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It hasn't affected my relationship other than I've learned not to overdo it talking about the t.    Talking too much about it puts the focus right back on the t, which is exactly where you don't want your attention.   And, most spouses want to help when the other is feeling bad, so it's frustrating for them that they can't take the t away.   Sometimes I just ask for a neck rub to relax instead of complaining about it.  That way he can participate in doing something active to help.  It's a way for both of us to help the other.  He can't help the t, but he can participate in alleviating the stress.  

I had to learn the balance of when talking about it at home is counterproductive.   Right now I'm going through a really bad spike and the temptation is to talk my husband's ear off about it to vent (pardon the pun :-).   So I try to catch myself when talking too much about my t is doing neither of us any good and is becoming a habit.   That's one of the purposes of  this board.  It provides a place where you can talk and vent about it with people who understand what you're going through. 

The biggest thing about I'm learning again with this spike...and it's a very loud obnoxious spike, is to trust the process that it'll go back down again.  When I do catch myself getting a bit nervous angry, or down about it, I get on with doing something and before I know it, I've forgotten about it again. You have to find what works for you in dealing with the spikes.  Not only what to do, but how to view it and a philosophy that keeps things in perspective.   For me, a sense of humor is critical.   Like this morning I told my hubby it's time to break out the tinfoil helmet because the aliens are transmitting again lol.    Last nite I had to go back to sleeping with different sound sources at different sides of the bed.   With time, I've developed an attitude of oh well here we go again, get up and down adjusting the maskers a dozen times (which is annoying), and then drift off to sleep.   It still didn't mask the t, but it provided a distraction to listen to a different kind of sound.  Background sound can do that for you even if it doesn't mask your t.  It breaks the monotony of listening to the same sound.  If sound annoys your spouse, you can use a sound pillow at nite.    

Sounds funny, but sometimes I talk to t in my head.  Things like "oh you again...so what, I don't care."    "you're not going to disrupt what I'm doing"  "you're not important enough to take my attention away".   I find that helpful instead of saying "you're driving me crazy"  "I can take it anymore"  "what if it gets worse".   Self talk (or talking to your t :-) is important.
 
You can't control your t, but you can control how you react to your t.   If you let your t control you, you'll let it control your life and relationships.
Suz