This book is designed for conducting one-on-one counseling. While the PTM counseling involves both audiologic and psychologic counseling, this book focuses on the audiologic counseling. Normally, this book would be used for patients who require PTM Level 5 Individualized Support. However, it can be used for any patient who requires individual counseling to learn how to manage reactions to tinnitus. The Counseling Guide is used like a flip chart, but laid flat on a table between clinician and patient. One side provides bulleted talking points to aid the clinician in describing the concepts. The other side faces the patient and shows simplified text and illustrations to facilitate comprehension.