If you have been around for a while, you might have heard about Widex Zen Therapy, a tinnitus management tool that was developed by Widex, which was introduced in 2012.
Widex was the first hearing aid manufacturer (and still is!) to offer a full tinnitus management protocol. These days, however, there are so many various tinnitus treatment options out there, some offered by hearing aid manufacturers, others outside of the industry. It can be confusing, especially for a hearing care professional who decides to add tinnitus management as part of their services.Where should one start? Who has an app? Do all the hearing aid manufacturers have sound generators? And what about the companies outside of the hearing aid industry? What options are available?
I can relate to these feelings of confusion. While this article is not intended to compare all the various options out there, I will try to demystify Widex Zen Therapy, by presenting a brief introduction to what Widex Zen Therapy
is. Then, I will discuss our latest offerings, which includes the new Widex Zen Therapy – Tinnitus Management App.
First, let’s review some tinnitus facts. We know that many people suffer from tinnitus. The American Tinnitus Association states that over 50 million Americans have experienced tinnitus. In fact, many people experiencing tinnitus also have some degree of hearing loss; however, they may not be aware of the hearing loss, or it isn’t their primary concern – the tinnitus is.
When a hearing loss is present, whether measurable on the audiogram or not, it means that there will be reduced neural activity eventually reaching the auditory cortex. The consensus about the origins of tinnitus is that this lack of stimulation (auditory deprivation) due to the hearing loss will cause the brain to overcompensate for the lack of stimulation, by causing extra activity/neural impulses in the brain, which the brain then interprets as sound.
Many people who experience tinnitus will be able to naturally habituate to it. Habituation as a general sense just means that one can get used to a stimulus after repeated exposure to it. We habituate to all kinds of sounds during our daily lives. An example of habituation could be wearing a watch, or no longer being bothered by traffic noises, if living in an area of heavy traffic. However, some tinnitus sufferers are not able to habituate to their tinnitus, and this can start affecting their quality of life.
This brings me to the main goal of Widex Zen Therapy (WZT): to give hearing care professionals the tools to help their clients improve their quality of life, with the end goal being to achieving habituation. WZT offers a structured, step-by-step protocol to help clinicians help their own clients manage their tinnitus.
Before we get to the process of WZT, let’s talk about the Zen tones. They have been around for a while, and if you fit hearing aids, perhaps you have even used them with your clients. But what makes them so special? The tones, as the name might imply, were first introduced to offer the possibility of activating a relaxation program in Widex hearing aids. What was special about these tones is that they were based on musical properties. Music can induce relaxation, by eliciting a physiological response; but on the other hand, music can also stir up negative emotion. Music can grab our attention – and while in some cases this might be good (or annoying, in the case of an earworm!), in the case of tinnitus management, we want tinnitus patients to achieve habituation.
To achieve habituation, we need to ensure that the person listening to the tones doesn’t get hooked on them. That is, we want them to listen to the Zen tones, passively, as opposed to actively. So, for that reason, Zen tones were designed using fractal technology, and they mimic the properties of music, the musical “rules”, so to speak – but without being predictable, or eliciting emotion. Fractals can generally be defined as something with a never-ending pattern, so when applied to Zen tones, it means that the melody generated will never be exactly the same. This is a fairly innovative solution.
Fast forward to a few years later: with the success of the Zen tones with tinnitus management, Widex decided to build a full tinnitus management protocol, of which the Zen tones would be an integral part. At that time, having a full tinnitus management protocol was an offering that hearing aid manufacturers lacked. Since sound stimulation is such an important part of managing tinnitus, it made sense for Widex to develop a protocol and to incorporate the fractal sound generator (the Zen tone, of course) in the hearing aids
Therefore, Widex teamed up with Dr. Robert Sweetow, an expert in the field of tinnitus management, and Widex Zen Therapy was born. Widex Zen Therapy is also known as an integrated tinnitus management protocol, because it integrates four individual components, which can be utilized all together, alone, or in any combination; as long as it meets the client’s needs. So let’s look into this in more details.
Widex Zen Therapy
As mentioned before, the main objective of the Widex Zen Therapy protocol is to ensure that tinnitus does not negatively affect the client’s quality of life. How to achieve that? Well, let’s look at the four components of WZT:
- Zen tones
Depending on the needs of the patient, the clinician can assess which of these components should be part of the treatment plan.