@Allan1967
I'm sorry you're going through this. I would suspect the Lenire MIGHT be causing your spike but who can be sure.
I don't know if this is worth it but it's all I've got.
Prior to tinnitus, years prior, I had bad anxiety and depression. Just completely out of whack. I couldn't go out, I couldn't be in public, I couldn't sleep, I couldn't function. No joy. I went on Lexapro, which took the edge off, sort've made me feel like I had woken up from a long nap. Things didn't phase me much at all. But I also didn't get really "happy" either. I did therapy. It was worthless to me BUT, the therapist told me some golden information... he said studies show that cardio exercise gives your brain the same effects that antidepressants do - on a chemical level. He said if you do cardio 30 mins 3 times a week, it's going to help. Out of desperation I did it. Obsessively. Even in the dead of winter. I would go out and run 5 miles every night. Grew my beard out, put in the headphones, and jogged. It was like being in a dream. I'd look at the moon, see deer pass, and just zone the fuck out.
Now I COMPLETELY realize this was a different scenario, and was also prior to tinnitus.... I recognize all the reasons why not.
BUT... if you can get an exercise bike, put on the tv with subtitles, or swim, or do something like this... make it a ritual that you do for yourself every week. You stand a serious chance at developing more coping with the tinnitus.
That's the best advice I personally have.
Outside of that, eating full meals, and sleeping are crucial.
This spike will pass.