Why is my anxiety worse at night? It typically starts around 5-6pm. I can be doing dishes, sitting on the sofa, talking on the phone, washing dishes, etc. It isn't when it was quiet or in the middle of the night. I have 4 kids so there is no quiet around here. LOL. I can't pin point what is causing it, I am good during the day. I take 150mg of Zoloft every night before bed. I take 1mg of Ativan PRN. I don't want to take the Ativan everyday because I don't want to build up a resistance but I have been needing to take it quiet often lately. Thoughts?