This combo seems to help me first thing in the morning . I only take half an ativan which is only a quarter of a half of a mg but it sure does help. It is what helped me get out to that interview I am guessing. When I start this job, first thing in the morning is coffee and meds, let it sink in, and poof anxiety gone. Even though vyvanse is a stimulant, seems to work well. Woke up with the anxiety, mad it happened again, started thinking how the hell will I get up for work like this and blah blah. Stupid feeling of having the fear of fear. F YOU OCD!! Anyways, coffee and meds kicked in, I feel fine.