Tinnitus can be a very distressing condition. However, with the correct support it can be well managed. Tinnitus can be most disturbing in quiet situations, and as with adults, children may have difficulty getting to sleep at night.
Noisy environments can also cause problems. Loud sounds such as school bells may trigger the onset of troublesome tinnitus, and so the school environment can be particularly challenging for children with tinnitus. In the classroom, tinnitus can make concentration difficult, competing against the teacher's voice for the child's attention. Those with hearing loss (see entry Deafness) may find it more difficult to understand speech when tinnitus is present, meaning that information is missed.