Dear TT friends: I am almost five months from onset and really, really had been planning on writing something about my progress soon. I was feeling so much stronger and better. No more panic attacks. My CBT therapist said I was doing so well, she suggested I cut back sessions to every other week. Thought the acupuncture was helping and habituation was right around the corner. Then: I had a low volume day yesterday (Sunday), nice, nothing out of the usual. Woke up early this morning, about 5 am, took 1/2 natural sleep supplement to help me get a few more hours in. I drifted back into sleep... and had the most horrible nightmare. I dreamed I was sitting in a castle somewhere and my tinnitus was so loud, I started screaming. Or I was trying to scream. It was such a horrible feeling. I woke up and, of course, my tinnitus was loud. I was crying and felt so out of control, it was just dreadful after I have been working so hard and making progress. I had this overwhelming feeling that my life would be like this forever and how could I go on? Instead of annoyed, I felt panicked. Had to go to work today, though. As the day went, I realized that while I was having a loud T day, it wasn't any louder than my typical loud day (my T loudness varies greatly, often hour by hour throughout the day). So: What the hell is this? Did I have a panic attack in my sleep (I am on Xanax and thought my panic was controlled). A "spike" vs. a loud day or time? A setback? What do you all do to get through setbacks? I assume they are to be expected. I mean, its been five months and now I am feeling like I am back to square one, although I know that's probably silly. Right now, I will take any words of comfort, advice or anything else. Appreciate so much you all being here.