How long have you noticed needing the ativan? I know that, for me, every 4 years I get very anxious and stressed for “NO PARTICULAR REASON” until around the second week in November. In my case, it is influenced by the current events that bombard social media. Not sure if that might be a bit of it for you.
Gabapentin can be prescribed as a PRN for anxiety, and is more mild than ativan. It might be worth looking into. It helped me a ton.
For me, if I don’t go outside for a day or two, I get pretty anxious. I try to at least walk the dog most days, or maybe drive to get some lunch. Helps a little bit with the anxiety
I’m also on Ativan (1 mg). I don’t really like to take it unless I have to. I also smoke the hemp flower, which is the best anti-anxiety supplement I’ve tried.
I take gabapentin and it can heal with anxiety… idk if it’s the sole cause but my anxiety is down like 70% compared to before but I also moved to a less stressful environment
Limiting caffeine can help. Agree with @everhopeful try out a few supplements. You might stumble over something that helps, and then you will have a remedy that most likely gives you virtually no side effects, compared to drugs.