Tinnitus, characterized by the constant ringing or buzzing in the ears, can significantly affect one’s quality of life, leading to stress, anxiety, and sleep disturbances. While there is no cure for tinnitus, CBT for tinnitus has emerged as one of the most effective non-medical treatments for managing its emotional and psychological impact. Cognitive behavioral therapy for tinnitus helps individuals reframe their thoughts, reduce distress, and develop coping strategies, offering a better way to manage the condition. This article will explore how CBT for tinnitus works, its effectiveness, and how you can start your journey toward relief and improved well-being.
Introduction: Can CBT Help with Tinnitus?
Tinnitus is a persistent ringing, buzzing, or hissing sound in the ears that has no external source. For millions of people worldwide, this condition is more than just an annoyance—it can severely impact daily life, causing stress, sleep disturbances, and difficulty concentrating. But can CBT for tinnitus help ease the discomfort? Research shows that cognitive behavioral therapy for tinnitus is one of the most effective approaches for reducing the emotional and psychological distress associated with this condition.
What Is Tinnitus and Why Does It Occur?
Tinnitus is not a disease but a symptom of an underlying issue. It often arises due to:
- Hearing loss – Damage to the inner ear or auditory nerves can cause the brain to “fill in the gaps” with phantom sounds.
- Exposure to loud noise – Repeated exposure to loud environments, such as concerts or industrial work, can trigger tinnitus.
- Ear infections or blockages – Excess earwax or infections can create temporary or permanent ringing.
- Medications – Some drugs, including antibiotics and high doses of aspirin, can cause or worsen tinnitus.
- Stress and anxiety – Emotional distress can amplify the perception of tinnitus, making it more noticeable and distressing.

Tinnitus affects people differently. Some experience mild ringing that fades into the background, while others struggle with constant, intrusive noise. This can lead to:
- Sleep disturbances – Many people find tinnitus worsens at night when the environment is quieter.
- Anxiety and depression – The persistent sound can trigger stress, anxiety, and even depression.
- Reduced focus and productivity – The inability to “turn off” tinnitus makes concentration difficult.
- Social withdrawal – People with severe tinnitus may avoid social situations due to frustration or discomfort.
The Mechanism of Tinnitus: Why the Ringing Occurs

Tinnitus occurs when the brain misinterprets signals from the auditory system. Usually, sound waves travel through the ear canal, vibrating the eardrum and inner ear structures before being converted into electrical signals sent to the brain via the auditory nerve. However, when hearing damage or nerve dysfunction occurs—due to loud noise exposure, aging, or medical conditions—the brain compensates for the lack of input by generating phantom sounds. This overactivity in the auditory cortex leads to the persistent perception of ringing, buzzing, or hissing, even when no external sound exists. Additionally, heightened neural activity in the limbic system (responsible for emotions) can amplify the distress associated with tinnitus, making it harder to ignore.
Video – What Causes Tinnitus (Ringing In The Ears)
How CBT for Tinnitus Can Make a Difference
Unlike medical treatments that target the ears, CBT for tinnitus focuses on how you react to the condition. This therapy helps individuals:
- Reframe negative thoughts – Many people develop harmful beliefs about tinnitus, such as “This will ruin my life.” CBT teaches them to replace these thoughts with more balanced perspectives.
- Reduce stress and emotional distress – Cognitive behavioral therapy for tinnitus equips patients with coping strategies to lower anxiety and emotional responses.
- Improve sleep and focus – By addressing stress and changing thought patterns, CBT can help individuals regain control over their sleep and attention.
- Desensitize the brain’s response – Over time, CBT helps the brain perceive tinnitus as a neutral sound rather than a distressing signal.
While CBT does not cure tinnitus, it can make it significantly less bothersome. Many individuals report improved quality of life and reduced perception of tinnitus after undergoing CBT for tinnitus therapy.
Understanding Cognitive Behavioral Therapy for Tinnitus
CBT for tinnitus is a structured, evidence-based approach that helps individuals change how they think about and react to their tinnitus. Unlike medications or sound therapies that aim to mask or eliminate the ringing, cognitive behavioral therapy for tinnitus focuses on altering negative emotional responses. By addressing the thoughts and feelings associated with tinnitus, CBT helps individuals reduce distress, improve coping mechanisms, and regain control over their daily lives.
The Science Behind CBT and Tinnitus Relief
Tinnitus becomes distressing not just because of the sound itself but because of how the brain perceives it. For many sufferers, tinnitus triggers a negative emotional response—frustration, anxiety, or even panic—because the brain interprets the ringing as a threat. This reaction activates the body’s fight-or-flight response, increasing stress hormones like cortisol, which in turn makes the tinnitus seem even louder and more intrusive.
CBT for tinnitus breaks this vicious cycle. It is based on the principle that thoughts, emotions, and behaviors are interconnected. If a person believes, “My tinnitus is unbearable,” they may experience anxiety, leading to increased awareness of the ringing, which worsens their distress. CBT helps by:
- Identifying and challenging negative thought patterns.
- Teaching relaxation techniques to reduce stress.
- Encouraging positive behavioral changes to shift focus away from tinnitus.
Numerous studies have confirmed that cognitive behavioral therapy for tinnitus significantly reduces tinnitus-related distress, anxiety, and sleep disturbances, making it one of the most effective non-medical treatments available.

The Proven Effectiveness of CBT vs. Other Tinnitus Treatments
Cognitive Behavioral Therapy (CBT) has demonstrated significant effectiveness in managing tinnitus-related distress. A meta-analysis of 15 randomized controlled trials, including 1,091 participants, revealed that CBT led to a 70% greater reduction in tinnitus-specific distress compared to passive controls and a 44% greater reduction compared to active controls.
In contrast, other non-medical treatments for tinnitus have shown varying effectiveness:
- Sound Therapy: This method uses external sounds to mask tinnitus. While some individuals find relief, the overall effectiveness varies, and it may not address the underlying distress associated with tinnitus.
- Tinnitus Retraining Therapy (TRT): Combining sound therapy with counseling, TRT aims to habituate patients to tinnitus. Evidence suggests it can be effective but it often requires prolonged treatment durations, and outcomes can vary among individuals.
- Medications: Currently, there are no FDA-approved drugs specifically for tinnitus. Some medications prescribed off-label aim to alleviate symptoms, but their efficacy is inconsistent, and they may carry potential side effects.
Given these findings, CBT stands out as one of the most effective non-medical treatments for reducing tinnitus-related distress, anxiety, and sleep disturbances. Its structured approach addresses the emotional and psychological aspects of tinnitus, offering sustainable relief for many sufferers.
How CBT Rewires the Brain’s Response to Tinnitus
CBT helps retrain the brain to perceive tinnitus as a neutral or insignificant sound rather than a distressing one. This is achieved through:
- Cognitive Restructuring – Patients learn to recognize negative thought patterns (e.g., “Tinnitus controls my life“) and replace them with balanced, realistic perspectives (e.g., “Tinnitus is present, but I can still enjoy my day.”).
- Exposure Therapy – Gradual exposure to tinnitus without negative reinforcement helps the brain reduce its heightened response. Over time, individuals stop associating tinnitus with stress.
- Mindfulness and Relaxation Techniques – Meditation, deep breathing, and progressive muscle relaxation lower the body’s stress response, making tinnitus less noticeable.
- Behavioral Changes – CBT encourages healthy lifestyle adjustments, such as better sleep hygiene and reduced caffeine intake, which can help manage tinnitus more effectively.
By altering the brain’s perception and emotional response, CBT for tinnitus allows sufferers to regain control, significantly improving their quality of life.
How CBT for Tinnitus Eases the Ringing in Your Ears
Tinnitus can be distressing, but CBT for tinnitus offers a structured approach to managing its emotional and psychological impact. Instead of trying to eliminate the ringing, cognitive behavioral therapy for tinnitus helps individuals change their perception of it, making it less intrusive and bothersome. Below, we explore how CBT works to ease tinnitus distress and improve overall well-being.
Identifying Negative Thought Patterns
Many tinnitus sufferers develop negative thought loops, such as “This ringing will never stop” or “I can’t focus because of my tinnitus.” These automatic thoughts amplify distress, making the condition feel worse than it actually is.
CBT helps individuals identify and challenge these negative thought patterns, replacing them with healthier, more balanced perspectives. Instead of catastrophizing, patients learn to acknowledge tinnitus as a manageable condition rather than a life-ruining problem.
Changing Your Emotional Response to Tinnitus
The emotional reaction to tinnitus—frustration, fear, or hopelessness—often worsens the experience. CBT for tinnitus focuses on shifting this emotional response by using techniques like cognitive restructuring and mindfulness.
Patients learn to detach emotions from the ringing sound, training their brains to interpret tinnitus as a neutral background noise rather than a distressing signal. Over time, this change reduces tinnitus-related anxiety and enhances emotional resilience.
Reducing Tinnitus-Related Stress and Anxiety
Stress and anxiety often worsen tinnitus perception, creating a vicious cycle where tinnitus increases stress, and stress amplifies tinnitus. Cognitive behavioral therapy for tinnitus teaches relaxation techniques, stress management strategies, and coping mechanisms to break this cycle.
CBT-based stress reduction techniques include:
- Mindfulness and deep breathing to stay present and reduce anxiety.
- Progressive muscle relaxation to lower overall stress levels.
- Behavioral activation is used to engage in enjoyable activities, distracting from tinnitus.
By addressing stress and anxiety, CBT helps patients regain control over their reactions to tinnitus, making it a manageable aspect of life rather than a source of constant distress.
CBT Techniques for Managing Tinnitus

CBT for tinnitus offers a variety of evidence-based techniques to help individuals manage their perception of tinnitus and reduce its emotional impact. These strategies rewire thought patterns, calm the nervous system, and improve overall well-being. Below are the key CBT techniques that make cognitive behavioral therapy for tinnitus one of the most effective non-medical treatments.
Cognitive Restructuring: Shifting Your Mindset
Tinnitus sufferers often develop negative beliefs, such as “I will never enjoy silence again” or “This ringing is ruining my life.” These thoughts amplify distress and make tinnitus feel even more intrusive.
With cognitive restructuring, individuals learn to:
- Identify and challenge negative thoughts.
- Replace unhelpful beliefs with balanced, realistic perspectives.
- Reframe tinnitus as a neutral or manageable experience.
For example, instead of thinking “Tinnitus controls my life,” CBT encourages a shift to “I can learn to manage tinnitus and live a fulfilling life.” Over time, this mindset shift reduces emotional distress and improves coping ability.
Relaxation Techniques to Calm the Nervous System
Stress and anxiety often heighten tinnitus awareness, making the ringing seem louder. Cognitive behavioral therapy for tinnitus incorporates relaxation techniques that lower overall stress levels and help the brain tune out tinnitus.
- Deep breathing exercises regulate the nervous system and reduce physiological arousal.
- Progressive muscle relaxation eases tension and improves sleep.
- Guided imagery shifts focus away from tinnitus to calming mental visuals.
Regular practice of these techniques helps reduce tinnitus-related stress and promotes a sense of control over its impact.
Exposure Therapy: Reducing the Perceived Impact of Tinnitus
Avoiding silence or constantly masking tinnitus with background noise can reinforce sensitivity to it. Exposure therapy, a CBT-based technique, gradually increases tolerance to tinnitus by controlled exposure in a safe and supportive way.
- Patients start by exposing themselves to quiet environments for short periods.
- Over time, they learn to tolerate tinnitus without experiencing distress.
- This gradual exposure trains the brain to desensitize to the sound, reducing its perceived impact.
By confronting tinnitus rather than avoiding it, individuals regain control over their reactions and experience long-term relief.
Mindfulness and Acceptance-Based Strategies
Instead of fighting tinnitus, mindfulness-based CBT techniques teach individuals to accept it without emotional resistance. Mindfulness encourages:
- Observing tinnitus without judgment or frustration.
- Redirecting attention to the present moment rather than focusing on the ringing.
- Letting go of the struggle against tinnitus, reducing distress.
Studies show that mindfulness and acceptance-based strategies significantly improve tinnitus-related quality of life, helping individuals adapt to the condition more easily.
CBT vs. Other Tinnitus Treatments: What Works Best?
When it comes to managing tinnitus, various treatment options are available, each with its own set of benefits and limitations. CBT for tinnitus has emerged as one of the most effective non-medical therapies. However, it’s important to understand how cognitive behavioral therapy for tinnitus compares to other treatments, such as sound therapy, medication, and lifestyle changes, to determine the best course of action for managing tinnitus symptoms.
CBT vs. Sound Therapy: Which One Is More Effective?
Sound therapy is one of the most common approaches to managing tinnitus. It involves using external sounds, like white noise or nature sounds, to mask the internal ringing of the ears. While sound therapy can provide temporary relief by masking tinnitus, it doesn’t address the psychological and emotional aspects of the condition, such as anxiety or stress.

On the other hand, CBT for tinnitus focuses on changing how patients think about and emotionally respond to tinnitus rather than just masking the sound. Studies show that CBT is more effective in reducing tinnitus-related distress and improving quality of life than sound therapy alone. In fact, when combined with sound therapy, CBT can enhance overall effectiveness, addressing both tinnitus’s emotional and auditory components.
In summary, while sound therapy may relieve the noise, CBT provides long-term benefits by changing how individuals experience tinnitus emotionally.
Can Medication Help Alongside CBT for Tinnitus?
There are no FDA-approved medications specifically for tinnitus. However, some medications are prescribed to manage symptoms, such as anxiety, depression, or sleep disturbances that often accompany tinnitus. Medications like antidepressants, antianxiety drugs, and sedatives may help reduce tinnitus-related distress.
While medication can provide temporary relief, it doesn’t directly address the root causes of tinnitus or the psychological distress it creates. When used alongside CBT for tinnitus, medications can enhance the overall treatment plan by managing co-occurring issues like anxiety or depression, making it easier for patients to engage with therapy.
It’s important to note that CBT addresses the underlying psychological factors that contribute to tinnitus distress, making it a more sustainable long-term solution than relying solely on medication. A combination of CBT and medication may offer the most effective relief for many individuals.
Combining CBT with Lifestyle Changes for Maximum Relief
Lifestyle changes, in addition to therapy and medication, play a crucial role in managing tinnitus. Healthy lifestyle practices like regular exercise, stress management, and proper sleep can help reduce tinnitus-related anxiety and improve overall well-being. When combined with CBT for tinnitus, these changes can have a powerful impact on symptom relief.
For example, practicing relaxation techniques, such as yoga or meditation, can help manage stress, reducing tinnitus’s emotional impact. Regular physical activity promotes better sleep, which is often disrupted by tinnitus. Additionally, avoiding triggers like caffeine, alcohol, and loud noises can prevent further exacerbation of symptoms.
When CBT is paired with these positive lifestyle changes, individuals experience reduced tinnitus distress and improved overall health. This combination offers the most comprehensive approach to tinnitus management, addressing both the mind and body.
Success Stories: Real-Life Results of CBT for Tinnitus
One of the most compelling aspects of CBT for tinnitus is its proven success in helping people regain control of their lives despite the constant ringing in their ears. Numerous case studies and expert insights highlight the transformative impact of cognitive behavioral therapy for tinnitus. In this chapter, we explore inspiring success stories and expert opinions on how CBT can lead to lasting relief and an improved quality of life for those suffering from tinnitus.
Case Studies: How CBT Transformed Tinnitus Sufferers’ Lives
Case Study 1: Sarah’s Journey to Relief
Sarah, a 36-year-old teacher, had been living with tinnitus for over five years. The constant ringing in her ears affected her ability to concentrate and caused severe anxiety and sleep disturbances. Sarah sought help through CBT for tinnitus and learned to identify and reframe her negative thoughts about the condition. Over several months of therapy, she began to feel more in control of her emotions and her tinnitus. She reported a significant decrease in stress and a renewed sense of normalcy in her daily life. By the end of her treatment, Sarah had improved sleep quality and greater emotional resilience.
Case Study 2: John’s Triumph Over Anxiety and Tinnitus
John, a 50-year-old engineer, had been battling tinnitus for over a decade. The sound in his ears grew louder during stressful times, making him feel anxious and disconnected from his family. After starting cognitive behavioral therapy for tinnitus, John focused on relaxation techniques and mindfulness strategies. He gradually desensitized to the tinnitus sound and found effective ways to manage his emotional response. After six months of CBT, John reported a drastic reduction in his tinnitus-related distress and was able to participate fully in family activities once again.
Case Study 3: Emily’s Success Story of Combining CBT with Lifestyle Changes
Emily, a 28-year-old graphic designer, struggled with sleep disturbances and overwhelming anxiety caused by her tinnitus. Through CBT, she could reframe her thoughts about tinnitus and focus on mindfulness and relaxation. Emily saw a remarkable improvement by combining therapy with lifestyle changes such as regular exercise and better sleep hygiene. She now enjoys stress-free sleep and feels more capable of managing her tinnitus daily.
Expert Insights on CBT for Tinnitus Management
Dr. Sarah Williams, Audiologist and Tinnitus Specialist
Dr. Williams, an audiologist with over 15 years of experience treating tinnitus, strongly advocates for CBT. According to Dr. Williams, “Cognitive behavioral therapy has proven to be one of the most effective tools in treating tinnitus because it helps patients manage the sound and tackles the psychological distress that often accompanies it. The goal is to empower patients, reduce their anxiety, and improve their quality of life.”
Dr. Michael Turner, Psychologist Specializing in Tinnitus
Dr. Turner, a clinical psychologist who focuses on tinnitus treatment, shares that CBT has shown significant improvements in how individuals perceive and respond to tinnitus. He states, “What sets CBT apart is its ability to address both tinnitus’ emotional and cognitive components. By changing how individuals think and feel about their tinnitus, we can achieve long-term relief and help them regain control over their lives.”
Dr. Emily Collins, ENT Specialist
An ENT specialist, Dr. Collins, explains the importance of a multidisciplinary approach to tinnitus treatment. She notes, “While CBT is a cornerstone for managing the emotional aspects of tinnitus, it works best when combined with other therapies such as sound therapy or lifestyle modifications. Together, these approaches provide a holistic strategy for tinnitus management.”
How to Start Cognitive Behavioral Therapy for Tinnitus
Embarking on the journey of CBT for tinnitus is a powerful step toward managing the emotional and psychological impact of tinnitus. Whether you seek professional therapy or prefer self-guided techniques, there are various ways to begin integrating cognitive behavioral therapy for tinnitus into your life. This chapter provides guidance on finding the right therapist, using self-help techniques, and exploring online CBT programs for tinnitus relief.
Finding a Qualified CBT Therapist for Tinnitus
The first step in starting CBT for tinnitus is finding a qualified therapist specializing in tinnitus management. A licensed cognitive behavioral therapist with experience in treating tinnitus can help you address both the emotional distress and the psychological challenges associated with the condition.
Here are a few tips to help you find the right therapist:
- Look for specialists: Many therapists specialize in CBT for tinnitus, and some may have additional training in treating hearing-related conditions.
- Ask for recommendations: Reach out to your doctor, audiologist, or tinnitus support groups for recommendations on experienced therapists.
- Verify credentials: Ensure that the therapist is licensed and certified to practice CBT and has a background in treating tinnitus or similar conditions.
- Consult reviews and testimonials: Reading reviews from others who have undergone therapy can provide insights into a therapist’s effectiveness and approach.
- Consultation: Consider scheduling an initial consultation to discuss your symptoms and treatment options and determine whether the therapist is a good fit for your needs.
A well-trained CBT therapist can tailor the therapy to your specific tinnitus experience, offering strategies to empower you to manage the ringing in your ears and improve your quality of life.
Self-Help CBT Techniques for Tinnitus Management
For individuals who may not have immediate access to a therapist or prefer a more self-directed approach, there are several self-help CBT techniques for tinnitus management that can be effective. These techniques can be practiced in the comfort of your home and may help alleviate tinnitus-related distress over time.
Here are a few strategies:
- Cognitive Restructuring: Challenge negative thoughts about your tinnitus by identifying irrational beliefs and replacing them with more realistic, positive thoughts. For example, instead of thinking, “The tinnitus is unbearable,” try reframing it to “The tinnitus is annoying, but I can manage it.”
- Mindfulness Meditation: Practicing mindfulness allows you to focus on the present moment rather than getting caught up in the distress caused by tinnitus. Set aside time each day for mindfulness exercises to build emotional resilience.
- Relaxation Techniques: Use progressive muscle relaxation, deep breathing exercises, or guided imagery to reduce anxiety and calm the nervous system. These techniques can help reduce the emotional impact of tinnitus and promote relaxation.
- Journaling: Keep a daily journal to record your thoughts and feelings about your tinnitus. Writing can help you process emotions and track your progress in managing your symptoms.
- Sound Therapy Integration: Combine sound therapy with CBT by incorporating background noise, such as white noise or nature sounds, into your environment to help mask tinnitus and reduce distress.
While self-help techniques can be effective, they work best when combined with professional guidance, so don’t hesitate to seek therapy if needed.
Online CBT Programs for Tinnitus Relief
If in-person therapy isn’t an option, or if you prefer a more flexible treatment approach, online CBT programs for tinnitus relief can be a great alternative. These programs offer the same benefits as traditional CBT but provide more convenience and accessibility.
Benefits of online CBT for tinnitus include:
- Accessibility: You can access the program from anywhere, whether at home, at work, or while traveling.
- Self-paced learning: Online programs typically allow you to progress at your own pace, providing flexibility in engaging with the material.
- Structured programs: Many online programs are designed with specific tinnitus management goals in mind, ensuring you learn the most effective CBT techniques for your symptoms.
- Cost-effective: Online CBT options may be more affordable than in-person sessions, making it easier to commit to long-term therapy.
- Multimedia support: Programs often include videos, interactive exercises, and self-assessment tools to guide you through your journey.
One of the well-known online CBT programs for tinnitus is Online CBT Therapy for Tinnitus. This program offers resources, exercises, and step-by-step guides designed to help individuals manage their tinnitus symptoms from the comfort of their homes.
Conclusion: Can CBT Help You Regain Control Over Tinnitus?
As we’ve explored throughout this article, CBT for tinnitus offers an effective, non-medical solution for managing the distress, anxiety, and emotional impact associated with tinnitus. From understanding the science behind cognitive behavioral therapy to learning about practical techniques, it’s clear that cognitive behavioral therapy for tinnitus has proven to be a valuable tool in helping individuals regain control of their lives and improve their quality of life despite the constant ringing in their ears.
Key Takeaways on CBT for Tinnitus
CBT Addresses Emotional and Psychological Distress
The core of CBT for tinnitus lies in its ability to address the emotional and psychological effects of tinnitus. It helps individuals shift negative thought patterns, reduce anxiety, and minimize the emotional impact of tinnitus on their daily lives.
Proven Effectiveness in Reducing Tinnitus-Related Distress
Research and real-world success stories consistently demonstrate that CBT for tinnitus can significantly reduce tinnitus-related distress, anxiety, and sleep disturbances, making it one of the most effective non-medical treatments available.
Empowering Individuals Through Self-Management
One of the most powerful aspects of cognitive behavioral therapy for tinnitus is that it empowers individuals to manage their symptoms independently. Individuals can develop a sense of control over their tinnitus through various techniques, including cognitive restructuring, relaxation, and mindfulness.
Combination with Other Treatments Enhances Results
While CBT is highly effective on its own, combining it with other tinnitus management approaches, such as sound therapy and lifestyle changes, can lead to even more significant relief and improved quality of life.
Long-Term Relief and Well-Being
With consistent practice, CBT for tinnitus has the potential to offer long-lasting benefits. It not only helps reduce tinnitus distress in the short term but also provides tools for long-term emotional and psychological resilience, enabling individuals to live fulfilling lives despite their condition.
Next Steps: Where to Begin Your CBT Journey
If you’re considering CBT for tinnitus, here are the steps you can take to begin your journey toward relief:
- Consult a Qualified CBT Therapist
The first step is finding a therapist who specializes in CBT for tinnitus. A qualified therapist can help you develop a personalized treatment plan and guide you through the process. - Consider Self-Help Resources
If you’re looking for immediate options, start with self-help techniques such as cognitive restructuring, mindfulness, and relaxation exercises. Many people find relief by incorporating these strategies into their daily routines. - Explore Online CBT Programs
For more flexibility, explore online CBT programs for tinnitus. These programs allow you to work at your own pace and receive structured guidance through interactive modules. - Commit to Consistency
Whether you choose in-person therapy or self-help techniques, consistency is key. Regular practice of CBT techniques will help you gradually reduce tinnitus-related distress and build resilience against the emotional impact of tinnitus. - Stay Open to Other Treatments
While CBT for tinnitus can be highly effective on its own, remember that it can be combined with other treatments, such as sound therapy, lifestyle changes, and even medications, if necessary. Be open to a comprehensive approach to managing your tinnitus.
Embarking on the CBT for tinnitus journey may feel daunting at first. Still, with the right tools, support, and dedication, you can regain control over your tinnitus and significantly improve your quality of life.