If you are reading this, there is a sound you cannot escape. You may have tried things that made no difference. You may have been told nothing can be done. That was not a diagnosis of your potential. It was the ceiling of the toolkit they had available. Tinnitus does get better. We have seen it, time and again, even in the cases that looked impossible on paper.
Same-week appointments at Wigmore Street. If you are still weighing it up, the call is complimentary, ten minutes, on Zoom.
This is a common experience for our patients. We were fortunate that Arnaud allowed us to record his progress. He is one of hundreds.
After three years facilitating Central London's only tinnitus support group and working with patients who had already tried everything, a pattern became impossible to ignore. Every failed treatment shared the same flaw. Awajimijana explains it here.
Once you see it, the rest of this page makes a different kind of sense.
See the NeuroQuiet Tinnitus Assessment™
So many people are silently carrying tinnitus. If you have already spoken to professionals who meant well but could not offer more than a leaflet and a waiting list, that was not a verdict on your prognosis. It was a reflection of the framework they were trained in.
Three things we need you to know:
You may be experiencing one or more of these right now:
Both appointments begin the same journey. The difference is whether you already have recent audiological clearance. Choose your option below, then book straight away using the calendar.
Unsure whether either is right for you? A complimentary ten-minute Zoom call below can settle it before you commit to anything.
Then do not decide alone. Book a complimentary ten-minute Zoom call with a tinnitus specialist. Tell us what you are experiencing, ask anything you like, and we will advise honestly which appointment, if any, is right for you. There is no charge and no obligation.
A psychologist may swear by CBT alone. An audiologist may swear by sound enrichment and TRT alone. Most doctors have nothing to prescribe for tinnitus, so they give their best but you need more, and the search continues.
This is not incompetence. It is specialisation. Each clinician treats the one domain they understand and hopes it is enough. It usually is not, which is why so many people say "I tried everything and nothing worked." They tried everything available in one clinic, not everything possible across all three systems.
"You were never the problem. The toolkit was."
A clinician who has only ever managed tinnitus with a leaflet and a referral has never watched habituation happen in their own clinic. So they assume it does not. That assumption gets passed on to patients as if it were clinical fact. It is not. It is a limitation of exposure.
Awajimijana has spent over three years facilitating Central London's only dedicated tinnitus support group, watching habituation happen time and again, in patients who had already been told it was impossible for them specifically.
See How the Assessment WorksThe same information, presented side by side. Draw your own conclusion.
| What you get | NHS Tinnitus Referral | Standard Private Audiologist | NeuroQuiet Tinnitus Programme™ |
|---|---|---|---|
| Waiting time | 12 to 18 months typical | 1 to 2 weeks | Same week |
| Full audiological testing | Basic audiogram | Audiogram only | Full test + OAE + tympanometry |
| 3D tinnitus assessment | Rarely | Unlikely | Core of the appointment |
| Emotional impact assessment | Not routinely | Not typically | TFI + validated profiling |
| Written management plan | Rarely | Basic summary | Personalised roadmap, same day |
| Access to advanced treatments | Very limited | Hearing aids only | TRT, CBT, NeuroQuiet programme, Lenire |
| Told "nothing can be done" | Frequently | Sometimes | Never. Something is always possible. |
The NeuroQuiet Tinnitus Programme™ is designed for anyone whose tinnitus is affecting their quality of life, regardless of how long you have had it or how many things you have already tried.
One of the most common things patients say in the first session is: "I love that this worked for other people, but you don't understand how bad mine is. I'm not like your success stories."
Awajimijana has seen habituation in patients after cancer treatment, complex medical trauma, and decades of failed interventions. Severity does not disqualify you. It just means you need a multi-domain approach.
You do not need extra hours in the day or extra reserves of courage. You need a better return on the time and energy tinnitus is already stealing from you.
Start With a 3D AssessmentThe patients who benefit most from a 3D approach are often the ones who were told nothing could be done.
A woman came to the clinic following cancer treatment and a double mastectomy. She had already been through extraordinary medical difficulty. Tinnitus arrived afterwards and felt, in her own words, like the final cruel joke. By the time she booked her appointment she was convinced she had nothing left to give another programme.
She did not need to start with fighting. She started with making it easy to win. Micro-steps instead of heroics. Two-minute attention drills she could do in bed. Small sound-environment adjustments that required no extra energy. Emotional tools designed for a nervous system that had already been through war.
The turning point was not the day her tinnitus changed. It was the day her belief about herself changed, from "I cannot do this" to "even at my lowest, I can still take small steps that move my brain in the right direction." Once that shift happened, progress followed.
Every NeuroQuiet appointment is conducted by a named, qualified specialist. Not a locum. Not a trainee.
Thanks for your time last week. Straight away I lost any anxiety about the tinnitus. While it is now still occasionally quite loud, I have found I notice it less often and it does not bother me when I do notice it.
I was told there is nothing I can do about my tinnitus. Awajimijana did not just help me feel better, he restored my confidence in health professionals.
After years of sleepless nights, the programme helped me stop chasing silence and start living again. The counselling changed how I relate to the sound. I notice it less, and it bothers me much less.
Lenire is a CE-marked medical device developed for the treatment of tinnitus. It uses bimodal neuromodulation: synchronised sound delivered to the ears and mild electrical stimulation delivered to the tongue simultaneously.
The clinical rationale is that pairing two sensory inputs prompts the brain to reorganise its auditory circuitry, reducing the neural activity that generates the tinnitus signal. A randomised controlled trial published in Science Translational Medicine demonstrated significant reductions in tinnitus severity as measured by the Tinnitus Handicap Inventory (THI) and Tinnitus Functional Index (TFI).
Lenire is one of the treatment pathways that may be recommended following a NeuroQuiet Tinnitus Assessment™, depending on your clinical profile. Not everyone is a candidate, which is exactly why the assessment comes first.
Find Out If Lenire Is Right for YouYour assessment produces a personalised roadmap. These are the treatment pathways it may recommend, depending on your clinical profile.
Sit with this many people and their tinnitus, and patterns emerge. Three stand out.
It is usually the first thing people say, often word for word. What they were given was a hearing test, a leaflet and sympathy. What nobody handed them was a framework that treats the auditory, emotional and attentional systems together.
Yet the tools exist. NICE formally recommends CBT for tinnitus. TRT carries a clinical evidence base. Lenire produced improvement in 85 percent of patients in a published trial of 326 people. They are simply scattered across specialisms that rarely sit in the same room.
Bringing them into one room is most of the work.
A woman who came to the clinic after cancer treatment and a double mastectomy. A patient whose tinnitus followed a CSF leak during surgery. Between them, more than a decade of treatments that had not worked. Both habituated.
Severity changes the pathway, not the destination. And the people most convinced it cannot work for them are, time and again, the ones who progress fastest once it starts. We have stopped being surprised by this.
If your case feels like the exception, you are in familiar company.
The assessment is a diagnostic, not a programme. It maps your tinnitus across all three systems and produces a written plan that is yours to keep. Some people continue with us. Some take the plan elsewhere. Some sit with it for a month before deciding anything.
All of them leave knowing exactly what is maintaining their tinnitus and what can be done about it, which is more than most have been given in years of appointments.
Clarity first. Commitment only when it has earned it.
Most appointments take place at Wigmore Street. Evening appointments available at both locations.
Come in for the NeuroQuiet Tinnitus Assessment™ and leave with a 3D picture of your tinnitus and a written plan, or begin with a complimentary ten-minute Zoom call with a tinnitus specialist and decide from there. Either way, it is a starting point, not a commitment.