Tinnitus and Hyperacusis Therapy Specialist Clinic (THTSC)

WELCOME to the Tinnitus and Hyperacusis Therapy Specialist Clinic webpage. This service is dedicated to helping those experiencing tinnitus and/or hyperacusis related distress.

The clinic currently runs from Monday to Friday, 9AM-5PM at Royal Surrey County Hospital and every Monday, 9AM-5PM at Ashford Hospital.

THTSC offers audiologist-delivered cognitive behavioural therapy (CBT) for tinnitus and/or hyperacusis management for adults and children experiencing tinnitus and/or hyperacusis related distress. This is not a diagnostic service and referrals for therapy are accepted from GPs, ENTs, audio-vestibular physicians, neurologists, psychiatrists, mental health professionals, speech and language therapists, audiologists, paediatricians, occupational therapists and other relevant sources.

Although there is no definitive cure for tinnitus and/or hyperacusis, people often benefit from CBT and cope well with their symptoms. All members of the THTSC are committed to providing the best possible care for patients. Dr.Hashir Aazh is the THTSC team-leader and has extensive clinical and research experience in the field of therapy for adults and children with tinnitus and/or hyperacusis. All members of the THTC are qualified audiologists who have undertaken specialist training in providing various therapeutic techniques in order to facilitate effective management of tinnitus and hyperacusis. A recent service evaluation survey conducted at THTSC assessed patient’s views about the effectiveness of audiologist-delivered CBT for management of tinnitus and hyperacusis. Of 75 patients who received audiologist-delivered CBT as a part of their tinnitus and/or hyperacusis rehabilitation, 56% ranked its effectiveness as 5/5 (where 1 is no effect and 5 is very effective) and 29% ranked it as 4/5. Patients’ feedback about audiologist-delivered CBT did not differ significantly between patients with tinnitus only and those with hyperacusis (with or without tinnitus). For more detail about the outcome of the survey click here.

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THTSC has strong links with consultants and specialists in other departments within the Royal Surrey County hospital (RSCH). This ensures efficient and fast forward referrals (when required) to Ear, Nose and Throat (ENT), audio-vestibular medicine, neurology, oral and maxillofacial surgery and orthodontics, private hearing aid clinic (HearWear), speech and language therapy, occupational therapy, pain management and other related hospital services.

Our goals are listed below:

  • To provide high quality therapy for people experiencing tinnitus and hyperacusis related distress.
  • To ensure an excellent experience for patients referred to us.
  • To raise public awareness.
  • To conduct research with the aim of exploring effective interventions that can reduce distress in people with tinnitus/hyperacusis.

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The THTSC is based in the Audiology Department at RSCH. Over 30 audiologists work within the Audiology Department and provide a comprehensive range of audiological investigations for adults and children, electrophysiological tests, newborn hearing testing, fitting of digital hearing aids for adults and children, and balance diagnostics and rehabilitation. Over 4000 hearing aids are fitted annually within the Audiology Department. A service evaluation survey on people fitted with hearing aids at the RSCH revealed that out of 991 respondents 98.5% would recommend the Audiology Department to a friend and 89% rate the overall quality of the service as “very good” or “excellent”.  For details of the survey click here.

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The Audiology Department at RSCH contributes to clinical and research supervision and training for students studying BSc and MSc of Audiology, MSc of Psychology and MSc of Medical Physics. Past scientific meetings organised by the Audiology Department comprise: the first International Conference on Hyperacusis, Tier 1 tinnitus and hyperacusis therapy course, Tinnitus & Hyperacusis Therapy Master classHyperacusis Seminar, Balance assessment and rehabilitation seminars, Dementia, Otitis Media, Auditory Brainstem Response workshops and many more.


Our Team

Team Leader

Dr. Hashir Aazh

Team Members

Ms. Viveka Owen

Ms. Jemma Hatton

Ms. Jennifer Whiffin

Ms. Jenni Stevens

Ms. Katie O’Brien

From left Jennifer Whiffin, Jenni Stevens, Jemma Hatton, Hashir Aazh, & Katie O’Brien.


Following therapy you are likely to:

  • Gain more confidence and become less troubled by your tinnitus and/or hyperacusis.
  • Feel more supported.
  • Have a clearer knowledge of tinnitus or hyperacusis and why you have developed it.
  • Think about your tinnitus less often.
  • Be able to hear and communicate better in everyday life.
  • Cope better in environments that you previously struggled with due to noise.
  • Understand when and how to protect your ears.
  • Be more empowered and able to cope by yourself.


Get involved

Please get in touch with us by emailing rsc-tr.Audiology@nhs.net if you would like to engage in the THTSC activities in the form of:

  • Receiving regular updates about our services
  • Receiving regular updates about the latest research
  • Giving feedback regarding your experience in our clinics
  • Taking part in research
  • Taking part in patient support groups
  • Getting involved in making suggestions about the future of the service or research priorities



Click Here to Go Back to All Audiology Links

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