For me, anxiety certainly makes it worse and I believe caused it but we all react to things differently. I've had stressfull experiences since getting t and it hasn't affected it at all, in fact it bothered me less because my mind was on something else yet on a day by day basis I can be OK with it yet a slight increase in volume can have me right back in those, 'how will I live with this', 'what if it continues to get louder', 'why can't I habituate when everybody else can' type thoughts and I can be on a real downer. If I can stop those thoughts before they get going then it's more managable and the anxiety doesn't start. Not an easy ride that's for sure.