Remote cognitive behavioral therapy for tinnitus and Meniere's disease

Introduction. Telemedicine for tinnitus and Meniere's disease can be implemented at various stages: diagnosis, initial clinical and psychological assessment, long-term follow-up and online support, cognitive-behavioral therapy protocols with support for virtual reality and mobile applications. Material and methods. A search, analysis and systematization of literature was carried out in the PubMed, e-library and Google Scholar databases using the keywords «cognitive-behavioral therapy», «Meniere's disease», «monitoring», «tinnitus» – a total of 117 sources, of which for writing the article were selected 16. Theses and their abstracts, as well as conference abstracts were excluded from the analysis. Results. The article describes the structure, specificity, forms and effectiveness of the use of distance cognitive-behavioral therapy protocols in audio-vestibular rehabilitation using the example of chronic tinnitus (tinnitus), hyperacusis and Meniere's disease. The mental phenotypes of patients with tinnitus are highlighted, which makes it possible to build a personalized approach to treatment that reduces the risks of developing a refractory course. The psychotherapeutic strategies used in the treatment of tinnitus are systematized. The tactics of remote clinical and psychological examination of patients with tinnitus to identify psychotherapeutic targets are presented. Conclusions. Cognitive behavioral therapy (CBT) has been shown to be moderately effective in reducing noise-induced irritation and stress in these patients. Distance learning CBT protocols are currently being viewed as an «alternative» to face-to-face treatment.