Thank you for your question.
I am sorry to hear about your situation.
It is, at times, very tough to get off medications like ativan as your body and brain has become dependant on it.
The best thing to do would be to reduce the dose as slowly as you possibly can by reducing the dose 5-10% each week.
You can do that by using pill cutters that are available in the market or by the juice method whereby you dissolve the tablet in juice or liquid and then discard 5-10% of it and increase that every week.
Ideally speaking this should all be done under the guidance of your psychiatrist who are well-versed in this.
This session is open for any further questions that you may have. I would appreciate it if you rate me by clicking on one of the rating options at your end on the top right hand corner as that is the only way we, the experts, are credited on here for helping you out.Kindest regards
Are you on any other medications for your anxiety like lexapro?
Remeron is not only to help with your sleep but is also a medication that is supposed to help with your anxiety as well as it is an antidepressant and anxiolytic.
Effexor, if it worked previously, may work much better for you.
You need a medication to help such as lexapro or changing remeron to something else to help with your anxiety waves.
I would strongly recommend that you be seen by a psychiatrist to help with your symptoms if you are not doing that already.
Are you with me?