Dr. Layne Garrett performing hearing loss and tinnitus evaluation at Timpanogos Hearing and Tinnitus clinic in Utah.

If you’ve had persistent tinnitus and been told to just live with it, this is the practice to contact next. Timpanogos Hearing & Tinnitus is one of the first 10 Modern Tinnitus Specialty Centers in the United States and Utah’s only provider of Lenire — the FDA-cleared bimodal neuromodulation device for tinnitus. New patient consultations are complimentary.



The ringing usually starts after years of noise — a manufacturing floor, a construction site, decades of machinery. For many of the patients we see from Orem, tinnitus didn’t announce itself dramatically. It crept in quietly, showing up first at night when everything else went silent. Then it started following them into meetings. Into conversations with family. Into the moments that used to feel like rest.

Orem has a significant working-age and midlife population with deep roots in trades, manufacturing, and the kind of physically demanding work that rarely comes with good hearing protection. By the time many of these patients find their way to us, they’ve had the ringing for years — sometimes a decade or more. They’ve tried white noise machines. They’ve been told by a well-meaning primary care doctor that nothing can be done. Some have been to other audiology offices and left with a pamphlet and a recommendation to avoid loud noise.

What they haven’t tried is a specialty-level evaluation with a clinical team that treats tinnitus as a primary condition — not a side note at the end of a hearing aid consultation. That’s what we offer. And for patients who’ve already been told there’s nothing more to do, that distinction tends to matter.



Tinnitus Specialist in Orem, UT

Timpanogos Hearing & Tinnitus is a specialty audiology clinic with comprehensive tinnitus treatment protocols that go well beyond what most Utah County providers offer. Our clinical protocols are led by a founder certified in tinnitus management by the American Board of Audiology (CH-TM) and certified as a Dementia Practitioner (CDP) — credentials that reflect a depth of training in the neuroscience of auditory distress that’s rare in this region.

We are one of approximately 14 Lenire Preferred Providers in the United States and the only provider in Utah offering Lenire — the FDA-cleared bimodal neuromodulation device for tinnitus. We’re also one of the first 10 Modern Tinnitus Specialty Centers in the country, a designation that reflects not just technology but clinical protocols and outcomes measurement.

For Orem patients who’ve been managing noise-induced tinnitus for years — or who are newly experiencing it and want to address it properly before it worsens — this is a meaningful difference from a general audiology clinic.


What’s Causing Your Tinnitus

Tinnitus is not a disease. It’s a symptom — and the brain is usually the source, not the ear.

When the auditory system sustains damage from noise exposure, the neural pathways responsible for processing sound can begin generating their own signal in the absence of adequate input. The brain, in a sense, turns up its own gain to compensate for reduced input from a damaged cochlea. The result is a phantom sound — ringing, buzzing, hissing, tonal or broadband — that has no external source.

For the working-age Orem patient who spent years in noisy environments, this mechanism is almost always noise-induced cochlear damage driving central auditory system changes. But tinnitus can also be driven or worsened by stress and cortisol dysregulation, sleep disruption, cardiovascular factors, jaw and cervical issues, and medication. A proper evaluation looks at all of these — not just your audiogram.

The Understanding Tinnitus guide covers the neuroscience of how tinnitus develops and why the brain-based nature of the condition is so important to understand before choosing a treatment path. It’s worth reading before your appointment.


Why Most Tinnitus Treatments Don’t Work

Most tinnitus “treatments” don’t fail because tinnitus is untreatable. They fail because they were never designed to treat tinnitus in the first place.

Maskers and white noise machines provide temporary distraction. They don’t address the underlying neural mechanism. When you turn them off, the tinnitus returns exactly as before. For patients who’ve slept with a fan running for years, this isn’t a treatment — it’s a crutch that can actually slow habituation.

Supplements — ginkgo biloba, zinc, magnesium, CBD — have been studied extensively. The evidence is consistently weak to absent for tinnitus reduction. We’re not dismissive of patients who’ve tried them, but we’re honest: the research doesn’t support them as primary treatments.

Poorly fit hearing aids are one of the most common failures we see. A hearing aid that amplifies incorrectly — fitted without Real Ear Measurement verification — can actually make tinnitus more distressing by increasing overall auditory load without improving the signal-to-noise processing that tinnitus patients need. The device may not be wrong. The fitting almost certainly was.

“Come back if it gets worse” is not a treatment recommendation. It’s a deferral. The longer tinnitus remains untreated and unmanaged, the more deeply it can become wired into the stress response — making treatment harder, not easier. Patients who come to us after years of waiting are not disqualified from good outcomes. But they often have more to undo.

If this pattern sounds familiar, the next step isn’t another product — it’s a proper evaluation. New patient consultations at Timpanogos Hearing & Tinnitus are complimentary. Call (801) 763-0724

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Tinnitus Treatment Options in Orem

Our treatment protocols are multimodal — meaning we don’t lead with a single tool and hope it fits. We evaluate the full picture first, then build a treatment plan around what your specific presentation actually requires.

Lenire — FDA-cleared bimodal neuromodulation Lenire is the only FDA-cleared device that uses bimodal neuromodulation for tinnitus. It combines sound delivered through headphones with mild electrical stimulation to the tongue, creating a dual-sensory signal that clinical trials showed reduced tinnitus distress in the majority of participants. The mechanism works by driving neuroplastic change in the auditory cortex — gradually retraining how the brain processes the tinnitus signal. Timpanogos Hearing & Tinnitus is Utah’s only provider of Lenire, and one of approximately 14 Lenire Preferred Providers in the entire United States.

lenire-device-timpanogos-hearing-tinnitus.jpg Alt text: The Lenire bimodal neuromodulation device — including the wireless headphones, controller unit, and Tonguetip — available at Timpanogos Hearing & Tinnitus in American Fork and Spanish Fork, Utah
Lenire Tinnitus Treatment Device

Hearing aid therapy with integrated sound therapy When hearing loss is present alongside tinnitus — which it frequently is, even when patients don’t identify themselves as having hearing loss — properly fit hearing aids provide auditory input that can significantly reduce the contrast that makes tinnitus more noticeable. Every hearing aid fitting at our practice includes Real Ear Measurement verification as standard — not an optional add-on. This objective procedure confirms the device is delivering the correct amplification for your specific hearing loss and ear canal acoustics. Without it, the fitting is a guess.

My Tinnitus Therapy — proprietary CBT coaching My Tinnitus Therapy is our in-house developed CBT-based coaching program. It’s not a generic protocol — it was developed specifically to help patients manage tinnitus distress, reduce emotional reactivity to the tinnitus signal, and support the habituation process over time. For patients whose tinnitus has become entangled with anxiety, hypervigilance, or sleep disruption — a common presentation in people who’ve been managing it without support for years — this program addresses the psychological dimension that purely acoustic treatments cannot reach.

Additional treatment approaches

Sound therapy and habituation approaches Structured sound therapy protocols rooted in current clinical evidence, individualized to your tinnitus profile and daily environment.

Heart rate variability monitoring For patients whose tinnitus is clearly stress-driven or stress-amplified — a pattern we see regularly in working-age adults managing demanding schedules — HRV monitoring adds an objective physiological measure to the treatment picture that guides pacing and intervention.

Sleep-specific tinnitus management For patients whose tinnitus is most distressing at night, we address the sleep dimension directly rather than treating it as incidental.


Why Orem Patients Choose Us

Dr. Layne Garrett conducting a comprehensive tinnitus evaluation at Timpanogos Hearing & Tinnitus in American Fork, Utah

The patients who drive from Orem to our American Fork clinic — about 10 minutes up State Street or via I-15 — tend to share a few things in common. They’ve already tried something that didn’t work. They’re skeptical. And they’re here because they’ve run out of easy explanations.

  • A 58-year-old construction foreman who’s had high-pitched ringing in both ears since his thirties. He assumed it was just the cost of the job. His wife finally pushed him to get it evaluated after she noticed he’d stopped watching TV in the evenings because the silence afterward made the tinnitus worse. He’d never connected those two things.
  • A 52-year-old UVU administrator who’s worked in offices her whole career but developed tinnitus after a period of intense workplace stress. Her ENT told her nothing was structurally wrong. Her audiogram was near-normal. She was told to manage stress. She came to us two years later after her sleep had deteriorated significantly.
  • A 64-year-old retired machinist who’d worn earplugs for decades at work but still developed bilateral tinnitus. He’d tried two different sets of hearing aids from two different providers and found that one made the ringing seem louder. He didn’t know that was a fitting problem, not a device problem.
  • A 47-year-old who was referred to us by the Bingham Family Free Clinic after a routine screening flagged high-frequency hearing loss. He’d never thought about his hearing seriously before. The tinnitus he’d been attributing to stress turned out to have a clear noise-induced component that responded well to a structured treatment plan.

For patients like these, the combination of a proper specialty evaluation, a clear explanation of what’s actually driving their tinnitus, and a treatment plan built around their specific presentation — rather than a generic recommendation — changes the outcome.


One patient who stands out is a retired city maintenance worker from Orem. He’d had bilateral tinnitus for nearly fifteen years before he came to see us. He was frank about his skepticism: he’d been to two audiologists already and left both times feeling like he’d wasted an afternoon. His previous evaluations had been quick — a hearing test, a mention of maskers, a suggestion to limit caffeine. Nothing had addressed the fact that his tinnitus had steadily worsened over the same period his sleep had deteriorated.

When we evaluated him, we found moderate high-frequency hearing loss that had never been adequately addressed — both previous fittings had been done without Real Ear Measurement, and neither device had been calibrated to his actual hearing loss profile. We started with properly verified hearing aids, added My Tinnitus Therapy to address the anxiety loop that had developed around his sleep, and incorporated structured sound therapy. At his three-month follow-up, his tinnitus distress scores had dropped significantly. He was sleeping through the night more consistently than he had in years.

“I stopped expecting it to be quiet. I just stopped caring that it wasn’t.”

That’s what habituation looks like in practice — not silence, but the point where the sound no longer runs the day.


Our practice has been recognized as Best of State in Auditory Services in Utah 15 times. For Orem patients considering the 10-minute drive to American Fork, that recognition reflects consistent outcomes, not marketing.

Timpanogos Hearing and Tinnitus in Utah has been awarded Best of State in Auditory Services 15 times.

What Results Can You Expect

We have a 90% tinnitus treatment success rate across more than 20 years of specialty clinical practice. That number deserves an honest explanation.

“Success” in tinnitus treatment doesn’t mean silence. For most patients, the goal is habituation — the neurological process by which the brain learns to filter the tinnitus signal, reducing its emotional salience and intrusiveness over time. Success means the tinnitus is still there but no longer runs the day. Sleep improves. Exhaustion from conversations starts to lift. The anxiety loop quiets.

For patients using Lenire, clinical trials showed meaningful reduction in tinnitus loudness and distress in the majority of participants. For patients using My Tinnitus Therapy, the CBT framework directly targets the emotional reactivity that keeps tinnitus perception elevated.

Outcomes vary depending on tinnitus type, duration, the presence of hearing loss, and individual neurological factors. Patients who come to us after being told nothing could be done are not automatically poor candidates. Duration alone doesn’t determine outcome. What matters more is whether the right treatment is matched to the right presentation — which requires a thorough evaluation first.

For an honest look at what current evidence-based treatment actually looks like and what it can realistically achieve, the Understanding Tinnitus guide is the best starting point.


Is This the Right Treatment for You

This evaluation is the right next step if:

  • You have persistent tinnitus — ringing, buzzing, hissing, or tonal sound — that has been present for more than a few weeks
  • You’ve been told there’s nothing that can be done
  • You’ve tried hearing aids or maskers that didn’t provide meaningful relief
  • Your tinnitus is affecting your sleep, concentration, or daily function
  • Your hearing test came back “normal” but you still have significant tinnitus
  • You have noise-induced hearing loss and tinnitus together
  • A referring physician or specialist has suggested evaluation

This is not the right fit if you’re looking for a quick product purchase rather than a clinical evaluation. Our process begins with understanding your specific presentation — not recommending a device before we know what you have.


Tinnitus Evaluation in Orem — Frequently Asked Questions


Is there a tinnitus specialist near Orem, Utah?

Yes. Timpanogos Hearing & Tinnitus is approximately 10 minutes from Orem in American Fork — Utah’s most advanced tinnitus treatment center and the only provider in the state offering Lenire. If you’ve been told nothing more can be done for your tinnitus, a specialty-level evaluation is the appropriate next step. New patient consultations are complimentary.

I’ve had tinnitus for over ten years. Is it still worth treating?

Often, yes. Duration alone doesn’t determine whether treatment will be effective. Many of our most meaningful clinical outcomes involve patients who’ve lived with tinnitus for a decade or more — including patients who were told early on that they simply had to accept it. What matters more than duration is matching the right treatment to the right presentation, which requires a proper evaluation. The history of tinnitus treatment and what current protocols can realistically achieve is worth understanding before your appointment.

I was referred by the Bingham Family Free Clinic. What should I expect?

We see patients referred from the Bingham Free Clinic and welcome those referrals. Your consultation will include a comprehensive tinnitus and hearing evaluation — not just a basic hearing screen. We’ll provide a thorough clinical report that can be shared back with your referring provider, and we’ll give you a clear picture of what treatment would look like for your specific situation. New patient consultations are complimentary regardless of referral source.

My hearing test at my doctor’s office came back normal. Can I still have a real tinnitus problem?

Yes — and this is one of the most common situations we evaluate. A standard audiogram measures pure-tone detection in a quiet booth. It frequently misses high-frequency damage in the range most affected by noise exposure, and it says nothing about how well the auditory system processes complex signals. Clinically, this is often referred to as cochlear synaptopathy — damage to the synaptic connections between hair cells and auditory nerve fibers that doesn’t register on a standard threshold test. Patients with hidden hearing loss often have significant tinnitus with a clearly identifiable mechanism. A “normal” hearing test is not a ruling out of a real problem.

Can tinnitus get better after years of noise exposure at work?

For noise-induced tinnitus specifically, the answer is often yes with appropriate treatment — though the goal is habituation rather than elimination for most patients. The neuroplastic mechanisms that drive tinnitus also allow the brain to learn to filter it more effectively over time. Lenire was specifically developed to accelerate that neuroplastic process. Why most tinnitus treatments haven’t worked is worth reading if you’ve tried other approaches without success.


Timpanogos Hearing & Tinnitus clinic at 343 S 500 E in American Fork, Utah — hearing aids and tinnitus treatment

Timpanogos Hearing & Tinnitus — American Fork 343 S 500 E, American Fork, UT 84003 (801) 763-0724 | Monday–Thursday 8am–6pm, Friday 8am–12pm

Timpanogos Hearing and Tinnitus Spanish Fork Location 642 E Kirby Ln Suite 102 Spanish Fork, UT 84660

Timpanogos Hearing & Tinnitus — Spanish Fork 642 E Kirby Ln #102, Spanish Fork, UT 84660 (801) 798-7210 | Monday–Thursday 8am–5pm, Friday 8am–12pm


We regularly see patients from American Fork, Provo, Lehi, Lindon, Pleasant Grove, and Vineyard — many of whom drive past general audiology practices to reach the specialty-level tinnitus care we offer. For Orem patients specifically, our full audiology services in Orem cover the complete range of hearing and tinnitus care available at both locations.

Meet Your American Fork Care Team

Timpanogos Hearing & Tinnitus was founded by Dr. Layne Garrett in American Fork in 2003 — his hometown, where his grandfather Dr. Guy Richards served as the town doctor. His path to audiology began on an LDS mission to the Deaf in Boston, where he witnessed firsthand the life-changing power of restored communication. Today Dr. Garrett leads the practice as founder and clinical director, setting the standard of care that runs through everything we do.

Dr. Layne Garrett, Au.D., founder of Timpanogos Hearing & Tinnitus in American Fork, Utah
Dr Levi Lundquist, Au.D
Seth Austin, BC-HIS

Dr. Layne Garrett, Au.D., FAAA, ABAC, CH-TM, CDP

Founder & Clinical Director

Dr. Garrett earned his Au.D. from Salus University and spent time at Sonic Innovations training audiologists nationally before founding this practice. He holds board certification from the American Board of Audiology, certification in Cognitive Behavioral Therapy for Tinnitus Management, and is one of the few audiologists in Utah certified as a Dementia Practitioner. Under his clinical leadership, Timpanogos Hearing & Tinnitus has been recognized as Best of State in Auditory Services 14 times and designated one of the first 10 Modern Tinnitus Specialty Centers in the United States. Learn more about Dr. Garrett →

Dr. Levi Lundquist, Au.D., CCC-A, ABAC, CH-TM

Doctor of Audiology

Dr. Lundquist grew up in Payson, Utah and discovered his passion for audiology in high school. He earned his Bachelor’s in Communicative Disorders from Utah State University and his Doctorate of Audiology from the University of Utah. He is board certified by the American Board of Audiology, holds his Certificate of Clinical Competence from ASHA, and is certified in Tinnitus Management — and he treats more tinnitus patients with Lenire than any other tinnitus specialist in Utah. Meet Dr. Lundquist →

Seth Austin, BC-HIS

Board Certified Hearing Instrument Specialist

Seth grew up on a fourth-generation farm in New Plymouth, Idaho and studied Communication Sciences & Disorders at Idaho State University. At 23 he developed persistent tinnitus following an accident — an experience that directly shaped his commitment to hearing and tinnitus care. He has since completed the International Hearing Society’s Tinnitus Care Provider Certificate Program and brings both clinical expertise and personal understanding to every patient he sees. Meet Seth →


Your 5‐Star Rated & Audiologist In American & Spanish Fork, UT


What To Expect On Your First Visit

Let’s Have A No‐Pressure Conversation To Get You The Help You Deserve.

  • Discuss Your Goals
  • Comprehensive Hearing Evaluation
  • Custom Treatment Plan
  • Flexible Financing Discussion
  • Bonus: Copy of Dr. Layne Garrett’s book

Our Locations

343 S 500 E

American Fork, UT 84003

Get Directions

(801) 763-0724

Monday – Thursday: 8am – 6pm, Friday: 8am – 12pm

642 Kirby Ln, Suite 102

Spanish Fork, UT 84660

Get Directions

(801) 798-7210

Monday – Thursday: 8am – 5pm, Friday: 8am – 12pm

We Service All The Following Towns & Their Surrounding Areas

Salem Hills 

Alpine 

Cedar Hills