I've been on 3 x5 mg of diazepam for anxiety for over 10 years and they are not helping me no more what should i do please ?

Several options.: Firstly, should you decide to come off the valium, taper it extremely slowly under the supervision of a psychiatrist. Some people find it helpful to switch benzodiazepines by a cross tapering. If you have generalized anxiety and have not been on Buspirone before, i would recommend that to control the generalized anxiety and a very slow tapering of the diazepam in the process. Bye very slow i mean over the course of the year or longer if necessary. You are in no rush and you are not in a race. Some people do get at least a partial benefit in the relief of their anxiety from some of the ssri medications. Again, assuming you have generalized anxiety disorder, one of the better options would include lexapro (escitalopram). Now would also be a time to get involved in cognitive behavioral therapy to learn how to control your thoughts that trigger your emotions. This is most likely to help you want to come off of benzodiazepines in the long run. Your psychiatrist certainly have other options for you. These are just some of the ones available. I wish the very best. Do not forget that other options yoga, acupuncture, exercise, dietary, and meditation. Spiritually centered and keep a good support group around.

Long time: Medications like diazepam develop tolerance and of course withdrawal symptoms in individuals who use them for a long period of time. If you've used them for 10 years, it might be advisable to wean off of them and try other options like psychological therapy with active practice of skills. Raising the dosage should be discussed with your doctor and frankly, you are on a higher dose at 3x per day.

Valium: Talk to your doctor about gradual tapering while adjusting the Propranolol dose which can help your anxiety.