Two things, imho going straight to a daily dose of benzodiazepine, if prozac doesn't work at the therapeutic range and adding another 5HT SSRI???. It is a very poor choice. I can think of pregabalin or its younger brother gabbapentin before that. Also there is research coming out on CBD oils derived from hemp affecting CB receptors in the brain That can hold a whole variety of cannibidol benefits. There is more scientific research that needs to be conclusive of the benefits vs negatives but it seems to be shifting up with pharmaceutical grade companies. 2019: Cannabidiol in Anxiety and Sleep: A Large Case Series Also, holistic benefits like a good diet, regular exercise, cbt or act and various supplements ie magnesium, L-theanine, melatonin,holy basil, pre - probiotics etc. Also why add 100mg of lamictal?