All too often, we are not given all the tools we need to help us understand that anxiety is a natural response to stressful situations.
Medicine is a short-term relief treatment designed to provide temporary reduction of overwhelming sensations to allow your body and brain a chance to naturally switch gears.
When you find the levels work for a short period of time, that gives you a better resting acute anxiety level to base your goals on.
Having increased anxiety connected to other triggers often happens and keeping track of what brings on the acute, overwhelming sensation will help you figure out the best natural way to reduce the overflow.
Physical movement will naturally reduce the chemical level generated by stress, and once you get comfortable with what works, you will find it less overwhelming and easier to physically move through the process.
Best wishes.

Your anxiety could be hormonal related at your age. Also nutrition plays a part in your anxiety and lack of vitamins. Medications are not a cure all and can quit working over time. You might want to check into a natural route. I took a med for 10 years that messed up my body and I had digestive problems and got severe anxiety out of it. With mixing all the meds you are trusting in your doctor but they too don't have all the answers. Some of them can even cause anxiety if you look at the side effects and their are a long list of them. The one I took was for depression and wound up with major anxiety and acid reflux after taking so long.

You may need to try a different combination of meds. It took a long time for me but it seems Cymbalta and especially Seroquel are the only meds that have helped my severe anxiety.
Buspar never worked for me and the pdoc I had at the time said he found it didn't work for a lot of ppl.

I was on Cymbalta for 30 days and the whole time I was on it, I could'nt sleep for over 2 hrs. That was just my experience though.

I take 75mg Trazodone every night to help me sleep. Although I still have frequent awakenings and difficulty falling back to sleep, I figure I'm getting atleast 5 to 6 hrs of sleep a night and I'm grateful for that!

When my anxiety is high though, I don't sleep much at all...sigh

I am grateful to get even that much sleep though.

maybe you just build up tolerance against them which can happen over time , best is to ask your doc for the best solution, maybe lower the dose on some it stop some for a while then retake the same dose?