Objective: To explore the impact of nonverbal cue-based psychological counseling intervention on anxiety emotions and sleep quality in patients with tinnitus. Methods: A total of 104 patients with tinnitus were randomly divided into a control group and an observation group, with 52 patients in each group. Both groups received routine interventions, while the observation group additionally received nonverbal cue-based psychological counseling intervention. The Anxiety State Trait Questionnaire (STAI), Pittsburgh Sleep Quality Index (PSQI), Connor-Davidson Resilience Scale (CD-RISC), and Comprehensive Assessment Scale of Quality of Life (GQOLI-74) were used to evaluate and compare anxiety emotions, sleep quality, psychological resilience, quality of life, and satisfaction between the two groups. Results: After the intervention, all STAI scores in the observation group were lower than those in the control group (P<0.05), sleep indicators were better than those in the control group (P<0.05), CD-RISC scores were higher than those in the control group (P<0.05), and all GQOLI scores were higher than those in the control group (P<0.05). The total satisfaction rate of intervention in the observation group was higher than that in the control group (P<0.05). Conclusion: Nonverbal cue-based psychological counseling intervention has a significant application effect on patients with tinnitus, reducing anxiety emotions, improving sleep quality, psychological resilience function, and quality of life, with good patient satisfaction.