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Treatment for PTSD and Tinnitus

Recruiting

Treatment of TBI-Related Tinnitus and Comorbid PTSD: Examination of Neurobiological Markers Related to Symptom Improvement

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

* Adult male and female active duty military personnel and veterans seeking treatment for PTSD
* Diagnosis of PTSD
* Person has experienced at least one mild traumatic brain injury (concussion)
* Ability to speak and read English
* Stable on any psychotropic medications
* Meets criteria for chronic subjective and bothersome tinnitus
* Chronic tinnitus is at least possibly related to head injury

Exclusion Criteria:

* Currently receiving other talk therapies
* Severe hearing loss that would prevent the participant from benefiting from therapy
* Current severe suicidal ideation
* Psychiatric hospitalization in the last 12 months
* Moderate to severe substance use that would prevent the participant form benefiting from therapy
* Current manic episode or psychotic symptoms requiring immediate stabilization or hospitalization
* Significant cognitive impairment
* Moderate to severe brain damage
* Neurobiological disorders
* Temporomandibular joint disorders and/or Meniere's disease that cause acute pain

About the study

In this study, researchers are examining the best sequence of interventions for posttraumatic stress disorder (PTSD) and tinnitus. Participants will either receive psychotherapy for PTSD first (Cognitive Processing Therapy; CPT), followed by treatment for tinnitus (Cognitive Behavioral Therapy for Tinnitus; CBT-t); or vice-versa. We also aim to identify changes in brain functioning after receiving therapy.

What is being tested

Sponsor: The University of Texas Health Science Center at San Antonio · Participants: 160 · Started: Aug 8, 2025

Contact the study team

Official record on ClinicalTrials.gov — NCT07106593

Locations in the U.S.

TexasThe University of Texas Health Science Center at San Antonio, San Antonio

Conditions

From ClinicalTrials.gov, data retrieved Sep 30, 2026. Each study sets its own eligibility; the study team decides who can join.