
04/17/2025
For some individuals with OCD, tinnitus becomes more than just a sound—it becomes a fixation.
Tinnitus—a ringing, or buzzing in the ears—can be particularly distressing when paired with sensorimotor (or somatic) OCD, a subtype where the brain becomes hyper-focused on internal sensations. In this case, it’s not just the sound that causes discomfort but the obsessive fear that the person will never be able to stop noticing it.
Common compulsions include checking if the sound is still present, avoiding quiet environments, seeking reassurance, or mentally trying to suppress the awareness. While these behaviors may temporarily reduce anxiety, they ultimately reinforce the brain’s belief that the sound is threatening or intolerable.
Treatment involves learning to tolerate the presence of tinnitus without reacting to it compulsively. Through Exposure and Response Prevention (ERP), individuals can gradually retrain the brain to disengage from the obsession and reduce compulsive behaviors. Mindfulness-based strategies also play a helpful role, allowing individuals to observe the sound without attaching fear to it. Over time, the brain becomes less reactive, and the sound fades into the background of awareness—no longer front and center.
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