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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?
Thu, 4 Oct 2018
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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