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Diseases and Symptoms articole page
Tinnitus

Tinnitus, stress and anxiety

Tinnitus is an auditory disorder that manifests itself in intermittent sounds like ringing in the ears. For many people, this condition can be triggered by stress and anxiety. At the same time, tinnitus can make people feel even more stressed and anxious. Let's find out more about the relationship between the appearance of tinnitus and the stress factor.

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Miracle-Ear experts

Key takeaways

  • Tinnitus, stress and anxiety are often linked to one another.
  • Anxiety can bring on tinnitus symptoms, and tinnitus can also increase feelings of anxiety.
  • The causes of stress-related tinnitus are not fully understood, but one potential cause is increased levels of the neurotransmitter glutamate.
  • Reducing stress levels through natural remedies like physical activity and magnesium-rich foods can often relieve symptoms of tinnitus.
  • In some cases, TRT, sound therapy, counseling and medication may reduce the occurrence of stress-related tinnitus.
  • Military veterans may qualify for VA disability for anxiety and depression secondary to tinnitus.

Stress-related tinnitus often goes away on its own, but if it lasts three months or longer, it is considered chronic.

You don’t need us to tell you that everyday life can be stressful. Busy work schedules, caring for your loved ones and juggling multiple responsibilities can all bring on stress, and for some, that stress is accompanied by tinnitus (ringing or noises in one or both ears). So, what causes stress-related tinnitus, and what can you do about it? Read on to learn about the relationship between anxiety and stress—plus symptoms, causes and treatments. 

Can stress and anxiety cause tinnitus?

Did you know that high-stress and anxiety situations can be a cause of tinnitus? Unfortunately, anxiety and stress have a significant impact on the entire body,  especially on the nervous system. As stress levels increase, so does the likelihood of repercussions on the hearing system. 

When stress and anxiety accumulate and become more intense, you may notice signs of tinnitus, such as a constant ringing or whistling in the ears , even when there is no external source to emit the sound. This is known as stress-related tinnitus.

Tinnitus is known to be potentially triggered by anxiety and stress, but these factors can also make your existing tinnitus worse. For some people, tinnitus acts as a ‘barometer’ of stress, often worsening during difficult times. Mild tinnitus may get worse during times of high stress or anxiety, as these can lead to issues such as difficulty concentrating or relaxing. When an individual with tinnitus is in a relaxing psychophysical situation, they tend to perceive tinnitus less.

Pulsatile tinnitus is a rhythmic thumping, whooshing or pulsing in the ear. It’s a rare form of tinnitus that tends to be synced to your heartbeat and can seem as if you’re hearing your heartbeat in your ears. Like other forms of tinnitus, stress and anxiety can indirectly contribute to its appearance or make it worse.

It is easier for stress and anxiety to become a pulsatile tinnitus factor, as this specific type of tinnitus reveals itself, especially, when we try to sleep, one of the moments of the day in which stress and anxiety can be stronger.  Pulsatile tinnitus should be followed by a physician to rule out any underlying medical condition.

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If you experience tinnitus, don’t hesitate to speak with your doctor or hearing instrument specialist about how you can best manage the symptoms.

Why does stress cause tinnitus?

The causes of tinnitus are not yet fully understood. Doctors and researchers from all over the world are investigating this disorder. However, in the case of stress-induced tinnitus, a possible chemical factor that triggers tinnitus under stressful conditions has been identified: an increase in glutamate.

Glutamate is a neurotransmitter, an element of the nervous system that connects neurons. When its production increases excessively, for example, in high emotional or physical stress, neurons become overloaded, as they receive too many excitatory signals. As a result, damage can be found in some areas of the brain, including the acoustic nerve, aiding the correct transmission of sounds. In this case, stress-induced tinnitus can develop.

Unfortunately, it is not easy to live with tinnitus: the constant ringing in the ears limits concentration, making conversations difficult and often preventing you from sleeping peacefully. It contributes to creating further stress, which increases the production of glutamate and increases tinnitus: a vicious circle is created from which it is difficult to get out.

Anxiety secondary to tinnitus

Anxiety and depression secondary to tinnitus (anxiety or depression that develops due to tinnitus) is also common. In fact, research has shown a correlation between tinnitus and symptoms of depression and anxiety.2

Tinnitus can limit concentration, making conversations and work difficult, and it can often prevent you from sleeping peacefully. This contributes to further stress, which increases the production of glutamate and, therefore, the likelihood of tinnitus

If you are a veteran, you may qualify to receive VA disability for anxiety and depression secondary to tinnitus. To do so, you need a formal diagnosis of anxiety or depression from your medical provider—and you must have a service-connected diagnosis for tinnitus. Check with your provider if you believe your tinnitus may be caused by exposure to loud noises during military service.
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How to treat tinnitus caused by stress and anxiety

In most cases, stress-induced tinnitus disappears on its own once you destress, but in some cases, it can become chronic. That's why it's important to learn how to counteract tinnitus, or rather, how to live with it so that this ringing in the ears doesn't damage our daily lives. Healthcare professionals can assist in relieving stress and anxiety, as many times there are psychological factors at play and counseling is needed.

Currently, there is no specific cure for stress-induced tinnitus, but there are strategies for coping with it, like trying to reduce anxiety and stress going for a walk, doing an activity you enjoy or reduce screentime, for example. These activities will help to bring glutamate production back to normal levels. This is obviously not easy, given that tinnitus contributes to increased stress and discomfort because it prevents you from sleeping, concentrating and relaxing.

In some cases, professional medical help or therapy and counseling can help reduce stress and anxiety. However, before seeking the help of a therapist, get a hearing check from a specialist or at a Miracle-Ear location to rule out other causes of your tinnitus.

Consider the following therapies to help alleviate the effects of tinnitus and help you manage your stress-induced tinnitus:

Sound enrichment device help reduce the perception of tinnitus by exposing you to melodies and sounds of your choosing. These devices promote relaxation and help reduce the volume of your tinnitus.

TRT treatment: Another treatment option is tinnitus retraining therapy (TRT), a conscious and subconscious tinnitus management technique. TRT requires close collaboration with counselors and hearing care professionals and uses habituation to train the brain to ignore the ringing in the ear caused by tinnitus. (Think: Noticing the sound of the A/C when it first turns on, then gradually getting used to it.)

Natural remedies that can potentially help you live better with stress-induced tinnitus include:

  • Magnesium-rich foods: Magnesium is a substance capable of inhibiting glutamate and has been shown to be effective in treating tinnitus.3
  • Physical activity: Yoga, meditation, and long walks are excellent solutions to reduce the perception of stress tinnitus and reconnect with your body and senses.
  • Bach flower remedies: These tinctures of water and wild plant extracts can help mitigate negative emotions and related disorders, such as stress.

Tinnitus anxiety medication cannot cure the condition, but it can help relieve your symptoms. While there are currently no drugs approved to specifically treat tinnitus, your doctor may prescribe anti-anxiety medications, antidepressants or other drugs to treat tinnitus or reduce the anxiety that can come with it.4
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Does stress-related tinnitus go away?

Research has shown that stress-related tinnitus can sometimes subside once the stressor is removed or managed.5

However, in some cases, there is the possibility that stress-induced tinnitus can become chronic. If this occurs, it’s important to learn how to the same techniques can help you counteract tinnitus or cope with it with the techniques mentioned above.

How long does anxiety and stress tinnitus last?

If you experience tinnitus and anxiety, it’s normal to wonder. “How long does anxiety tinnitus last?” or “How long does stress tinnitus last?” In most cases, tinnitus caused by anxiety and stress subsides when you leave a stressful situation or treat your anxiety through therapy or medication. If your symptoms last for three months or longer, it is considered chronic tinnitus.6 Talk to your medical provider if symptoms do not resolve on their own.

Sources
  • 1 Isler, B., N. von Burg, T. Kleinjung, M. Meyer, P. Stämpfli, N. Zölch, and P. Neff. 2022. “Lower Glutamate and GABA Levels in Auditory Cortex of Tinnitus Patients: A 2D-JPRESS MR Spectroscopy Study.” Scientific Reports 12 (1): 4068. https://doi.org/10.1038/s41598-022-07835-8.
  • 2 Hackenberg, Berit, Julia Döge, Karoline O’Brien, Andrea Bohnert, Karl J. Lackner, Manfred E. Beutel, Matthias Michal, et al. 2023. “Tinnitus and Its Relation to Depression, Anxiety, and Stress—a Population-Based Cohort Study.” Journal of Clinical Medicine 12 (3): 1169. https://doi.org/10.3390/jcm12031169.
  • 3 Cevette, Michael J., David M. Barrs, Alpen Patel, Kelly P. Conroy, Sarah Sydlowski, Brie N. Noble, Gregory A. Nelson, and Jan Stepanek. 2011. “Phase 2 Study Examining Magnesium-Dependent Tinnitus.” The International Tinnitus Journal 16 (2): 168–73. https://pubmed.ncbi.nlm.nih.gov/22249877/.
  • 4 Kim, Sang Hoon, Dokyoung Kim, Jae-Min Lee, Sun Kyu Lee, Hee Jin Kang, and Seung Geun Yeo. 2021. “Review of Pharmacotherapy for Tinnitus.” Healthcare 9 (6): 779. https://doi.org/10.3390/healthcare9060779.
  • 5 Patil, Jayaditya Devpal, et al. “The Association between Stress, Emotional States, and Tinnitus: A Mini-Review.” Frontiers in Aging Neuroscience, vol. 15, 2023, https://www.frontiersin.org/journals/aging-neuroscience/articles/10.3389/fnagi.2023.1131979/full. Accessed 7 July 2025.
  • 6 Jayaditya Devpal Patil, Manar Abdulkarim Alrashid, Ayah Eltabbakh, and Salim Fredericks. 2023. “The Association between Stress, Emotional States, and Tinnitus: A Mini-Review.” Frontiers in Aging Neuroscience 15 (May). https://doi.org/10.3389/fnagi.2023.1131979

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