hi anxietyadhdboy
sometimes meds just stop being effective. it is not uncommon. it is a mystery. it is not something you have to worry about discussing with your pdoc. just let him know that it is no longer working and you need a change to something more effective. you can let him know the Ativan is not effective at the same time. docs are used to changing meds around. this is so much a trial and error process until you find the right med that works for you. you really need to be a good advocate for yourself and speak up to your pdoc when things aren't working. welcome to psych central. you will find we have several forums where you can post about your concerns and receive feedback from other members. you will get a lot of support here. again, welcome