That&#x27;s a unique mix of symptoms! Was just reading about tinnitus and apparently there&#x27;s a high correlation with anxiety disorders. Are you under a lot of stress at the moment? I don&#x27;t suppose you know if you clench or grind your teeth in your sleep, or perhaps have sleep apnoea?<p>Definitely many kinds of anxiety. I think there are two broad groups (which aren&#x27;t mutually exclusive): &#x27;physical&#x27; anxiety&#x2F;panic&#x2F;phobia (your body&#x27;s fight or flight response spools up at inappropriate times), and &#x27;mental&#x27; anxiety (either specific or generalised). PTSD is in many ways is like a panic disorder, except the stimuli are memories or sensory inputs similar to ones that were salient during a traumatic event.<p>I&#x27;ve got much more experience on the &#x27;physical anxiety&#x27; side of things. I&#x27;ve found propranolol (a beta-blocker) to be extremely effective at suppressing physical anxiety. It&#x27;s a very safe medication (unless you have asthma) and is non-narcotic. If your physical symptoms are troubling you, maybe raise this with your doctor. It&#x27;s very cheap too. There have also been recent studies on treating PTSD sufferer&#x27;s (with sleep episodes) with a similar kind of drug: alpha-adrenergic blockers (e.g. prazosin). This makes a lot of sense as it would also suppress the physical FoF response.<p>I&#x27;ve tried a number of anti-depressants in the past with little success. They have a low probability of success in monothreapy for anxiety. Lastly, I&#x27;d strongly advise steering clear of benzos (e.g valium), unless you need acute short-term releif and are under medical supervision. You build a tolerance to them very quickly, and they&#x27;re very physically addictive. The withdrawal can cause grand mal seizures (literally translates to &#x27;big bad&#x27; seizures) and potentially even kill you (for long-term high dose usage). At the very least, when you come off them you&#x27;ll generally experience rebound anxiety, which is not pleasant.<p>If it&#x27;s mostly physical, a you consider it a big enough impairment, I&#x27;d suggest meds might be a better option (unless there&#x27;s a strong phobic aspect present [e.g. fear of spiders], in which case exposure therapy and CBT can be helpful). If it&#x27;s more mental, maybe discuss your options with a GP and give talk therapy a try first.<p>Good luck with your health. Don&#x27;t leave it all in the hands of doctors; research and come to your own views before rocking up at an appointment.