Cognitive behavioural therapy (CBT) is a psychological treatment designed to modify unhelpful beliefs and behaviours. In the case of tinnitus and hyperacusis, CBT aims to reduce the negative emotions that are associated with them and reduce the impact that they have on the patient’s psychological state. There is reasonable evidence that CBT has a positive effect on the way in which people cope with tinnitus and hyperacusis; reduces annoyance, negative experiences (including depression and anxiety) and sleep difficulties associated with them.