Your symptoms suggest relapse of anxiety disorder, not permanent damage. It is common when medication is restarted after a gap. Escitalopram 20 mg may take 4–6 weeks to show full benefit.
Instead of switching many medicines quickly, a slow and planned approach is needed.
Please consult your psychiatrist for:
Next Steps
Dose adjustment or a low-dose add-on gradually
CBT therapy to manage intrusive thoughts
Lifestyle routine (sleep, exercise, reducing screen time)
Health Tips
You will improve with consistent treatment. Avoid experimenting or stopping medicines suddenly.