🧠 My Opinion (As a Psychiatrist): It’s great that you’ve achieved some relief from anxiety and depression with escitalopram 10 mg, and that shows treatment has helped. However, your concern about difficulty in understanding and concentration is valid. While escitalopram is usually well tolerated, in some individuals, especially with long-term use, mild cognitive slowing such as poor focus, reduced processing speed, or brain fog can occur. But more commonly, these issues stem from residual anxiety or depression rather than the medication itself. The good news is — this is often reversible, either by dose adjustment, augmentation, or by adding cognitive-enhancing strategies in therapy.

As per my view, if you have response on escitalopram, you should continue it . 10 mg is optimum dose, this medication will not cause dependence. If you try to taper it, may be anxiety or mood symptoms again occur that further hamper your studies and personal social life. You should consult a Psychiatrist and if want to taper it, do it under guidance so that if symptoms reoccur, proper management can be done.Along with it, follow relaxation exercises (meditation), increase concentration and attention.Some life style change as brisk walk, healthy diet, drink plenty of water

Yes, it is entirely reversible. It may be residual symptoms of depression. For that we need to evaluate history in details and plan further course of action.

Hi. Will need further history regarding the same to advise appropriately. Consult online for further evaluation and management

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Hello, Thank you for sharing your concern. It’s good to hear that you experienced some relief from anxiety and depression with escitalopram. However, difficulty with concentration and memory can sometimes occur as a side effect of antidepressants like escitalopram, though they are generally considered cognitively safe. Other possible reasons for your difficulty in understanding studies could include: A. Residual symptoms of depression/anxiety B. Mental fatigue or low motivation C. Overuse of screens or poor sleep D. Or even unrelated factors like stress or lack of breaks The good news: Yes, these cognitive effects, if related to the medicine, are usually reversible. In many cases, adjusting the dose or switching the medication (under guidance) helps. Also, cognitive performance often improves as mental health stabilizes further.

Hello, mild difficulty in focus or concentration can sometimes be seen with long-term antidepressant use, but it can also be due to underlying anxiety or depression itself. The good part is, such effects are often reversible with dose adjustment, supportive therapy, or other strategies. I suggest consulting once to assess your case and plan accordingly.