What is it?

At this time, there are no foolproof treatments that work for all patients who have tinnitus. We are, however, able to treat the underlying causes of the ringing in the ears in order to change the severity of the tinnitus.

Every patient is first seen during a general consultation with the Ear, Nose, Throat Department. The ENT physician and you will determineif it is reasonable to refer you to one or more services within the tinnitus service. The goal of treatment is to retrain the brain as much as possible so that it ignores the ringing.

Consultation process:

The tinnitus consultation at the Maria Middelares General Hospital consists of an ENT physician, two audiologists, a clinical psychologist and three physical therapists. This multidisciplinary approach allows us to focus the specific treatment on the factors that play a role in the development and worsening of your tinnitus.

You first come for an intake conversation wtih the questionnaires that you will have completed beforehand at home. The consultation starts with specific hearing tests with an audiologist to obtain a overall impression of your hearing and tinnitus. Next, you will learn how tinnitus works and how you can manage it as much as possible. You will also receive practical information about sound enrichment and, if necessary, about aids such as a noise generator or hearing aid.

If indicated, an intake examination with a physical therapist and/or a tinnitus psychologist may take place.

  • The physical therapist will perform an examination at the first appointment. On the basis of these results, you will be given an individual treatment plan, along with a combination of muscular and joint techniques to relax your muscles and to improve the mobility of the mandibular joint and the neck. With these tips and exercises, we strive to give you the right approach that you will be able to apply to your situation at home.
  • During the first intake conversation with the clinical psychologist, the factors that are important for you in dealing with tinnitus will be discussed. Tinnitus can be accompanied by anxiety, stress, sleep disorders and even depressive symptoms. Our personality, environment, habits and even earlier experiences are important determinations of how we deal with problems. Some people are barely bothered by their tinnitus, while some experience it as something that severely upsets their daily life.
    If that is the case, guidance by a clinical psychologist can be useful. Attention is also given to stress management, coping with anxiety symptoms, mulling thoughts, sleep problems, the acceptance of the fact that there is tinnitus, and managing one's environment, among other things. After this consultation, there is a one-time follow-up appointment after six weeks. If desired, other conversation sessions can be scheduled.


  • ENT and Audiology
    • The initial conversation with the audiologist, including the extra hearing tests and a short consult with the ENT physician, costs approximately €75.00. You will also receive a certificate for the services providd in order to submit it for reimbursement from your health insurance.
    • Additional follow-up appointments cost approximately €40.00, including a consultation with the ENT physician and a certificate for the health insurance.
  • Clinical Psychology
    • The initial intake conversation costs €50.00. You will receive a hospital invoice for this appointment.
    • In order to determine your needs, you may schedule brief conversations for €35.00, or a longer, hour-long conversation for €50.00.
  • Physical therapy
    • There is no difference between the intake and the follow-up conversations. Each consultation costs approximately €9.00. You will receive a hospital invoice for this appointment.


Centres and specialist areas

Ear, nose, and throat diseases

Latest publication date: 13/04/2021
Supervising author: Dr Marin Eline