Agomelatine?
MT agonist like ramelteon, plus bonus 5-ht2c antagonism which might be helpful for anxiety. That said, if ramelteon was of little use, then agomelatine might not be either. But if the 5-ht2c antagonism is able to reduce anxiety somewhat and thus the need for benzos, then part of the self-reinforcing cycle of anxiety and sleeplessness can possibly be considered reduced.
MT agonist like ramelteon, plus bonus 5-ht2c antagonism which might be helpful for anxiety. That said, if ramelteon was of little use, then agomelatine might not be either. But if the 5-ht2c antagonism is able to reduce anxiety somewhat and thus the need for benzos, then part of the self-reinforcing cycle of anxiety and sleeplessness can possibly be considered reduced.