That's a unique mix of symptoms! Was just reading about tinnitus and apparently there's a high correlation with anxiety disorders. Are you under a lot of stress

That's a unique mix of symptoms! Was just reading about tinnitus and apparently there's a high correlation with anxiety disorders. Are you under a lot of stress at the moment? I don't suppose you know if you clench or grind your teeth in your sleep, or perhaps have sleep apnoea? Definitely many kinds of anxiety. I think there are two broad groups (which aren't mutually exclusive): 'physical' anxiety/panic/phobia (your body's fight or flight response spools up at inappropriate times), and 'mental' 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. I've got much more experience on the 'physical anxiety' side of things. I've found propranolol (a beta-blocker) to be extremely effective at suppressing physical anxiety. It'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's very cheap too. There have also been recent studies on treating PTSD sufferer'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. I'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'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're very physically addictive. The withdrawal can cause grand mal seizures (literally translates to 'big bad' seizures) and potentially even kill you (for long-term high dose usage). At the very least, when you come off them you'll generally experience rebound anxiety, which is not pleasant. If it's mostly physical, a you consider it a big enough impairment, I'd suggest meds might be a better option (unless there's a strong phobic aspect present [e.g. fear of spiders], in which case exposure therapy and CBT can be helpful). If it's more mental, maybe discuss your options with a GP and give talk therapy a try first. Good luck with your health. Don't leave it all in the hands of doctors; research and come to your own views before rocking up at an appointment.