Hi there, A detailed medical and psychiatric history is always needed for every patient.In addition, a detailed mental status examination is also recommended for every patient to make a diagnosis and the management accordingly.
Next Steps
Drugs like Escitalopram can sometimes cause the symptoms as you have described.In addition, the drugs do take time to show their effects.
I hope, your psychiatrist must have written other drugs for SOS basis too.
Health Tips
Do consult a mental health professional for your present issues.