Tinnitus is more than a sound perceived in the ears—it reflects the interaction between the auditory system, the brain, the nervous system, and stress regulation. Research shows that when these systems remain in a heightened state, tinnitus can feel persistent and intrusive. A comprehensive, evidence-informed approach recognizes that lasting improvement occurs when both the auditory pathways and the nervous system are addressed together. Through structured education and clinically guided mind-body strategies, patients learn how to regulate nervous system responses, reduce tinnitus-related distress, and support the brain’s natural capacity for adaptation. Over time, this process can lead to decreased awareness of tinnitus, improved emotional well-being, and a renewed sense of confidence and control in daily life.
Sara K. Downs, AuD
Founder
Active Sound Therapy
Discover how AST can transform the way you care for patients with tinnitus. AST equips providers with practical techniques to help reduce tinnitus symptoms, improve patient outcomes, and expand treatment options beyond traditional management approaches. Join a growing network of physicians commited to delivering patient centered tinnitus treatment and making a meaningful difference in patients’ quality of life.
August 13-14th, 2026
University of Iowa
AST is proud to have its founder presenting her innovative Active Sound Therapy technique to leading physicians and hearing specialists at the 33rd Annual International Conference for Tinnitus and Hyperacusis. This opportunity highlights her commitment to advancing evidence-informed care and fostering collaboration with medical professionals dedicated to improving outcomes for individuals living with tinnitus worldwide.
UPCOMING AST TRAININGS / SPEAKING ENGAGEMENTS
October 1-4th, 2026
Minneapolis, MN
We're honored that Dr. Sara K. Downs will present her Active Sound Therapy technique at the 2026 AuDacity event, hosted by the Academy of Doctors of Audiology. Speaking to an audience of audiologists and hearing healthcare professionals, she'll share innovative approaches to tinnitus management, highlighting practical strategies that support improved patient outcomes and advance excellence in evidence-informed audiology practice.
2027 Dates Coming!
Hermantown, MN
Dr. Downs recently welcomed a group of doctors to her Hermantown, Minnesota clinic to present her Active Sound Therapy technique. During the training, she shared the principles behind her approach to tinnitus management, demonstrated its clinical application, and fostered the exchange of knowledge regarding current techniques used among healthcare professionals and how they can be improved upon.