Valium and Ativan are both medications used to treat anxiety and related conditions, but they work a little differently for each person. Valium tends to stay in the body longer, which can help with ongoing symptoms, while Ativan works faster and is often used for short-term or sudden anxiety. The “better” option depends on the situation, the symptoms being treated, and how an individual responds to the medication. A healthcare provider can help decide which one is the right fit based on personal needs and medical history.