge, M., & Hayden, J. A. (2022). The economic burden of opioid use disorder and opioid-related harm: A systematic review. PLOS ONE, 17(2), e0263200.
- Schenk, S., Lamm, K., Gündel, H., & Ladwig, K.-H. (2005). Neurofeedbackgestütztes EEG-α- und EEG-β-Training: Wirksamkeit bei Patienten mit chronisch dekompensiertem Tinnitus [Neurofeedback-based EEG alpha and EEG beta training. Effectiveness in patients with chronically decompensated tinnitus]. HNO, 53(1), 29-38.
- Vanneste, S., Joos, Kathleen., Ost, J., & De Ridder, D. (2018). Influencing connectivity and cross-frequency coupling by real-time source localized neurofeedback of the posterior cingulate cortex reduces tinnitus related distress. Neurobiology of Stress, 8, 211-224.
- Viirre, E. S. (2010). Quantitative electroencephalography for tinnitus–a means for data collection, analysis, and translation. International Tinnitus Journal, 16(1), 3-8.
- Weisz, N., Hartmann, T., Dohrmann, K., Schlee, W., & Norena, A. (2007). High-frequency tinnitus power increases with cochlear damage without non-auditory changes. PLOS ONE, 2(12), e1327.


