One-to-one Cognitive Behaviour Therapy (CBT) for Tinnitus, Stress and Anxiety
Individual Therapy with Debbie Featherstone
- Places are limited
- All appointments use Zoom
- First, book a Consultation (£175.00)
- Individual working comprises up to 30 hours individual CONTACT hours
- Cost is £2,850
- Before you rule out using the online CBT4T course (previously known as CBT for Tinnitus E-Programme), please check out the CBT4T REVIEWS
- CBT4T is NOT an app - why not?
- CBT4T is a programme designed specifically for you if you have high tinnitus distress i.e. a Tinnitus Functional Index (TFI) in category 4 or 5, high STRESS and/or high ANXIETY
- CBT4T is provided by Debbie Featherstone, qualified as a psychotherapist (MSc and PGDip) AND Hearing Therapist with more than 30 years experience working with over 10,000 patients during those 30+ years. Having tinnitus is NOT a mental health problem, however, tinnitus can CAUSE anxiety (in any of its many forms), stress and depression that are all common 'mental health" problems that necessitate help from a qualified and experienced psychotherapist or psychologist, equally knowledgeable about tinnitus and hearing. All too often, individuals coming to the CBT4T programme have pre-existing unresolved anxiety and/or stress anyway
Appointments with Debbie Featherstone
Would you be open to the CBT4T alternative?
Debbie Featherstone's mission since 2020 has been and continues to be to reduce the need for expensive individual therapy for people suffering because of tinnitus; not to replace individual therapy, but to reduce the NEED for it. She has done this through building on the original online 6 module Tinnitus E-Programme (2009-2018) > CBT for Tinnitus E-Programme (2018-2020). This short online programme was limited, in so far as it couldn't thoroughly address and give the necessary input for a significant MINORITY of people assessing their tinnitus as either severe or very severe (THI categories 4 & 5), and as a big, or very big problem (TFI categories 4 & 5).
The cost of private individual therapy is itself prohibitive, when the opportunity to access qualified therapists is already so limited. A well-qualified, experienced therapist's time is always over-committed: there are only so many work hours in a day! In a private practice, 4 patient bookings per day, the number of patients that could be helped at any one time was a maximum of 20 per week. With fortnightly appointments, a maximum capacity was 40 patients at any given time over a 6-8 month duration. It was 8 patients a day in the NHS - detrimental to patient care, unworkable, exhausting and a significant reason why Debbie retired early from the NHS in 2010 - that and the prospect of pension-age being pushed further away!
15 years on in 2025, Debbie has accepted fewer than 5 clients individually - most have been persuaded to enrol on the CBT4T programme instead. Each clinic week, she meets with CBT4T clients three days per week (Tues/Wed/Thurs), often at odd hours because CBT4T is used worldwide; the remainder of a week consists of monitoring, reviewing and responding by email as needed, dealing with:
- Impact Statements (Past, Present, Future) - assessing trauma indicators, as where present, they are likely to have a bearing on the person's current level of nervous system dysregulation
- Calculating initial assessments for an on-boarding report, and compiling each person's comparison reports (TFI, THI, GAD-7, PSS, ASQ, HSQ, HAQ) with reflective feedback at Stages 4 (the first appointment is sent with the Stage 4 report), 6 and 8
- Daily Relaxation Logs
- Progress Checks as a Stage is completed and a new one begun
- The weekly SITREPs that pour in every Friday
- Two Arrows practicals
- Costs & Benefits Transactions
- Cognitive Distortions Practicals
- Reaction Analysis
- Meaning Adjusters
- Core Belief work in Stage 7
- Plus, of course, everyday email enquiries....
Full capacity is still to be reached, yet outcomes for CBT4T clients match those for individual working - see the feedback
CBT4T 2025-26 - the latest edition of the CBT4T Programme from 1st October 2025
- Where your concerns include there being so few face-to-face appointments, during 2020-2024, 90% of CBT4T participants used just TWO appointments. The evidence for this was demonstrated over FOUR YEARS (2020-24) since the CBT for Tinnitus E-Programme was first developed (2020)*
- During 2025, with enhancements made to the CBT4T framework, plus the weekly SITREP and addition of the new CBT4T Substack, 80% of CBT4T Users are successfully completing using only ONE appointment
- The result is CBT4T 2025/26 (available from 1st October 2025) - cost of the amazing CBT4T programme is low. Appointments can be added at the time of enrolment or later in the programme. The first appointment is due on completion of Stage 4
- Where you feel you would benefit from more regular appointments, you could enrol on CBT4T with Enhanced Support It includes a 60-90 minute 1-1 appointment (using Zoom) at the end of each of the first SIX MONTHS of enrolment to review your progress to date and discuss a plan of action for the upcoming month
*The original online Tinnitus E-Programme established in 2009 was a short, 6 module course suitable for those with up to mid-moderate tinnitus distress
"CBT4T is crafted to be an individual process and to be affordable. The CBT4T process has the equivalent effectiveness of 30 hours individual therapy, but for around ONE TENTH of the cost."
The CBT4T process is used AT YOUR OWN PACE. Each stage does have its own MINIMUM length of time set; however, for any process to be robust and consistently produce good outcomes for its users, the process must fit the needs of the individual.
The in-depth content, use of bespoke tools, progress checks, email support and weekly accountability SITREP has reduced the cost by some 90%:
- 30 in-therapy hours (20 x 90 minute sessions) based on £100 per hour* (£100 x 30) = £3,000 : cost of CBT4T enrolment with one appointment is just £245
- You can add ONE (£95) or TWO (£150) 60-90 minute appointments either when you enrol, or later. The first appointment is due at the end of Stage 4
- 80% of people enrolling on CBT4T use ONE appointment
- All appointments use Zoom
*Private therapy fees vary around the country, and are dependant upon individual therapists' area(s) of specialism. A 60 minute private Consultation is likely to cost anything from £100-£200+
INDIVIDUAL WORKING
- Places are limited
- All appointments use Zoom
- First, book a Consultation (£175.00)
- Individual working comprises up to 30 hours individual CONTACT hours
- Cost is £2,850