I have been keeping a diary lately - not solely for T - but I just put a little entry in each day that says "loud t" or "t hardly noticeable", etc, and I find it helps me to see all the times that it has been so much better so that when I get a spike I can be reassured that I can have periods of hardly noticing it as well. Also I look at what I was doing during whatever was happening with the T to see if I can find any pattern/connection.