That, and you simply hear the sounds in your environment worse and/or selectively depending on how they interact with the tinnitus. It's a massive nuisance.

The worst has to be in movies or TV shows when they play this ring after something happens (car accident / loud bang / etc). It's like it doubles the tinitus amplitude and it's excruciating. Every time I see this in a movie I am both disappointed for the lazy trope as well as immediately think to myself there's no way the sound designer of this movie knows what tinitus even is.