Sound & Relaxation – Immediate Comfort OTools

Advanced Sound Therapies

When the ringing gets too loud, you need immediate tools that work with your brain, not just mask the problem. TinnitusRelief offers cutting-edge acoustic options.

Personalized Notch Therapy

Based on recent clinical studies, Notch Therapy is a revolutionary approach. By listening to sound that has a "notch" filtered out exactly at your tinnitus frequency, you can actually reduce the perceived loudness of your tinnitus over time.

Personalized Sound Masking

Choose from a curated library of high-quality sounds to provide background enrichment. Importantly, our guide teaches you the correct way to use masking: never totally covering the tinnitus, but mixing with it to facilitate habituation.

• Colored Noises: White, Pink, Brown noise options.

• Nature Sounds: Rain, waves, forest, water.

• Sleep Timer: Fall asleep peacefully with automatic shut-off and gradual fade-out.

Mind & Body Relaxation OTools

Stress is a major trigger for tinnitus flares. Our application includes specific exercises designed to lower your nervous system activation quickly.

• Guided Breathing (4-7-8 technique)

• Cardiac Coherence (heart rate variability training)

• Progressive Muscle Relaxation

Tracking & Progress – Take Control

Comprehensive Tracking OTools

To manage tinnitus, you must understand it. Our powerful analytics tools allow you to track your severity, identify triggers, and visualize your progress over weeks and months.

Tinnitus & Distress Diaries

Quickly log your perception and distress levels (0-10 scale) throughout the day. Noticing where and when your tinnitus is most annoying is the first step to conquering it.

Advanced Statistics & Triggers

Our analytics dashboard transforms your diary entries into clear graphs. Identify patterns (e.g., higher stress on Mondays) and correlations that allow you to make lifestyle adjustments.

• Evolution Graphs: See your trend over 7, 14, or 30 days.

• Severity Tracking: Watch your baseline anxiety and intensity decrease as you progress through the therapy modules.

Go Premium & Medical Disclaimer

Unlock Your Full Potential with TinnitusRelief Premium

While TinnitusRelief offers vital introductory modules and basic sound tools for free, our Premium subscription unlocks the full therapeutic power required for long-term success and habituation.

Go Premium to access:

• ✅ Complete CBT & TRT Programs: Full access to all 20 modules (compared to just module 1 for free).

• ✅ Personalized Notch Therapy: Full frequency detection and tailored sound therapy sessions.

• ✅ Unrestricted Sound Library: 30+ high-fidelity sounds, mixing capabilities, and custom playlists.

• ✅ Advanced Analytics & Reporting: Full history graphs and detailed trend analysis.

• ✅ Interactive Exercises & Guided Audios: More deeply immersive therapeutic tools.

Start your 14-day free trial today and invest in a quieter future. Choose the plan that fits your journey: monthly flexibility, massive savings with an annual plan, or lifetime access.

⚠️ Important Medical Disclaimer

TinnitusRelief Acouphènes is a supportive tool and is NOT a substitute for professional medical advice, diagnosis, or treatment.

If you experience sudden hearing loss, severe ear pain, dizziness, or pulsatile tinnitus (hearing your heartbeat in your ears), consult an ENT specialist (Ear, Nose, and Throat doctor) or an audiologist immediately. This application supports professional care; it does not replace it.

TinnitusRelief Acouphènes

Complete User Guide

1. Introduction

What is TinnitusRelief?

TinnitusRelief is a comprehensive mobile application dedicated to tinnitus management. It combines scientifically validated therapeutic approaches to help you better live with your tinnitus on a daily basis.

Main Features

• CBT Program: 8 cognitive behavioral therapy modules

• TRT Program: 12 auditory retraining modules

• Sound Therapies: Notch Therapy, sound masking, white noise

• Tracking Tools: Severity journal, sleep journal, anxiety journal

• Sound Library: Relaxing sounds for sleep and relaxation

Important - Medical Disclaimer

⚠️ THIS APPLICATION IS A SUPPORT TOOL AND DOES NOT REPLACE PROFESSIONAL MEDICAL ADVICE.

In case of severe tinnitus, ear pain, or sudden hearing loss, immediately consult an ENT doctor or audiologist.

2. Installation and First Launch 

Installation

• Download the application from Google Play Store

• Search for “TinnitusRelief”

• Tap “Install”

• Wait for download to complete

First Launch

At first startup, the application will ask for:

• Notification permission (optional)

  • Allows receiving reminders for your daily exercises

• Language selection

  • English (default) or other available languages

• Initial assessment

  • Quick questionnaire to assess your tinnitus level

  • Helps personalize your experience

3. Home Screen 

Main Navigation

The home screen is divided into thematic sections:

🎯 Therapeutic Programs

• CBT: Cognitive Behavioral Therapy

• TRT: Tinnitus Retraining Therapy

🎵 Sound Therapies

• Notch Therapy: Frequency notch therapy

• Sound Masking: Personalized sound masking

• Sound Library: Relaxing and soothing sounds

📊 Tools

• Sound Hierarchy: Classify sounds by tolerance

• Severity Tracking: Track your symptom evolution

• Journals: Sleep, anxiety, baseline

⚙️ Settings

• Application customization

• Account management

• Information and help

Premium Indicator

At the top right of the screen, you’ll see your status:

• Golden crown: Premium subscriber

• “Premium” button: Free version (click to see benefits)

4. CBT Program (Cognitive Behavioral Therapy) 

Overview

CBT is a recognized psychological approach for managing tinnitus by modifying the thoughts and behaviors that amplify distress.

The 8 Modules

Module 1: Introduction to Tinnitus

Duration: 30-45 minutes
Content:

• Understanding tinnitus mechanisms

• Causes and aggravating factors

• Myths and realities

• Your active role in therapy

How to use:

• Read each section carefully

• Take notes if necessary

• Complete the end-of-module questionnaire

• Validate your knowledge with the quiz

Module 2: The Vicious Circle of Tinnitus

Duration: 40 minutes
Content:

• The neurophysiological model

• How emotions and thoughts amplify tinnitus

• Breaking the vicious circle

Practical exercise:

• Identify your own vicious circle

• Map your emotional triggers

Module 3: Automatic Thoughts

Duration: 45 minutes
Content:

• What is an automatic thought?

• Identifying your tinnitus-related thoughts

• The impact of thoughts on your emotions

Exercise: Automatic thoughts journal

• Note your thoughts when tinnitus is intense

• Analyze recurring patterns

• 5-10 minutes per day for one week

Module 4: Cognitive Distortions

Duration: 50 minutes
Content:

• The 10 common cognitive distortions

• Tinnitus-related examples

• Interactive recognition quiz

Common distortions:

• All-or-nothing thinking: “If I don’t eliminate my tinnitus, I’ll never be happy”

• Catastrophizing: “My tinnitus will worsen until it becomes unbearable”

• Mind reading: “Everyone thinks I’m exaggerating”

Exercise:

• Identify your personal distortions

• Rank them by frequency

Module 5: Alternative Thoughts

Duration: 60 minutes
Content:

• Cognitive restructuring techniques

• Creating balanced and realistic thoughts

• Substitution exercises

5-step method:

• Identify the automatic thought

• Spot the cognitive distortion

• Examine evidence for and against

• Formulate an alternative thought

• Observe the effect on your emotions

Practical exercise:

• Restructuring journal (template provided)

• 10-15 minutes per day

Module 6: Sleep and Tinnitus

Duration: 55 minutes
Content:

• Impact of tinnitus on sleep

• Sleep hygiene

• Falling asleep techniques

• Managing night awakenings

Tools provided:

• Sleep Timer with soothing sounds

• Sleep journal

• Customizable bedtime routine

• Relaxation exercises in bed

Practical tips:

• No screens 1 hour before bed

• Room temperature: 64-68°F (18-20°C)

• Masking sounds at low volume

• Breathing techniques

Module 7: Relaxation and Stress Management

Duration: 50 minutes
Content:

• Link between stress and tinnitus

• 6 relaxation techniques

• Integration into daily life

Techniques taught:

• Diaphragmatic breathing

  • 5 seconds inhalation

  • 5 seconds exhalation

  • 10 minutes per day

• Progressive muscle relaxation

  • Tension/release of each muscle group

  • 15-20 minutes

  • Guided audio provided

• Guided visualization

  • Creating a mental “safe place”

  • 10 minutes

• Mindfulness

  • Present moment awareness

  • 5-15 minute guided meditation

• Body scan

  • Body awareness

  • 10 minutes

• Cardiac coherence

  • Heart regulation through breathing

  • 3x 5 minutes per day

Module 8: Relapse Prevention

Duration: 45 minutes
Content:

• Consolidating your achievements

• Personalized action plan

• Managing difficult moments

• Long-term maintenance

Maintenance plan:

• Exercises to practice regularly

• Early warning signals

• Quick intervention strategies

• Support resources

Program Progression

Recommended pace:

• 1 module per week

• Complete program: 8 weeks

• Review modules if necessary

Progress tracking:

• Visible progress bar

• Completion badges

• Practice statistics

5. TRT Program (Tinnitus Retraining Therapy)

Overview

TRT is a retraining therapy based on habituation. The goal is not to eliminate tinnitus, but to reduce your emotional reaction and awareness of it.

TRT Principles

• Reaction habituation: Reduce negative emotional response

• Perception habituation: Decrease conscious awareness of tinnitus

The 12 Modules

Modules 1-3: Theoretical Foundations

• Jastreboff’s neurophysiological model

• Habituation mechanisms

• Your personalized TRT plan

Modules 4-6: Sound Enrichment

• Principles of environmental enrichment

• Choosing appropriate sounds

• Progressive implementation

• Avoiding complete silence

Recommended sound types:

• White/pink/brown noise

• Nature sounds

• Soft instrumental music

• Environmental sounds

Volume: Slightly below tinnitus level (mixing point)

Modules 7-9: Counseling and Education

• Demystifying tinnitus

• Managing negative emotions

• Restructuring beliefs

• Role of attention

Modules 10-12: Consolidation and Maintenance

• Progress assessment

• Program adjustments

• Long-term maintenance

• Managing fluctuations

Program Duration

Typical duration: 12-18 months
Modules: Progress at your own pace
Tracking: Monthly self-assessment

TRT Tools in the Application

• Therapeutic sound library

  • 20+ enrichment sounds

  • Volume customization

  • Programmable timer

• Sound hierarchy

  • Rank sounds from tolerable to difficult

  • Progressive exposure exercises

• Progress journal

  • Record your daily observations

  • Track your habituation

6. Sound Therapies 

Notch Therapy

Principle

Exposure to sounds with a frequency “notch” centered on your tinnitus frequency, based on recent clinical studies.

Usage

Step 1: Detecting Your Frequency

• Go to Sound Therapies → Notch Therapy

• Click “Automatic detection assistant”

• Adjust the slider until it matches your tinnitus

• Typical range: 4000-8000 Hz

Step 2: Settings

• Tinnitus frequency: The one detected (e.g., 6000 Hz)

• Notch width: 500-1000 Hz (start at 500 Hz)

• Volume: Comfortable, not too loud (30-40%)

Step 3: Therapeutic Session

• Recommended duration: 1-2 hours per day

• Frequency: Daily

• Timing: Fixed time (routine)

• Equipment: Quality headphones required

Tips:

• Be patient: effects after several weeks

• Consult an audiologist to refine

• Don’t listen too loud

• Combine with other approaches

Sound Masking

Principle

Use of external sounds to partially or completely “mask” tinnitus.

Available Sound Types

• Colored Noises

  • White noise: All frequencies equal

  • Pink noise: Emphasis on low frequencies

  • Brown noise: Even lower, soothing

• Nature Sounds

  • Rain

  • Waves

  • Forest

  • Wind in trees

  • Stream

• Ambient Sounds

  • Fan

  • Air conditioning

  • Fireplace

Optimal Use

Volume:

• ❌ Do NOT mask completely (counterproductive)

• ✅ Volume slightly below tinnitus

• Goal: Sound mixing (mixing point)

Times:

• Sleep (Sleep Timer)

• Work/concentration

• Stressful moments

• Silent environments

Sleep Timer:

• Choose your sound

• Set duration (30min to 8h)

• Activate progressive fade out

• Application stops automatically

Sound Library

30+ available sounds:

• Natural sounds

• Technical noises

• Ambiances

• Therapeutic sounds

Customization:

• Create your playlists

• Mix multiple sounds

• Save your favorites

• Share your compositions

7. Tracking Tools 

Severity Tracking

How it Works

Daily assessment of your tinnitus intensity on a scale of 0 to 10.

How to assess:

• 0: No tinnitus perceived

• 1-3: Mild, almost imperceptible

• 4-6: Moderate, bothersome at times

• 7-9: Severe, disrupting activities

• 10: Unbearable, incapacitating

Generated Statistics

• Evolution chart: Visualize trends

• Moving average: Over 7, 14, 30 days

• Pattern identification: Times of day

• Correlations: With sleep, stress, activities

Tip: Always record at the same time (e.g., 9 PM)

Sleep Journal

Information to Record

• Bedtime

• Sleep onset time (estimated)

• Night awakenings: Number and duration

• Wake-up time

• Quality: Scale 1-5

• Tinnitus disturbance: At bedtime and wake-up

Analysis Provided

• Average sleep duration

• Sleep onset time

• Sleep efficiency

• Tinnitus impact

• Personalized advice

Anxiety Journal

Usage

Track your tinnitus-related anxiety level.

Simplified GAD-7 scale:

• Score 0-4: Minimal anxiety

• Score 5-9: Mild anxiety

• Score 10-14: Moderate anxiety

• Score 15-21: Severe anxiety

Recommended frequency: Once per week

Sound Hierarchy

Objective

Identify and work on sounds that trigger or worsen your tinnitus.

How to Create Your Hierarchy

Step 1: Adding Situations

• Click “Add situation”

• Describe the context (e.g., “Noisy restaurant”)

• Rate discomfort (0-10)

• Add notes

Step 2: Ranking
The application automatically ranks from most tolerable to most difficult.

Step 3: Gradual Exposure

• Start with low-score situations

• Expose yourself gradually

• Record your progress after each exposure

• Gradually increase difficulty

Example progression:

• Soft music (score 2) → 5 attempts

• Group conversation (score 4) → 3 attempts

• Quiet restaurant (score 6) → In progress

• Noisy restaurant (score 8) → Upcoming

8. Premium Subscription 

Free Features

Accessible to all:

• CBT Program Module 1

• TRT Program Module 1

• Sound library (selection)

• Basic severity tracking

• Sleep Timer

Premium Features

Unlock full access:

✅ Complete programs

• CBT: 8 complete modules

• TRT: 12 complete modules

• Interactive exercises

• Guided audio sessions

✅ Advanced sound therapies

• Personalized Notch Therapy

• Complete library (30+ sounds)

• Sound mixing

• Playlist creation

✅ Advanced tools

• Complete sound hierarchy

• Detailed statistics

• PDF report exports

• Evolution charts

✅ Exclusive features

• Personalized programs

• Smart reminders

• Cloud backup

• Priority support

Subscription Plans

Free Trial

14 days free

• Access to all Premium features

• No commitment

• Cancel anytime

Monthly Subscription

$3.99 / month

• All Premium features

• Monthly billing

• Flexible cancellation

Annual Subscription

$12.99 / year (only $1.08 / month)

• Save 67%

• All Premium features

• Best value

Lifetime Access

$24.99 (one-time payment)

• Best offer

• Permanent access

• All future updates included

• One-time investment

How to Subscribe

• Tap the “Premium” button (crown)

• Choose your plan

• Confirm via Google Play

• Immediate access to features

Cancellation:

• Settings → Subscriptions

• Manage in Google Play

• Cancel anytime

• Access until end of paid period

9. Settings and Customization 

General Settings

Notifications

• Daily reminders: For your exercises

• Preferred time: Customize schedule

• Reminder type: Sound, vibration, silent

Appearance

• Theme: Light, dark, auto (system)

• Text size: Small, medium, large

• Language: English, other available

Audio

• Default volume: Therapeutic sounds

• Fade: Fade in/out duration

• Quality: Standard, high (uses more data)

Data and Privacy

Backup

• Automatic backup: Local (device)

• Cloud backup: Premium only

• Data export: CSV format

Account

• Google Sign-In: Multi-device sync

• Anonymity: Anonymized data

• Deletion: Complete account deletion

About

• Application version

• Terms of use

• Privacy policy

• Open-source licenses

• Contact us: Technical support

10. Usage Tips 

Getting Started

Week 1-2: Discovery

• Read CBT Module 1 (understanding)

• Start daily severity tracking

• Explore sound library

• Test Sleep Timer

Week 3-4: Implementation

• Start CBT or TRT program

• Choose 2-3 favorite exercises

• Establish a daily routine

• Integrate therapeutic sounds

Month 2-3: Deepening

• Continue module progression

• Practice exercises regularly

• Analyze your statistics

• Adjust your approach

Recommended Routine

Morning (10 minutes)

• Severity assessment

• Read current module

• Breathing exercise

Daytime

• Enrichment sounds in background

• Mindfulness practice (breaks)

• Journal notes if needed

Evening (15 minutes)

• Relaxation exercise

• Sleep journal

• Sleep Timer activated

Weekly

• Complete one module

• Analyze statistics

• Anxiety journal

• Personalized adjustments

Maximizing Results

Consistency:

• Practice daily, even 5-10 minutes

• Regularity beats duration

Patience:

• Results take time (weeks/months)

• Non-linear progress (ups and downs normal)

Combination:

• Use multiple approaches simultaneously

• CBT + TRT + sounds = synergy

Personalization:

• Adapt to your situation

• Some exercises work better for you

Integration:

• Include in daily life

• Don’t make it burdensome

When to Consult a Professional

Consult quickly if:

• Sudden and intense tinnitus

• Associated hearing loss

• Ear pain

• Significant dizziness

• Pulsatile tinnitus (heartbeat)

• Severe impact on quality of life

Professionals to consult:

• ENT doctor: Medical diagnosis and treatment

• Audiologist: Hearing aids and sound therapies

• Specialized psychologist: Personalized CBT

• Relaxation therapist: Relaxation techniques

The application complements these professional approaches, does not replace them.

11. FAQ 

General Questions

Q: How long before seeing results?
A: Varies by person. Some feel improvement within 2-3 weeks, others after 2-3 months. The key is regular practice.

Q: Should I do CBT AND TRT?
A: You can do both in parallel (recommended) or choose what suits you best. CBT works on thoughts/emotions, TRT on habituation.

Q: Does the app work offline?
A: Yes, once modules are downloaded. Only cloud sync requires connection.

Q: Can I use my own headphones?
A: Yes, recommended for Notch Therapy and sound therapies. Prefer quality headphones.

Technical Questions

Q: Does the app drain battery?
A: Normal use: moderate consumption. Sleep Timer all night: about 10-15% battery.

Q: Can I use other apps simultaneously?
A: Yes, sounds continue in background. Multitasking compatible.

Q: Is data saved?
A: Yes, automatic local backup. Cloud backup with Premium account.

Q: Can I transfer to a new device?
A: Yes, with Google account login. Your data is synchronized.

Subscription Questions

Q: Does free trial renew automatically?
A: Yes, into monthly subscription unless cancelled before trial ends.

Q: How to cancel my subscription?
A: Google Play → Subscriptions → TinnitusRelief → Cancel. Access until end of period.

Q: Can I change plans?
A: Yes, anytime. Change takes effect at next billing period.

Q: Is lifetime payment really lifetime?
A: Yes, permanent access, all future updates included, no additional fees.

Therapeutic Questions

Q: Can tinnitus disappear completely?
A: Some people see complete disappearance, others significant reduction. Main goal is to reduce distress, not necessarily eliminate sound.

Q: Can I stop using the app once I’m better?
A: Yes, but maintain some exercises regularly to prevent relapse. CBT Module 8 guides you.

Q: Are there contraindications?
A: No, but if you suffer from severe psychiatric problems, consult a professional first.

Q: Can I use the app if I’m already in therapy?
A: Absolutely! The app complements professional therapy. Inform your therapist.

Support et contact

Need Help?

Technical support  : sandrodalsecco@gmail.com
Response time  : 24-48h (business days )

Reviews and Suggestions

Your feedback is valuable! Leave a review on Google Play Store and help us improve the application.

Document Version: 1.4.7

Last Update: March 2026

 
This user manual is provided for informational purposes. The information contained does not replace professional medical advice.