If mainly anxiety, followed by insomnia, then daytime fatigue, inability to concentrate, increased
anxiety and stress from a non focused mind,
and a broadening gap between your ideal self
and where you are, then reevaluate.
An inexpensive ssri such as celexa, with a longer acting benzodiazapine as clonazepam may save a lot of money.
If daytime hypo arousal is present, get a trial of Nuvigil. Get the 250 and try 1/3 in the am.