There is a difference between antidepressants (Lexapro/Cipralex, Zoloft,Prozac, etc) and antianxiety drugs (Xanax, Ativan, Clonazepam). Antidepressants will take several weeks to work after they get to the right dose but the anxtianxiety agents will work quickly but are only a 'stopgap'. I keep reading several sufferers are afraid of medications - this is misplaced. The majority of these drugs are safe and will not worsen the tinnitus. They may have side-effects that require you to stop and change the medication but they are the best way forward for those who are emotionally struggling. Sleep medications are essential - without sleep, you lose the war.