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Dr. Nagler

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Mark asked:

Are spikes or for that matter, intrusive T determined by how much it bothers us?

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The intrusiveness of tinnitus is primarily determined by how one reacts to his or her tinnitus, and that it true whether or not one has spikes. The problem is you cannot consciously control your reaction to your tinnitus because your reaction to your tinnitus is largely a function of subcortical pathways that involve your limbic system (emotion) and your autonomic nervous system ("fight-or-flight"). I do suspect that folks who have spikes tend to find their tinnitus to be more intrusive. Just like I suspect that folks who have very loud tinnitus tend to find their tinnitus to be more intrusive. But that said, the less one reacts to one's tinnitus, the less intrusive it will be regardless of spikes and regardless of loudness.

Dr. Stephen Nagler


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