Brief Answer: Have patience Detailed Answer: Hello Thanks for using health care magic for posting your query. I have gone through your question in detail and I can understand what you are going through. I understand that you have anxiety disorder and escitalopram is a good drug for anxiety disorder and when taken with a benzodiazepine it improves anxiety very nicely in 4-8 weeks time. You have not mentioned exactly since how long are you taking this therapy. But generally it takes time to show its response. Even buspirone is a good drug for anxiety but its not a first line theraoy. Its not similar to propranolol which provides only symptomatic relief but instead cures anxiety from within. If you are already on 6-7 weeks of therapy with not much good improvement then paroxetine would be a good option. Escitalopram can cause the acidity and other GI side-effects. Bupropion is very effective antidepressant but may not be an effective anti anxiety drug. Another option I would suggest is that you can augment your current drug treatment with cognitive behavioural therapy. This involves 20 min weekly sessions for 6-7 weeks and basically tries to modify the thought contents. Hope I was of help to you, If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Kind regards Dr. Srikanth Reddy M.D.

---