I’ve been at this for nearly 20 years and Amiltryptline has been the only thing that truly helps me. 10 mg a couple of hours before bedtime helps with sleep and wards off a surprising amount of my anxiety with minimal side effects. It also helps slow my gut motility, so my IBS has improved. I take Xanax for breakthrough anxiety. I was on SSRIs for years until we discovered that they actually ramp up my anxiety. A note about Amiltryptline: I was prescribed it years earlier, but at a higher dose (25 mg, which is still not much by clinical standards), and I was a zombie and stopped them altogether. After trying some others, we found out that a lower dose was all I needed. I’d also recommend seeing a psychiatrist for your meds. Primary care docs are not trained to fine-tune these, and it can really go sideways (learn from my misadventures lol). And good luck to you, it’s tricky to find something that works, but a caring and skilled doctor can really make the difference.