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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Lexapro Suitable For Anxiety And Severe Depression?

what would you suggest for a for a 16year old girl experiencing depression with frequent crying, mood swings, excessive guilty, high anxiety! and starting to display paranoia, potential psychosis with fears of others knowing about what she s done . Been on Prozac 20 mg for 6 months, and prescriber took her off the Prozac and now suggesting Lexapro 10 mg. Will this cover the anxiety well enough or would you suggest something different-- something that targets the mood as well as the intense anxiety better than Lexapro? When do you try an antipsychotic or a mood stabilizer with a 16 year old that has never displayed any psychosis before? or is this just part of the depression?
posted on Fri, 29 Sep 2017
Twitter Tue, 24 Oct 2017 Answered on
Twitter Thu, 4 Oct 2018 Last reviewed on
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Psychiatrist,  's  Response
Hai
*Paranoia suggest evolving Psychosis in the depressed state
*Antidepressents SSRI is the first line of choice .But i personally feel the dose used was less .... The dose could have beed escalated according to the clinical condition
*Kindly get a opinion from another Psychiatrist. He may increase the dose of the Antidepressent
*in case of Severe depression with Psychosis, addition of Antipsychotic with Antidepressent is a usual practice.
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Is Lexapro Suitable For Anxiety And Severe Depression?

Hai *Paranoia suggest evolving Psychosis in the depressed state *Antidepressents SSRI is the first line of choice .But i personally feel the dose used was less .... The dose could have beed escalated according to the clinical condition *Kindly get a opinion from another Psychiatrist. He may increase the dose of the Antidepressent *in case of Severe depression with Psychosis, addition of Antipsychotic with Antidepressent is a usual practice. Thank you