Oto Tinnitus Sound Therapy Program in Ohio
An at-home program set up and followed by our Doctors of Audiology
Support That Goes Home With You
Tinnitus is often hardest when you are on your own with it: at bedtime, in a quiet room, or in the weeks between appointments.
Oto is an at-home program we set up for those moments, as part of the care you receive here.
- Set up after your tinnitus evaluation
- Runs on your own phone
- Sound therapy, with CBT techniques alongside
- Follow-up with your audiologist
- ~3Month program
- 5 to 10Minutes a day
- AuDSet up by your audiologist
- 18+Adults
What Is Oto?
Oto is an at-home tinnitus management program that uses sound therapy, with exercises drawing on cognitive behavioral therapy (CBT) techniques alongside. You use it on your own phone in short daily sessions, and your audiologist sets it up and follows how you are getting on.
Oto starts with your tinnitus evaluation here, rather than with a download.
How Oto Works
The program has three parts, all on your phone:
Sound therapy: a library of therapeutic sounds you control, including at night when the room is quiet
CBT techniques: short guided audio sessions with exercises drawing on CBT techniques, alongside education, mindfulness, relaxation and sleep
A daily routine: a structured program of around three months, about five to ten minutes a day
You can see the soundscapes and coping exercises on Oto's own website before your visit.
What to Expect
- Week 2
Weeks 1 to 2
We set Oto up with you in the clinic and you start your daily sessions at home. We see you again at around two weeks.
Check-in at week 2 - Week 6
Weeks 3 to 6
The sessions build on each other. At around six weeks we repeat the tinnitus questionnaire you completed at your evaluation.
Questionnaire at week 6 - Week 12
Weeks 7 to 12
You keep going with the program, and at around twelve weeks we review it together and agree what comes next.
Review at week 12
How Oto Fits Your Care
Recommended after your evaluation, not downloaded on your own
Works alongside hearing aids and Lenire
Gives you something to do between appointments
Your audiologist can see your progress between visits
What the Research Shows
Oto's daily sessions use therapeutic sound, with exercises drawing on cognitive behavioral techniques alongside. That approach is recommended for tinnitus management by NICE, by the American Academy of Otolaryngology-Head and Neck Surgery, and by Cochrane.
Oto has been studied in a randomized controlled trial at Flinders University in Australia, published in 2025. Ninety-six adults were randomized either to use Oto or to a wait-list control group. At six months, the group using Oto showed a statistically significant improvement on the Tinnitus Functional Index, a validated measure of how much tinnitus is affecting daily life, with a 9-point reduction and an effect size of 0.62.
Your Oto Program, Step by Step
Your program is set up and supported by our Doctors of Audiology:
- 1
2-Hour Tinnitus Evaluation
A full evaluation of your hearing and your tinnitus, and a plan before you leave
- 2
Setup in the Clinic
We register you and get Oto working on your phone with you
- 3
Daily Sessions at Home
About five to ten minutes a day
- 4
Follow-Up Care
Check-ins at around 2, 6 and 12 weeks, with your tinnitus questionnaire repeated along the way
We decide together where Oto fits alongside the rest of your care.
Why Choose Sounds of Life?
Dr. Curtis is a Certificate Holder in Tinnitus Management (CH-TM)
A certified Modern Tinnitus Specialty Clinic
Lake County's only certified Lenire provider
A two-hour evaluation before anything is recommended
If Oto isn't the right fit for you, we'll talk you through the other options for tinnitus care at Sounds of Life.
How Oto Fits With Lenire and Hearing Aids
Oto is not an alternative to Lenire or hearing aids, and you will not be asked to choose between them.
If Lenire is part of your plan, Oto runs alongside it. For some patients we start Oto first, to build skills for calming the stress response, coping better and sleeping better, so they are ready to begin Lenire.
If you wear hearing aids, they restore the sound you have been missing, and their tinnitus features help during the day. Oto adds sound you control from your phone, including at night when your aids are out.
For some patients, Oto is the next step after the evaluation on its own, for example when the counseling at your first visit has helped but you would like more support at home.
Oto Program Cost
$500current as of October 2026
What's included
This includes the Oto program and follow-up visits at about 2, 6 and 12 weeks.
Available to Sounds of Life patients after a tinnitus evaluation and consultation. The evaluation is scheduled and billed separately.
Oto is part of a comprehensive tinnitus treatment plan, not a standalone purchase.
Is Oto Right for You?
Oto works best for adults 18 and over who:
Can set aside five to ten minutes a day
Want something to do between appointments
Are comfortable using an app on a smartphone
We'll help you decide at your evaluation whether Oto is your next step.
If your tinnitus came on suddenly, is only in one ear, or pulses in time with your heartbeat, please call us so we can see you promptly.
Frequently Asked Questions
Oto is an at-home tinnitus management program that uses sound therapy, with exercises drawing on cognitive behavioral therapy (CBT) techniques alongside. You use it on your phone for about five to ten minutes a day, across a structured program of around three months, and your audiologist sets it up and follows your progress.
You will find it in the App Store and Google Play, but the program only starts once a hearing care provider has enrolled you. We do that with you after your tinnitus evaluation.
The Oto program at Sounds of Life is $500 (current as of October 2026). This includes the Oto program and follow-up visits at about 2, 6 and 12 weeks. Oto is available to Sounds of Life patients who have completed our tinnitus evaluation and consultation, which is scheduled and billed separately. It is part of a comprehensive tinnitus treatment plan rather than a standalone purchase.
No. Oto is used on its own, with hearing aids, or alongside Lenire. You need a smartphone, and the program is for adults 18 and over.
Yes. Oto runs alongside Lenire, and for some patients we start Oto first, to build skills for calming the stress response, coping better and sleeping better, so they are ready to begin Lenire. Both are used at home between your follow-up visits.
There is currently no cure for tinnitus, and Oto is not one. It gives you sound you control, practical techniques and a daily routine, with your audiologist alongside you.
If You're Feeling Overwhelmed
Tinnitus can be distressing. If you're having thoughts of self-harm, help is available immediately.
Or text HELLO to 741741
Schedule a Tinnitus Evaluation
Oto starts with a two-hour tinnitus evaluation. Our team is ready to listen, explain what we find, and talk you through your options.
Contact Information
Location
8003 Auburn Road, Suite 4, Painesville, OH 44077
Call/Text
(440) 579-4085
hearforyou1@soundsoflifehc.com
Doctors of Audiology • Individualized tinnitus care • Concord Township, Lake County