We have had a few patients who had this issue, but it resolved after the below recommendations. Sometimes if the sound is too loud or if the music creates too much excitement, it can temporarily make the ringing louder. It is best that you listen to the level of the sound therapy file just loud enough where you can't hear the tinnitus. When using the music therapy file, we generally recommend a softer, relaxing type music and the ramp down in volume over a few minutes where you decrease the volume gradually and don’t abruptly stop the sound or music therapy.