Your skills
A new calming or coping skill is added each module: a small library you build and keep, becoming more automatic over time.
The Guided program · for tinnitus
A structured way through tinnitus, with someone in your corner.
An evidence-based, coach-guided CBT program for tinnitus-related distress, translated from the clinical protocol so you can work through it at your own pace, with a coach reading your check-ins each week and writing back. The goal is not to promise silence. It is to help the sound stop running your attention, sleep, and life.
Strong evidence base: Cochrane review, VA/DoD guideline, multiple RCTs.
- 8 modules
- the complete CBT sequence for tinnitus distress
- Weekly reply
- a trained coach reads every check-in and writes back
- Your own pace
- no live sessions, no waiting rooms, no schedule
What “Guided” means
Not a class, not an app left alone with you
The evidence for this approach is strongest when human guidance is included, so Kodama pairs the program with a trained coach who reads your check-ins and writes back. Every module follows the same rhythm.
- Step one
You work through a module
One module at a time. Each builds on the last, so the order matters, but the pace is yours. A module can take a week, or longer.
- Step two
You complete a short check-in
A few minutes looking back at the week: what the tinnitus took, what helped, and what was harder. Your answers are saved securely in Practice Better.
- Step three
Your coach writes back
They reflect what you reported, reinforce the program’s built-in guidance, and point you to the material that fits, without controlling your pace or changing your protocol.
Three threads
Three things run through every module
Rather than starting over each week, three threads carry through the whole program and grow as you go.
Your daily note
A simple daily note of how much attention and distress the sound took, what was happening around it, and what shifted it. Not to score the sound, but to notice patterns.
Your check-ins
A few minutes looking back at the week. Your coach reads the saved answers and writes back.
The modules
Eight steps, in the order they work
Each module targets a specific part of the alarm (understanding, arousal, attention, thoughts, or avoidance), and the skills stack as you go.
Part 01
Understand what is happening
Getting oriented: why tinnitus becomes intrusive, and the first conditions that help the system settle.
Understanding what’s happening
Why tinnitus distresses the way it does, and your first tool, sound enrichment.
Part 02
Settle body and attention
Bringing the physical alarm down, rebuilding rest, and proving that attention can move.
Settling the body
Progressive muscle relaxation and calm imagery, to bring the physical alarm down.
Breath, reframe, and sleep
A fast calming skill, rethinking what the sound means, and rebuilding rest.
Steadying attention
Learning, and proving to yourself, that attention to the sound is a choice.
Part 03
Work with the alarm
Answering the thoughts underneath distress and returning, gradually, to what tinnitus has narrowed.
Working with your thoughts
Catching the fearful thinking and reshaping it: the core cognitive work.
Returning to what you’ve avoided
Graded steps back into life, each one tested by a small experiment.
Sitting with it
Facing the sound without bracing, and learning to ride out the flare-ups.
Part 04
Hold your gains
Making the full set of skills durable, including a plan for future wobbles.
Holding your gains
Consolidation, a personal relapse plan, and measuring how far you’ve come.
Included in the program
Support around the modules
The reading is only one part of the program. Enrollment, measurement, and follow-up give the work a consistent structure from beginning to end.
Before Module 1 Secure onboarding
Your eligibility, history, consents, and baseline questionnaires are completed securely in Practice Better before the program begins.
Unlocked after enrollmentAcross the program Progress measurement
Brief weekly check-ins and fuller midpoint and final measures help you see change clearly. Your coach can reflect the patterns shown in your responses.
Read by your coachAfter Module 8 Booster follow-ups
Follow-up check-ins help you maintain the gains, use your wobble plan early, and reconnect with support before a difficult stretch grows.
Included in the program
Before you start
Questions people ask
If yours isn’t here, the enrollment process answers most of it, and your coach can point you to the relevant program guidance.
How long does the program take?
Most people take about a week per module, so the full arc is usually around two months, but the pace is yours, and there is no falling behind. Weekly coach guidance is included for a three-month guided period (room to spare at the typical pace), and if life intervenes, you can ask for an extension. Your module materials stay available for twelve months.
Who is reading my check-ins?
A trained coach. They read what you report and write back, reflecting the program’s guidance, helping you notice patterns, and pointing you to the material that fits what you shared.
Does the program promise to make tinnitus disappear?
No. The evidence-based goal is to reduce tinnitus distress and its effect on attention, sleep, mood, and daily life. Many people notice the sound less as the alarm around it settles, but silence is not promised.
What if the fuller eligibility review after enrollment shows it is not a fit?
You will not begin the program. Your payment is refunded in full, and Kodama points you toward the kind of care that is more appropriate: a person, not another unsuitable program.
What happens if I have a bad week?
Recovery isn’t a straight line. Good weeks and flat weeks are both normal, and a spike is information, not failure. The program ends by helping you build a personal plan for exactly those weeks.
Tinnitus · Guided program
Start with secure enrollment
Enrollment applies the program’s eligibility rules, collects the information needed to set up your program, and handles payment securely. Your onboarding forms and baseline questionnaires unlock in Practice Better after enrollment.
Enrollment opens securely in Practice Better. Already enrolled? Log in to your portal. (opens in a new tab)